Fillable MBE/WBE LETTER OF INTENT - FORM 2 Participation: (Cook County Government - Bureau of Technology)

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MBE/WBE LETTER OF INTENT - FORM 2 Participation: (Cook County Government - Bureau of Technology)

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The MBE/WBE LETTER OF INTENT - FORM 2 Participation: (Cook County Government - Bureau of Technology) form is 1 page long and contains:

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Country of origin: US
File type: PDF

U.S.A. forms for Cook County Government - Bureau of Technology

BROWSE COOK COUNTY GOVERNMENT - BUREAU OF TECHNOLOGY (IL) FORMS

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M/WBE Letter of Intent - Form 2 Revised: 1/29/14
MBE/WBE LETTER OF INTENT - FORM 2
M/WBE Firm:
Certifying Agency:
Contact Person:
Address:
Certification Expiration Date:
Ethnicity: ________________________________________
City/State: Zip: _____________
Bid/Proposal/Contract #:
Phone: __________________ Fax:
FEIN #: _________________________________________
Email:
Participation: [ ] Direct [ ] Indirect
Will the M/WBE firm be subcontracting any of the goods or services of this contract to another firm?
[ ] No [ ] Yes – Please attach explanation. Proposed Subcontractor(s):
The undersigned M/WBE is prepared to provide the following Commodities/Services for the above named Project/ Contract: (If
more space is needed to fully describe M/WBE Firm’s proposed scope of work and/or payment schedule, attach additional sheets)
Indicate the Dollar Amount, Percentage, and the Terms of Payment for the above-described Commodities/ Services:
THE UNDERSIGNED PARTIES AGREE that this Letter of Intent will become a binding Subcontract Agreement for the above
work, conditioned upon (1) the Bidder/Proposer’s receipt of a signed contract from the County of Cook; (2) Undersigned
Subcontractor remaining compliant with all relevant credentials, codes, ordinances and statutes required by Contractor, Cook
County, and the State to participate as a MBE/WBE firm for the above work. The Undersigned Parties do also certify that they
did not affix their signatures to this document until all areas under Description of Service/ Supply and Fee/Cost were completed.
Signature (M/WBE)
Signature (Prime Bidder/Proposer)
Print Name
Print Name
Firm Name
Firm Name
Date
Date
Subscribed and sworn before me Subscribed and sworn before me
this ____ day of , 20____. this ____ day of , 20____.
Notary Public Notary Public _______________________________
SEAL SEAL
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MBEWBE LETTER OF INTENT - FORM 2 Participation: (Cook County Government - Bureau of Technology)

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Completed 13 February 2021

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