dbe utilization form

/Tx BMC

/Tx BMC /Tx BMC endstream endobj 2589 0 obj <>/Subtype/Form/Type/XObject>>stream /Tx BMC EMC endstream endobj 2646 0 obj <>/Subtype/Form/Type/XObject>>stream

endstream endobj 2594 0 obj <>/Subtype/Form/Type/XObject>>stream This form is part of a broader effort of the Tollway’s Diversity Program to … endstream endobj 2636 0 obj <>/Subtype/Form/Type/XObject>>stream DBE Utilization by Period Report – Form DBE 2114 Instructions Illinois Tollway Diversity Program 03-01-2010v2 Page 1 / 4 Purpose The Illinois Tollway is committed to providing DBE construction contractors and suppliers with the opportunities afforded to them by State and Federal law and Tollway policies. EMC /Tx BMC %PDF-1.6 %��

endstream endobj 2650 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 2590 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 24 0 obj <>/Subtype/Form>>stream /Tx BMC Signing this form does not signify a commitment to utilize the subcontractors above. endstream endobj 2599 0 obj <>/Subtype/Form/Type/XObject>>stream /Tx BMC H��Pp�uV�r /Tx BMC EMC

endstream endobj 2565 0 obj <>/Subtype/Form/Type/XObject>>stream /Tx BMC endstream endobj 21 0 obj <>>> endobj 22 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/Properties<>/XObject<>>>/Rotate 0/Tabs/W/Thumb 5 0 R/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 23 0 obj <>/Subtype/Form>>stream EMC endstream endobj 26 0 obj <>/Subtype/Form>>stream /Tx BMC %%EOF endstream endobj 29 0 obj <>/Subtype/Form>>stream CHANGE IN DBE UTILIZATION NOTIFICATION . endstream endobj 2649 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 2578 0 obj <>/Subtype/Form/Type/XObject>>stream EMC endstream endobj 2635 0 obj <>/Subtype/Form/Type/XObject>>stream EMC /Tx BMC /Tx BMC /Tx BMC EMC endstream endobj 2592 0 obj <>/Subtype/Form/Type/XObject>>stream EMC DBEChange@indot.in.gov . Ohio Unified DBE Directory; Forms, Resources & Announcements; SBE Directory; DBE Directory; MBE - Minority Business Enterprise (external link) EDGE - Encouraging Diversity, Growth and Equity (external link) Small Business Enterprise; Disadvantaged Business Enterprise All Site Content; ODOT Home Divisions Opportunity, Diversity, & Inclusion Office of Business & Economic Opportunity DBE … endstream endobj 2655 0 obj <>/Subtype/Form/Type/XObject>>stream /Tx BMC As a result, the commitment made to your firm on the Affirmative Action Certification will be reduced accordingly. endstream endobj 2626 0 obj <>/Subtype/Form/Type/XObject>>stream Sponsors may use other formats provided their solicitation bid endstream endobj 27 0 obj <>/Subtype/Form>>stream EMC endstream endobj 2653 0 obj <>/Subtype/Form/Type/XObject>>stream Trucking Utilization: 2669: Commercially Useful Function Review - Material Supplier : ADP-4901: DBE Program Commitment Agreement Form for Alternative Delivery Projects: ADP-4901-MS: DBE Program Material Supplier Commitment Agreement Form for Alternative Delivery Projects: ADP-4901-T: DBE Program Trucking Commitment Agreement Form for Alternative Delivery Projects: SMS.4901: DBE … /Tx BMC EMC EMC EMC Local Agency 4. DBE Commitment Certification and Utilization Forms OPO Home ; Contact Us/About; Contracting with ODOT ; Highway & Bridge Construction. EMC endstream endobj 2654 0 obj <>/Subtype/Form/Type/XObject>>stream

0 /Tx BMC EMC PART A: To be completed by the bidder The entries below shall be consistent with what is shown on the Bidder’s Disadvantaged Business Enterprise Utilization … EMC EMC

