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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, <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 (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 />