Business/Company/Vendor Name: Event/Contract Number: Award Date: Address: City: State: Zip Code: Event/Contract Description: (Brief Description of Project) Business/Company/Vendor Contact Name: Phone: E-Mail: PROJECTED MBE/WBE/SDVBE/SBE BID SUMMARY % Amount Amount 1. Total Dollar Value of the Contract 100% $ 2. MBE Projected Goal 6. Total MBE Dollar Applied to the Contract _____% $ Amount Met $ 3. WBE Projected Goal 7. Total WBE Dollar Applied to the Contract _____% $ Amount Met $ 4. SDVBE Projected Goal _____% $ 8. Total SDVBE Applied to the Contract Dollar Amount Met $ 5. MBE/WBE/SDVBE 9. Combined Total $ Combined Projected Goals _____% $ MBE/WBE/SDVBE Dollar Amount Met Go-DBE PROGRAM USE ONLY Date Approved Date Disapproved Initials MBE (%) Minorities (%) WBE (%) Female (%) SDVBE (%) veteran (%)
Business/Company/Vendor Name: Event/Contract Number: Award Date: Address: City: State: Zip Code: Event/Contract Description: (Brief Description of Project) Business/Company/Vendor Contact Name: Phone: E-Mail: PROJECTED MBE/WBE/SDVBE/SBE BID SUMMARY % Amount Amount 1. Total Dollar Value of the Contract 100% $ 2. MBE Projected Goal Applied to the Contract _____% $ 6. Total MBE Dollar Amount Met $ 3. WBE Projected Goal Applied to the Contract _____% $ 7. Total WBE Dollar Amount Met $ 4. SDVBE Projected Goal Applied to the Contract _____% $ 8. Total SDVBE Dollar Amount Met $ 5. MBE/WBE/SDVBE Combined Projected Goals _____% $ 9. Combined Total MBE/WBE/SDVBE Dollar Amount Met $ Go-DBE PROGRAM USE ONLY Date Approved Date Disapproved Initials MBE (%) Minorities (%) WBE (%) Female (%) SDVBE (%) veteran (%)
SWC_248_TC.docx