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DocuSign Envelope ID: D561B1AE-DF34-4907-AD06-AOEB37BBE427 <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, ejW'arj <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 /> I <br /> i <br /> i <br /> i <br /> I <br /> I <br /> i <br /> I <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 /> I <br /> The total value of minority business contracting will be ao <br /> I <br /> i <br /> MBFoi-ms 2002-Revised July 2010 { <br /> I <br />