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APPE~DIX B OFL D MC~ST BE SUBh~LITTED WTTH BTD <br />APPENDIX B <br />I~~IBE L'TILIZATiON ~Oh1ivIITME'~~I' <br />W e, <br />(Bidder) <br />ELECTRIC STEHIGLE SL;PPL~' EQLiIPALE~T {EVSE) <br />{Dollar Amoturt of Bid} <br />do certify that on the <br />wi11 expend a minimum af °,'o of the total doll.ar amount of the contract ~7t~7 minority business enierprises. <br />This percenta~e must be at least ten percent CI O° o). ar tha biddar must complete the back side of this frnm as vrell. <br />Ivi~E's will be employed as constr~uction subcontractors, vendors, suppliers or providers of professianal ser~~ices. <br />5uch ti~ork will be subcontr-acted to Yhe following fums lisfed below. If tlie 6idder intend, to subcantract, this form <br />mt~st be completed reearr.lless of the amo~mt or tack of ~,articigation attained. <br />Name and. Phone Indicate Descriptian <br />Number of Fizm MBE of Wark Dnliar 4'alue <br />The undersigned will enter into a formal agreement ~vith _vtinority Pirms for work listed in this schedule, conditicsnal upon <br />executian of a cantract with the County af Orange. Failure to I'ulfill this commihnant may constitute a breach of Yhe <br />contract~ <br />The undasi~ned hzreby certifies that he or she has read the ternts of this con~mittnent and is authorized to bind t1~e <br />bidder to the carnmitment herein set forfih. <br />Date: <br />(Name ofAuthorized Qfficer) <br />Signature: <br />T itle: <br />~'e, do certify that we did undertake the <br />following steps in govd faith to procure inincxity enterprise. 'The bidder must cite that at least fiva stepc ware taken <br />1. Gontacted ruinority bwinesses tt~at reasonably could have been eapected to submit a <br />quote and that ti~era Imown to the contraotor ar available on these State or local <br />government-maintained lists af least ten (I 0) days befora the bid or proposal date and <br />ndtifying them of the natiue and scope of the ~xrork to be performed. <br />2. R~ade the cvnstruction ptans, specitications, and requiremei7ts available for re~~ew by prospective <br />minarity bnsinesses, or groviding these documents to them at least ten (1 ~ i da}~ befare <br />the bid proposals are due. <br />3. Brake dawn ar combined elaments of wer~ inio ecanomically feasihle units to facilit~rte min~rity <br />pazticipation. <br />MAR-07-2012 1a:30 From: <br />ID:1111 <br />Pa~e:~Z1 R=93% <br />