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DocuSign Envelope ID:29F350EB-C553-4EEB-BD97-898B3775EE03 <br /> I <br /> i <br /> Attach to Bid Attach to Bid Attach to Bid Attach to Bid Attach to Bid Attach to Bid Attach to Bid Attach to Bid <br /> Identification of HUB Certified/ Minority Business Participation <br /> (Name of Bidder) <br /> do hereby certify that on this project, we will use the following HUB Certified/minority business as <br /> construction subcontractors, vendors, suppliers or providers of professional services. <br /> Firm Name, Address and Phone# Work Type *Minority **HUB <br /> Category Certified <br /> Y/N <br /> JG uh �tc4� -�1aov <br /> *Minority categories: Black,African American(B), Hispanic(H),Asian American(A)American Indian (1), <br /> Female(F)Socially and Economically Disadvantaged(D) <br /> **HUB Certification with the state HUB Office required to be counted toward state participation goals�� <br /> The total value of minority business contracting will be <br /> MBForms 2002-Revised July 2010 <br /> I <br /> i <br />