.1 Complete the Contact Information” Table below, ensuring that you list two (2) Contacts in the SBE / “Current MBE Contractor’s Firm who DAS can contact for additional information. .2 Email one (1) completed 2 - QBS Email Registration for SBE / MBE Contractor Pre-Selection” “Division any time before the QBS Submittal Booklet deadline to Rebecca Cutler at: .3 Insert one (1) completed hard copy of the 2 - QBS Email Registration for SBE / MBE Contractor “Division behind the in in the QBS Submittal Booklet. Pre-Selection” Division 2 Tab Current Contact Information 1. DAS RFQ Web Adv. Number: CPS-SBE/MBE-WATR-01 SBE/MBE Contractor Pre-Selection: 2. Selection Type: Minor Capital Projects between $100,000 & $500,000 3. Contractor Classification of Work: Sewer and Water Lines 4. Wednesday, February 24, 2016 QBS Submittal Deadline Due Date: 5. 1st Contact Name: 5.1 1st Contact Number: 5.2 1st Contact Email Address: 6. 2nd Contact Name: 6.1 2nd Contact Number: 6.2 2nd Contact Email Address: 7. Firm Legal Name: 8. Firm Street: 9. Firm : 10. Firm : 11. Firm Zip Code: END OF DIVISION 2 Division 3 CT DAS SBE or MBE Certification or Both 3.1. Is your Firm a Business Enterprise (SBE)” or a Business Enterprise (MBE)” or both, registered “Small “Minority with the State of Connecticut Department of Administrative Services (DAS)? If you answered YES, then insert a copy of your Firm’s DAS SBE or MBE Certification or Both YES behind this page in the Division 3 Tab of the QBS Submittal Booklet. If you answered PENDING, then insert a copy of your Firm’s Supplier Diversity Certification PENDING Application behind this page in the Division 3 Tab of the QBS Submittal Booklet. NO IMPORTANT NOTE: SBE / MBE Contractor Pre-Selection is contingent upon the prospective SBE / MBE Contractor Certified by the Connecticut Department of Administrative Services as an SBE or MBE or Both by the Bid Opening Date.
.1 Complete the “Current Contact Information” Table below, ensuring that you list two (2) Contacts in the SBE / MBE Contractor’s Firm who DAS can contact for additional information. .2 Email one (1) completed “Division 2 - QBS Email Registration for SBE / MBE Contractor Pre-Selection” any time before the QBS Submittal Booklet deadline to Rebecca Cutler at: .3 Insert one (1) completed hard copy of the “Division 2 - QBS Email Registration for SBE / MBE Contractor Pre-Selection” behind the Division 2 Tab in in the QBS Submittal Booklet. Current Contact Information 1. DAS RFQ Web Adv. Number: CPS-SBE/MBE-WATR-01 2. Selection Type: SBE/MBE Contractor Pre-Selection: Minor Capital Projects between $100,000 & $500,000 3. Contractor Classification of Work: Sewer and Water Lines 4. QBS Submittal Deadline Due Date: Wednesday, February 24, 2016 5. 1st Contact Name: 5.1 1st Contact Number: 5.2 1st Contact Email Address: 6. 2nd Contact Name: 6.1 2nd Contact Number: 6.2 2nd Contact Email Address: 7. Firm Legal Name: 8. Firm Street: 9. Firm : 10. Firm : 11. Firm Zip Code: END OF DIVISION 2 Division 3 CT DAS SBE or MBE Certification or Both 3.1. Is your Firm a “Small Business Enterprise (SBE)” or a “Minority Business Enterprise (MBE)” or both, registered with the State of Connecticut Department of Administrative Services (DAS)? YES If you answered YES, then insert a copy of your Firm’s DAS SBE or MBE Certification or Both behind this page in the Division 3 Tab of the QBS Submittal Booklet. PENDING If you answered PENDING, then insert a copy of your Firm’s Supplier Diversity Certification Application behind this page in the Division 3 Tab of the QBS Submittal Booklet. NO IMPORTANT NOTE: SBE / MBE Contractor Pre-Selection is contingent upon the prospective SBE / MBE Contractor Certified by the Connecticut Department of Administrative Services as an SBE or MBE or Both by the Bid Opening Date.
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