Attachment B.1 Small Business Self Cert.pdf
PDF 103 KB Posted
- Attached to
- Racial Equity Services Training
- Solicitation number
- 25-DCYF-EL-014
- Issued by
- Adams County, Asotin County, Benton County, Chelan County, Clallam County, Clark County, Columbia County, Cowlitz County, Douglas County, Ferry County, Franklin County, Garfield County, Grant County, Grays Harbor County, Island County, Jefferson County, King County, Kitsap County, Kittitas County, Klickitat County, Lewis County, Lincoln County, Mason County, Okanogan County, Pacific County, Pend Oreille County, Pierce County, San Juan County, Skagit County, Skamania County, Snohomish County, Spokane County, Stevens County, Thurston County, Wahkiakum County, Walla Walla County, Whatcom County, Whitman County, Yakima County, Asotin City, Clarkston City, Clarkston Heights-Vineland CDP, West Clarkston-Highland CDP, Benton City, Chelan City, Chelan Falls CDP, Clallam Bay CDP, Lewisville CDP, Rock Island City, Pacific Beach CDP, Whidbey Island Station CDP, Mercer Island City, Pacific City, Bainbridge Island City, Kingston CDP, Kitsap Lake CDP, Kittitas City, Klickitat CDP, Okanogan City, Anderson Island CDP, Fort Lewis CDP, Fox Island CDP, Herron Island CDP, Ketron Island CDP, North Fort Lewis CDP, Raft Island CDP, Stevenson City, Hat Island CDP, Lake Stevens City, Snohomish City, Spokane City, Spokane Valley City, Puget Island CDP, Garfield Town, Yakima City, Washington
About this file
This is a Small Business Self-Certification Statement form for a Washington state contract opportunity for Racial Equity Services Training. The form requires bidders to certify that they meet the state's definition of a small business.
The certification defines a small business as an in-state business that is independently owned and operated, and meets one of two criteria: either having 50 or fewer employees, or generating less than $7 million in gross revenue annually over the previous three consecutive years as reported on federal income tax returns or state department of revenue returns. The form requires the authorized signature, printed name, and date from the entity seeking certification.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment B Bidder Cert and Assurances.pdf | ||
| BidderResponseAttachC3.xlsx | XLSX spreadsheet | |
| BidderResponseAttachC2.docx | DOCX document | |
| 25-DCYF-EL-014 Sample Contract.pdf | ||
| 25-DCYF-EL-014 Racial Equity Services Training.pdf | ||
| BidderResponseAttachC1.docx | DOCX document |
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Text version
BIDDER SMALL BUSINESS
SELF-CERTIFICATION STATEMENT
(21) "Small business" means an in-state business, including a sole proprietorship, corporation, partnership, or other legal entity, that:
(a) Certifies, under penalty of perjury, that it is owned and operated independently from all other businesses and has either:
(i) Fifty or fewer employees; or
(ii) A gross revenue of less than seven million dollars annually as reported on its federal income tax return or its return filed with the department of revenue over the previous three consecutive years;
I hereby certify, under penalty of perjury, that [legal name of entity] meets the above definition of “small business”.
Signature of person authorized to sign on behalf of legal entity
Written name
Date
File details come from the government source that posted it. Updated .