2-Attachment No. 3 Small Business Unavailability Certificate.pdf
PDF 117 KB Posted
- Attached to
- Painting Services, Systemwide
- Solicitation number
- RFP 25-46
- Issued by
- Harris County, Houston City, Texas
About this file
This document is an Attachment No. 3 Small Business Unavailability Certificate, which is a form designed to document a bidder's attempts to engage small businesses for a project. The form provides space for the bidder to list up to six small businesses that were contacted, including details such as the date of contact, business name, telephone number, contact person, materials or services sought, and the results of those contact attempts.
The purpose of this certificate is to support a waiver of small business participation requirements. The bidder must certify that the listed small businesses were either unavailable, unable to prepare a proposal, or had their proposal rejected. The form requires the bidder's signature and is intended to be submitted with proposal documents, providing transparency about the efforts made to include small businesses in the project's supply chain or service provision.
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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 .