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 DBE-HUB Form for a Request for Proposals issued by the South Texas Development Council for Air Quality Planning Activities under the Rider 7 PM2.5 Program. The RFP solicits proposals for these services in Texas, specifically Upton County. Respondents are required to complete and submit this form to identify whether they are a certified Disadvantaged Business Enterprise (DBE) and/or Historically Underutilized Business (HUB), and to provide details on their current certifications. A copy of the respondent's current certification letter must be attached.
The pricing terms, set-asides, and funding details for this opportunity are not specified in this attachment. However, the RFP package provides the full details on the requested services, response requirements, and contract terms.
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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 .