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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 />MBForms 2002-Revised July 2010 <br /> <br />Identification of HUB Certified/ Minority Business Participation <br /> <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 /> <br />Firm Name, Address and Phone # Work Type *Minority **HUB <br />Category Certified <br /> (Y/N) <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />*Minority categories: Black, African American (B), Hispanic (H), Asian American (A) American Indian (I), <br />Female (F) Socially and Economically Disadvantaged (D) <br /> <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 />Docusign Envelope ID: 687B9CC7-F1BC-43DB-A291-A8D859EFA3B2