14-MWBE HUB.pdf

This is a Minority/Women Business Enterprise (MWBE) and Historically Underutilized Business (HUB) certification form for state and local contract opportunities. The document requires vendors to indicate their MWBE or HUB status when responding to requests for proposals, with checkbox options for "Yes" or "No" certification for each category. Vendors must scan and include copies of their MWBE and/or HUB certification letters along with the percentage of business conducted with MWBE and HUB suppliers in their proposal response attachments section.

The form serves as a certification statement where the authorized company representative must verify that all information concerning residency certification and MWBE/HUB certifications has been reviewed and is accurate to the best of their knowledge. The document includes fields for contractor/company name, address, phone and fax numbers, printed name and title of the authorized representative, email address, signature, and date. Some participating agencies require this certification as part of their procurement process to encourage participation from historically underutilized and minority/women-owned businesses.