2-Certification SBE MO WBE.pdf

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Locally Raised Beef for use in National School Lunch Program
Solicitation number
26-002-30
Issued by
Arizona

About this file

This document is a Certification form for Small Businesses, Minority-Owned Firms, and Women's Business Enterprises issued by Creighton Elementary School District #14, located in Phoenix, Arizona. The form is designed to encourage and track participation of small, minority-owned, and women-owned businesses in the district's solicitation process, with vendors invited to indicate their certification status when responding to a solicitation.

The form provides a mechanism for vendors to self-certify their business classification, with options to indicate whether they are a Small Business, Minority-Owned Firm, and/or Women's Business Enterprise. Vendors who confirm such status are required to submit proof of their certification, including an agency-issued certification letter and potentially the percentage of their business related to these enterprise categories. The document links to the SBA 8a Business Development Program application process and requires an authorized representative to sign and verify the information's accuracy.

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CREIGHTON ELEMENTARY SCHOOL DISTRICT #14

2702 E Flower St, Phoenix, AZ 85016

Certification: Small Business, Minority-Owned Firms, and Women’s

Business Enterprises

Bidding companies that have been certified as Small Business, Minority-Owned Firms, and Women’s

Business Enterprise (MWBE) entities are encouraged to indicate their certification when responding to this solicitation.

Vendor certifies that this firm is a Small Business, Minority-Owned Firm, and/or Women’s Business

Enterprise. (Required by some participating agencies) (SBA 8a Application certification) https://www.sba.gov/contracting/government-contracting-programs/8a-business-development-program/how-apply

□ NO, Vendor is not a Small Business, Minority-Owned Firm, and/or a Women’s Business Enterprise

□ YES*, Vendor certifies that this firm is a Small Business, Minority-Owned Firm, and/or Women’s

Business Enterprise

If Yes, please complete the section below.

I, the authorized representative for the company named below, certify that the information concerning residency certification, and Small Business, Minority-Owned Firms, and Women’s

Business Enterprises certifications have been reviewed by me and the information furnished is true to the best of my knowledge. Submit proof of Small Business, Minority-Owned Firms, and Women’s

Business Enterprises Certification.

Vendor Name:

Address, City, State, and Zip Code:

Phone Number: _________________________________ Fax Number:

Printed Name of Authorized Representative:

Title of Authorized Representative:

Signature of Authorized Representative:

Date: ___________________________________

*Include a copy of agency-issued certification letter and the percentage of your business with Small Business, Minority-Owned Firms, and Women’s Business Enterprises supplies, if applicable, in your solicitation response.

https://www.sba.gov/contracting/government-contracting-programs/8a-business-development-program/how-apply https://www.sba.gov/contracting/government-contracting-programs/8a-business-development-program/how-apply

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