Agenda

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The DBE owner must hold a Public Works license and any other professional or craft licenses required

for the type of work he/she performs on the project;
The DBE may rent or lease, at competitive rates, equipment needed on the project from customary
leasing sources or from other subcontractors on the project.

Allowable credit for payments made to DBEs for work performed. A contractor may take
credit for payments made to a certified DBE that satisfies (CUF) requirements at the following

rate.

A.

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Disadvantaged Business Enterprise (DBE) Definition. A DBE is defined as a business that is owned
and controlled by one or more socially and economically disadvantaged person(s). For the purpose of this
definition:

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SPECIAL ATTENTION

Disadvantaged Business Enterprise (DBE)

04/01/09

Of
>

SSD: 06/28/04

ALL FA PROJECTS

SPECIAL ATTENTION

DISADVANTAGED BUSINESS ENTERPRISE (DBE) DIRECTORY

The current New Hampshire Unified Disadvantaged Business Enterprise (DBE) Directory is
available on the NHDOT website at http://www.nh.gov/dot/business/contractors.htm. If you have
questions or do not have access to the Internet, the directory may be obtained from DBE

Coordinator, located at 7 Hazen Drive, Concord, NH 03302, Tel: (603) 271-6612.

INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES

Approved by OMB No 0348-0046

DISCLOSURE OF LOBBYING ACTIVITIES

Complete this form to disclose lobbying activities pursuant to 31 U.S.C 1352
(See Reverse for public burden disciosure }

1. Type of Federal Action:

a contract [| a, bid/offer/application
b grant b. initial award

€ cooperative agreement c. post-award

qd loan

€ loan guarantee
f oan insurance

2. Status of Federal Action:

3. Report Type:
[| a. initial filing
b. material change
For Material Change Only:

ATTACHMENT A- EMPLOYMENT AND MATERIALS
PREFERENCE FOR APPALACHIAN DEVELOPMENT
HIGHWAY SYSTEM OR APPALACHIAN LOCAL ACCESS
ROAD CONTRACTS

This provision is applicable to all Federal-aid projects funded
under the Appalachian Regional Development Act of 1965.

department or agency with which this transaction originated
May pursue available remedies, including suspension and/or
debarment.

a aeae

Certification Regarding Debarment, Suspension,
ineligibility and Voluntary Exclusion--Lower Tler
Participants:

i. Nothing contained in the foregoing shall be construed to
require the establishment of a system of records in order to
render in good faith the certification required by this clause
The knowledge and information of the prospective participant
is nol required to exceed that which is normally possessed by
a prudent person in the ordinary course of business dealings.

"Whoever, being an officer, agent, or employee of the Unifed
Slates, or of any State or Territory, or whoever, whether a
person, asSociation, firm, or corporation, knowingly makes any
false statement, false representation, or false report as to the
character, quality, quantity, or cost of the material used or to
be used, or the quantity or quality of the work performed or to
be performed, or the cost thereof in connection with the
submission of plans, maps, specifications, contracts. or costs