Orange County NC Website
Browse       Search
DocuSign Envelope ID:418ADAA3-2F7B-4243-AF32-4541C164B6FA <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 /> 1, 0.1-1 0 rifflo Infrasitructv fe,LC <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 /> (YIN) <br /> EA3 Caa5r C0A,S Jr('ACt 14 n S'erCceS 1--11\9-crc \ <br /> F '1ft <br /> fitsr‘t ) (4( ;k0.4431 ,-- 153; <br /> Crt-trac,-rn1 <br /> wc 2.‘41\--1)3do lEcdc ;or\ <br /> 5 tovrc. (\.5 tr\m.v;k 0, p lutnt,1,9 <br /> *Minority categories: Black,African American(B), Hispanic(H),Asian American(A)American Indian(I), <br /> Female(F)Socially and Economically Disadvantaged(0) <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 ($) 32--"ca°•I:" <br /> MBForms 2002-Revised July 2010 <br />