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Contractor will submit this completed form with contract documents.. <br /> F.2: STATEMENT OF INTENT OF MOB/WOB/SECTION 3 UTILIZATION <br /> certify that Cxr ��Y m�� ( ) will / will not <br /> will utilize Minority Owned Business (MOB) or Women Owned Business (WOB) as subcontractor(s , vendor(s), <br /> supplier(s), or professional service(s). The estimated dollar value of the amount that we plan to pay the MOB or <br /> WOB subcontractor(s), vendor(s),supplier(s), or professional service(s)is$� <br /> _._.............. <br /> escr ption of Work MOB Race/ WOB Amount ection'$ Name of MOB/WOB/Section 3 <br /> Amount Ethnicity $ Amount;$ Organization/Address <br /> This certification is a material representation of fact upon which reliance was placed when this transaction was <br /> made or entered into.The City reserves the right to withdraw or terminate the proposed contract should the <br /> representation of fact be false. <br /> Signature and Date: <br /> r It Printed Name: <br /> Position; <br /> ��VXAP5am <br /> 01 <br /> Page 2of2 <br />