Section_3_-_Business_Certification_(FY24).pdf

PDF 1 MB Posted Feb 16, 2024

Attached to: Pool Maintenance for Housing and Community Development (HCD)
Solicitation number: 240130
Issued by: Pima County, Arizona

About this file

Written by GovTribe AI · Sep 24, 2025

This is a Section 3 Business Certification document from the City of Tucson, a multi-page form designed to capture detailed information about businesses seeking to qualify as a Section 3 business concern. The form requires businesses to provide comprehensive details about their ownership, workforce, and employee characteristics, with a focus on low-income workers and employment opportunities. The document includes sections for business information, project workforce breakdown, employee listings, and employee address details for those earning at or below $45,500 annually.

The form is specifically structured to identify businesses that meet certain criteria, such as being at least 51% owned by low-income residents of Tucson/Pima County, having over 75% of labor hours performed by Section 3 workers, or being owned by residents of HUD Public Housing or HUD-Assisted Housing. Additional details include ethnic ownership codes, minority and women-owned business information, and a requirement to list all employees with their job titles, hire dates, and income levels. The document emphasizes compliance and includes an affirmation section where the business owner certifies the accuracy of the information, with potential consequences for misrepresentation including contract termination and being barred from future contracting opportunities.

View the file

Other files

File	Type	Posted
Pool_Maintenance_for_Housing_and_Community_Development_(HCD)_(Addendum_#2_Revision).pdf	PDF	Mar 7, 2024
HUD-5369-B.pdf	PDF	Feb 16, 2024
Section_3_-_Individual_Certification_(FY24).pdf	PDF	Feb 16, 2024
Section_3_-_New_Definitions_and_Benchmarks.pdf	PDF	Feb 16, 2024
ARPA_Terms_and_Conditions.pdf	PDF	Feb 16, 2024
HUD-5370-C,_Section_II.pdf	PDF	Feb 16, 2024
HUD-MWRD_(FY22-23).pdf	PDF	Feb 16, 2024
240130_-_Price_Page.xlsx	XLSX spreadsheet	Feb 16, 2024
OFFER_AND_ACCEPTANCE.pdf	PDF	Feb 13, 2024

On GovTribe

Work with this file

Download the original file
Contacts named in this file
Similar government files
Ask GovTribe AI about this file

Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

Section 3 forms must be kept on file for five (5) years. Page 1 of 5 Section 3-MBE WBE 7/1/2023

SECTION 3 BUSINESS CERTIFICATION

Business Information

City of Tucson Contract #:

Business Name: _________________________________________________Phone: ________________ Business Address: _____________________________________________________________________ Business Owner: ______________________________________________________________________ Business Owner Telephone: ______________________________________________________________ Business Owner Email: __________________________________________________________________ Name of Preferred Contact: ______________________________________________________________ Preferred Contact Email: _________________________________ Contact Phone: __________________ Total number of LOCAL Tucson/Pima County based employees: __________

☐ Sole Proprietor ☐ Corporation ☐ Partnership ☐ Limited Liability ☐ Joint Venture

Federal Tax ID : __________________________________________________

Select from ONE from the following three options below that applies:

1. The business is at least 51% owned and controlled by low-income residents of

Tucson/Pima County (earn no more than $45,500 annually/$21.87 Hourly). ☐ YES ☐ NO

2. Over 75 percent of the labor hours performed for the business over the prior three-month period were performed by Section 3 workers. ☐ YES ☐ NO

3. The business is at least 51% owned and controlled by current residents of HUD Public

Housing or HUD-Assisted Housing (Section 8 housing). ☐ YES ☐ NO

Minority Owned Business and Women Owned Business Information Is this business 51% or more woman-owned? ☐ YES ☐ NO

Ethnic Codes Enter the Ethnic Code that indicates the ethnic character of the owner(s) of 51% of the business. If 51% or more of the business is not owned or controlled by a single ethnic category, enter the code that seems most appropriate.

The Ethnic Code may be a combination of two code numbers – for example 2/3.

Vendor Ethnic Code from list below: _______________

1=White Americans 4=Hispanic American 2=Black Americans 5=Asian/Pacific American 3=Native American 6=Hasidic Jews

PLEASE LIST ALL EMPLOYEES-use additional sheet if needed.

