Attachment I - M_WBE Self Certification.pdf
PDF 120 KB Posted
- Solicitation number
- DQ1 KABA 2026000415 1
- Issued by
- Denver County, Denver City, Colorado
About this file
This is a Minority and Women-Owned Businesses (M/WBE) Self Certification form for the State of Colorado, specifically related to contract opportunity DQ KABA 2026000415 for Spanish Translation and Interpretation services. The form requests documentation of business ownership structure and demographic information from vendors seeking to participate in this contracting opportunity. Bidders must provide parent company information including legal name, DBA, tax identification number, DUNS number, and contact details on the certification form.
The form requires vendors to indicate their business ownership category by gender (Female Owned, Male Owned, or Not Applicable) and by owner ethnicity (African American, Asian/Pacific American, White non-Hispanic, Hispanic American, Native American, or Other). The certification defines "owned" as at least 51 percent ownership by individual(s) who also control and operate the business, with control defined as exercising policy decision-making power and operation defined as active involvement in day-to-day management. Additionally, vendors must certify whether they qualify as a small business, defined as a for-profit, independently owned and operated entity with 25 or fewer full-time equivalent employees. This self-certification submission is applicable for vendors bidding on the Spanish translation and interpretation contract.
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Attachment I - M/WBE Self Certification
Spanish Translation and Interpretation, DQ KABA 2026000415
Attachment I - Minority and Women-Owned
Businesses (M/WBEs) Self Certification
(Submit if applicable) DQ Title:
DQ Number:
Parent Company* Tax ID Number (FEIN):
Parent Company DUNS Number:
Parent Company Legal Name (per W-9):
Parent Company DBA, if applicable:
ParentCompany Address:
Contact Name:
Contact Email:
Please check all boxes that apply
In an effort to track levels of participation by women and minorities doing business with the State of Colorado, the following information is requested. Please indicate the appropriate category of ownership for your company. “Owned” in this context means a business that is at least 51 percent owned by an individual(s) who also control(s) and operate(s) it. “Control” in this context means exercising the power to make policy decisions. “Operate” means actively involved in the day-to-day management. If your business is jointly owned by both men and women or is a large publicly held corporation, please check the box labeled “Not Applicable.”
Gender Information:
⃞ Female Owned ⃞ Male Owned ⃞ Not Applicable
Owner Ethnicity Information:
⃞ African American ⃞ Asian/Pacific American ⃞ White (non-Hispanic)
⃞ Hispanic American ⃞ Native American ⃞ Not Applicable
⃞ Other: _______________
Small Business Information:
A small business is defined as: a business organized for profit, is independently owned and operated, and has 25 or fewer full time equivalent employees. Are you a small business?
⃞ Yes ⃞ No
File details come from the government source that posted it. Updated .