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Affidavit of (Name of Bidder) I have made a good faith effort to comply under the following areas checked: (A minimum of 5 areas must be checked in order to have achieved a "good faith effort ") V 1 - Contacted minority businesses that reasonably could have been expected to submit a quote and that were known to the contractor, or available on State or local government maintained lists, at least 10 days before the bid date and notified them of the nature and scope of the work to be performed. 2 - Made the construction plans, specifications and requirements available for review by prospective minority businesses, or providing these documents to them at least 10 days before the bids are due. �3 - Broken down or combined elements of work into economically feasible units to facilitate minority participation. ❑ 4 - Worked with minority trade, community, or contractor organizations identified by the Office of Historically Underutilized Businesses and included in the bid documents that provide assistance in recruitment of minority businesses. V 5 - Attended prebid meetings scheduled by the public owner. ❑ 6 - Provided assistance in getting required bonding or insurance or provided alternatives to bonding or insurance for subcontractors. V 7 - Negotiated in good faith with interested minority businesses and did not reject them as unqualified without sound reasons based on their capabilities. Any rejection of a minority business based on lack of qualification should have the reasons documented in writing. ❑ 8 - Provided assistance to an otherwise qualified minority business in need of equipment, loan capital, lines of credit, or joint pay agreements to secure loans, supplies, or letters of credit, including waiving credit that is ordinarily required. Assisted minority businesses in obtaining the same unit pricing with the bidder's suppliers in order to help minority businesses in establishing credit. ❑ 9 - Negotiated joint venture and partnership arrangements with minority businesses in order to increase opportunities for minority business participation on a public construction or repair project when possible. ❑ 10 -Provided quick pay agreements and policies to enable minority contractors and suppliers to meet cash flow demands. In accordance with N.C.G.S § 143- 128.2(d) the undersigned will enter into a formal agreement with the firms listed in the Identification of Minority Business Participation schedule conditional upon execution of a contract with the Owner. Failure to abide by this statutory provision will constitute a breach of the contract. The undersigned hereby certifies that he or she has read the terms of the minority business commitment and is authorized to bind the bidder to the commitment herein set forth. Date: S-� 11-1 2 _ Name of Authorized Officer: Sri �QUC�rY C�14P Signature: 164.Z Title: reSl 4 ® W State of North Carolina, County of el��u2. SEAL Subscribed and swo to bef re day of Aa!� 20 � Notary Public G` My commission expires Attache G -2 Page