Project:__________________________________ rchavez3 Cross-Out

Section 3-MBE WBE 7/1/2023

SECTION 3 PROJECT WORKFORCE BREAKDOWN

Project Information

Project: HCD Contract #:

Contractor: Sub-Contractor: _____________________________

Section A

Job Category Total Estimated Positions Needed for THIS Project

Number of Positions Occupied by Current

Employees

Number of Positions NOT occupied by

Current Employees

Number of Positions to be filled with Section 3

Workers

Professionals, Manager

Admin/Payroll/ Office/Clerical

Section B Job Site - List Trade Job Classifications and Numbers Below Use the Davis Bacon Wage Rate Determination (WRD) for job classification if this is a Davis Bacon Project

Job Classification Total Estimated Positions Needed for THIS Project

Number of Positions Occupied by Current

Employees

Number of Positions for this project

NOT Occupied by Current Employees

Number of Positions to be filled with Section 3

Workers

Total Each Column A and B

OPPORTUNITIES PLAN

Has the Contractor/Subcontractor identified any NEW employment opportunities during the terms of the contract? ☐ YES ☐ NO

Total number of NEW Employment Opportunities/Positions identified. (from Part A & B). _______

Number of Section 3 Employment Opportunities/Positions Identified. (from Part A & B). _______

Contractor Signature Date:

Title:

Section 3 forms must be kept on file for five (5) years. Page 2 of 5 rchavez3 Highlight rchavez3

Section 3 forms must be kept on file for five (5) years. Page 3 of 5 Section 3-MBE WBE 7/1/2023

Business Name: _______________________________________ Contract #________________________

EMPLOYEE NAME POSITION/JOB TITLE DATE HIRED ANNUAL INCOME IS AT

OR BELOW $45,500.00

☐ YES ☐ NO

BUSINESS CONCERN AFFIRMTION

I affirm and hereby certify, under penalty of law, that the above statements are true, complete, and correct to the best of my knowledge and belief. I understand that businesses who misrepresent themselves as Section 3 business concerns and report false information to the City of Tucson may have their contract terminated as default and barred from ongoing and future considerations for contracting opportunities

Owner or Agent Name (printed): ________________________________Title:

Signature: __________________________________________________ Date: ______

For City of Tucson Administrative Use Only:

Is the business a Section 3 business concern based upon their certification? ☐ YES ☐ NO Verified by _____

Project:

BUSINESS EMPLOYEE LIST

Section 3 forms must be kept on file for five (5) years. Page 4 of 5 Section 3-MBE WBE 7/1/2023

Business Name: _________________________________________ Contract #: _____________________________

EMPLOYEE NAME POSITION/JOB TITLE DATE HIRED ANNUAL INCOME IS AT

OR BELOW $45,500.00

☐ YES ☐ NO

Supplemental Sheet 1-Employee List

BUSINESS EMPLOYEE LIST -CONTINUED

Section 3-MBE WBE 7/1/2023

Business Name: ____________________________________________ Contract #__________________________

LIST ADDRESS FOR EMPLOYEES EARNING AT OR BELOW $45,500 ANNUALLY/$21.87 HOURLY

EMPLOYEE NAME ADDRESS CITY STATE ZIP

Supplemental Sheet 2-Employee Address Form earning at or below $45,500 annually/$21.87 hourly Section 3 forms must be kept on file for five (5) years. Page 5 of 5

SECTION 3 EMPLOYEE ADDRESS

Sec 3 Workforce Breakdown 4.11.2022 Final.pdf

FY 2022 SECTION 3 BUSINESS QUESTIONNAIRE.v2.pdf

Contractor:

Sub-Contractor:

Professionals Manager:

PM Current:

PM Open:

PM Sec 3:

AdminPayroll OfficeClerical:

Admin Current:

Admin Open:

Admin Sec 3:

Job ClassificationRow1:

Est for Proj 1:

# Pos current emp 1:

# Pos Not filled 1:

# Hire Sec 3 1:

Job ClassificationRow2:

Est for Proj 2:

# Pos current emp 2:

# Pos Not filled 2:

# Hire Sec 3 2:

Job ClassificationRow3:

Est for Proj 3:

# Pos current emp 3:

# Pos Not filled 3:

# Hire Sec 3 3:

Job ClassificationRow4:

Est for Proj 4:

# Pos current emp 4:

# Pos Not filled 4:

# Hire Sec 3 4:

Job ClassificationRow5:

Est for Proj 5:

# Pos current emp 5:

# Pos Not filled 5:

# Hire Sec 3 5:

Total Col 1:

Total Col 2:

Total Col 3:

