2-Attachment 3 Small Business Unavailability Certificate.pdf

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Attached to
Re/Retro-Commissioning and Commissioning Services
Solicitation number
RFSQ 25-43
Issued by
Harris County, Texas

About this file

This document is Attachment No. 3, a Small Business Unavailability Certificate form, which is part of a proposal submission package. The form is designed for bidders to document their attempts to engage small businesses for potential subcontracts or supply orders on a specific project. The template requires the bidder to list up to six small businesses, including details such as date contacted, business name, telephone number, contact person, materials or services sought, and the results of those outreach efforts.

The certificate serves as a formal documentation of a bidder's good faith efforts to include small businesses in their proposal, even if those businesses were unavailable, unable to prepare a proposal, or had their proposals rejected. By completing this form, the bidder is providing transparency about their small business participation attempts and seeking a waiver for small business involvement. The form must be submitted with all proposal documents and requires a signature certifying the accuracy of the information provided.

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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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