Exhibit B _ Certificate of Minority Form.docx

This is a Certificate of Insurance and Minority Status form for Kennesaw State University's Bailey School of Music & Textiles Chastain Pointe Renovations project (BR-90-2601) located in Kennesaw, Georgia. The form requires applying firms to provide professional liability insurance information, including the name and address of the insurance carrier, coverage amount, and deductible per claim. Additionally, firms must declare their minority status classification, indicating whether they are a Minority Business Enterprise (MBE), Women Business Enterprise (WBE), or other designated category, for both the applying firm and any associated firm involved in the project.

The form must be notarized with the notary public signature, seal, and commission expiration date. This document serves as a prerequisite submission for firms bidding on the renovation project and establishes compliance with insurance and minority business participation requirements. The form does not specify pricing terms, contract duration, or award timelines within its content.