Total Col 4:

undefined: Off

New Opps:

Number of Section 3 Employment OpportunitiesPositions Identified from Part A B:

Date:

Contract #:

Phone:

Business Address:

Business Owner:

Business Owner Telephone:

Business Owner Email:

Name of Preferred Contact:

Preferred Contact Email:

Contact Phone:

Total number of LOCAL TucsonPima County based employees:

Sole Proprietor: Off

Corporation: Off

Partnership: Off

Limited Liability: Off

Joint Venture: Off

undefined_2: Off

undefined_3: Off

undefined_4: Off

Vendor Ethnic Code from list below:

EMPLOYEE NAMERow1:

POSTIONJOB TITLERow1:

DATE HIREDRow1:

undefined_5: Off

EMPLOYEE NAMERow2:

POSTIONJOB TITLERow2:

DATE HIREDRow2:

undefined_6: Off

EMPLOYEE NAMERow3:

POSTIONJOB TITLERow3:

DATE HIREDRow3:

undefined_7: Off

EMPLOYEE NAMERow4:

POSTIONJOB TITLERow4:

DATE HIREDRow4:

undefined_8: Off

EMPLOYEE NAMERow5:

POSTIONJOB TITLERow5:

DATE HIREDRow5:

undefined_9: Off

EMPLOYEE NAMERow6:

POSTIONJOB TITLERow6:

DATE HIREDRow6:

undefined_10: Off

EMPLOYEE NAMERow7:

POSTIONJOB TITLERow7:

DATE HIREDRow7:

undefined_11: Off

EMPLOYEE NAMERow8:

POSTIONJOB TITLERow8:

DATE HIREDRow8:

undefined_12: Off

EMPLOYEE NAMERow9:

POSTIONJOB TITLERow9:

DATE HIREDRow9:

undefined_13: Off

EMPLOYEE NAMERow10:

POSTIONJOB TITLERow10:

DATE HIREDRow10:

undefined_14: Off

EMPLOYEE NAMERow11:

POSTIONJOB TITLERow11:

DATE HIREDRow11:

undefined_15: Off

EMPLOYEE NAMERow12:

POSTIONJOB TITLERow12:

DATE HIREDRow12:

undefined_16: Off

EMPLOYEE NAMERow13:

POSTIONJOB TITLERow13:

DATE HIREDRow13:

undefined_17: Off

EMPLOYEE NAMERow14:

POSTIONJOB TITLERow14:

DATE HIREDRow14:

undefined_18: Off

EMPLOYEE NAMERow15:

POSTIONJOB TITLERow15:

DATE HIREDRow15:

undefined_19: Off

EMPLOYEE NAMERow16:

POSTIONJOB TITLERow16:

DATE HIREDRow16:

undefined_20: Off

EMPLOYEE NAMERow17:

POSTIONJOB TITLERow17:

DATE HIREDRow17:

undefined_21: Off

EMPLOYEE NAMERow18:

POSTIONJOB TITLERow18:

DATE HIREDRow18:

undefined_22: Off

EMPLOYEE NAMERow19:

POSTIONJOB TITLERow19:

DATE HIREDRow19:

undefined_23: Off

EMPLOYEE NAMERow20:

POSTIONJOB TITLERow20:

DATE HIREDRow20:

undefined_24: Off

EMPLOYEE NAMERow21:

POSTIONJOB TITLERow21:

DATE HIREDRow21:

undefined_25: Off

Owner or Agent Name printed:

Title:

undefined_28_es_:sender:

Signature1_es_:signer:signature:

Date2_es_:signer:date:

EMPLOYEE NAMERow1_2:

POSTIONJOB TITLERow1_2:

DATE HIREDRow1_2:

undefined_29: Off

EMPLOYEE NAMERow2_2:

POSTIONJOB TITLERow2_2:

DATE HIREDRow2_2:

undefined_30: Off

EMPLOYEE NAMERow3_2:

POSTIONJOB TITLERow3_2:

DATE HIREDRow3_2:

undefined_31: Off

EMPLOYEE NAMERow4_2:

POSTIONJOB TITLERow4_2:

DATE HIREDRow4_2:

undefined_32: Off

EMPLOYEE NAMERow5_2:

POSTIONJOB TITLERow5_2:

DATE HIREDRow5_2:

undefined_33: Off

EMPLOYEE NAMERow6_2:

POSTIONJOB TITLERow6_2:

DATE HIREDRow6_2:

undefined_34: Off

EMPLOYEE NAMERow7_2:

