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Docusign Envelope ID:3EDD0960-FFF6-43E2-8E49-1A7B2008A238 <br /> idderl espondent will submit <br /> this completed document with <br /> Bid/Proposal. <br /> EXHIBIT 5C <br /> MBE/WBE/Section 3 <br /> Instructions: If the Respondent/Bidder is a Minority Owned Business (MOB) or Women Owned Business (WOB) <br /> or qualifies as a Section 3 business, the Respondent completes Form F.1., and if the Respondent/Bidder intends <br /> to utilize a MOB/WOB or Section 3 business in the performance of the proposed contract, the respondent <br /> /bidder completes Form F.2 <br /> F. I CER"TIFICA"TION AS A MINORFTYOWNED, OME OWNED OR SE TIUD 3 BUSINESS <br /> 1 Ellen McDonald certify that Plummer Associates, Inc. ( ) is / (X) is not a <br /> Minority Owned, Women Owned or Section 3 Business. <br /> Business Registered Name <br /> Alan Plummer and Associates, Inc. <br /> Business Registered Address 1 <br /> 1320 S. University Dr., Suite 300, Fort Worth,TX 76107 <br /> State of Registration: Texas <br /> Certificate or Registration Number: N/A <br /> Certifying Agency: N/A <br /> This certification is a material representation of fact upon which reliance was placed when this transaction was <br /> made or entered into. The City reserves the right to withdraw or terminate the proposed contract should the <br /> representation of fact be false. <br /> Signature and Date: <br /> -;�'54,'zj 11/1/2024 <br /> Printed Name: Ellen McDonald <br /> Position: <br /> Vice President <br /> Page 1 of 2 <br />