The intent of this certification is to assist in documenting the good faith efforts in which the Bidder engaged to obtain DBE participation in those instances where the Bidder was unable to obtain commitments from DBE subcontractors sufficient to meet the established DBE Contract Goal. The certification form itself should be supplemented with supporting documentation evidencing the efforts described on the form as well as any other efforts made which are not specifically described on the certification form.

In the table below, indicate which firms received written (mail, email or courier) notification of work items to be subcontracted. In the appropriate space also indicate when firms received subsequent telephone solicitations. Please attach additional pages(s) so that all companies contacted are listed. Attach photocopies of all written solicitations to DBE firms.

Name of DBE Contractor Contacted Date of Written Notification E-mail Address Telephone Number Date of Telephone Notification

Which portions of the contract proposal, in terms of the nature of work, were selected to be subcontracted to DBE firms? (Attach additional pages if necessary.)

Explain any efforts undertaken to provide DBE firms with information about project plans, specifications and requirements of the contract. (Attach additional pages if necessary.)