Commitment to Diversity Leadership Identification Statement~1.docx
DOCX document 21 KB Posted
- Solicitation number
- 21-444DHS-PROCU-B-23402
- Issued by
- St. Clair County, Illinois
About this file
This document is a "Commitment to Diversity Leadership Identification Statement" related to a Request for Proposal (RFP) issued by the State of Illinois. The RFP scoring includes a 30% weighting for the Commitment to Diversity element, which requires offerors to provide the percentage of women, minorities, and persons with disabilities on their governing board, senior executives, and managers. Offerors must complete this form to attest to these percentages, which the State may verify. Failure to provide accurate information could result in suspension from doing business with the State.
The related State and Local contract opportunity is for the Illinois Department of Human Services (DHS) to procure an inserter solution for its industrial mail processing unit. This is a technical proposal submission only, with pricing to be submitted separately under Bid Number B-23419. No paper responses will be accepted, and this is an electronic response only procurement.
View the file
Other files
Show all 19
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Offeror’s Leadership Identification Statement Request for Proposal (RFP) Commitment to Diversity The Illinois Procurement Code Request for Proposal (RFP) procurement method scores proposals received based on 3 Elements; Technical, Commitment to Diversity, and Price. The Commitment to Diversity element to be scored 30 ILCS 500/20-15(e) is comprised of five factors. One of the factors states, “the percentage of members of the respondent's governing board, senior executives, and managers who are women, minorities, or persons with disabilities”. Completion of this Leadership Identification Statement allows offerors to attest to the percentages listed above. The State may request additional information at any time to verify your business’ percentages.
Provide the following information. All lines should be completed even if the answer is “N/A” for Not Applicable. Zero percentage will be entered for any lines which remain blank:
· Total number of individuals on offeror’s governing board: _____________
· Total number of individuals on offeror’s governing board who identify as women, minorities or persons with disabilities: ________________
· Offeror does not have a governing board: ________________
· Total number of individuals of offeror’s senior executives: _____________
· Total number of individuals of offeror’s senior executives who identify as women, minorities or persons with disabilities: ________________
· Offeror does not have senior executives: ________________
· Total number of managers on offeror’s staff: _____________
· Total number of managers on offeror’s staff who identify as women, minorities or persons with disabilities: ________________
· Offeror does not have managers: ________________
Vendor understands and agrees that failure to provide true and accurate information on this or any other document submitted to the State may, in accordance with Illinois statutes and rules, result in suspension from doing business with the State, termination of contracts, and other sanctions.
This disclosure is signed, and made under penalty of perjury for entities, by an authorized officer or employee on behalf of the offeror. I certify at the time of signing this information is true and accurate to the best of knowledge. This disclosure information is submitted on behalf of:
Name of Disclosing Entity: Click here to enter text.
Signature: Date: Click here to enter text.
Printed Name: Click here to enter text.
Title: Click here to enter text.
Phone Number: Click here to enter text.
Email Address: Click here to enter text.
File details come from the government source that posted it. Updated .