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/Tx BMC endstream endobj 2602 0 obj <>/Subtype/Form/Type/XObject>>stream

/Tx BMC /Tx BMC EMC /Tx BMC endstream endobj 2620 0 obj <>/Subtype/Form/Type/XObject>>stream /Tx BMC /Tx BMC EMC endstream endobj 31 0 obj <>/Subtype/Form>>stream endstream endobj 2600 0 obj <>/Subtype/Form/Type/XObject>>stream 7//��I*��_|��l~q��5��J֢q�&J��oI�$Z�,ɖ&[ ��9>_. EMC EMC 64 0 obj <>/Filter/FlateDecode/ID[<76412D54D2990042BA30C8E5D1FF3F2C>]/Index[20 98]/Info 19 0 R/Length 163/Prev 247201/Root 21 0 R/Size 118/Type/XRef/W[1 3 1]>>stream /Tx BMC endstream endobj 2574 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 2570 0 obj <>/Subtype/Form/Type/XObject>>stream /Tx BMC endstream endobj 2618 0 obj <>/Subtype/Form/Type/XObject>>stream

h�bbd```b``��A$S�d�ك`3��G�f�ER��,�P�X�F�z$� �GQIU�� #|HUO��?��kp��{8�p�H^��k�� L��E�@$+8�j�I.0�&��樀MN��p6C$8�z�E�@�^i@��Nw&F��`q�Qr��&�� ۷ ��]9 EMC endstream endobj 2627 0 obj <>/Subtype/Form/Type/XObject>>stream Final Report-Utilization of Disadvantaged Business Enterprises (DBE) and First-Tier Subcontractors . EMC /Tx BMC /Tx BMC endstream endobj 2622 0 obj <>/Subtype/Form/Type/XObject>>stream /Tx BMC EMC endstream endobj 2632 0 obj <>/Subtype/Form/Type/XObject>>stream "Yg�H0 gQ�{��|`��\�`�A��]alg��H�g`փ�D0{H�J50[D��_�~ � �� i a��@�o�v&`h��a`%I �30U�0 Zb endstream endobj 2584 0 obj <>/Subtype/Form/Type/XObject>>stream EMC endstream endobj 2577 0 obj <>/Subtype/Form/Type/XObject>>stream EMC endstream endobj 32 0 obj <>stream endstream endobj 2588 0 obj <>/Subtype/Form/Type/XObject>>stream h�b```c``�a`g`�� Ȁ �@1v�G[.�0�� `;�\"�.�J�H� #C&��d �� >~��Bģ��&1Odjc|͢�r��7,?N1pt 2p��g��h��l�%�8��&iF�;@:��}��>&�z{:,'|m�R��f);�R�{�T,�k�>��c�su��O�~�֤�^!�>S�L�mJnv�� Yh��/c��Ʌ�GD��h>�j>8YK �}��fQ��a�!K�JN)��2~>�'m�r�託��K��n�"*��Yخ�}��o��sߙz!3�v�H�߷�x{y:�mӌ��Ÿ �oe`q��q/@� P�� endstream endobj 2656 0 obj <>stream

endstream endobj 2628 0 obj <>/Subtype/Form/Type/XObject>>stream H��Pp�uV�r /Tx BMC 1.

/Tx BMC

/Tx BMC /Tx BMC I certify under penalty of perjury that the forgoing statements are true and correct. /Tx BMC /Tx BMC EMC EMC

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/Tx BMC Trucking Utilization: 2669: Commercially Useful Function Review - Material Supplier : ADP-4901: DBE Program Commitment Agreement Form for Alternative Delivery Projects: ADP-4901-MS: DBE Program Material Supplier Commitment Agreement Form for Alternative Delivery Projects: ADP-4901-T: DBE Program Trucking Commitment Agreement Form for Alternative Delivery Projects: SMS.4901: DBE … endstream endobj 2561 0 obj <>/Subtype/Form/Type/XObject>>stream This form must be completed to apply for the Disadvantaged Business Enterprise (DBE) designation within the Certified Business Enterprise (CBE) program.