POSTIONJOB TITLERow7_2:

DATE HIREDRow7_2:

undefined_35: Off

EMPLOYEE NAMERow8_2:

POSTIONJOB TITLERow8_2:

DATE HIREDRow8_2:

undefined_36: Off

EMPLOYEE NAMERow9_2:

POSTIONJOB TITLERow9_2:

DATE HIREDRow9_2:

undefined_37: Off

EMPLOYEE NAMERow10_2:

POSTIONJOB TITLERow10_2:

DATE HIREDRow10_2:

undefined_38: Off

EMPLOYEE NAMERow11_2:

POSTIONJOB TITLERow11_2:

DATE HIREDRow11_2:

undefined_39: Off

EMPLOYEE NAMERow12_2:

POSTIONJOB TITLERow12_2:

DATE HIREDRow12_2:

undefined_40: Off

EMPLOYEE NAMERow13_2:

POSTIONJOB TITLERow13_2:

DATE HIREDRow13_2:

undefined_41: Off

EMPLOYEE NAMERow14_2:

POSTIONJOB TITLERow14_2:

DATE HIREDRow14_2:

undefined_42: Off

EMPLOYEE NAMERow15_2:

POSTIONJOB TITLERow15_2:

DATE HIREDRow15_2:

undefined_43: Off

EMPLOYEE NAMERow16_2:

POSTIONJOB TITLERow16_2:

DATE HIREDRow16_2:

undefined_44: Off

EMPLOYEE NAMERow17_2:

POSTIONJOB TITLERow17_2:

DATE HIREDRow17_2:

undefined_45: Off

EMPLOYEE NAMERow18_2:

POSTIONJOB TITLERow18_2:

DATE HIREDRow18_2:

undefined_46: Off

EMPLOYEE NAMERow19_2:

POSTIONJOB TITLERow19_2:

DATE HIREDRow19_2:

undefined_47: Off

EMPLOYEE NAMERow20_2:

POSTIONJOB TITLERow20_2:

DATE HIREDRow20_2:

undefined_48: Off

EMPLOYEE NAMERow21_2:

POSTIONJOB TITLERow21_2:

DATE HIREDRow21_2:

undefined_49: Off

EMPLOYEE NAMERow22:

POSTIONJOB TITLERow22:

DATE HIREDRow22:

undefined_50: Off

EMPLOYEE NAMERow23:

POSTIONJOB TITLERow23:

DATE HIREDRow23:

undefined_51: Off

EMPLOYEE NAMERow24:

POSTIONJOB TITLERow24:

DATE HIREDRow24:

undefined_52: Off

EMPLOYEE NAMERow25:

POSTIONJOB TITLERow25:

DATE HIREDRow25:

undefined_53: Off

EMPLOYEE NAMERow26:

POSTIONJOB TITLERow26:

DATE HIREDRow26:

undefined_54: Off

EMPLOYEE NAMERow27:

POSTIONJOB TITLERow27:

DATE HIREDRow27:

undefined_55: Off

EMPLOYEE NAMERow28:

POSTIONJOB TITLERow28:

DATE HIREDRow28:

undefined_56: Off

EMPLOYEE NAMERow29:

POSTIONJOB TITLERow29:

DATE HIREDRow29:

undefined_57: Off

EMPLOYEE NAMERow30:

POSTIONJOB TITLERow30:

DATE HIREDRow30:

undefined_58: Off

EMPLOYEE NAMERow31:

POSTIONJOB TITLERow31:

DATE HIREDRow31:

undefined_59: Off

EMPLOYEE NAMERow32:

POSTIONJOB TITLERow32:

DATE HIREDRow32:

undefined_60: Off

EMPLOYEE NAMERow33:

POSTIONJOB TITLERow33:

DATE HIREDRow33:

undefined_61: Off

EMPLOYEE NAMERow34:

POSTIONJOB TITLERow34:

DATE HIREDRow34:

undefined_62: Off

EMPLOYEE NAMERow35:

POSTIONJOB TITLERow35:

DATE HIREDRow35:

undefined_63: Off

EMPLOYEE NAMERow1_3:

ADDRESSRow1:

CITYRow1:

STATERow1:

ZIPRow1:

EMPLOYEE NAMERow2_3:

ADDRESSRow2:

CITYRow2:

STATERow2:

ZIPRow2:

EMPLOYEE NAMERow3_3:

ADDRESSRow3:

