Form Ioci 14-4 - Recognition Certification Affidavit - Business Enterprise Program

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State of Illinois
State of Illinois
Department of Central Management Services
Department of Central Management Services
BUSINESS ENTERPRISE PROGRAM
BUSINESS ENTERPRISE PROGRAM
RECOGNITION CERTIFICATION AFFIDAVIT
RECOGNITION CERTIFICATION AFFIDAVIT
Use this checklist to avoid some common mistakes that delay the qualification process.
Use this checklist to avoid some common mistakes that delay the qualification process.
1. Is this your first time applying with CMS\BEP?
____ Yes
If Yes, STOP. You must complete the Small Business
Set-Side application.
Click here to get the
application.
____ No
If No, continue with the next step.
2. Has the application been signed by all individuals claiming
____ Yes
If Yes, continue with the next step.
ownership in the firm?
____ No
If No, your file is not complete.
3. Do you have a current valid certificate from one of the agencies
____ Yes
If Yes, continue with the next step.
listed in question 4 of the application?
____ No
If No, your file is not complete.
4. Has the application been notarized?
____ Yes
If Yes, you may continue with the application process.
____ No
If No, your file will not be processed as a complete
application.
5. Have you supplied the most current signed Federal or file
____ Yes
If Yes, continue with the next step.
extension income tax return with all attachments?
____ No
If No, your file will not be processed as a complete
application.
6. Do you have ownership and interest in any other business
____ Yes
If Yes, you must supply copies with all attachments of
(affiliate) supply Federal income tax returns with all attachments?
affiliate business.
____ No
7. Have copies of current local, county and state business
____ Yes
If Yes, you must supply copies of all business
license(s), permit(s), and professional license(s). (e.g. architect,
license(s), permit(s), and professional license(s).
engineer, plumber, and all financial investment subject to Illinois
(e.g., contractors, architect or engineer’s license as
Department of Financial Professional Regulations and other
required by law).
agencies)?
____ No
8. Are your annual gross sales over $75 million?
____ Yes
If Yes, Stop your firm does not qualify subject to
Section 10.64 Sales
Limitation.
____ No
If No, Continue the application process.
Failure to respond to all questions on this affidavit and provide all requested documentation
may result in the loss or denial of your firm’s certification.
This affidavit and supporting documentation should be delivered to the Illinois Department of Central Management Services,
Business Enterprise Program, 100 West Randolph Suite 4-100, Chicago Illinois 60601.
Page 1
IOCI 14-4

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