FORM H -CERTIFICATION OF GOOD FAITH EFFORTS.pdf
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- Attached to
- Employee Assistance Program
- Solicitation number
- PS141248
- Issued by
- California
About this file
This is a Bidder/Proposer Notarized Certification of Good Faith Efforts form required by the Los Angeles County Metropolitan Transportation Authority (LACMTA) for contract bidding and proposal submissions. The form serves as a formal attestation that bidders have actively and aggressively undertaken comprehensive good faith efforts to solicit and utilize Disadvantaged Business Enterprise (DBE) firms to meet the DBE participation requirements established for the specific contract. Bidders must certify under penalty of perjury that they have made documented good faith efforts and submit supporting documentation as evidence of their outreach and engagement with DBE firms.
The certification must be completed by the authorized representative of the bidding company and notarized by a licensed notary public. The notarized form requires the bidder's signature, printed name, company affiliation, and date, along with corresponding notary information including the notary's signature, printed name, address, county, state, and date of notarization. The form emphasizes that all information provided and attached as supporting evidence of the company's good faith efforts must be true, valid, and accurate to the best of the bidder's knowledge. This documentation serves as verification of compliance with federal DBE participation requirements for LACMTA-funded contracts.
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Text version
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.
Signature: __________________________ 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 __________________________________________________
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.
Print Name: _______________________________
Notary Print Name _____________________________________
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