CITYRow3:

STATERow3:

ZIPRow3:

EMPLOYEE NAMERow4_3:

ADDRESSRow4:

CITYRow4:

STATERow4:

ZIPRow4:

EMPLOYEE NAMERow5_3:

ADDRESSRow5:

CITYRow5:

STATERow5:

ZIPRow5:

EMPLOYEE NAMERow6_3:

ADDRESSRow6:

CITYRow6:

STATERow6:

ZIPRow6:

EMPLOYEE NAMERow7_3:

ADDRESSRow7:

CITYRow7:

STATERow7:

ZIPRow7:

EMPLOYEE NAMERow8_3:

ADDRESSRow8:

CITYRow8:

STATERow8:

ZIPRow8:

EMPLOYEE NAMERow9_3:

ADDRESSRow9:

CITYRow9:

STATERow9:

ZIPRow9:

EMPLOYEE NAMERow10_3:

ADDRESSRow10:

CITYRow10:

STATERow10:

ZIPRow10:

EMPLOYEE NAMERow11_3:

ADDRESSRow11:

CITYRow11:

STATERow11:

ZIPRow11:

EMPLOYEE NAMERow12_3:

ADDRESSRow12:

CITYRow12:

STATERow12:

ZIPRow12:

EMPLOYEE NAMERow13_3:

ADDRESSRow13:

CITYRow13:

STATERow13:

ZIPRow13:

EMPLOYEE NAMERow14_3:

ADDRESSRow14:

CITYRow14:

STATERow14:

ZIPRow14:

EMPLOYEE NAMERow15_3:

ADDRESSRow15:

CITYRow15:

STATERow15:

ZIPRow15:

EMPLOYEE NAMERow16_3:

ADDRESSRow16:

CITYRow16:

STATERow16:

ZIPRow16:

EMPLOYEE NAMERow17_3:

ADDRESSRow17:

CITYRow17:

STATERow17:

ZIPRow17:

EMPLOYEE NAMERow18_3:

ADDRESSRow18:

CITYRow18:

STATERow18:

ZIPRow18:

EMPLOYEE NAMERow19_3:

ADDRESSRow19:

CITYRow19:

STATERow19:

ZIPRow19:

EMPLOYEE NAMERow20_3:

ADDRESSRow20:

CITYRow20:

STATERow20:

ZIPRow20:

EMPLOYEE NAMERow21_3:

ADDRESSRow21:

CITYRow21:

STATERow21:

ZIPRow21:

EMPLOYEE NAMERow22_2:

ADDRESSRow22:

CITYRow22:

STATERow22:

ZIPRow22:

EMPLOYEE NAMERow23_2:

ADDRESSRow23:

CITYRow23:

STATERow23:

ZIPRow23:

EMPLOYEE NAMERow24_2:

ADDRESSRow24:

CITYRow24:

STATERow24:

ZIPRow24:

EMPLOYEE NAMERow25_2:

ADDRESSRow25:

CITYRow25:

STATERow25:

ZIPRow25:

EMPLOYEE NAMERow26_2:

ADDRESSRow26:

CITYRow26:

STATERow26:

ZIPRow26:

EMPLOYEE NAMERow27_2:

ADDRESSRow27:

CITYRow27:

STATERow27:

ZIPRow27:

EMPLOYEE NAMERow28_2:

ADDRESSRow28:

CITYRow28:

STATERow28:

ZIPRow28:

EMPLOYEE NAMERow29_2:

ADDRESSRow29:

CITYRow29:

STATERow29:

ZIPRow29:

EMPLOYEE NAMERow30_2:

ADDRESSRow30:

CITYRow30:

STATERow30:

ZIPRow30:

EMPLOYEE NAMERow31_2:

ADDRESSRow31:

CITYRow31:

STATERow31:

ZIPRow31:

EMPLOYEE NAMERow32_2:

ADDRESSRow32:

CITYRow32:

STATERow32:

ZIPRow32:

EMPLOYEE NAMERow33_2:

ADDRESSRow33:

CITYRow33:

STATERow33:

ZIPRow33:

EMPLOYEE NAMERow34_2:

ADDRESSRow34:

CITYRow34:

STATERow34:

ZIPRow34:

EMPLOYEE NAMERow35_2:

ADDRESSRow35:

CITYRow35:

STATERow35:

ZIPRow35:

Project #:

Business Name #:

Federal Tax ID:

File details come from the government source that posted it. Updated Sep 24, 2025.