SARASOTA MANATEE AIRPORT AUTHORITY INTENT TO PERFORM AS A DBE SUBCONTRACTOR

PROJECT:

CONTRACT:

PRIME CONTRACTOR:

The undersigned hereby certifies that their firm is prepared to act as a Subcontractor to the above named Prime Contractor on the indicated project in the performance of the following described work:

at a bid price of and agrees to enter into a contract with said Prime Contractor

if Prime Contractor is awarded the prime contract by the Sarasota Manatee Airport Authority.

The undersigned further confirms that their firm is a DBE certified by the Florida Unified Certification Program and in good standing as of the execution date shown below.

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Name of DBE Subcontracting Firm

Authorized Signature and Date

Printed Name & Title of Authorized Signer

Telephone Number

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E-mail Address