2-d. Minority Firm Certification.pdf
PDF 361 KB Posted
- Attached to
- Diesel Fuel
- Solicitation number
- IFB No. 26-18 Diesel Fuel
- Issued by
- Rock Island 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 a diesel fuel procurement. The document establishes definitions and certification requirements for minority-owned, women-owned, and disabled-owned businesses participating in the bidding process. Offerors must complete and return the form with their bid submission, with failure to do so potentially rendering the bid unacceptable. The form requires bidders to represent their business status across three categories: minority-owned business concern (defined as at least 51 percent unconditionally owned and controlled by members of minority groups including African Americans, Hispanic Americans, Native Americans, Asian-Pacific Americans, Asian-Indian Americans, and other minorities), women-owned business (at least 51 percent owned by a woman or women who control and operate it), and disabled-owned business (at least 51 percent owned by persons with severe physical or mental disabilities who control and operate the business).
The District relies on written representations from concerns regarding their minority/women/disabled-owned business status and may request information regarding minority ownership of subcontractors. Bidders must indicate their applicable ownership category by checking appropriate boxes and provide company information including name, address, phone, fax, and Federal Employer Identification Number. The form includes a checklist of procedures that offerors may have used in searching for and obtaining minority-owned suppliers and subcontractors, including placing such businesses on solicitation lists, ensuring solicitation of minority-owned businesses as potential sources, considering consortia arrangements, making contracting opportunities available with favorable delivery schedules, and utilizing resources from the Small Business Administration and Department of Commerce Minority Business Development Agency.
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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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