18 - Form 7557-108 EEO Staffing Plan2.docx
DOCX document 197 KB Posted
- Solicitation number
- 2120656
- Issued by
- Jefferson County, New York
About this file
The document is an Equal Employment Opportunity (EEO) Staffing Plan form used for state and local contract opportunities, designed to capture workforce diversity and demographic information for potential contractors and subcontractors. The form requires detailed reporting of workforce composition across multiple job categories, including breakdowns by gender, race/ethnic identification, and special categories such as disabled individuals and veterans. Contractors must complete this form for either the specific contract workforce or their total organizational workforce, depending on the ability to segregate contract-specific personnel.
The form provides comprehensive instructions for racial and ethnic self-identification, emphasizing that no individual should be counted in more than one racial/ethnic group and that classification is based on personal identification, community perception, and appearance. The document outlines specific racial/ethnic categories including White, Black, Hispanic, Asian & Pacific Islander, and Native American/Alaskan Native, as well as defining special categories like disabled individuals and Vietnam Era Veterans. Contractors are required to submit this form as part of their bid or proposal package, with specific submission requirements varying by contract type and value, such as construction contracts over $100,000 requiring submission within seven calendar days after bid opening.
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| 061122 - Request for Qualifications-Blake Hall Renovation.pdf | ||
| 06 - 7555-15 Subconsultant Staffing List-Architecture and Engineering3.docx | DOCX document | |
| 20- Form 7555-18 Bidders Certifications2.docx | DOCX document | |
| 19 - Form 7557-110 Workforce Utilization Report2.xlsx | XLSX spreadsheet | |
| 16 - OSC Form B2.doc | DOC document | |
| 02 - Design Team Summary Table3.xlsx | XLSX spreadsheet | |
| 07 - 7557-104 MWBE EEO2.doc | DOC document | |
| 17 - OSC Form A2.doc | DOC document |
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Text version
EEO STAFFING PLAN
Instructions on page 2 Solicitation No.:
Reporting Entity:
Report includes Contractor’s/Subcontractor’s:
□ Work force to be utilized on this contract
□ Total work force
Offeror’s Name:
□ Offerer
□ Subcontractor Subcontractor’s name________________
Offeror’s Address:
Enter the total number of employees for each classification in each of the EEO-Job Categories identified
EEO-Job Category
Total Work force
| Work force by Gender |
| Work force by |
Race/Ethnic Identification
Total Male (M) Total Female (F)
White
(M) (F)
Black
Hispanic
Asian
Native American
(M) (F)
Disabled
(M) (F)
Veteran
(M) (F)
Officials/Administrators
Professionals
Technicians
Sales Workers
Office/Clerical
Craft Workers
Laborers
Service Workers
Temporary /Apprentices
Totals
| PREPARED BY (Signature): |
| TELEPHONE NO.: |
EMAIL ADDRESS:
DATE:
NAME AND TITLE OF PREPARER (Print or Type):
Submit completed with bid or proposal
General instructions: All Offerors and each subcontractor identified in the bid or proposal must complete an EEO Staffing Plan (ADM/EEO 100) and submit it as part of the bid or proposal package. For construction, except for contracts of $100,000 or less, the three lowest bidders shall submit to the University for its approval an EEO Staffing Plan within seven (7) calendar days after the opening of bids. Where the work force to be utilized in the performance of the State contract can be separated out from the contractor’s and/or subcontractor’s total work force, the Offeror shall complete this form only for the anticipated work force to be utilized on the State contract. Where the work force to be utilized in the performance of the State contract cannot be separated out from the contractor’s and/or subcontractor’s total work force, the Offeror shall complete this form for the contractor’s and/or subcontractor’s total work force.
Instructions for completing:
1. Enter the Solicitation number that this report applies to along with the name and address of the Offeror.
2. Check off the appropriate box to indicate if the Offeror completing the report is the contractor or a subcontractor.
3. Check off the appropriate box to indicate work force to be utilized on the contract or the Offerors’ total work force.
4. Enter the total work force by EEO job category.
5. Break down the anticipated total work force by gender and enter under the heading ‘Work force by Gender’
6. Break down the anticipated total work force by race/ethnic identification and enter under the heading ‘Work force by Race/Ethnic Identification’. Contact the M/WBE Permissible contact(s) for the solicitation if you have any questions.
7. Enter information on disabled or veterans included in the anticipated work force under the appropriate headings.
8. Enter the name, title, phone number and email address for the person completing the form. Sign and date the form in the designated boxes.
RACE/ETHNIC IDENTIFICATION
Race/ethnic designations as used by the Equal Employment Opportunity Commission do not denote scientific definitions of anthropological origins. For the purposes of this form, an employee may be included in the group to which he or she appears to belong, identifies with, or is regarded in the community as belonging. However, no person should be counted in more than one race/ethnic group. The race/ethnic categories for this survey are:
· WHITE (Not of Hispanic origin) All persons having origins in any of the original peoples of Europe, North Africa, or the Middle East.
· BLACK a person, not of Hispanic origin, who has origins in any of the black racial groups of the original peoples of Africa.
· HISPANIC a person of Mexican, Puerto Rican, Cuban, Central or South American or other Spanish culture or origin, regardless of race.
· ASIAN & PACIFIC a person having origins in any of the original peoples of the Far East, Southeast Asia, the Indian subcontinent or the Pacific Islands.
ISLANDER
· NATIVE INDIAN (NATIVE a person having origins in any of the original peoples of North America, and who maintains cultural identification through tribal AMERICAN/ ALASKAN affiliation or community recognition.
NATIVE)
OTHER CATEGORIES
| · DISABLED INDIVIDUAL | any person who: | - | has a physical or mental impairment that substantially limits one or more major life activity(ies) | |
| - | has a record of such an impairment; or | |||
| - | is regarded as having such an impairment. |
| · VIETNAM ERA VETERAN | a veteran who served at any time between and including January 1, 1963 and May 7, 1975. | ||
| · GENDER | Male | or | Female |
MWBE Form 108
File details come from the government source that posted it. Updated .