5-MWBE HUB.pdf
PDF 73 KB Posted
- Attached to
- Writing and Plagiarism Online Program State and local contract opportunity
- Solicitation number
- RFP 27-01-31
- Issued by
- Maricopa County, Tucson City, Arizona
About this file
This is a Minority/Women Business Enterprise (MWBE) and Historically Underutilized Business (HUB) certification form for an Arizona school district's competitive proposal process to procure writing assistance and antiplagiarism software. The document serves as a certification attestation requiring vendors to indicate their MWBE and HUB status, provide copies of relevant certification letters, and disclose the percentage of business conducted with MWBE and HUB suppliers where applicable. The form requires completion and signature by an authorized company representative, along with submission of supporting documentation including residency certification and copies of MWBE and/or HUB certification letters through the proposal response attachments section.
The certification form emphasizes that MWBE and HUB status declarations are required by some participating agencies and must be verified by an authorized representative under penalty of misrepresentation. Vendors are instructed to provide complete company information including legal name, address, phone number, and email address, along with the printed name, title, and signature of the authorized representative certifying the accuracy of all information submitted. No specific pricing, contract term, award date, or other transactional details are outlined in this certification document, as its sole purpose is to establish and verify the minority and underutilized business status of prospective vendors responding to the District's request for proposal.
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| 12-Amendment Acknowledgment Form.pdf | ||
| 11-Offer Acceptance Form.pdf | ||
| 10-Non-Collusion Affidavit.pdf | ||
| 2-Certificate of Insurance.pdf | ||
| 3-EDGAR Certification Updated as of 6-10-2025.pdf | ||
| 7-Past Performance Evaluation.pdf | ||
| 14-27-01-31 RFP Writing and Plagiarism Online Program.pdf | ||
| 13-Additional Materials Submittal Form.pdf | ||
| 6-Deviations Exceptions Form.pdf | ||
| 4-Confidential Proprietary Submittals Form.pdf | ||
| 9-Vendor Registration Form - Includes Conflict of Int and W9 Link.pdf | ||
| 1-Bid Cost Form.pdf |
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Text version
Minority/Women Business Enterprise (MWBE) and Historically Underutilized Businesses
(HUB)
Historically Underutilized Business (HUB) or Minority/Women Business Enterprise
(MWBE) entities are encouraged to indicate their HUB and MWBE status when responding to this request for proposal.
Vendor certifies that this firm is a MWBE (Required by some participating agencies) Yes No
Vendor certifies that this firm is a HUB (Required by some participating agencies) Yes No
Please scan a copy of MWBE and/or HUB certification letter and the percentage of your business with MWBE and/or HUB suppliers, if applicable, in your proposal response in the Response
Attachments section.
I, the authorized representative for the company named below, certify that the information concerning residency certification, and MWBE and HUB certifications have been reviewed by me and the information furnished is true to the best of my knowledge.
Contractor’s Name/Company Name: __________________________________________
Address, City, State, and Zip Code: __________________________________________
Phone Number: _ Email Address: _______________________
Printed Name and Title of Authorized Representative:
Signature of Authorized Representative: _________________Date: ______________
File details come from the government source that posted it. Updated .