Exhibit_B___Certificate_of_Minority_Form.docx
DOCX document 40 KB Posted
- Attached to
- KSU - Project No. 555-27-058 ¿Design, Construction Standards, and Technical Specifications Update¿
- Solicitation number
- PE-54300-RFQC-2027-000000132
- Issued by
- Cobb County, Georgia
About this file
This is a Certificate of Minority Form exhibit associated with Kennesaw State University's request for qualifications for professional consultant services related to Project No. 555-27-058, Design, Construction Standards, and Technical Specifications Update. The Board of Regents of the University System of Georgia is soliciting statements of qualifications from firms to provide master planning and professional consultant services for this project located in Kennesaw and Marietta, Georgia. The form serves as a certification document that bidders and proposers must complete as part of their submission to document minority business participation and status in accordance with the procurement requirements established by the university and the state of Georgia.
The Certificate of Minority Form is a required exhibit that establishes compliance with applicable minority contracting policies and regulations. Interested firms must complete and submit this certification along with their statements of qualifications to Whitney Kemp, Senior Capital Planner, at wkemp7@kennesaw.edu. The form functions as a standardized verification mechanism to ensure transparency regarding minority business enterprise participation and to facilitate the university's commitment to inclusive contracting practices in the procurement process.
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Other files
| File | Type | Posted |
|---|---|---|
| Exhibit_C___Project_Team_Composition_Form.docx | DOCX document | |
| Exhibit G KSU USG Building and Room Summary.pdf | ||
| Exhibit_E___Contractor_Affidavit.docx | DOCX document | |
| Exhibit H Current KSU Design and Construction.pdf | ||
| Exhibit_D___DP_Fee_Proposal.doc | DOC document | |
| Exhibit_F___Proposers_Disclosure_Statement.doc | DOC document | |
| KSU DCS and Technical_Specs_Update RFQ_RFP_26.pdf | ||
| Exhibit_A___Certification_Form.docx | DOCX document |
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Text version
Exhibit B
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 .