MBE CERTIFICATION CHECKLIST (PARTNERSHIP)

IF YOU ARE AN OUT OF STATE FIRM YOU MUST BE CERTIFIED IN YOUR HOME STATE IN ORDER TO APPLY IN THE STATE OF MARYLAND

Maryland Certification Process
Maryland Department of Transportation
Documents to be Provided with the Affidavit

Please Note: If a document is missing, please provide an explanation. If all required documents are submitted, 2 to 3 months of the processing time can be eliminated.

ITEMS MARKED WITH AN ASTERISK (*) ARE ESSENTIAL AND MUST BE INCLUDED IN YOUR SUBMITTAL:

FOR A PARTNERSHIP

______ *Disclosure Affidavit (Notarized) - This document should reflect the current structure of your business.

______ *Current Financial Statement - A "certified" financial statement is not a requirement.

______ *Complete Federal Tax Returns for the Most Current Three Years (Including all Schedules)

______ *Agreements, such as Rental, Lease or any Other Type of Formal Written Agreements which have been Entered Into Between You and Another Party or Parties which Affect the Operation of Your Business. Include agreements with any financial institutions or other businesses/individuals and proof of payment, if applicable.

______ *License to do Business, if Applicable (Professional, if Required)

______ *Proof of Minority Status (e.g. Copy of Birth Certificate, Drivers License, and, where applicable, a Tribal Registration, a Passport, a Certificate of Naturalization and/or other such documents showing "ethnic" heritage.

______ Business Plan (If in Business Less than One Year)

______ *Titles, Registration and Current Insurance Carriers and Policy Numbers for ALL Vehicles Owned by the Company

______ *Copies of Each MBE Certification or Denial of Certification by Other Agencies or Jurisdictions, if Applicable. The applicable home state on-site report MUST accompany the certification document for your home state if you are not a Maryland firm.

______ *Copy of Home State Certification for non-Maryland firms.

______ *Resumes on ALL Key Operating Personnel, including officers, directors and shareholders.

______ *Partnership Agreement/Buy-Out Rights/Profit Sharing Agreement/Proof of Capital Invested, or a Written Notarized Statement Describing How the Business was Capitalized

______ *Your Federal ID_____________

______ *Your Social Security Number_____________________

______ *Copies of the Firm's Last Four Quarterly Employment (SUTA) Reports
(State Unemployment Insurance Reports with the names of employees and their compensation)

______ *Copies of Three Job Contracts

______ *Personal Net Worth Statement (PNW) Form

______ *Statement of Disadvantage

PLEASE MARK N/A IF THE DOCUMENT IS NOT ESSENTIAL AND NOT APPLICABLE TO YOUR BUSINESS.