The undersigned have completed and submitted the DBN Supplier Diversity Certification Application Form on behalf of (the “Business”) as requested by the DBN and hereby certify that the information contained herein is true and correct and accurate to the best of the undersigned’s knowledge and belief. The undersigned understand that this Declaration of Certification and the criteria set forth have been developed according to the guidelines established by the DBN.
The certification, when granted, will be for a one (1) year period. The undersigned further understand that completion and submission of this form, together with all attachments hereto, is not necessarily the sole criteria for determining certification as a Black or African Canadian owned business by the DBN. The undersigned acknowledges that if the DBN discovers that any statement has been made by the undersigned that the understand know to be false, the certification process will be terminated immediately and no refund will be given. The undersigned further agree that once certified, the continued certification and registration by the DBN will be according to the guidelines, rules and regulations of the DBN and may be amended from time to time in the DBN’s sole determination.
Termination the DBN certification may be based upon, but not necessarily limited to, any one of the following:
1. Cessation of the operation of the Business.
2. Discovery that any false information was knowingly supplied to the DBN in the completion of this declaration or as contained in any attachments submitted.
3. Failure to provide timely notice or withholding of any notice to the DBN of the sale, transfer, change or loss of ownership and/or management and control of the Business by the undersigned.
4. Failure or refusal to allow the DBN and/or its representative access to the location where the Business conducts its operations upon reasonable notice and demand for the purpose of a site visit.
The undersigned understand and agree that the DBN reserves the right to request any further and additional information that the DBN may deem necessary to substantiate the information and representations made by the Business for certification. The undersigned declare that the Business is at least fifty-one percent (51%) owned by one or more Black/African Canadian individuals (as defined in the attached application) and such individuals control, operate and manage the Business. The undersigned understand that the names of the undersigned along with that of the Business will be accessible by the DBN corporate partners as well as published on at least an annual basis as an DBN certified supplier to the general public. The undersigned hereby agree to hold the DBN free and harmless from any and all claims, demands, and damages whatsoever arising out of the presentation of this application and agrees to indemnify and hold DBN harmless for any and all liability in connection with the information provided by the undersigned and certification based on information contained in this application. The undersigned hereby declare under penalty of perjury that all statements made in this application and any attachments hereto are true and correct. The undersigned understand that the certification fee of $250 for year one is included and non-refundable. Recertification is $199.00 and is assessed on an annual basis. Requirements for recertification are available from the DBN.