2-AISDP 0005 - REPRESENTATIONS AND CERTIFICATIONS (1).pdf

This is a Representations and Certifications form (Index No. AISDP-0005) required for submission to the Amarillo Independent School District in response to their Employee Dental and Vision Benefits solicitation in Texas. The form serves as a declaration by the offeror regarding their business classification status and small business certifications. Offerors must indicate whether they are certified Historically Underutilized Businesses (HUB) and/or Minority, Women, Veteran Business Enterprises (MWVBE) and provide documentation of such certifications, or alternatively certify that they are not certified as such entities. Proposals for this solicitation are due by 2:00 pm on March 20th, 2026.

The form requires offerors who are not certified HUB or MWVBE entities to declare whether they will subcontract any work to certified HUB or MWVBE firms and, if so, specify the percentage of work to be subcontracted to such entities. All representations and certifications must be executed under penalty of law by an authorized representative of the offeror, with signature, printed name, title, and date required. Offerors must attach all current certifications to the form if claiming HUB or MWVBE status.