5. CMD Form 3 Compliance Affidavit - SFGOV-0000011976_1.pdf
PDF 162 KB Posted
- Solicitation number
- SFGOV-0000011976
- Issued by
- San Francisco County, San Francisco City, California
About this file
This is a CMD Compliance Affidavit form for Architecture, Engineering, and Professional Services contracts with the City and County of San Francisco under Chapter 14B of the San Francisco Administrative Code. The document requires the contracting firm's owner or authorized representative to attest to full compliance with Chapter 14B provisions and implementing regulations. The signatory must agree to provide the Contract Monitoring Division (CMD) and Human Rights Commission (HRC) with copies of contracts, subcontract agreements, certified payroll records, and other documentation upon request to facilitate investigations of discrimination claims or non-compliance with San Francisco Labor and Employment Code Article 131 or Chapter 14B.
The affidavit establishes that any monetary penalties assessed by the Director of the Contract Monitoring Division shall be payable to the City and County of San Francisco on demand, and such penalties may be withheld from monies otherwise due to the firm under any City contract. The signatory declares under penalty of perjury under California law that all statements in the affidavit are true, correct, and accurately reflect the firm's intentions regarding compliance obligations.
View the file
Other files
Show all 50
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
- 19 -
07/01/2024
CITY AND COUNTY OF SAN FRANCISCO
CONTRACT MONITORING DIVISION
CHAPTER 14B
CMD ATTACHMENT 2
Architecture, Engineering, and Professional Services
FORM 3: CMD COMPLIANCE AFFIDAVIT
1. I will ensure that my firm complies fully with the provisions of Chapter 14B of the San Francisco Administrative Code and its implementing Rules and Regulations and attest to the truth and accuracy of all information provided regarding such compliance.
2. Upon request, I will provide the CMD with copies of Contracts, subcontract agreements, certified payroll records and other documents requested so the HRC and CMD (as applicable) may investigate claims of discrimination or non-compliance with either San Francisco Labor and Employment Code Article 131 (formerly known as Administrative Code Chapter 12B) or Chapter 14B.
3. I acknowledge and agree that any monetary penalty assessed against my firm by the Director of the Contract Monitoring Division shall be payable to the City and County of San Francisco upon demand. I further acknowledge and agree that any monetary penalty assessed may be withheld from any monies due to my firm on any Contract with the City and County of San Francisco.
4. I declare and swear under penalty of perjury under the laws of the State of California that the foregoing statements are true and correct and accurately reflect my intentions.
Signature of Owner/Authorized Representative:
Owner/Authorized Representative (Print)
Name of Firm (Print)
Title and Position
Address, City, ZIP
Federal Employer Identification Number (FEIN):
Date:
| Text5: |
| Text6: |
| Text7: |
| Text8: |
| Text9: |
| Text119: |
| Text129: |
| Text213: |
File details come from the government source that posted it. Updated .