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P ROPOSAL F ORM 3: D IVERSITY V ENDOR C ERTIFICATION P ARTICIPATION <br />Diversity Vendor Certification Pa <br />rticipation - It is the policy of some Members participating in Equalis <br />Group to involve minority and women business enterprises (M/WBE), small and/or disadvantaged <br />business enterprises, disable veterans business enterprises, historically utilized businesses (HUB) and <br />other diversity recognized businesses in the purchase of goods and services. Respondents shall indicate <br />below whether or not they hold certification in any of the classified areas and include proof of such <br />certification with their response. <br />a.Minority Women Business Enterprise <br />Respondent certifies that this firm is an MWBE: Yes No <br />List certifying agency:Click or tap here to enter text. <br /> <br />b.Small Business Enterprise (SBE) or Disadvantaged Business Enterprise (“DBE”) <br />Respondent certifies that this firm is a SBE or DBE: Yes No <br />List certifying agency: Click or tap here to enter text. <br /> <br />c.Disabled Veterans Business Enterprise (DVBE) <br />Respondent certifies that this firm is an DVBE: Yes No <br />List certifying agency: Click or tap here to enter text. <br /> <br />d.Historically Underutilized Businesses (HUB) <br />Yes No <br />Respondent certifies that this firm is an HUB: <br />List certifying agency: Click or tap here to enter text. <br /> <br />e.Historically Underutilized Business Zone Enterprise (HUBZone) <br />Respondent certifies that this firm is an HUBZone: Yes No <br />List certifying agency: Click or tap here to enter text. <br /> <br />f.Other <br />Respondent certifies that this firm is a recognized diversity certificate holder: Yes No <br />List certifying agency: Click or tap here to enter text. <br /> <br />Page | 14 <br /> <br /> <br />