DBE Letter of Intent-FILLABLE.pdf
PDF 165 KB Posted
- Attached to
- Extend Future Hangar Development Taxilane
- Solicitation number
- OCAT RCE 2533
- Issued by
- Oklahoma County, Oklahoma City, Oklahoma
About this file
This document is a Disadvantaged Business Enterprise (DBE) Letter of Intent form designated with the code OCAT 00212-1, related to a potential airport development project in Oklahoma. The form is designed to document a prime contractor's commitment to utilizing a certified Disadvantaged Business Enterprise (DBE) as a subcontractor, with specific sections for detailing the DBE firm's information, the scope of work to be performed, and the estimated dollar value of their contribution.
The form requires both the prime bidder/offeror and the DBE subcontractor to sign, affirming the DBE's capability to perform the specified work and the prime contractor's intent to utilize the DBE if awarded the contract. The document is part of a procurement process for a project involving "Extend Future Hangar Development Taxilane", where contractors must be pre-qualified under Ordinance No. 26,614, specifically for Paving Contractor "A" and "B" categories. The form includes provisions that prevent substitution or termination of the listed DBE without following specific federal regulatory procedures outlined in 49 CFR Part 26, § 26.53.
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Text version
OCAT 00212-1
DISADVANTAGED BUSINESS ENTERPRISE (DBE) LETTER OF INTENT
Note: The authorized representative (AR) named below must be an individual vested with the authority to make contracting decisions on behalf of the firm.
Name of bidder/offeror’s firm: _____________________________________________________________________
Name & title of firm’s AR: ________________________________________________________________________
Phone: ________________________________ Email:_________________________________________________
Address: _____________________________________________________________________________________
City: ___________________________________________ State: _________________________ Zip: __________
Name of DBE firm: _____________________________________________________________________________
Name & title of firm’s AR: ________________________________________________________________________
Phone: ________________________________ Email:_________________________________________________
Address: _____________________________________________________________________________________
City: ___________________________________________ State: _________________________ Zip: __________
Telephone: _____________________ DBE Ethnicity & Gender__________________ NAICS:_________________
Description of work to be performed by DBE firm:
The bidder/offeror is committed to utilizing the above-named DBE firm for the work described above. The estimated dollar value of this work is $ ___________________.
Dollar Amount/%__________________ Dealer/Manufacturer___________________
*Percentage is to be used only in negotiated procurements, including design-build contracts
**For material suppliers only, indicate whether the DBE is a manufacturer or a regular dealer as defined by 49 CFR § 26.55.
The undersigned bidder/offeror is committed to utilizing the above-named DBE firm for the work described above. The total expected dollar value of this work is $ ____________________. The bidder/offeror understands that if it is awarded the contract/agreement resulting from this procurement, it must enter into a subcontract with the DBE firm identified above that is representative of the type and amount of work listed. Bidder/offeror understands that upon submitting this form with its bid/offer, it may not substitute or terminate the DBE listed above without following the procedures of 49 CFR Part 26, § 26.53.
_____________________________________________ Date: _______________ Signature of Bidder/Offeror’s Authorized Representative
The undersigned DBE affirms that it is ready, willing, and able to perform the amount and type of work as described above, and is properly certified to be counted for DBE participation therefore.
_____________________________________________ Date: _______________ Signature of DBE’s Authorized Representative
If the bidder/offeror does not receive award of the prime contract, any and all representations in this Letter of Intent shall be null and void.
(Submit this page for each DBE subcontractor.)
Project Name:
| Name of bidderofferors firm: |
| Name title of firms AR: |
| Phone: |
| Email: |
| Address: |
| City: |
| State: |
| Zip: |
| Name of DBE firm: |
| Name title of firms AR_2: |
| Phone_2: |
| Email_2: |
| Address_2: |
| City_2: |
| State_2: |
| Zip_2: |
| Telephone: |
| DBE Ethnicity Gender: |
| NAICS: |
| The bidderofferor is committed to utilizing the abovenamed DBE firm for the work described above The estimated: |
| dollar value of this work is: |
| DealerManufacturer: |
| Dollar Amount: |
| total expected dollar value of this work is: |
| Date: |
| Date_2: |
| Text1: |
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