City of Baton Rouge and Parish of East Baton Rouge
CERTIFICATION FOR BUSINESS CONCERNS SEEKING SECTION 3
PREFERENCE IN CONTRACTING AND DEMONSTRATION OF CAPBILITY
Name of Business:
Address of Business:
Type of Business:
Corporation Partnership Sole Proprietorship Joint Venture
Attached is the following documentation as evidence of Section 3 status:
For Business claiming status as a Section 3 resident-owned enterprise:
Copy of resident lease Copy of receipt of public assistance
Copy of evidence of participation in a public assistance program Other evidence
For business entity as applicable:
Partnership Agreement Certificate of Good Standing
Copy of Articles of Incorporation Assumed Business Name Certificate
List of owners/stockholders and % ownership of each Latest Board minutes appointing officers
Organization chart with names and titles and brief function statement Additional documentation
Corporation Annual Report
For business claiming Section 3 status by subcontracting 25 percent of the dollar awarded to qualified Section 3
business:
List of subcontracted Section 3 business(es) and subcontract amounts
For business claiming Section 3 status, claiming at least 30 percent of their workforce are currently Section 3 residents or
were Section 3 eligible residents within 3 years of date of first employment with the business:
List of all current full-time employees PHA/IHA Residential lease less than 3 years from day of employment
List of employees claiming Section 3 status Other evidence of Section 3 status less than 3 years from date of employment
Evidence of ability to perform successfully under the proposed contracts:
Current financial statement
Statement of ability to comply with public policy
List of owned equipment
List of all contracts for the past two years
Authorizing Name and Signature (Corporate Seal *If Applicable)
Attested by:
