Exhibit B _ Certificate of Minority Form.docx

This is a Certificate of Insurance and Minority Status form for Project No. J-458-DP, the Daniel Guggenheim School of Aerospace Engineering at Georgia Institute of Technology in Atlanta, Georgia. The form is utilized to document applying firms' professional liability insurance coverage and their minority business enterprise (MBE), women business enterprise (WBE), or other minority status designations. Applicants must provide the name and address of their professional liability insurance carrier, specify the amount of coverage and deductible per claim, and indicate whether the applying firm and any associated firm hold MBE, WBE, or other minority certifications. The document requires notarization with the notary public's signature, seal, and commission expiration date.

The form serves as a submission requirement for design professional services solicitation for the Georgia Institute of Technology project. Firms responding to this opportunity must demonstrate adequate professional liability insurance protection and disclose their minority status to support the state of Georgia's contracting goals and requirements for inclusive procurement practices.