055.doc
DOC document 69 KB Posted
- Attached to
- State Employee Commuter Benefits Program
- Solicitation number
- S119109-vCurrent
- Issued by
- Suffolk County, Massachusetts
About this file
This document is an Affirmative Action Commitment Statement required for state and local government procurements in Massachusetts that have a potential financial benefit of $50,000 or more. The statement requires bidders to certify their commitment to non-discrimination in employment and to procure commodities, services, and supplies from certified Minority- and Women-Owned Business Enterprises, as well as businesses owned by individuals with disabilities and socially or economically disadvantaged individuals. Bidders must either attach a copy of their Affirmative Action Commitments or complete the provided certification.
The document outlines the requirements for this Affirmative Action Commitment Statement pursuant to Executive Orders 227 and 246. It specifies that the format for the statement shall be determined by the procuring department's secretariat, or if no format is provided, bidders may use the provided certification. The authorized signatory of the bidder must execute the certification.
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Text version
Affirmative Action Commitment Statement (Required for procurements of $50,000 or more - employers only)
Bidder:________________________________________________________________________
RFR Name/Title: ________________________________________________________________
RFR Number: # _________________________________________________________________
Pursuant to Executive Order 227 and 246, any contract with a potential financial benefit of $50,000 dollars or more requires a bidder to submit an Affirmative Action Commitment Statement. The format for Affirmative Action Commitments shall be determined in accordance with the Executive Order (s) and the procuring department’s secretariat, if the secretariat specifies a format. If a format has not been specified by the department's secretariat, bidders will be required to complete either A or B below:
A. BIDDER MUST ATTACH A COPY OF ITS AFFIRMATIVE ACTION COMMITMENTS TO THE RFR RESPONSE.
OR
B. BIDDER MUST COMPLETE THE FOLLOWING CERTIFICATION FOR THEIR AFFIRMATIVE ACTION COMMITMENT STATEMENT.
In witness whereof, the bidder certifies under the pains and penalties of perjury that, as an employer, it is committed to non-discrimination in employment and, if selected to execute contracts with the Commonwealth of Massachusetts, shall also be committed to procure commodities, services and supplies from certified Minority- and Women-Owned Business Enterprises as outlined in their submitted Affirmative Market Program (AMP) Plan Form pursuant to Executive Order 390, including businesses owned by individuals with disabilities and businesses owned and controlled by socially or economically disadvantaged individuals, both in the performance of contracts with the Commonwealth of Massachusetts and in the performance of its business generally, as certified by the execution of the certification by an authorized signatory of the bidder as of the last date indicated below.
X
(Signature of Authorized Signatory of Bidder)
PRINT NAME:
(Print Name of Authorized Signatory of Bidder)
TITLE:
(Print Title of Authorized Signatory of Bidder)
DATE:
New 11/1/2005
File details come from the government source that posted it. Updated .