Completed by recipients of federal grants, cooperative agreements, or other federal financial assistance which involve procurement of supplies, equipment, construction or services to accomplish federal assistance programs.
Note: The general Micro-Purchase threshold for EPA assistance agreements has been increased from $3500 to $10,000 and that the Simplified Acquisition Threshold has been increased from $150,000 to $250,000. See RAIN-2018-G04.
You may need a PDF reader to view some of the files on this page. See EPA’s About PDF page to learn more.- EPA Form 5700‑52A: United States Environmental Protection Agency Minority Business Enterprise/Woman Business Enterprise Utilization under Federal Grants and Cooperative Agreements (PDF)(8 pp, 600 K)
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EPA Form 5700‑52A (fill and sign): United States Environmental Protection Agency Minority Business Enterprise/Woman Business Enterprise Utilization under Federal Grants and Cooperative Agreements (PDF)(8 pp, 475 K)
Right-click and use Save As to download this version to fill and sign the form digitally.