5-13-Exhibit V Employee Information Report.pdf
PDF 867 KB Posted
- Solicitation number
- 2093872
- Issued by
- Dallas County, Texas
About this file
This document is an Employee Information Report (Exhibit V) from the Dallas Area Rapid Transit Authority (DART) for Solicitation No. P-2093872, which is a standardized form for reporting workforce demographic data. The form provides a detailed template for employers to document their employee composition across various job categories, broken down by race, gender, and job level, including categories such as Officials/Managers, Professionals, Technicians, Sales Workers, Office & Clerical, Craft Workers, Operatives, Laborers, and Service Workers.
The report is designed to capture comprehensive employment data, requiring employers to record the number of employees in each job category, differentiated by racial and gender classifications. The form includes sections for identifying the type of reporting unit (single or multi-establishment), company identification, and a certification section where an authorized official must verify the accuracy of the submitted information. While the specific details of this particular submission are not filled out, the form serves as a tool for tracking workforce diversity and demographic representation across different organizational levels.
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Text version
Solicitation No. P-2093872
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. P-2093872
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
| 01- Solicitation Offer & Award Form - 33-201(v2) |
| 02-Cost_Pricing_Schedule (ver. 9.23.25) |
| 02-Cost_Pricing_Schedule (ver. 9.23.25)p1 |
| 02-Cost_Pricing_Schedule (ver. 9.23.25)p2 |
| 02-Cost_Pricing_Schedule (ver. 9.23.25)p3 |
| 02-Cost_Pricing_Schedule (ver. 9.23.25)p4 |
| 02-Cost_Pricing_Schedule (ver. 9.23.25)p5 |
| 02-Cost_Pricing_Schedule (ver. 9.23.25)p6 |
| 02-Cost_Pricing_Schedule (ver. 9.23.25)p7 |
| 03-Exhibit A 33-204 |
| 04-Exhibit B (9.23.25)v2 |
| 05-Exhibit C 33-206L |
| 06-Exhibit D 33.D (9.23.25)v2 |
| 07-Exhibit F 33-401 |
| 08-Exhibit G -33-213 MWBE (Local) |
| 09-Exhibit H NSF-4190 SOW Renewable Natural Gas - Rev.3 (8.28.25) |
| 10-Exhibit L 33-253PF |
| 11-Exhibit Q 33-210 Payment Bond |
| 12-Exhibit R 33-209 Performance Bond |
| 13-Exhibit V 33-254 |
File details come from the government source that posted it. Updated .