Exhibit_B___Certificate_of_Minority_Form.docx

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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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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 .