Form 25A-326 "Prime Contractor's Written Dbe Commitment" - Alaska

What Is Form 25A-326?

This is a legal form that was released by the Alaska Department of Transportation and Public Facilities - a government authority operating within Alaska. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on August 1, 2001;
  • The latest edition provided by the Alaska Department of Transportation and Public Facilities;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 25A-326 by clicking the link below or browse more documents and templates provided by the Alaska Department of Transportation and Public Facilities.

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Download Form 25A-326 "Prime Contractor's Written Dbe Commitment" - Alaska

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STATE OF ALASKA
DEPARTMENT OF TRANSPORTATION AND PUBLIC FACILITIES
Civil Rights Office – DBE Program
PRIME CONTRACTOR’S WRITTEN DBE COMMITMENT
Federal-Aid Contracts
Project Name and Number
All firms bidding on Alaska Department of Transportation and Public Facilities (DOT&PF) projects must have a written
commitment from each DBE firm to be subcontracted. Please complete this form for each DBE firm and submit to the DOT&PF
Regional Compliance Officer.
If you have any questions, please call (907) 269-0851.
Name of DBE Firm:
Street Address:
Mailing Address:
City:
State:
Zip Code:
Telephone Number:
Fax number:
Description of the work that DBE firm will perform:
Please provide additional information on a separate sheet of paper.
The dollar amount of participation by the DBE firm: $
Signatures of Authorized representatives of the Prime Contractor and the DBE firm below represent the written commitment by
the Prime Contractor to subcontract with the DBE firm as described above and a written commitment by the DBE firm to
subcontract for the work described above:
Prime Contractor Signature
Date
DBE Firm Signature
Date
Prime Contractor Firm:
Address:
Telephone Number:
Fax number:
Form 25A-326 (8/01)
Page 1 of 1
STATE OF ALASKA
DEPARTMENT OF TRANSPORTATION AND PUBLIC FACILITIES
Civil Rights Office – DBE Program
PRIME CONTRACTOR’S WRITTEN DBE COMMITMENT
Federal-Aid Contracts
Project Name and Number
All firms bidding on Alaska Department of Transportation and Public Facilities (DOT&PF) projects must have a written
commitment from each DBE firm to be subcontracted. Please complete this form for each DBE firm and submit to the DOT&PF
Regional Compliance Officer.
If you have any questions, please call (907) 269-0851.
Name of DBE Firm:
Street Address:
Mailing Address:
City:
State:
Zip Code:
Telephone Number:
Fax number:
Description of the work that DBE firm will perform:
Please provide additional information on a separate sheet of paper.
The dollar amount of participation by the DBE firm: $
Signatures of Authorized representatives of the Prime Contractor and the DBE firm below represent the written commitment by
the Prime Contractor to subcontract with the DBE firm as described above and a written commitment by the DBE firm to
subcontract for the work described above:
Prime Contractor Signature
Date
DBE Firm Signature
Date
Prime Contractor Firm:
Address:
Telephone Number:
Fax number:
Form 25A-326 (8/01)
Page 1 of 1