Affirmative_Action_Certification.docx

DOCX document 39 KB Posted

Attached to
2026 Fall Protection Systems Installation
Solicitation number
26-014-ITB
Issued by
Kenton County, Erlanger City, Kentucky

About this file

This is an Affirmative Action Certification form for the Kenton County Airport Board's 2026 Fall Protection Systems Installation project at Cincinnati/Northern Kentucky International Airport. The certification requires bidders to disclose whether they have previously participated in contracts subject to the Equal Opportunity Clause prescribed by Executive Orders 10925, 11246, or 11114, and to confirm whether all required compliance reports have been submitted. Bidders who have participated in such contracts but failed to submit required compliance reports must submit a Standard Form 100, "Employee Information Report," prior to contract award. The form includes signature and date lines for the bidding contractor's authorized representative, along with printed name and title fields for documentation purposes.

The Affirmative Action Certification is a mandatory compliance document as part of the project's broader Equal Employment Opportunity requirements. Bidders must complete and submit this certification along with other required certifications including EEO documentation, nonsegregated facilities certifications, non-debarment status evidence, tax delinquency and felony conviction certifications, and Disclosure of Lobbying Activities Certification. The Kenton County Airport Board affirms its commitment to providing disadvantaged business enterprises full and fair opportunity to participate without discrimination based on race, color, national origin, creed, sex, age, or disability. This certification ensures compliance with federal Title VI Civil Rights Act requirements and establishes the bidder's commitment to equal employment opportunity practices throughout contract performance.

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Text version

KENTON COUNTY AIRPORT BOARD CINCINNATI/NORTHERN KY INTERNATIONAL AIRPORT

PROJECT NAME

AFFIRMATIVE ACTION CERTIFICATION

The Bidder HAS / HAS NOT (strike out inappropriate term) participated in a previous contract subject to the Equal Opportunity Clause prescribed by Executive Order 10925, or Executive Order 11246, or Executive Order 11114.

The Bidder HAS / HAS NOT (strike out the inappropriate term) submitted all compliance reports in connection with any such contract due under the applicable filing requirements; and that representations indicating submission of required compliance reports signed by proposed subcontractors will be obtained prior to award of subcontracts.

If the Bidder has participated in a previous contract subject to the Equal Opportunity Clause and has not submitted compliance reports due under applicable filing requirements, the Bidder shall submit a compliance report on Standard Form 100, "Employee Information Report" prior to the award of the Contract.

Name: Bidding Contractor _______________________________________________________

By _____________________________________Date:_______________

(SIGNATURE)

Name and Title ________________________________________________________

(PRINT OR TYPE)

END OF SECTION

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