Form: Sb Self Cert - Small Business Self-Certification Form Page 3
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4Small Business Self-Certification Form
(see Notes and Definitions, pages 2-4)
evidence”. Economically disadvantaged individuals are: Socially disadvantaged individuals whose
ability to compete in the free enterprise system has been impaired due to the diminished capital and
credit opportunities as compared to others in the same or similar line of business that are not Socially
disadvantaged. To qualify as Economically disadvantaged, an individual must satisfy the following
three (3) criteria: (1) The Net Worth of each individual upon whom the certification is based must not
exceed $750,000 after taking into account the applicable exclusions set forth (net worth exclusions
are: (a) equity in business, (b) equity in prime residence, and (c) funds in retirement accounts
provided there is a penalty associated with a withdrawal). (2) Annual income, averaged over the last
three (3) years, of each individual upon whom the certification is based must not exceed $350,000.
(3) Fair market value of Assets, excluding qualified retirement accounts, must not exceed $6 Million.
SDB is a sub-set of SB.
SDB8(a):
"Small Disadvantaged Business, Class 8(a)" is a classification named for Section 8(a) of the Small
Business Act.
It signifies a small business that has been certified by the Small Business
Administration (SBA) to participate in a business development program created to help small
disadvantaged businesses compete in the market place.
Generally, a concern meets the basic
requirements for admission to the 8(a) BD program if it is a small business which is unconditionally
owned and controlled by one or more Socially and Economically disadvantaged individuals
(qualifying under the initial eligibility Economic disadvantaged thresholds) who are of good
character, citizens of the United States, reside in the United States, and which demonstrates potential
for success. A Participant receives a program term of nine (9) years from the date of SBA's approval
letter certifying the concern's admission to the program. The Participant must maintain its program
eligibility during its tenure in the program and must inform SBA of any changes that would adversely
affect its program eligibility. A firm that completes its nine (9) year term of participation in the 8(a)
BD program is deemed to graduate from the program. The nine (9) year program term may be
shortened only by termination, early graduation, or voluntary graduation as dictated by the program.
SDB8(a) is a sub-set of SDB.
WOSB:
"Woman-Owned Small Business" means a small business concern that is at least 51 percent owned by
one or more women; or in the case of any publicly owned business, at least 51 percent of the stock of
which is owned by one or more women; and whose management and daily business operations are
controlled by one or more women. WOSB is a sub-set of SB.
HUBZoneSB:
"HUBZone Small Business" means a small business concern that is listed, on the date of its
representation, as a qualified HUBZone Small Business as maintained by the Small Business
Administration (SBA), and no material change in ownership and control, principle office, or
HUBZone employee percentage has occurred since it was certified by the SBA in accordance with 13
CFR part 126. HUBZone is a historically underutilized business zone, which is in an area located
within one or more qualified census tracts, qualified non-metropolitan counties, or lands within the
external boundaries of an Indian Reservation. To qualify for SBA Certification as a HUBZone Small
Business, the business principal office must be located within a HUBZone, must be owned and
controlled by one or more U.S. citizens, and have at least 35% of its employees residing in a
HUBZone. HUBZoneSB is a sub-set of SB.
VOSB:
"Veteran-Owned Small Business" means a small business concern where not less than 51 percent is
owned by one or more veterans (as defined at 38 U.S.C. 101(2)) or, in the case of any publicly owned
business, not less than 51 percent of the stock of which is owned by one or more veterans; and the
management and daily business operations of which are controlled by one or more veterans. VOSB is
a sub-set of SB. On VA Contracts or Subcontracts, must be CVE verified by the VA (Per VAAR).
SD-VOSB:
"Service-Disabled Veteran-Owned Small Business" means a small business concern where not less
than 51 percent is owned by one or more service-disabled veterans; or in the case of any publicly
owned business, not less than 51 percent of the stock of which is owned by one or more service-
“X” is acceptable, in lieu of “HAND INITIAL”, if this form is completed and signed with an authenticated electronic signature.
(Return of Pages 2-4 Not Required)
Page 3 of 4
Form: SB SELF CERT
Revision Date: September 24, 2015
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