Summary of Exhibit B: Certificate of Insurance and Minority Status

This document is an exhibit form required by Kennesaw State University, part of the Board of Regents of the University System of Georgia, for the Project No. 555-25-341, Sports & Recreation and Athletics Facilities Master Plans. The form serves as a template for firms submitting statements of qualifications to provide professional consultant services for master planning of sports, recreation, and athletics facilities at KSU's Kennesaw and Marietta campuses. Applicant firms must complete and submit the form along with their qualifications response, with questions regarding the RFQ directed to Theresa Neylon, Senior Campus Planner, at tneylon@kennesaw.edu.

The form requires applicant firms to document their professional liability insurance coverage by providing the name and address of their insurance carrier, the amount of coverage, and the deductible per claim. Additionally, firms must declare their minority business status, indicating whether the applying firm and any associated firm qualify as a Minority Business Enterprise (MBE), Women Business Enterprise (WBE), or other designated status. The form must be notarized, with the notary public's seal, signature, and commission expiration date required for validity.