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DocuSign Envelope ID:A9CF8A9E-4CDB-4BB9-A678-D4AD80CD1393 <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 ifie / Minority Business Participation <br /> 1, <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 /> *Minority categories: Black,African American (B), Hispanic(H),Asian American (A)American Indian (I), <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 />