Exhibit B _ Certificate of Minority Form.docx

This is a Certificate of Insurance and Minority Status form for Project No. BR-10-2702, the Oglethorpe House Renovation at the University of Georgia in Athens, Georgia. The form requires applying firms to provide professional liability insurance information, including the name and address of their insurance carrier, coverage amount, and deductible per claim. Firms must also declare their minority status, indicating whether they qualify as a Minority Business Enterprise (MBE), Women Business Enterprise (WBE), or other designation, with a separate section for associated firms to provide the same certification. The form requires notarization with the notary public's signature, seal, and commission expiration date.

The document serves as a certification tool for contractor qualification and compliance purposes. It appears to be part of a larger procurement package that may involve multiple projects, as evidenced by references to Gordon State College and Project PPV-89-1201 for a Student Activity and Recreation Center. The form does not specify pricing terms, contract duration, award dates, or other contractual conditions, as it functions solely as a documentation and certification exhibit rather than a comprehensive solicitation document.