Form ECY070-17 "Sworn Statement of Compliance With Minority and Woman-Owned Business Utilization Requirements" - Washington

What Is Form ECY070-17?

This is a legal form that was released by the Washington State Department of Ecology - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2003;
  • The latest edition provided by the Washington State Department of Ecology;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form ECY070-17 by clicking the link below or browse more documents and templates provided by the Washington State Department of Ecology.

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Download Form ECY070-17 "Sworn Statement of Compliance With Minority and Woman-Owned Business Utilization Requirements" - Washington

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Sworn Statement of Compliance*
with
Minority- and Woman-owned
Business Utilization Requirements
Recipient
Grant Number
*NOTE:
MWBE goals are voluntary. No contracting decision should be made based
on whether or not the goals are achieved.
The following affirmative steps in awarding contracts and subcontracts will be taken:
1.
Include qualified minority and women’s business on solicitation lists;
2.
Insure that qualified minority and women’s businesses are solicited whenever
they are potential sources of services or supplies;
3.
Divide the total requirements, when economically feasible into smaller tasks or
quantities to permit maximum participation by qualified minority, and women’s
business;
4.
Establish delivery schedules, where requirements of the work permit, which will
encourage participation of qualified minority and women’s business; and
5.
Use the services and assistance of the state Office of Minority and Woman
Owned-Business, and the Office of Minority Business Enterprises of the U.S.
Department of Commerce as appropriate.
_____________________________
Authorized Signature
Date
______________________________
Title
State of
}
ss
County of
Subscribed and sworn to before me this
day of
, 19
NOTARY PUBLIC in and for the State of
residing in
My commission expires
___________________________________________
Signature of notary
ECY 070-17
If you require this document in an alternative format, please contact the Shorelands and Environmental
Assistance Program at 360 407-6606 or TTY at 711 or 1-800-833-6388.
Sworn Statement of Compliance*
with
Minority- and Woman-owned
Business Utilization Requirements
Recipient
Grant Number
*NOTE:
MWBE goals are voluntary. No contracting decision should be made based
on whether or not the goals are achieved.
The following affirmative steps in awarding contracts and subcontracts will be taken:
1.
Include qualified minority and women’s business on solicitation lists;
2.
Insure that qualified minority and women’s businesses are solicited whenever
they are potential sources of services or supplies;
3.
Divide the total requirements, when economically feasible into smaller tasks or
quantities to permit maximum participation by qualified minority, and women’s
business;
4.
Establish delivery schedules, where requirements of the work permit, which will
encourage participation of qualified minority and women’s business; and
5.
Use the services and assistance of the state Office of Minority and Woman
Owned-Business, and the Office of Minority Business Enterprises of the U.S.
Department of Commerce as appropriate.
_____________________________
Authorized Signature
Date
______________________________
Title
State of
}
ss
County of
Subscribed and sworn to before me this
day of
, 19
NOTARY PUBLIC in and for the State of
residing in
My commission expires
___________________________________________
Signature of notary
ECY 070-17
If you require this document in an alternative format, please contact the Shorelands and Environmental
Assistance Program at 360 407-6606 or TTY at 711 or 1-800-833-6388.