ESBD_375916_1725672647545_Attachment 2 DBE-HUB Form.docx
DOCX document 20 KB Posted
- Attached to
- REQUEST FOR PROPOSALS Rider 7 PM2. 5 Program Services and Air Quality Planning Activities
- Solicitation number
- AQR72024
- Issued by
- Upton County, Texas
About this file
This document is an Attachment 2: Disenfranchised Business Enterprise (DBE) / Historically Underutilized Business (HUB) Proposer Identification Form for a solicitation issued by the South Texas Development Council. The form requires the proposer to declare and affirm that they are a certified DBE and/or HUB, and to provide details on their current certification from relevant agencies and/or states. A copy of the current certification letter must be attached to this form.
The form does not provide any details on the specific solicitation, such as the products or services requested, project overviews, response dates, award dates, or contract term. It solely focuses on the DBE/HUB certification requirements for the proposer.
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Text version
ATTACHMENT 2
SOUTH TEXAS DEVELOPMENT COUNCIL
Disenfranchised Business Enterprise (DBE) / Historically Underutilized Business (HUB) Proposer Identification Form
Solicitation Number:
Solicitation Title:
(Reproduce as necessary)
| I HEREBY DECLARE AND AFFIRM THAT I AM THE | and duly | |
| (Title) | ||
| authorized representative of | and I hereby declare and | |
| (Name of Firm) |
Affirm that I am a certified DBE and/or HUB.
This firm has a current DBE certification form the following agencies and/or state(s):
A copy of the current certification letter notifying the firm that it has been DBE/HUB certified must be attached to this form.
Check if Not Applicable (must sign below)
Signature:
Printed Name:
Title:
Date:
File details come from the government source that posted it. Updated .