FORM H - BIDDER-PROPOSER NOTARIZED CERTIFICATION OF GOOD FAITH EFFORTS.pdf

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Attached to
FLEETWATCH DATA LOGGER JX200 WITH J1939 CONNECTOR. DUAL BOX.
Solicitation number
DR145771
Issued by
California

About this file

This is a notarized certification form issued by the Los Angeles County Metropolitan Transportation Authority (LACMTA) for bidders and proposers to document good faith efforts in meeting Disadvantaged Business Enterprise (DBE) participation requirements on specific contracts. The form requires bidders/proposers to certify under penalty of perjury that they have actively and aggressively undertaken comprehensive good faith efforts to solicit and utilize DBE firms as specified in their contract requirements. Signatories must affirm they possess authority to make the statement on behalf of their company and that all submitted information and supporting documentation regarding good faith efforts is true, valid, and accurate to the best of their knowledge.

The certification requires notarization by a licensed notary public, with completed notarial sections including the county and state where notarization occurs, the date of subscription and oath, notary signature, and notary address. This form serves as formal verification that bidders/proposers have documented and demonstrated measurable efforts to engage DBE subcontractors and vendors in accordance with federal and local contracting regulations applicable to LACMTA contracts.

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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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