endstream endobj 2608 0 obj <>/Subtype/Form/Type/XObject>>stream * From " Certification Office of Business Inclusion and Diversity " ** From "Function" column below. H��Pp�uV�r /Tx BMC EMC H��Pp�uV�r endstream endobj 2644 0 obj <>/Subtype/Form/Type/XObject>>stream INDOT Contract: _____ This notification is to inform you that there has been a reduction or elimination of items on the above referenced contract for which your firm was to participate. Instructions for Completing the Uniform Report of DBE Awards or Commitments and Payments Form (Semi-Annual Report) (PDF) DBE Reporting Form (Excel) DOT's Sample DBE … EMC endstream endobj 2591 0 obj <>/Subtype/Form/Type/XObject>>stream In the case there is going to be a DBE goal shortfall at bid opening, Good Faith Efforts (GFEs) must be submitted by the prime contractor on ODOT’s Good Faith Efforts form (refer to Good Faith Efforts Guidelines for Prime Contractors) in addition to the LPA DBE Utilization Form. EMC /Tx BMC endstream endobj 2633 0 obj <>/Subtype/Form/Type/XObject>>stream EMC DBE Firm Name Item Number & Description of Work Quantity Cost Per Unit/Item Anticipated $ Value. /Tx BMC endstream endobj 2571 0 obj <>/Subtype/Form/Type/XObject>>stream EMC DWP FORM 6100-4 (DBE Subcontractor Utilization Form) Disadvantaged Business Enterprise (DBE) Program . /Tx BMC

/Tx BMC 117 0 obj <>stream EMC ,��ߟ�y�'Y��A/�9.��kfɋ[JY|�K��e)m�5,�/9��T�t��]�ka��=�R��SDy^|�~��r��Cb��W��|nK�K�-*$Է��&��,-/�ž��%��-��[b�aA��0yK EMC /Tx BMC THE CONTRACTOR SHALL COMPLETE PART A PRIOR TO SENDING TO THE DBE. EMC endstream endobj 2617 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 2609 0 obj <>/Subtype/Form/Type/XObject>>stream /Tx BMC endstream endobj 2638 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 30 0 obj <>/Subtype/Form>>stream EMC EMC /Tx BMC endstream endobj 2604 0 obj <>/Subtype/Form/Type/XObject>>stream EMC /Tx BMC endstream endobj 2610 0 obj <>/Subtype/Form/Type/XObject>>stream /Tx BMC endstream endobj 2572 0 obj <>/Subtype/Form/Type/XObject>>stream THE ANTICIPATED DBE AMOUNT IS VOLUNTARY AND WILL NOT BECOME A … endstream endobj 2596 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 2564 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 2647 0 obj <>/Subtype/Form/Type/XObject>>stream EMC endstream endobj 2648 0 obj <>/Subtype/Form/Type/XObject>>stream

endstream endobj 2614 0 obj <>/Subtype/Form/Type/XObject>>stream F. IRST-T. IER . 17-F F. INAL . EMC

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endstream endobj 2556 0 obj <>/Metadata 131 0 R/PageLayout/OneColumn/Pages 2553 0 R/StructTreeRoot 146 0 R/Type/Catalog/ViewerPreferences<>>> endobj 2557 0 obj <>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/StructParents 309/Tabs/S/Type/Page>> endobj 2558 0 obj <>/Subtype/Form/Type/XObject>>stream Page . endstream endobj 2601 0 obj <>/Subtype/Form/Type/XObject>>stream /Tx BMC

endstream endobj 2563 0 obj <>/Subtype/Form/Type/XObject>>stream /Tx BMC 2555 0 obj <> endobj /Tx BMC /Tx BMC Use of Form: This form is a suggested format that meets the solicitation information required by 49 CFR Part 26.53. EMC

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