MBE/WBE Certification Form - the City of Rockford 2026

The document is a certification form for Minority Business Enterprises (MBE) and Women Business Enterprises (WBE) in the City of Rockford, Illinois. It outlines the requirements for businesses seeking certification, including providing personal and business information, proof of ethnicity and gender, and details about ownership and operations. The form emphasizes the importance of truthful responses and compliance with local regulations to ensure eligibility for participation in city contracts.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your business information on Page 1, including the Project Name or Contract Name if applicable. If your firm is affiliated with a Parent Corporation, provide both names on a separate sheet.
On Page 2, indicate your Race/Ethnicity and Gender. Attach a copy of your original Birth Certificate that describes your ethnicity and gender if you are a woman.
Fill in all required fields regarding your Federal Employer Identification Number (FEIN), Illinois Department of Human Rights Number, Dun & Bradstreet Identification Number, and North American Industry Classification System (NAICS) Code.
Complete the sections about ownership, business activities, and any necessary licenses. Ensure to submit copies of all relevant documents as instructed.
Finally, review all entries for accuracy before signing the certification declaration at the end of the form.

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