2-d. Minority Firm Certification.pdf
PDF 361 KB Posted
- Attached to
- E-Rate 2026 Firewall Equipment
- Solicitation number
- IFB No. 26-43
- Issued by
- Washington County, Illinois
About this file
This is a Minority, Women and Disabled-Owned Business Concern Representation form issued by Rockford Public School District No. 205 in Illinois for the E-Rate 2026 Firewall Equipment procurement. The form requires all offerors to complete and submit certification representations regarding their business ownership status as a condition of bid acceptance. Offerors must indicate whether they qualify as a minority-owned business concern, women-owned business concern, or disabled-owned business concern by checking appropriate boxes identifying their ownership classification. The District defines minority-owned business as a concern at least 51 percent unconditionally owned by members of designated minority groups (African Americans, Hispanic Americans, Native Americans, Asian-Pacific Americans, Asian-Indian Americans, or other minorities) with management and daily operations controlled by such individuals. Women-owned businesses must be at least 51 percent owned by a woman or women who control and operate the business, while disabled-owned businesses must be at least 51 percent owned by persons with severe physical or mental disabilities who control and operate the enterprise.
Offerors are required to complete all certification sections and return the form with their bid submission, with failure to do so potentially rendering the bid unacceptable. The District relies on written representations of business status and reserves the right to request information regarding minority ownership of any subcontractors. Offerors must also indicate which supplier and subcontractor search procedures they have employed, including placing minority-owned businesses on solicitation lists, ensuring they are solicited as potential sources, considering consortia arrangements, establishing encouraging delivery schedules, and utilizing SBA and Department of Commerce Minority Business Development Agency resources as appropriate.
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Text version
ROCKFORD PUBLIC SCHOOL DISTRICT NO. 205
MINORITY, WOMEN and DISABLED-OWNED BUSINESS CONCERN REPRESENTATION
Minority-Owned Business: a minority-owned business concern means a business concern that: (1) is at least 51 percent unconditionally owned by one or more individuals who are considered to be a member of a minority group, or a publicly owned business having at least 51 percent of its stock unconditionally owned by one or more members of a minority group; and (2) has its management and daily business controlled and operated by one or more such individuals. Individuals who certify that they are members of minority groups (African Americans, Hispanic Americans, Native Americans, Asian-Pacific Americans, Asian-Indian Americans, and other minorities) are to be considered minority-owned enterprises.
Women-Owned Business: a business that is at least 51 percent owned by a woman or women who also control and operate it.
Disabled Owned Business: a business that is at least 51 percent owned by a person or persons with severe physical or mental disabilities which substantially limits one or more of the person’s major life activities and which person or persons control and operate such business.
“Control” in this referenced context means exercising the power to make policy decisions. “Operate” means being actively involved in the day- to-day management of the business.
The District shall rely on written representations of concerns regarding their status as minority/women/disabled-owned businesses. Offeror agrees to submit information regarding the minority ownership of its subcontractors on request of District.
COMPLETE THE SECTION BELOW AND RETURN THIS FORM WITH BID. FAILURE TO DO SO MAY RENDER THE
OFFEROR’S BID UNACCEPTABLE.
A. Representation. The offeror represents that it is ( ), is not ( ) a minority-owned business concern.
B. Representation.
The offeror represents that it is (
), is not (
) a women-owned business concern.
C. Representation.
The offeror represents that it is (
), is not (
) a disabled-owned business concern.
Please Check Appropriate Box/Boxes
African American (AFRAM) Caucasian (CAUC) Native American (NAAM)
Hispanic American (HISP) Asian-Pacific American (ASIAP) Asian Indian (ASIAI) American
Other, please identify: Woman Owned (W) Disabled Owned (D)
The offeror has / has not used the following procedures in searching for and obtaining suppliers and subcontractors:
• Place Minority-Owned Businesses on solicitation lists.
• Ensure that Minority-Owned are solicited whenever they are potential sources.
• Consider contracting with consortia of Minority-Owned Businesses when an intended contract is too large for any one such firm to handle on its own or, if economically feasible, divide larger requirements into smaller transactions for which such organizations might compete.
• Make information on contracting opportunities available and establish delivery schedules that encourage participation by Minority-Owned
Businesses.
• Use the services and assistance of the SBA and Department of Commerce Minority Business Development Agency, as appropriate.
Company Name Address
City State Zip
Phone # Fax # FEIN #
Signature of Company Official Title
Date
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