Request for Proposals (RFP) number DW-019 ... - Build-laccd.org
Request for Proposals (RFP) number DW-019 ... - Build-laccd.org
Request for Proposals (RFP) number DW-019 ... - Build-laccd.org
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COMMUNITY ECONOMIC DEVELOPMENT PROGRAM<br />
DISABLED VETERAN-OWNED BUSINESS OPPORTUNITIES<br />
LOCAL, SMALL, AND EMERGING BUSINESS OPPORTUNITIES<br />
ADDITIONAL BUSINESS IDENTIFICATION<br />
FORM OR-126<br />
INFORMATION PURPOSES ONLY<br />
The in<strong>for</strong>mation requested by this <strong>for</strong>m is required <strong>for</strong> in<strong>for</strong>mational purposes only. Proposers /<br />
Subconsultants are not graded, scored, evaluated, or ranked based upon the responses provided.<br />
Proposer/Subconsultant Name:<br />
Address, City, State, Zip:<br />
Company Contact:<br />
Title:<br />
Phone #: Email: Signature:<br />
Proposer’s/Subconsultant’s business is a (check all that apply and, if certified as such by a public agency,<br />
include name of certifying agency):<br />
Minority Business Enterprise (MBE) Certifying agency (if any)<br />
Woman-Owned Business Enterprise (WBE) Certifying agency (if any)<br />
Disadvantaged Business Enterprise (DBE) Certifying agency (if any)<br />
Exhibit J<br />
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