Exhibit B _ Certificate of Minority Form.docx

This is a Certificate of Insurance and Minority Status form for Project No. J-466, Strickland Hall Renovation at the University of North Georgia in Oakwood, Georgia. The form requires the applying firm to provide professional liability insurance information, including the name and address of the insurance carrier, coverage amount, and deductible per claim. The document establishes requirements for design professional services related to the renovation project.

The form includes certification of minority status, requiring applicants to indicate whether the applying firm and any associated firm qualify as a Minority Business Enterprise (MBE), Women Business Enterprise (WBE), or other designated category. The document must be notarized and signed by an authorized representative of the applying firm. This form is part of the formal submission requirements for firms responding to the design professional services request for qualifications for the Strickland Hall Renovation project.