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TCCD SMALL M/WBE SPECIFICATIONS FORM
Prime Company Name BID DATE
PROJECT NAMEPROJECT NUMBER
SMALL M/WBE PERCENTAGE ACHIEVED:
TCCD’S SMALL M/WBE PROJECT: _________%
The undersigned bidder agrees to enter into a formal agreement with the Small M/WBE firms for work listed in this schedule, conditioned upon execution of a contract with TCCD. The willful misrepresentation of facts is grounds for consideration of disqualification and will result in the bid being considered nonresponsive to specifications.
Company Name, Contact Name, Address,
Cert. (*) Agency
Scope of Work
(*) Acceptable certifying agencies please specify:(NCTRCA) North Central Texas Regional Certification Agency
(**) Only first and second tier acceptable
THIS FORM BE RECEIVED WITH THE BID DOCUMENTS ON BID OPENING DATE.