12-1002HVAC HUB or Minority Owned Business.pdf
PDF 77 KB Posted
- Attached to
- CNS Disposal Serive State and local contract opportunity
- Solicitation number
- 1074CNDS
- Issued by
- Van Zandt County, Texas
About this file
This document is an Attachment K form from the Lyford Consolidated Independent School District related to HUB (Historically Underutilized Business) and Minority Owned Business certification, along with a Non-Discriminatory Employment Affidavit. The form requests vendors to disclose whether their company is 51% or more owned by minority, woman-owned, or handicapped individuals, with an option to submit applicable certification. The school district clarifies that they currently do not maintain set-asides or give preference to HUB proposals, and are collecting this information solely for statistical tracking purposes.
The document includes an affidavit requiring contractors and subcontractors to agree to non-discriminatory employment practices, specifically refraining from discrimination based on race, color, religion, sex, or national origin. The affidavit also commits the company to take affirmative action as required by Federal Statutes and associated rules and regulations. The form provides space for a signature, printed name and title, and company name, indicating it is meant to be completed and submitted as part of a proposal or contracting process with the Lyford Consolidated Independent School District.
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Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| 1-1002HVAC Bid Sheet.pdf | ||
| 15-1003INSU Specifications.pdf | ||
| 7-1002HVAC Anti-Terrorism Certification.pdf | ||
| 5-1002HVAC Form CIQ.pdf | ||
| 8-1002HVAC Tex Govt Code 2270 Verification.pdf | ||
| 10-1002HVAC Vendor Debarment Statement.pdf | ||
| 14-1003INSU Addendum 1.pdf | ||
| 3-1002HVAC Non-Collusive Certificate.pdf | ||
| 4-1002HVAC Felony Conviction Notification.pdf | ||
| 6-1002HVAC Form 1295.pdf | ||
| 9-1002HVAC Lobbying Certification.pdf | ||
| 11-1002HVAC Certificate of Residency.pdf | ||
| 13-1002HVAC W-9 Form.pdf | ||
| 16-1003INSU Questionnaire 2022.pdf | ||
| 2-1002HVAC Deviations Form.pdf |
Show all 15
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Text version
Attachment k.
HUB OR MINORITY OWNED BUSINESS
1. Is your company owned (51% or more) by an individual or individuals designated as minority, woman-owned or handicapped? YES___NO___
2. If you answered yes to question number (1), please submit a copy of the applicable certification with your proposal document.
3. The Lyford Consolidated Independent School District does not currently maintain set-asides or give preference to HUB proposals. The above information is solicited for the purpose of statistical tracking only.
LYFORD CONSOLIDATED INDEPENDENT SCHOOL DISTRICT
Affidavit Of Non-Discriminatory Employment
This company, Contractor, or Subcontractor agrees to refrain from discrimination in terms and conditions of employment on the basis of race, color, religion, sex, or national origin, and agrees to take affirmative action as required by Federal Statutes and rules and regulations issued pursuant thereto in order to maintain and insure non-discriminatory employment practices.
Signature
Printed Name & Title
Company Name
File details come from the government source that posted it. Updated .