8-MWBE HUB.pdf

73 KB Posted

Attached to
Sports Medicine Exams & Certifications
Solicitation number
RFP 27-02-31
Issued by
Maricopa County, Tucson City, Arizona

About this file

Written by GovTribe AI ·

This is a Minority/Women Business Enterprise (MWBE) and Historically Underutilized Business (HUB) certification form for the Tolleson Union High School District's Sports Medicine Exams & Certifications contract opportunity in Arizona. The contract seeks to provide comprehensive services related to Certified Personal Trainer (CPT 7) curriculum, certifications, and exams for students enrolled in the district's Sports Medicine Program. The vendor will be responsible for supporting the district in preparing students for CPT 7 certification, facilitating access to exams, and assisting with credentialing processes.

The form requires vendors to certify their MWBE and/or HUB status and submit supporting documentation, including certification letters and information regarding the percentage of business conducted with MWBE and/or HUB suppliers. The certification must be completed and signed by an authorized representative of the contractor, with the form requiring company name, address, phone number, email address, and the printed name and title of the authorized representative. Some participating agencies require MWBE certification, while others require HUB certification as part of their procurement requirements.

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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 .