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ORANGE COUNTY'PUBLIC WOMM <br /> -IMS APPEMIK MUST BE SUBMITTED VV=AM <br /> APPENDMD <br /> MBE 1ZMjZAn0N COMMUMNT <br /> We, MF:be-r--- 7 W-c- do certify that <br /> (Bidder) <br /> on the 0Q,'*W6rw (f'CW-J� tA,-11,,J7b-4AJCX- <br /> (Project ame) <br /> ,will expend a minimum of % Of <br /> the total dollar amount of the contract with minority business enterprises. MBEs, will be employed as <br /> construction subcontractors, vendors, suppliers or providers of professional services. Such work will be <br /> subcontracted to the firms listed below. If the bidder intends to subcontract, this form must be <br /> completed regardless of the amount or lack of participation attained. <br /> Name/Phone Number If firm an MBE? Description of Dollar value,of-work to <br /> Contact Person of Work be done by firm listed <br /> Use additional sheets as necessary. <br /> The undersigned will enter into a formal agreement with Minority Firm for work listed in this schedule <br /> conditional upon execution of a contract with the County of Orange,North Carolina. Failure to fulfill this <br /> commitment may constitute a breach of the contract. <br /> The undersigned hereby certmes that he/she has read the terms of this commitment and is authorized to <br /> bind the bidder to the commitment herein set forth. <br /> +7r=t-n1 &, W LA..,i ot64 5 Date: <br /> Name of Authorized Officer <br /> Signature: <br /> Title: pa e3 I JD e-J-T-- <br /> MBE UTILIZATION COhOUTMFM-APPENDIX D-1 <br /> END OF SECTION 00005 <br /> SECTION 04006-PROPOSAL FORM OM-12 <br />