11-13 - Exhibit V - 33-254.pdf
PDF 166 KB Posted
- Solicitation number
- 2098066
- Issued by
- Dallas County, Texas
About this file
This file is an Employee Information Report form (DART Form 33.254) issued by the Dallas Area Rapid Transit Authority for Solicitation No. 2098066. The form is designed to collect employment data from contractors and vendors working with DART, requiring submission of demographic information across multiple employee categories. The document serves as a compliance reporting mechanism for the contracting process and must be completed by either single-establishment employers or multi-establishment employers submitting consolidated or individual establishment reports. Contractors must provide detailed employment data including the total number of permanent full-time and part-time employees, broken down by job category (Officials/Managers, Professionals, Technicians, Sales Workers, Office & Clerical, Craft Workers, Operatives, Laborers, and Service Workers) and demographic classification (White, Black, Hispanic, Asian or Pacific Islander, and American Indian or Alaskan Native, with separate columns for male and female employees).
The form requires contractors to identify their parent company and establishment information, describe the major activity of their establishment, and certify the accuracy of the submitted employment data. Contractors must also indicate whether their establishment employs apprentices and provide the dates of the payroll period used for reporting. A certifying official must sign and date the report, and contact information for a designated representative must be included. This Employee Information Report is a mandatory submittal for the McKinney Urban Transit District Shared Ride/On-Demand Service contract opportunity, which seeks qualified firms to provide turnkey Software as a Service (SaaS) solutions to manage MUTD's shared ride and on-demand service operations.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 4-06 - Exhibit D - 33D.pdf | ||
| 9-12 - Exhibit U - 33-606R.pdf | ||
| 14-02 - Price Schedule.xlsx | XLSX spreadsheet | |
| 7-08 - Exhibit F - 33-401.pdf | ||
| 12-10 - Exhibit H - SOW.pdf | ||
| 13-11 - Exhibit L - 33-253.pdf | ||
| 8-09 - Exhibit G - 33-215.pdf | ||
| 3-03 - Exhibit A - 33-203.pdf | ||
| 10-01 - Offer Award Form - 33-201.pdf | ||
| 1-02 - Price Schedule.pdf | ||
| 5-07 - Exhibit E - 33-214.pdf | ||
| 6-04 - Exhibit B - 33B.pdf | ||
| 2-05 - Exhibit C - 33-205F.pdf |
Show all 13
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Text version
Solicitation No. 2098066
DART Form 33.254(04/04) Page 1 of 2
DALLAS AREA RAPID TRANSIT AUTHORITY
DALLAS, TX
EXHIBIT V
EMPLOYEE
INFORMATION REPORT
SECTION A - TYPE OF REPORT
Indicate by marking in the appropriate box the type of reporting unit for which this copy of the form is submitted (MARK ONLY ONE BOX).
Single Establishment Employer Report Multi-Establishment Employer, Consolidated Report (Required) Multi-Establishment Employer, Headquarters Unit Report (Required) Multi-Establishment Employer, Individual Establishment Report (submit one for each establishment with 50 or more employees) Multi-Establishment Employer, Special Report
Total number of reports being filed by this company (answer only if consolidated report).
SECTION B-COMPANY IDENTIFICATION
(To be answered by all)
Parent Company Name & Address:
Establishment Completing Report
Name & Address (Omit if same as above)
Employer ID Number:
SECTION C - ESTABLISHMENT INFORMATION
(Omit on the Consolidated Report)
1. What is the major activity of this establishment? (Be specific, i.e., manufacturing steel castings, retail grocer, wholesale plumbing supplies, title insurance, etc. Include the specific type of product or type of service provided, as well as the principal business or industrial activity.)
Solicitation No. 2098066
DART Form 33.254(04/04) Page 2 of 2
SECTION D-EMPLOYMENT DATA
Employment at this establishment -- Report all permanent full-time and part-time employees including apprentices and on-the-job trainees unless specifically excluded as set forth in the instructions. Enter the appropriate figures on all lines and in all columns.
Blank spaces will be considered zeros.
JOB
CATEGORIES
NUMBER OF EMPLOYEES
Overall Totals
(Sum of Col. B
Thru K)
MALE
FEMALE
White (Not of
Hispanic Origin)
Black (Not of
Hispanic Origin)
Hispanic Asian or Pacific
Islander America n Indian or Alaskan Native
White (Not of
Hispanic Origin)
Black (Not of
Hispanic Origin)
Hispanic Asian or Pacific
Islander America n Indian or Alaskan Native
Officials/Managers Professionals Technicians Sales Workers Office & Clerical Craft Workers (Skilled)
Operatives (Semi-Skilled)
Laborers (Unskilled)
Service Workers
TOTAL
Answer if not consolidated report: Dates of Payroll Period
Used
Does the establishment employ apprentices?
SECTION E - CERTIFICATION
(See Instructions concerning certification in Exhibit G)
Check One: All reports are accurate and were prepared in accordance with the instructions (check on consolidated only)
This report is accurate and was prepared in accordance with the instructions.
Name/Title of Certifying Official
Signature Date:
Contact Name
Address (Number & Street)
Title City & State
Zip Code Telephone Extension
File details come from the government source that posted it. Updated .