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• <br /> MiAM <br /> CQUNTI MIAMI-DADE TRANSIT OFFICE OF CIVIL RIGHTS AND LABOR RELATIONS DBE PROGRAM <br /> LETTER OF INTENT FROM DBE SUBCONTRACTOR,SUPPLIER AND/OR CONSULTANT <br /> To: and Miami-Dade County <br /> (Name of Prime Contractor) <br /> From: <br /> (Name of DBE Firm) <br /> The undersigned DBE is prepared to perform the following described services and/or supply the following <br /> described goods, in connection with the following project/contract for a total dollar amount of$ and <br /> certifies that, upon the execution of a contract with the Prime Contractor, it will not subcontract any part of such <br /> contract to any firm, at any tier, without obtaining prior written consent from Miami-Dade County, through the <br /> Prime Contractor; it further certifies that it has received from Prime Contractor a true copy of the Affirmative <br /> Action provisions,which must include the Davis Bacon requirements and wage determinations,if applicable. <br /> Prime Contractor Project <br /> Name <br /> DBE ASSIGNMENTS: <br /> Item No. Work to be performed Dollar Amount Per Bid Form <br /> $ <br /> Item/Supply Description Quantity Dollar Amount <br /> Title <br /> Authorized Signature <br /> Print Name Date <br /> • <br /> EB/amb <br /> MDT—OCR/LR <br /> DBE FORMS (Rev.6/2009) <br /> • <br />