COMMUNITY COLLEGE OF ALLEGHENY COUNTY
MINORITY PARTICIPATION GOALS – BID PROPOSAL NO. 1095
The following must be included with your bid.
Reference: General Conditions for Construction and Renovation Contracts - Item 6, Page 2 – Minority & Disadvantaged Participation Goals
A 20 % M/W/DBE work participation is established (13% MBE and 7% WBE/DBE) . Document your firm’s good faith effort to obtain the 20 % Goal:
M/W/DBE Company
Contact Person
Phone Number
$Amount or Objective %
____________________________________ ____________________________ _________________ ________________________
____________________________________ ____________________________ _________________ ________________________
____________________________________ ____________________________ _________________ ________________________
____________________________________ ____________________________ _________________ ________________________
_______ I am an M/W/DBE. (ATTACH CERTIFICATION)
Total: ________________________
Bidder acknowledges that CCAC may communicate with listed firms to verify the extent of the contact.
Bidding Company’s Name:
Signature:
Title:
Date:
Revised: 9/14/21
RETURN FORM 4.0
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