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ATTACHMENTFSECTION3BUSINESSCONCERNCERTIFICATIONFORMFORCONTRACTING <br />TocertifyyourĬǒƭźƓĻƭƭ͸Section3status,enterthefollowinginformationandselectapplicablecriteria: <br />BusinessInformation <br />NameofBusiness: <br />AddressofBusiness: <br />NameofBusinessOwner: <br />PhoneNumberofBusinessOwner: <br />EmailAddressofBusinessOwner: <br />PreferredContactInformation <br />Sameasabove,or: <br />NameofPreferredContact: <br />PhoneNumberofPreferredContact: <br />EmailAddressofPreferredContact: <br />TypeofBusiness(selectfromthefollowingoptions): <br />CorporationPartnershipSoleProprietorshipJointVenture <br />SelectfromONEofthefollowingthreeoptionsbelowthatapplies: <br />Atleast51percentofthebusinessisownedandcontrolledbyloworverylowincomepersons(Refertoincome <br />guidelinesbelow). <br />Atleast51percentofthebusinessisownedandcontrolledbycurrentpublichousingresidentsorresidentswho <br />currentlyliveinSection8assistedhousing. <br />Over75percentofthelaborhoursperformedforthebusinessoverthepriorthreemonthperiodareperformedby <br />Section3Workers(Refertodefinitionbelow). <br />BusinessConcernAffirmation <br />Iaffirmthattheabovestatementsaretrue,complete,andcorrecttothebestofmyknowledgeandbelief.Iunderstand <br />thatbusinesseswhomisrepresentthemselvesasSection3BusinessConcernsandreportfalseinformationtotheCityof <br />SanMarcos,Texas,mayhavetheircontractsterminatedasdefaultandbebarredfromongoingandfutureconsiderations <br />forcontractingopportunities.Iherebycertify,underpenaltyoflaw,thatthisinformationiscorrecttothebestofmy <br />knowledge. <br />PrintedName:________________________________Signature:_________________________________Date: <br />Certificationexpires12monthsafterdateofsignature <br />InformationregardingSection3BusinessConcernscanbefoundat24CFR75.5 <br />FORADMINISTRATIVEUSEONLY <br />IsthebusinessaSection3businessconcernbasedupontheircertification?YESNO <br />EMPLOYERSMUSTRETAINTHISFORMINTHEIRSECTION3COMPLIANCEFILEFORFIVEYEARS. <br />LastUpdated:12/20/21CertificationFormFourPage1of2 <br />Page 38 of 44 <br /> <br />