Exhibit B_ Certificate of Minority Form.docx

DOCX document 33 KB Posted

Attached to
SGSC, J-476-DP Library Renovation
Solicitation number
PE-47200-RFQ-2027-000000157
Issued by
Columbia County, Georgia

About this file

This is a Certificate of Minority Form exhibit for the South Georgia State College (SGSC) Library Renovation project (Project No. J-476-DP) in Douglas, Georgia. The document serves as a supporting exhibit for the Request for Qualifications (RFQ) related to design professional services for the library renovation project. The form is intended to be completed by design firms responding to the solicitation and appears to be part of the required documentation package that bidders must submit with their proposals. The specific requirements regarding completion deadlines, submission instructions, and detailed project scope are contained in the primary RFQ documents referenced in the solicitation.

The Certificate of Minority Form likely requires design firms to certify their minority business status or provide information regarding minority participation in their proposed project team. This form is typically used by Georgia public agencies to track and potentially give consideration to minority-owned or disadvantaged business enterprises in the procurement process. Firms submitting proposals should complete this certification form accurately and include it with all other required documentation as specified in the RFQ instructions for the SGSC Library Renovation project.

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Other files

File Type Posted
Exhibit C_ Project Team Composition Form.docx DOCX document
Exhibit G_ 179D Allocation Agreement.doc DOC document
Exhibit A_ Certification Form.docx DOCX document
Egnyte Upload Instructions.pdf PDF
Exhibit F_ Proposers Disclosure Statement.doc DOC document
_SGSC J_476_DP RFQ_RFP.pdf PDF
Exhibit D_ DP Fee Proposal.doc DOC document
Exhibit E_ Contractor Affidavit.docx DOCX document

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Text version

Exhibit E J-476 – Library Renovation South Georgia State College, Douglas, Georgia

CERTIFICATE OF INSURANCE AND MINORITY STATUS

INSURANCE:

Name of Applying Firm: _____________________________________________________

State the name and address of Applying Firm’s professional liability insurance carrier ____________________________________________________________________

Amount of coverage - $ ______________________________________________________

Amount of deductible per claim: $ ______________________________________________

MINORITY STATUS:

Indicate the status of the Applying Firm and Associated Firm, if applicable :

APPLYING FIRM: MBE_____ WBE_____ OTHER __________

ASSOCIATED FIRM: MBE_____ WBE_____ OTHER___________

______________________________________
Signature

Sworn and subscribed before me This ____day of ________, 20_____

NOTARY PUBLIC

NOTARY SEAL

My Commission expires: _________________

Gordon State College PPV-89-1201, Student Activity & Rec Ctr., PM RFQ/RFP

File details come from the government source that posted it. Updated .