Exhibit B _ Certificate of Minority Form.docx

This is a Certificate of Insurance and Minority Status form for Exhibit E, Project No. J-467, Renovations for Student Success and Construction Management Programs at Kennesaw State University in Marietta, Georgia. The form requires applying firms and any associated firms to provide professional liability insurance information, including the name and address of their insurance carrier, coverage amounts, and deductible per claim details. The document also requires firms to declare their minority business enterprise (MBE) or women business enterprise (WBE) status, or other applicable designations, for both the applying firm and any associated firm involved in the project.

The form must be completed and notarized by the applicant firm, with the notary public signature, seal, and commission expiration date required for validity. This certification document serves as a prerequisite submission for design professional services related to the student success and construction management program renovations at the university.