ESBD_520047_1779500884859_Attachment 2 DBE-HUB Form.docx

This is a Disenfranchised Business Enterprise (DBE) / Historically Underutilized Business (HUB) Proposer Identification Form issued by the South Texas Development Council for use in conjunction with a state and local solicitation. The form serves as a certification document for vendors seeking to demonstrate their DBE and/or HUB status in response to procurement opportunities. Respondents must complete the form by declaring their authorized representative status, affirming current DBE and/or HUB certification, identifying the agencies and states from which certification has been obtained, and attaching a copy of the current certification letter as supporting documentation. The form requires signature, printed name, title, and date from the authorized representative.

This form is a mandatory compliance document for vendors seeking to qualify for DBE/HUB set-asides or preferences in the solicitation process. Contractors claiming DBE or HUB status must provide current certification documentation from relevant state or federal agencies to substantiate their eligibility. The form includes a checkbox option marking items as "Not Applicable" where appropriate, with corresponding signature requirements. This documentation ensures that only legitimately certified disadvantaged and historically underutilized businesses receive the benefits and preferences associated with these designations.