Summary

This is an Exhibit B Certificate of Insurance and Minority Status form for Project No. J-465, One Arsenal Place Renovation at Columbus State University in Columbus, Georgia. The form serves as a documentation requirement for firms submitting proposals for Program Management Services on this project. Applying firms and any associated firms must complete the certificate by providing their professional liability insurance carrier information, including the name and address of the carrier, coverage amount, and deductible per claim. The form also requires firms to declare their minority status classification, with options to indicate if the applying firm or associated firm qualifies as a Minority Business Enterprise (MBE), Women Business Enterprise (WBE), or other classification. The certificate must be notarized, with the notary public affixing their seal and providing their commission expiration date.

The form establishes insurance and minority business participation requirements for the solicitation process. All submitting firms are required to carry professional liability insurance and must disclose their coverage details and deductible amounts. The emphasis on minority status certification indicates that the state of Georgia or Columbus State University has established set-asides or preferences for minority-owned firms in the award of this Program Management Services contract. Firms responding to this RFQ must submit a completed and notarized Exhibit B as part of their proposal package.