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49 CFR Part 26 <br />FORM 2: LETTER OF INTENT <br />Revised: February 12, 2019 <br />Name of bidder/offeror's firm <br />Address: <br />City:State <br />Name of DBE firm <br />Address <br />City State Zip: _ <br />Telephone <br />Description of work to be performed by DBE firm <br />The bidder/offeror is committed to utilizing the above-named DBE firm for the work described above <br />The estimated dollar value of this work is $ <br />Affirmation <br />The above-named DBE firm affirms that it will perform the portion of the contract for the estimated dollar <br />value as stated above and that the firm is DBE certified to perform the specific trades. <br />Date: <br />(Signature) <br />(Title) <br />lf the bidder/offeror does not receive award of the prime contract, any and all representations in <br />this Letter of lntent and Affirmation shall be null and void. <br />Submit this page for each DBE subcontractor. <br />zip: <br />By <br />21