6-AISDP 0005 - REPRESENTATIONS AND CERTIFICATIONS (1).pdf

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Attached to
Property Insurance
Solicitation number
3705-25.10
Issued by
Ector County, Amarillo City, Texas

About this file

This document is a Representations and Certifications form from the Amarillo Independent School District, specifically focused on small business representation and Historically Underutilized Business (HUB) and Minority, Women, Veteran Business Enterprise (MWVBE) classifications. The form provides two primary sections for offerors to indicate their business classification status: Section 1 for certified HUB or MWVBE businesses (where the offeror would list their business classification and certifying agency), and Section 2 for businesses that are not certified HUB or MWVBE, which requires indication of whether any subcontracting will occur with certified HUB or MWVBE firms.

The form requires the offeror to provide details about potential subcontracting, including the percentage of work that might be subcontracted to a certified HUB or MWVBE. By signing the document, the offeror certifies under penalty of law that all representations and certifications are accurate, current, and complete. The form includes spaces for the offeror's signature, printed name, title, and date, and is part of a solicitation process that aims to promote diversity and inclusion in business opportunities with the school district.

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Text version

Index No. AISDP-0005 Page No. 1 of 1 Issue No. 001

REPRESENTATIONS AND CERTIFICATIONS

OFFEROR NAME: SOLICTATION #

CLAUSE NO. 1 OFFEROR SMALL BUSINESS REPRESENTATION

1. If Offeror is a Historically Underutilized Business (HUB) and/or Minority, Women, Veteran Business Enterprise (MWVBE), then complete Section 1.

2. If Offeror is NOT a HUB or MWVBE completed Section 2.

SECTION 1 - Offeror is a certified HUB or MWVBE

Offeror, list business HUB or MWVBE classification below and what group you have been certified by. Attach all current certifications to this form.

Business Classification Certifying Agency

SECTION 2 – Offeror IS NOT a certified HUB or MWVBE

☐ Offeror will not be subcontracting out any work related to this solicitation with a certified HUB or MWVBE.

☐ Offeror WILL be subcontracting out some work related to this solicitation with a certified HUB or MWVBE.

Percentage of Work to be subcontracted to a certified HUB or MWVBE

BY SIGNING BELOW, THE OFFEROR CERTIFIED, UNDER PENALTY OF LAW, THAT THE

REPRSENTATIONS AND CERTIFICATIONS IN CLAUSE 1 ARE ACCURATE, CURRENT AND

COMPLETE.

SIGNATURE:

(Print Name)

TITLE: DATE:

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