New Search
OIROOMa6MIR!!Y!M 71M W gAAiIOM <br /> Project Name e.~d ~c~we. EX~-mss;cn Bid Opening Date,~Q, z.ppq <br /> SUBCONTRACTOR/SUPPLIERSOLICITATION AND UTILIZATION <br /> All bidders, including DBE prime bidders, shall complete and submit this form to ODOT Office of Civil Rights, DBE <br /> Program, 800 Airport Road SE, Salem, OR 97301-4798 within 10 calendar days after the bid opening date. This <br /> information will be used to construct a Bidders List required by 49 CFR 26.11(c). <br /> The bidder acknowledges and certifies that this form accurately represents receipt of and consent from the listed <br /> firms as to the consideration for performance on this project. Bidder certifies that it had direct contact with the <br /> named firms regarding participation of this project. <br /> Bidder Si ature Date Title <br /> <br /> ~.AS~: G,O.N,S_TR.I~,C.TION. CO. DaA~ DELTA CO(VCRET~ (5~{ (pgg - Zy 33 ~ 5y t <br /> ~88-86tb <br /> Name of Contractor (Company..Name) Phone No. (include area code) Fax No. (include area code) <br /> Name of Firm Phone Number. DBEINon UtilizedlNot <br /> DBE Utilized <br /> Additional sheets maybe used by copying this form. <br /> Bidder must sign each additional sheet to certify its content and completion of form. <br /> 734-2533(2-01) <br /> <br />