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DocuSign Envelope ID:B75E8AA0-ADE3-4E77-B32C-2134D9CAA555 <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 /> I—Q.T. WJJISon Construction Company, Inc. <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 /> Waspco <br /> W Y <br /> *Minority categories: Black,African American (B), Hispanic(H), Asian American(A)American Indian (1), <br /> Female(F)Socially and Economically Disadvantages! (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 ($) 10,640 <br /> MBForms 2002-Revised July 2010 <br />