Exhibit B _ Certificate of Minority Form.docx

This is a Certificate of Insurance and Minority Status form for Project J-477, Renovations for Student Success and Career Services at Abraham Baldwin Agricultural College in Tifton, Georgia. The form requires applying firms to document their professional liability insurance coverage, including the name and address of their insurance carrier, the amount of coverage, and the deductible per claim. Firms must also declare their minority status, indicating whether they qualify as a Minority Business Enterprise (MBE), Women Business Enterprise (WBE), or other designated category, with provisions for associated firms to similarly declare their status. The document must be notarized and signed before a notary public.

This form serves as a certification document that bidders must complete and submit as part of their proposal package for the program management services contract. The certificate functions as both an insurance verification tool and a mechanism for tracking minority business participation in the project, requiring applicants to provide accurate information regarding their insurance protection and minority business classification status.