Owner/Employee Certification - Set-aside for Aboriginal Business

If requested by the Supply Arrangement Authority, the Supplier must provide the following certification for each owner and employee who is Aboriginal:

1. I am ___________ (insert "an owner" and/or "a full-time employee") of _________________ (insert name of business), and an Aboriginal person, as defined in Annex 9.4 of the Supply Manual, entitled "Requirements for the Set-aside Program for Aboriginal Business".
2. I certify that the above statement is true and consent to its verification upon request by Canada.
   ________________________________
   Printed name of owner and/or employee
   _____________________________
   Signature of owner and/or employee
   ___________________
   Date