Proposed Contract. Execution Date: Local Agency certifies that all DBE certifications are valid and information on this form is complete and accurate. IMPORTANT: Identify all DBE firms being claimed for credit, regardless of tier. Written confirmation of each listed DBE is required. 12. Preparer's Signature 13. Date 14. Preparer's Name 15. Phone 16. Preparer's Title 20. Local Agency Representative's Signature 21. Date 22. Local Agency Representative's Name 23. Phone
Appears in 3 contracts
Samples: Consultant Services Contract, Consultant Services Contract, Consultant Services Contract
Proposed Contract. Execution Date: 180018 Local Agency certifies that all DBE certifications are valid and information on this form is complete and accurate. IMPORTANT: Identify all DBE firms being claimed for credit, regardless of tier. Written confirmation of each listed DBE is required. 12. Preparer's Signature 13. Date 14. Preparer's Name 15. Phone 16. Preparer's Title 20. Local Agency Representative's Signature 21. Date 22. Local Agency Representative's Name 23. Phone.
Appears in 1 contract
Samples: Standard Services Agreement