2-Attachment 3 Small Business Unavailability Certificate.pdf

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Attached to
Building Envelope Consulting Services
Solicitation number
RFSQ 25-42
Issued by
Harris County, Texas

About this file

This file is Attachment No. 3, a Small Business Unavailability Certificate form for a state or local contracting opportunity. The form requires bidders to document their efforts to solicit proposals from small businesses for materials or services to be used on the project, including the date of contact, small business name, telephone number, contact person, materials or services requested, and results of the solicitation attempt. The certificate must be signed by an authorized representative of the bidder's company and submitted with all proposal documents when requesting a waiver of small business participation requirements.

The form serves as documentation that the bidder made good faith efforts to include small businesses in their proposal but was unable to secure their participation due to unavailability, inability to prepare a proposal, or rejection of submitted proposals for stated reasons. The certificate requires the bidder to attest that the information provided is true and accurate, explaining why they cannot commit to awarding subcontracts or supply orders to small businesses. This form appears to be part of a broader small business participation program that allows for waivers when demonstrated outreach efforts are unsuccessful, as referenced in the Instructions to Proposers.

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Text version

ATTACHMENT NO. 3

SMALL BUSINESS UNAVAILABILITY CERTIFICATE

I, ________________________________________, ________________________________________, of _______________________________________ (Name) (Title) (Name of Bidder’s Company)

Certify that on the date(s) shown, the small businesses listed herein were contacted to solicit Proposals for Materials or Services to be used on this project.

DATE CONTACTED SMALL BUSINESS NAME TELEPHONE NO. CONTACT PERSON MATERIALS OR SERVICES RESULTS

1.

2.

3.

4.

5.

6.

To the best of my knowledge and belief, said small business was unavailable for this solicitation, unable to prepare a proposal or prepared a proposal that was rejected for the reason(s) stated in the RESULTS column above.

The above statement is a true and accurate account of why I am unable to commit to awarding subcontract(s) or supply order(s) to the small business listed above.

NOTE: This form to be submitted with all Proposal documents for waiver of small business participation. (See Instructions to Proposers)

Signature:

I:
undefined:
of:
SMALL BUSINESS NAME1:
TELEPHONE NO1:
CONTACT PERSON1:
MATERIALS OR SERVICES1:
RESULTS1:
SMALL BUSINESS NAME2:
TELEPHONE NO2:
CONTACT PERSON2:
MATERIALS OR SERVICES2:
RESULTS2:
SMALL BUSINESS NAME3:
TELEPHONE NO3:
CONTACT PERSON3:
MATERIALS OR SERVICES3:
RESULTS3:
SMALL BUSINESS NAME4:
TELEPHONE NO4:
CONTACT PERSON4:
MATERIALS OR SERVICES4:
RESULTS4:
SMALL BUSINESS NAME5:
TELEPHONE NO5:
CONTACT PERSON5:
MATERIALS OR SERVICES5:
RESULTS5:
SMALL BUSINESS NAME6:
TELEPHONE NO6:
CONTACT PERSON6:
MATERIALS OR SERVICES6:
RESULTS6:
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