PO250008 Attach B1 Sm Business Cert.docx

DOCX document 24 KB Posted

Attached to
Electronic Monitoring for Community Transition and Functional Family Parole
Solicitation number
PR250008
Issued by
Adams County, Asotin County, Benton County, Chelan County, Clallam County, Clark County, Columbia County, Cowlitz County, Douglas County, Ferry County, Franklin County, Garfield County, Grant County, Grays Harbor County, Island County, Jefferson County, King County, Kitsap County, Kittitas County, Klickitat County, Lewis County, Lincoln County, Mason County, Okanogan County, Pacific County, Pend Oreille County, Pierce County, San Juan County, Skagit County, Skamania County, Snohomish County, Spokane County, Stevens County, Thurston County, Wahkiakum County, Walla Walla County, Whatcom County, Whitman County, Yakima County, Asotin City, Clarkston City, Clarkston Heights-Vineland CDP, West Clarkston-Highland CDP, Benton City, Chelan City, Chelan Falls CDP, Clallam Bay CDP, Lewisville CDP, Rock Island City, Pacific Beach CDP, Whidbey Island Station CDP, Mercer Island City, Pacific City, Bainbridge Island City, Kingston CDP, Kitsap Lake CDP, Kittitas City, Klickitat CDP, Okanogan City, Anderson Island CDP, Fort Lewis CDP, Fox Island CDP, Herron Island CDP, Ketron Island CDP, North Fort Lewis CDP, Raft Island CDP, Stevenson City, Hat Island CDP, Lake Stevens City, Snohomish City, Spokane City, Spokane Valley City, Puget Island CDP, Garfield Town, Yakima City, Washington

About this file

This is a small business self-certification statement attachment for Washington State Department of Children, Youth, and Families (DCYF) RFQQ PR250008 for Electronic Monitoring services. This document outlines the criteria for small business certification in Washington state.

The document defines a small business as an in-state business that either has fifty or fewer employees or has a gross revenue of less than seven million dollars annually as reported on federal income tax returns or department of revenue returns over the previous three consecutive years. The document requires the authorized representative of the bidding entity to certify under penalty of perjury that their business meets these criteria by signing and dating the form.

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Text version

ATTACHMENT B.1

BIDDER SMALL BUSINESS

SELF-CERTIFICATION STATEMENT

(21) "Small business" means an in-state business, including a sole proprietorship, corporation, partnership, or other legal entity, that:

(a) Certifies, under penalty of perjury, that it is owned and operated independently from all other businesses and has either:

(i) Fifty or fewer employees; or

(ii) A gross revenue of less than seven million dollars annually as reported on its federal income tax return or its return filed with the department of revenue over the previous three consecutive years;

I hereby certify, under penalty of perjury, that [legal name of entity] meets the above definition of “small business”.

Signature of person authorized to sign on behalf of legal entity

Written name

Date

DCYF-RFQQ PR250008 Electronic Monitoring Page 3 of 3

File details come from the government source that posted it. Updated .