OFFICIAL LETTER OF SLBE INTENT ***Please note N/A if Not Applicable. *** A LETTER OF INTENT is required for each SLBE identified in Part 4 of the SMALL LOCAL BUSINESS ENTERPRISE (SLBE) UTILIZATION AFFIDAVIT. The LETTER OF INTENT must be signed by both the Bidder/Offeror and Registered SLBE Firm. Solicitation Information Animal Shelter Support 18-37 Solicitation Name: Solicitation #: Part 1. To be Completed by the Bidder/Offeror Name of Bidder/Offeror: Address: Contact Name/Title: Telephone: Fax: Email: Identify the services to be performed or items to be supplied by the SLBE, including Bid Item (if applicable): Value of Work to be Performed by the SLBE: $ Value of Work as a Percentage of Total Bid/Proposal Price: % Part 2. To be Completed by the SLBE Name of SLBE: SLBE Registration #: Address: Contact Telephone: Fax: Email: Part 3. Certification of SLBE Intent The Bidder/Offeror certifies its intent to utilize the SLBE identified above for the effort identified in this bid/proposal, and that the work described above is accurate. Bidder/Offeror will provide the County with a copy of the related subcontract agreement and/or purchase order prior to commencement of the SLBE’s work. The SLBE firm certifies that it has agreed to provide such work identified and/or supplies for the amount stated above. Bidder/Offeror: Signature Title Date SLBE Firm Rep: Signature Title Date
OFFICIAL LETTER OF SLBE INTENT ***Please note N/A if Not Applicable. *** A LETTER OF INTENT is required for each SLBE identified in Part 4 of the SMALL LOCAL BUSINESS ENTERPRISE (SLBE) UTILIZATION AFFIDAVIT. The LETTER OF INTENT must be signed by both the Bidder/Offeror and Registered SLBE Firm. Solicitation Information Solicitation Name: Animal Shelter Support Solicitation #: 18-37 Part 1. To be Completed by the Bidder/Offeror Name of Bidder/Offeror: Address: Contact Name/Title: Telephone: Fax: Email: Identify the services to be performed or items to be supplied by the SLBE, including Bid Item (if applicable): Value of Work to be Performed by the SLBE: $ Value of Work as a Percentage of Total Bid/Proposal Price: % Part 2. To be Completed by the SLBE Name of SLBE: SLBE Registration #: Address: Contact Telephone: Fax: Email: Part 3. Certification of SLBE Intent The Bidder/Offeror certifies its intent to utilize the SLBE identified above for the effort identified in this bid/proposal, and that the work described above is accurate. Bidder/Offeror will provide the County with a copy of the related subcontract agreement and/or purchase order prior to commencement of the SLBE’s work. The SLBE firm certifies that it has agreed to provide such work identified and/or supplies for the amount stated above. Bidder/Offeror: Signature Title Date SLBE Firm Rep: Signature Title Date
RFQ%2018-37%20APPENDIX%201%20-%20Additional%20Forms%20-%20180307.docx