AffirmativeActionCommitmentStatement.doc

DOC document 63 KB Posted

Attached to
Furnishing and delivery of Heat-Fused Retroreflective Preformed Thermoplastic Pavement Markings
Solicitation number
S110265-vCurrent
Issued by
Middlesex County, Norfolk County, Plymouth County, Quincy City, Massachusetts

About this file

This document is an Affirmative Action Commitment Statement required for state and local government procurements in Massachusetts with a potential financial benefit of $50,000 or more. The statement outlines the bidder's commitment to non-discrimination in employment and to procuring commodities, services, and supplies from certified Minority- and Women-Owned Business Enterprises as outlined in their Affirmative Market Program (AMP) Plan, including businesses owned by individuals with disabilities and businesses owned and controlled by socially or economically disadvantaged individuals. The statement must be completed and signed by an authorized signatory of the bidder.

The document provides the format and certification requirements for the Affirmative Action Commitment Statement, as specified by Executive Orders 227 and 246. Bidders must either attach a copy of their existing Affirmative Action Commitments or complete the provided certification. This statement is a mandatory requirement for bidders on state and local government contracts in Massachusetts with a potential value of $50,000 or more.

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Text version

Affirmative Action Commitment Statement (Required for procurements of $50,000 or more - employers only)

Bidder:________________________________________________________________________

RFR Name/Title: ________________________________________________________________

RFR Number: # _________________________________________________________________

Pursuant to Executive Order 227 and 246, any contract with a potential financial benefit of $50,000 dollars or more requires a bidder to submit an Affirmative Action Commitment Statement. The format for Affirmative Action Commitments shall be determined in accordance with the Executive Order (s) and the procuring department’s secretariat, if the secretariat specifies a format. If a format has not been specified by the department's secretariat, bidders will be required to complete either A or B below:

A. BIDDER MUST ATTACH A COPY OF ITS AFFIRMATIVE ACTION COMMITMENTS TO THE RFR RESPONSE.

OR

B. BIDDER MUST COMPLETE THE FOLLOWING CERTIFICATION FOR THEIR AFFIRMATIVE ACTION COMMITMENT STATEMENT.

In witness whereof, the bidder certifies under the pains and penalties of perjury that, as an employer, it is committed to non-discrimination in employment and, if selected to execute contracts with the Commonwealth of Massachusetts, shall also be committed to procure commodities, services and supplies from certified Minority- and Women-Owned Business Enterprises as outlined in their submitted Affirmative Market Program (AMP) Plan Form pursuant to Executive Order 390, including businesses owned by individuals with disabilities and businesses owned and controlled by socially or economically disadvantaged individuals, both in the performance of contracts with the Commonwealth of Massachusetts and in the performance of its business generally, as certified by the execution of the certification by an authorized signatory of the bidder as of the last date indicated below.

X

(Signature of Authorized Signatory of Bidder)

PRINT NAME:

(Print Name of Authorized Signatory of Bidder)

TITLE:

(Print Title of Authorized Signatory of Bidder)

DATE:

New 11/1/2005

File details come from the government source that posted it. Updated .