BIDDERS-EEO-REPORT-Revised 03.24.2023.pdf

BIDDERS EEO REPORT

Part 1 – IDENTIFICATION OF VENDOR

1. NAME

ADDRESS

(As shown on BID)

2. CHIEF EXECUTIVE OFFICER FOR ABOVE BIDDER (NAME)

4. ADDITIONAL LOCATIONS IN

CONNECTICUT

ADDRESS TELEPHONE #

Part II: NONDISCRIMINATION POLICIES AND PRACTICES 1a. Have you put into effect a companywide equal opportunity program to promote nondiscrimination?

Yes No

3c. Do all your employee recruitment advertisements state a nondiscrimination policy?

1b. If “Yes” have all your employees been informed of this in writing?

4a. Do you have a collective bargaining agreement or other contract or understanding with a labor union representing the employee employed by you?

2a. Do you sponsor or promote any educational or training programs for your employees or prospective employees?

4b. If “Yes” does each such agreement assure full compliance nondiscrimination requirements?

2b. If “Yes” are all such persons given the opportunity to participate in accordance with your nondiscrimination statement?

4c. If “No” check here, and explain on a separate attached sheet.

3a. Have all your recruitment sources been notified that all qualified applicants will be considered without discrimination?

5a. Is there a person in your employ who is responsible for assuring equal employment opportunities?

3b. Has this been done in writing?

5b. If “Yes” give Name and Title

Part III-HIRING AND RECRUITMENT

1. Which of the following recruitment sources are used by you? (Check “Yes” of “No” Estimate % if not known)

% of all applicants provided by this source.

2. Check any of the following that you use as hiring qualifications.

3a. Describe any other practice which show that you hire, train and promote employees without discrimination.

SOURCE

Yes No (x)

Work Experience

State Employment Service Ability to speak or write English c

Private Employment Agencies Written Tests

Schools and Colleges

High School Diploma

Newspaper Advertisements College Degree

Walk-ins Union Membership

Present Employees Personal

Recommendation

Labor Organizations Car Ownership

Minority/Community Organizations

Employment Resource Development Agency

OTHER (Specify)

PART IV – STATISTICS – Employment at bidder’s location (as shown on bid submittal). In lieu of completing this section, bidder may submit copy of its most recent Federal EEO-1 report for the reporting location or a copy of its consolidated report for the total organization, if filed within the last year.

EMPLOYMENT FIGURES WERE OBTAINED FROM

Visual Check Employment Record Other

CLOSING DATE OF REPORT

PERIOD

JOB

CATEGORIES

OVERALL

TOTALS

(Sum of all columns A-

E Male & Female)

A WHITE (Not of Hispanic Origin)

B BLACK (Not of Hispanic Origin)

C

HISPANIC

D ASIAN or

Pacific Islander

E

AMERICAN

INDIAN or

ALASKAN

NATIVE

Officials and Managers

Male

Female

Professionals

Technicians

Sales Workers

Administrative Support Workers

Craft Workers

Operatives

Laborers and Helpers Service Workers

TOTALS

ABOVE

TOTALS ONE

YEAR AGO

ON THE JOB TRAINEES (Enter figures for the same categories as shown above)

Apprentices

Trainees

PART V- DOCUMENTATION AND COMMITMENT REQUIRED

1. Please submit as part of this EEO report, a copy of your Company Policy Statement of Equal Employment Opportunity.

2. For companies employing more than 10 persons, please submit as part of this EEO report a written commitment to hire minority and female workers if your work force statistics are not representative of the minority and female work force availability in your labor market area.

3. If your company is not located in Connecticut, please submit a copy of your local labor market area statistics.

AFFIDAVIT

The Bidder understands and agrees that its failure to meet the equal opportunity requirements established by section 2-573 of the Code will preclude such bid from being considered. The bidder agrees to the procedures set forth in section 2-573 of the Code in regard to the determination of whether such bidder is an equal opportunity employer. The Bidder also understands and agrees that the equal opportunity documents will become a part of the contract, and that a breach of the provision of the equal opportunity documents will constitute a breach of the contract subject to such remedies as provided by law.

NAME OF PERSON SUBMITTING BID TITLE DATE SIGNED TELEPHONE NO.

(Include Area Code)

X