FORM H - BIDDER-PROPOSER NOTARIZED CERTIFICATION OF GOOD FAITH EFFORTS.pdf
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- Solicitation number
- MA130013
- Issued by
- California
About this file
This is a notarized certification form required by the Los Angeles County Metropolitan Transportation Authority (LACMTA) for bidders and proposers to demonstrate compliance with Disadvantaged Business Enterprise (DBE) participation requirements. The form serves as formal documentation that the bidder or proposer has actively and aggressively undertaken comprehensive good faith efforts to solicit and utilize DBE firms to meet the contract's DBE participation goals. Signatories must certify under penalty of perjury that all efforts have been made and properly documented, and must affirm they have the authority to make the statement on behalf of their company.
The form requires notarization by a licensed notary public and includes fields for the contract number, bidder or proposer name, signature with printed name, date of signature, and complete notarization information including county, state, date, notary signature, and notary address. All information provided must be true, valid, and accurate to the best of the signatory's knowledge, with supporting documentation attached as evidence of the company's good faith efforts to meet DBE participation requirements.
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Text version
EXHIBIT 1
FORM H - BIDDER/PROPOSER NOTARIZED CERTIFICATION OF GOOD
FAITH EFFORTS
Date: _________________________
LACMTA
RE: Bid/Proposal Contract No. _____________________
I hereby certify under the penalty of perjury that Bidder/Proposer _______________ has actively and aggressively undertaken comprehensive “good faith” efforts to solicit and utilize DBE firms to meet the DBE participation requirements of this contract, as demonstrated by the documentation submitted in response to our efforts.
By signing below, the Bidder/Proposer hereby affirms that it has made good faith efforts and has documented all such efforts as stated in attached supporting documentation.
I have the authority to make this statement for and on behalf of ________________. All information provided herein and attached as evidence of our company’s good faith efforts is true, valid and accurate to the best of my knowledge.
Signature: _______________________________________
(Print or type name)
Date: _______________________________________
NOTARIZATION: Must be completed by a licensed Notary
County of ____________________________ State of ____________________________
Subscribed and sworn before me this __________ day of ______________________________
Notary Signature _____________________________________
Notary Address _____________________________________
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