C EEO Pre-Award Compliance Certification (5-21-09).doc
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- Solicitation number
- NFU2-7623
- Issued by
-
Department of Energy
About this file
This document contains a pre-award compliance certification form and details of a federal contract opportunity for construction services. The form requests company information including name, address, employment data, places of performance, and affirmative action documentation. It must be signed and returned with proposals for the National Energy Research Scientific Computing Center Facility Upgrade II Project issued by the Lawrence Berkeley National Laboratory on behalf of the Department of Energy. This solicitation seeks proposals to construct upgrades to the NERSC facility. A mandatory pre-proposal conference and site visit will be held on February 21, 2024, with attendee names due 72 hours beforehand.
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Text version
LAWRENCE BERKELEY NATIONAL LABORATORY
EEO PRE-AWARD COMPLIANCE CERTIFICATION
The following information must be completed, signed, and returned with the Offeror's proposal:
1.
Company name and address:
2.
Total employment:
Local:
Company-Wide:
3.
Minority employment:
Local:
Company-Wide:
4.
Female employment:
Local:
Company-Wide:
5.
Place(s) of performance:
6.
Has your company ever been audited by the Office of Federal Contract Compliance Programs (OFCCP)?
Yes FORMCHECKBOX
No FORMCHECKBOX
If yes, list the location and date of the most recent audit:
7.
The following documents must be attached to this form:
a) A copy of your company’s most recent Standard Form 100, Employer Information Report EEO-1. Include both company-wide and local reports.
b) A copy of your company’s Equal Employment Opportunity (EEO) policy statement.
c) A written statement certifying that your company has a current Affirmative Action Program.
d) A written statement of the date and location of prior Department of Labor on-site compliance reviews.
8.
Provide the name, title, and telephone number of person(s) responsible for the compliance of company’s Equal Employment Opportunity and Affirmative Action Programs (e.g., Director of Human Resources, Personnel Manager):
| Solicitation Number: |
| NFU2-7623 |
Signature:
Title:
Company:
Date:
(5/21/09)
File details come from the government source that posted it. Updated .