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Bid Title: Motor Coach Transportation The School Board of Broward County, Florida Bid No. FY23-029-1 Page 18 of 26 ATTACHMENT A — ECONOMIC DEVELOPMENT & DIVERSITY COMPLIANCE (EDDC) FORMS (continued) 0� Broward County Public Schools Economic Development & Diversity Compliance DOCUMENT NUMBER 00475 v E7 Supplier Diversity Outreach Program Attachment A EMERGING/SMALL/VETERAN/MINORITY/WOMEN BUSINESS ENTERPRISE SUBCONTRACTOR PARTICIPATION SCHEDULE Contract #: ------- ----------- ---------------- Project Start Date: ----------------- --------- ------ - ---------------------------1----------------------------------------------- I----------------------------------------------------------------------- - Project Name: Project Location: Bidder/Proposer: Address: Contact Person: Email Address: Phone #: Type of $ Amount Business Business Name Business Address Business Work % of work Association Phone # to be Performed Prime Bidder/ $ Proposer Non-E/S/V/M/WBE % $ Subcontractor E/S/V/M/WBE % $ Subcontractor E/S/V/M/WBE / $ Subcontractor E/S/V/M/WBE % $ Subcontractor E/S/V/WWBE % $ Subcontractor TOTAL PARTICIPATION % & DOLLAR AMOUNT: 100000 $ TOTAL CONTRACT AMOUNT: $ The listing of E/S/V/M/WBE(s) shall constitute a representation by the bidder/proposer to the SBBCthat the bidder/proposer believes such E/S/V/M/WBE(s) to be technically and financially qualified and available to perform the work described. Bidders/Proposers are advised that the information contained herein may be verified. I certify that all information contained in this form is true and accurate to the best of my knowledge. Bidder/Proposer Signature Name & Title (Print) Broward County Public Schools Is An Equal Opportunity/Equal Access Employer Page 18 Date