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C <br />EXHIBIT E-6 ATTACHMENT B <br /> <br />WOMEN AND MINORITY BUSINESS ENTERPRISES TO BE UTILIZED <br /> <br /> <br /> [enter name of project] <br />Project: <br /> <br />[enter name of bidder - contractor name] <br />Name of Bidder: <br /> <br /> <br /> Check all that apply <br /> <br />MBE <br />Name of Firm: <br />Address: WBE <br /> <br />Phone: <br /> <br />Description of Work Element or Supplies: Subcontractor <br /> Supplier <br /> <br /> Manufacturer <br /> <br /> <br />Amount to be contracted: $ <br /> <br /> <br /> <br /> <br /> <br />Name of Firm: MBE <br /> <br />Address: WBE <br /> <br />Phone: <br /> <br />Description of Work Element or Supplies: Subcontractor <br /> Supplier <br /> <br /> Manufacturer <br /> <br /> <br />Amount to be contracted $ <br /> <br /> <br /> <br /> <br /> <br />Contractor: <br /> (Prime or Sub as applicable) <br /> <br /> Signature: <br /> <br /> <br />Prime & Sub-Contractor to sign & complete <br /> <br />Use additional pages if necessary <br /> <br /> <br /> <br />