9-Forms I J - SUSPENSION AND NONDISCRIMINTORY.pdf

FORM I: SUSPENSION OR DEBARMENT CERTIFICATE

Non-Federal entities are prohibited from contracting with or making sub-awards under covered transactions to parties that are suspended or debarred or whose principals are suspended or debarred. Covered transactions include procurement for goods or services equal to or in excess of $100,000.00; contractors receiving individual awards for

$100,000.00 or more and all sub-recipients must certify that the organization and its principals are not suspended or debarred.

By submitting this offer and signing this certificate, the bidder:

1. Certifies that the owner/operator has not been convicted of a felony except as indicated on separate attachment to this offer, in accordance with Section 44.034 of the Texas Education Code, and

2. Certifies that no suspension or disbarment is in place, which would preclude receiving a federally funded contract under the Federal OMB, A-102, Common Rule (___.36)

Vendor Name: _________________________________________________________________

Authorized Company Official Signature: ____________________________________________

Please Print Company Officials Name: ______________________________________________

Title of Official: ________________________________________________________________

Date: _________________________________________________________________________

FORM J: AFFIDAVIT OF NON-DISCRIMINATORY EMPLOYMENT

This company, Contractor, or Subcontractor agrees to refrain from discrimination in terms and conditions of employment on the basis of race, color, religion, sex, national origin, or handicap and agrees to take affirmative action as required by Federal Statutes and rules and regulation issued pursuant thereto in order to maintain and insure non-discriminatory employment practices.

Vendor Name: _________________________________________________________________

Authorized Company Official Signature: ____________________________________________

Please Print Company Officials Name: ______________________________________________

Title of Official: ________________________________________________________________

Date: _________________________________________________________________________

Per HISD Policy and applicable law, HISD is an Equal Opportunity Employer and does not discriminate because of an individual’s: 1. Race, color, or national origin; 2. Religion; 3. Sex; 4. Age; 5. Disability; or 6. Genetic Information.

Respondent certifies that respondent will comply with all applicable federal laws and regulations pertaining to Equal Opportunities and Non-Discrimination, including but not limited to: Section 1981 of the Civil Rights Act of 1866 (Section 1981)—race. 42 U.S.C. 1981; Title VII of the Civil Rights Act of 1964 (Title VII)—race, color, religion, sex, and national origin. 42 U.S.C. 2000e et seq.; Age Discrimination in Employment Act of 1967 (ADEA)—age, over 40. 29 U.S.C. 621 et seq.; Section 504 of the Rehabilitation Act of 1973 (Section 504)—disability in programs receiving federal funds. 29 U.S.C. 794; Title I of the Americans with Disabilities Act of 1990 (ADA)—disability. 42 U.S.C. 12101 et seq., and Title II of the Genetic Information Nondiscrimination Act of 2008 (GINA)—genetic information. 42 U.S.C. 2000ff et seq.