ANTIDISCRIMINATION POLICY SOLICITATION FOR PARTICIPATION AND COMMITMENT FORM 
Minority (MBE),  Woman (WBE), Disabled  (DSBE) and Disadvantaged (DBE) Business Enterprises¹
                         
DEPARTMENT OF COMMERCE
OFFICE OF ECONOMIC OPPORTUNITY (OEO)
     
Bid Number or Proposal Title:           Name of Bidder/Proposer:       Bid/RFP Opening Date:
                               Auditing Services                  
List below ALL MBE/WBE/DBE/DSBEs that were solicited regardless of whether a commitment resulted therefrom. - Photocopy this form as necessary.
Text Box: WBE
 
 
Text Box: W-DBE
  Work or Supply Effort to be Performed Date Solicited Commitment Made Give Reason(s)
If No Commitment
Company Name           By Phone By Mail
Yes (If Yes, give date)           NO
 
                   
Address                  
                   
Contact Person                  
            Quote Received Amount Committed To  
Telephone Number Fax Number YES² NO Dollar Amount  
      $  
Email Address               Percent of Total Bid/RFP  
OEO REGISTRY # CERTIFYING AGENCY       %  
                 
Text Box: WBE
 
 
Text Box: W-DBE
  Work or Supply Effort to be Performed Date Solicited Commitment Made Give Reason(s)
If No Commitment
Company Name   By Phone By Mail
Yes (If Yes, give date)           NO
 
         
Address                  
                   
Contact Person        
  Quote Received Amount Committed To  
Telephone Number   Fax Number YES² NO Dollar Amount  
                $  
Email Address       Percent of Total Bid/RFP  
OEO REGISTRY # CERTIFYING AGENCY       %  
                 
Text Box: WBE
 
 
Text Box: W-DBE
  Work or Supply Effort to be Performed Date Solicited Commitment Made Give Reason(s)
If No Commitment
Company Name   By Phone By Mail
Yes (If Yes, give date)           NO
 
         
Address                  
                   
Contact Person                  
            Quote Received Amount Committed To  
Telephone Number   Fax Number YES² NO Dollar Amount  
        $  
Email Address  
 
 
 
 
Percent of Total Bid/RFP
 
OEO REGISTRY # CERTIFYING AGENCY  
%