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

431 KB Posted

Attached to
Food Service-Mixer Equipment
Solicitation number
3707-25.11
Issued by
Upton County, Texas

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This document is a Representations and Certifications form from the Amarillo Independent School District (AISD), specifically designed for small business representation in a solicitation process. The form provides a mechanism for offerors to declare their status as a Historically Underutilized Business (HUB) and/or Minority, Women, Veteran Business Enterprise (MWVBE), with two distinct sections for certified and non-certified businesses.

The form requires offerors to indicate whether they are a certified HUB or MWVBE, and if so, to list their business classification and certifying agency. For businesses that are not certified, they must specify whether they will subcontract work with a certified HUB or MWVBE, and if so, provide the percentage of work to be subcontracted. The document emphasizes the legal requirement for accuracy, with the offeror certifying under penalty of law that all representations and certifications are current, accurate, and complete.

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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 .