Orange County NC Website
Browse       Search
CONTRACT: NAME OF BIDDER: <br />~ ~ ~ tA~~ ~ ~S~Ltc~-O r~ <br />The undersigned intends to perform work in connection with the above contract upon execution of the bid <br />and subsequent award of contract by the Boazd of Transportation as: ,.,_t ~ <br />Name of MBE/WBE/DBE Subcontractor ~' (~ ~~~ RA 1/ i ~ (1ir1(YIQ./ ! [z~.f ~ Y tT~- ~ i~i~lY <br />Address ~~ ~~, ~~ ~ J <br />City ~~~ State ~ ~~ Zip o2 ~~3~ <br />Please check all that apply: <br />Minority Business Enterprise (MBE) <br />Women Business Enterprise (WBE) <br />Disadvantaged Business Enterprise (DBE) <br />The MBE /WBE /DBE status of the above named subcontractor is certified by the North Carolina <br />Department of Transportation. The above named subcontractor is prepazed to perform the described work <br />listed on the attached MBENVBEfDBE Commitment Items sheet, in connection with the above contract <br />upon execution of the bid and subsequent awazd of contract by the Board of Transportation. The above <br />named subcontractor is prepared to per~onn the described work at the estimated Commitment Total for <br />Subcontractor Price identified on the MBEIWBE/DBE Commitment Items sheet and amount indicated <br />below. # <br />Commitment Total based on estimated.Unit Prices and Quantities on the "attached" MBE/WBEJDBE <br />Commitment Items sheet. Amount S ~, , ~ ~ Q °~ <br />The above named bidder and subcontractor mutually accepts the Commitment Total estimated for the <br />Unit Prices and Quantities. This commitment total is based on estimated quantities only and most likely <br />will vary up or down as the project is completed. Final compensation will be based on actual quantities of <br />work performed and accepted during the pursuance of work. The above listed amount represents the <br />entire dollar amount quoted based on these estimated qualrttities. No conversations, verbal agreements, <br />and/or-other forms ofnon-written representations shall serve to add, delete, or modify the terms as stated. <br />This document shall not serve in any manner as an actual subcontract between the two parties. A separate <br />subcontractor agreement will describe in detail the. contractual obligations of the bidder and the <br />MBE/WBE/DBE subcontractor. <br />Affirmation <br />The above named MBE/ WBE/ DBE subcontractor affirms that it will perform the portion(s) of the <br />contract for the estimated dollar value as stated above. <br />ame f E/ E! DBE Subeontraetor Name of Bid r <br />~°r+e S <br />Signature /Tie Signature /Title <br />.~ NQ`s ~ YZ - 3 - 2~q , <br />Date Dste <br />LETTER OF INTENT TO PERFORM AS A SUBCONTRACTOR <br />