3-Local Small Business Minority Business Form.pdf

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Attached to
Procurement & Installation of (1) Submersible Variable Frequency Device (VFD) Pump Station
Solicitation number
RFP 2026-0020
Issued by
Chatham County, Georgia

About this file

This is a Local Small Business/Minority Business Form used by the City of Savannah in conjunction with the Savannah Airport Commission's solicitation for the procurement and installation of one submersible variable frequency device (VFD) pump station. The form serves as a certification document for contractors seeking to qualify for local and minority business enterprise designations under the City of Savannah's Savannah First Initiative. Eligible businesses must be located within the geographic boundaries of the City of Savannah and maintain active registration as a local small business enterprise (LSBE) with the city. The form requires contractors to provide their business name, address, business owner's point of contact information, and email address, along with supporting documentation including a City of Savannah Business Tax Certificate for LSBE validation or a Minority Business Certificate for minority business validation.

The form establishes eligibility criteria for vendors responding to Savannah procurement opportunities, with separate sections for local small business and minority business designations that may be marked as "Not Applicable" if the contractor does not qualify for these set-asides. Completion and submission of this form, along with required certification documents, enables the City of Savannah to maintain a registry of qualified Savannah-based small businesses and minority-owned enterprises for consideration in future contracting opportunities. No specific pricing information, contract term details, or award dates are outlined within this form; rather, it functions as a preliminary qualification document to establish vendor eligibility for the VFD pump station project managed by the Savannah Airport Commission.

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LOCAL, SMALL BUSINESS / MINORITY BUSINESS FORM

LOCAL, SMALL BUSINESS: Your business MUST be located within the geographic boundaries of the City of Savannah to be considered a local entity.

Please include a copy of your City of Savannah Business Tax Certificate for validation of LSBE Designation.

Name of Business: _

Business Address: _

Business Owner Point of Contract (POC) Name:

Business Owner’s Email Address: _______________________________________

Note: The LSBE registration supports the City of Savannah's Savannah First Initiative by facilitating a registry of Savannah-based small businesses who are eligible to respond to Savannah First procurement opportunities. Your company must be registered as an LSBE with the City of Savannah for consideration of this designation.

Not Applicable

MINORITY BUSINESS

Please include a copy of your Minority Business Certificate for validation.

Name of Business: _

Business Address: _

Business Owner Point of Contract (POC) Name:

Business Owner’s Email Address: _______________________________________

Not Applicable

File details come from the government source that posted it. Updated .