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Gensler | 60 Gensler | 61 <br />l.OCNC Non-Discrimination Certification Form <br />County Non-Discrimination Ordinance and shall be grounds for rejection of the bid or <br />proposal or termination of an existing contract, without fault or further obligation to <br />Orange County. <br />6.As a condition of submitting a bid or proposal to Orange County the undersigned <br />bidder or proposer agrees that Orange County may consider the information submitted <br />as part of this certification in its determination of the responsibility of the undersigned <br />bidder or proposer. The undersigned bidder or proposer, as the case may be, waives <br />the right to challenge the rejection of a bid or proposal when such rejection is based, in <br />its entirety, on information submitted as part of this certification. <br />The bidder or proposer certifies the undersigned has full authority to sign on its behalf. <br />By:________________________________________ <br />___________________________________________ <br />Printed Name and Title <br />On behalf of _________________________________ <br />___________________________________________ <br />Company or Corporate name <br />Gensler <br />Gensler Architecture, Design & Planning, P.C. <br />Chad Parker, Principal <br /> <br />Supplemental Vendor Information: HISTORICALLY UNDERUTILIZED BUSINESSES <br /> <br />Historically Underutilized Businesses (HUBs) consist of minority, women and disabled business firms that <br />are at least fifty-one percent owned and operated by an individual(s) of the categories. Also included in this <br />category are disabled business enterprises and non-profit work centers for the blind and severely disabled. <br /> <br />Pursuant to G.S. 143B-1361(a), 143-48 and 143-128.4, the County invites and encourages participation in <br />this procurement process by businesses owned by minorities, women, disabled, disabled business <br />enterprises and non-profit work centers for the blind and severely disabled. This includes utilizing <br />subcontractors to perform the required functions in this RFP/RFQ. Any questions concerning NC HUB <br />certification, contact the North Carolina Office of Historically Underutilized Businesses at (919) 807- <br />2330. The Vendor shall respond to question #1 and #2 below. <br />1) Is Vendor a Historically Underutilized Business? Yes No <br />2) Is Vendor Certified with North Carolina as a Historically Underutilized Business? Yes No <br /> <br />If so, state HUB classification <br /> <br /> <br />m.OCNC Supplemental Vendor Info: HUB Form <br />X <br />X <br />N/A <br />Docusign Envelope ID: EA417244-1B08-4F71-884E-045B78625FB7