9._DVBE_Att1_Summary_of_DV_Owned_Business.pdf

This is a Disabled Veteran-Owned Business (DVBE) Participation Summary form from the State of California, specifically for construction management contracting opportunities. The document serves as an attachment to track and certify disabled veteran-owned business participation in state and local contracts. The form requires contractors to declare the company name, nature of work, contracting tier classification, claimed DVBE value, and the percentage of the contract allocated to disabled veteran-owned businesses, along with OSMB DVBE certification status.

The form includes mandatory declaration language requiring the contractor or authorized agent to affirm under penalty of perjury that all information provided is true and correct under California law. Contractors must provide execution details including the date, city, and state where the declaration is made, along with the signature of the responsible party, printed name, firm name, and telephone contact information. This document functions as a compliance and verification tool for state procurement processes that prioritize small business participation, specifically targeting disabled veteran-owned enterprises as part of California's set-aside program requirements.