5-Certification SBE MO WBE.pdf

PDF 392 KB Posted

Attached to
Billboard Placement & Advertising Management at Gateway School
Solicitation number
26-003-30
Issued by
Maricopa County, Phoenix City, Arizona

About this file

This is a Small Business Enterprise certification form for Creighton Elementary School District #14 located in Phoenix, Arizona, applicable to a Billboard Placement & Advertising Management contract at Gateway Elementary School. The certification document allows bidding companies to declare their status as Small Business, Minority-Owned Firms, and/or Women's Business Enterprises (MWBE). Vendors responding to the solicitation are encouraged to indicate their certifications, which may be required by participating agencies. The form requires authorized representatives to certify the accuracy of residency and SBA 8(a) certification information submitted as part of their bid response.

Vendors indicating certification as Small Business, Minority-Owned, and/or Women's Business Enterprises must submit supporting documentation with their solicitation response, including agency-issued certification letters and the percentage of business ownership held by qualifying entities. The form requires completion of vendor contact information, authorized representative details, and a signature attesting to the truthfulness of provided certifications. This certification requirement supports the District's commitment to encouraging participation from disadvantaged and women-owned business enterprises in the competitive bidding process for the billboard placement and advertising management services.

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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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