Exhibit B_COI and Minority Status.docx
DOCX document 32 KB Posted
- Solicitation number
- PE-50300-RFP-2024-000000061
- Issued by
- Fulton County, Georgia
About this file
This document appears to be an Exhibit B - Certificate of Insurance and Minority Status form for a state and local contract opportunity. It requires the applying firm to provide details on their professional liability insurance coverage, including the name and address of the insurance carrier, the amount of coverage, and the deductible per claim. The document also requires the applying firm to indicate their minority business enterprise (MBE) or women-owned business enterprise (WBE) status, or to state any other applicable status.
The contract opportunity is for the Gordon State College PPV-89-1201 project, which involves the Student Activity and Recreation Center. No additional details about the scope of work, response dates, or contract term are provided in this particular 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 .