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  1. Download and complete the required Personal Net Worth (PNW) Form. Read the PNW Guidelines (Instructions) and PNW Overview for guidance on completion of the PNW. Print PNW form or save it to your desktop. This is the official form to be used for MBE/DBE/ACDBE/SBE Certification.

  2. Personal Net Worth Statement OMB APPROVAL NO: 2105-0510. For DBE/ACDBE Program Eligibility EXPIRATION DATE: 03/31/2025. As of __________________. This form is used by all participants in the U.S. Department of Transportation’s Disadvantaged Business Enterprise (DBE) and Airport Concession DBE (ACDBE) Programs.

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  4. Net Worth: Calculate your net worth and enter the amount on the "Affidavit of Personal Net Worth." This is calculated by subtracting your "Total Liabilities" from your "Total Assets." + Total Assets - Total Liabilities = Net Worth* *Indicate negative net worth with parenthesis ( ). Total: Add the values entered for "Total Liabilities" and "Net ...

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  5. DBE Liaison Officer (DBELO) (§26.25) MDOT has designated an employee within the Office of Civil Rights as the DBE Liaison Officer: Carolyn F. Bell, Civil Rights Director Mississippi Department of Transportation Office of Civil Rights P.0. Box 1850 Jackson, MS 39215-1850 Telephone: (601) 359-7466.

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  6. 4. Download and complete the required Personal Net Worth (PNW) Form. • Read the PNW Guidelines (Instructions) and PNW Overview for guidance on completion of the PNW. • Print PNW form or save it to your desktop. • This is the official form to be used for MBE/DBE/ACDBE/SBE Certification.

  7. Personal Net Worth – each minority owner must fall below the personal net worth cap established for the State and federal programs (required of 51% ownership) -MBE: $1,771,564 (adjusted annually) -DBE/ACDBE/SBE: $1,320,000 5. Size – applicant firms must meet the small business size standards established by the U.S. Small

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