Flues and metal roof systems outdoor advertising

Once a firm’s SBE status is verified, the certification is valid for three years as long as there is no change in ownership, control, business size or personal net worth. On an annual basis SBEs will be required to submit an Affidavit of No Change, Individual Tax Returns and applicable Business Tax Returns.

MINIMUM REQUIREMENTS

 . Gross receipts include any affiliate businesses owned in whole or in part by the owner(s) of the applicant firm.

Applicant acknowledges that submittal of a SBE Review Form constitutes his/her agreement that the information may be reviewed by the Clark County Department of Aviation and/or its consultants.

Checklist of Required Supporting Documents

INSTRUCTIONS: Check (√) each box, as applicable, and submit supporting documents as applicable to the applicant and the applicant firm. If there are any documents that are not applicable, do not check the box, and provide an explanation in the space provided at the end of this form. Only Small Business Enterprise Review Forms that are fully completed with required documentation will be processed. Please note that this Checklist must be signed by the applicant and attached to the application form.

affiliates.

Signed: Printed Name:	Date: Title:

A.

(2) Nature of the firm’s business. Check all applicable boxes. Firm must possess the required license(s) listed below. If the firm’s type

of business is not listed, check the “Other” box and describe the service(s) the firm provides.

install concrete; apply sealants and other waterproofing products; saw, cut, drill and core concrete and asphaltic paving material.

graded mineral aggregates, asphalt or concrete products.

	FENCING & GUARDRAILS: Assembling, cutting, shaping, fabricating and installation of wood or metal fencing, guardrails, signs and

nonelectrical markers.

doors, window walls and storefronts, enclosures for showers, tubs and toilet partitions, and automatic and revolving doors.

non-engineered decorative landscape ponds or non-engineered prefabricated trellises and arbors.

LATHING AND PLASTERING: Lathing, plastering, drywall, acoustical tile, studs of sheet metal, and coatings of stucco & cement. Masonry: Select, cut and lay brick, other baked clay products, rough cut and dressed stone, artificial stone, precast blocks and

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sealants and installation of precast bumpers, traffic signs, nonelectrical markers and striping on the services.

rainwater, pans, food service equipment, ducts, louvres, patented chimneys, flues and metal roof systems.

and products which are plastic, coated with plastic, or made of hardboard, fiberglass or other materials.

(4) Type of firm (check all that apply):

(6) Gross receipts for the last 3 years

Year: Total Receipts: $

Identify all individuals or holding companies with any ownership interest in your firm. If applicant firm has more than one owner, each owner must provide complete copies of this section. (Applicant shall make additional copies of this Section 3 as necessary)

(4) Home Address (street and number):

City:

Name of License/Permit Holder	Type of License/Permit	Expiration Date	License Number and State

understood all of the questions in this application and that all of the foregoing information and statements submitted in this application and its attachments and supporting documents are true and correct to the best of my knowledge, and that all responses to the questions are full and complete, omitting no material information. The responses include all material information necessary to fully and accurately identify and explain the operations, capabilities and pertinent history of the named firm as well as the ownership, control, and affiliations thereof.

Signature:	Date: _______________________

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Commission Expires:

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