2-Attachment No. 3 Small Business Unavailability Certificate.pdf
PDF 117 KB Posted
- Attached to
- Steel Supplies and Related Welding Materials
- Solicitation number
- RFPC 25-44
- Issued by
- Harris County, Texas
About this file
This document is Attachment No. 3, a Small Business Unavailability Certificate form that appears to be part of a larger procurement solicitation package from a government agency or jurisdiction, though the specific agency is not identified in this attachment. The form is designed to document contractors' efforts to engage small businesses for materials or services on a project when they are unable to include small business participation in their proposal. The certificate includes fields for recording the date contacted, small business name, telephone number, contact person, materials or services sought, and results of the outreach efforts, with space for up to six small business contacts.
The form serves as a waiver mechanism for small business participation requirements, requiring the bidder's signature and certification that the listed small businesses were either unavailable for the solicitation, unable to prepare a proposal, or submitted proposals that were rejected for stated reasons. This certificate must be submitted with all proposal documents when requesting a waiver of small business participation requirements, as referenced in the Instructions to Proposers. The document indicates this is part of a broader procurement process that includes small business participation goals or requirements, though the specific percentages, contract value, or other financial details are not specified in this attachment.
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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: |
| Text1: |
| Text2: |
| Text3: |
| Text4: |
| Text5: |
| Text6: |
File details come from the government source that posted it. Updated .