Equal_Employment_Opportunity_.pdf

EQUAL EMPLOYMENT OPPORTUNITY FORM

Revised

BUSINESS LETTERHEAD HERE

NOTICE OF COMPLIANCE WITH EQUAL EMPLOYMENT OPPORTUNITY (EEO)

REQUIREMENTS

Mayor’s Order 85-85, “Compliance with Equal Opportunity Requirements in Contracts,” effective June 10, 1985 (“Mayor’s Order 85-85”); the rules implementing Mayor’s Order 85-85, 4 DCMR § 1100 et seq.; and the D.C. Human Rights Act of 1977, as amended, D.C. Code § 2-1401 et seq.

(“D.C. Human Rights Act”) are hereby included as part of this bid/proposal. Therefore, each bidder/offeror shall indicate below their written commitment to comply with Mayor’s Order 85- 85, the implementing rules, and the D.C. Human Rights Act. Failure to comply with these provisions shall result in rejection of the respective bid/proposal.

I, __________________________, the authorized representative of ________________________ (Name of Contractor/Business), hereinafter referred to as “the Contractor” certify that the Contractor is fully aware of all of all of the provisions of Mayor’s Order 85-85, the implementing rules, and the D.C. Human Rights Act. I further certify that the Contractor shall fully comply with Mayor’s Order 85-85, the implementing rules, and the D.C. Human Rights Act for the trades, crafts, and skills to be used during the term of the performance of the contract whether or not the work is subcontracted if the Contractor is awarded the D.C. Government Contract referenced by the contract number, solicitation number, and/or bid number entered below. Further, I certify that the Contractor acknowledges and understands that the award of said contract and its continuation are specifically conditioned upon the Contractor’s compliance with Mayor’s Order 85-85, the implementing rules, and the D.C. Human Rights Act.

Name of Authorized Official and Title Date

Signature of Authorized Official Name of Contractor/Business

Contract/Solicitation/Bid Number

BUSINESS LETTERHEAD HERE

EQUAL EMPLOYMENT OPPORTUNITY (EEO) POLICY COMMITMENT

________________________ (Name of Contractor/Business) shall not discriminate against any employee or applicant for employment because of age, color, credit information, disability, family responsibilities, gender identity and expression, genetic information, homeless status, marital status, matriculation, national origin, personal appearance, political affiliation, race, religion, sex, sexual orientation, or status of a victim or family member of a victim of domestic violence, a sexual offense, or stalking.

________________________ (Name of Contractor/Business) agrees to take affirmative action to ensure that applicants are employed, and that employees are treated during employment, without regard to their age, color, credit information, disability, family responsibilities, gender identity and expression, genetic information, homeless status, marital status, matriculation, national origin, personal appearance, political affiliation, race, religion, sex, sexual orientation, or status of a victim or family member of a victim of domestic violence, a sexual offense, or stalking. The affirmative action shall include, but not be limited to, the following: (1) employment, upgrading, or transfer;

(2) recruitment or recruitment advertising; (3) demotion, layoff, or termination; (4) rates of pay, or other forms of compensation; and (5) selection for training and apprenticeship.

________________________ (Name of Contractor/Business) agrees to post in conspicuous places, available to employees and applicants for employment, the above provisions concerning non-discrimination and equal employment opportunity.

________________________ (Name of Contractor/Business) shall, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all qualified applicants will receive consideration for employment pursuant to the above provisions concerning non-discrimination and equal employment opportunity.

________________________ (Name of Contractor/Business) agrees to send to each labor union or representative of workers with which it has a collective bargaining agreement, or other contract or understanding, a notice that it will comply with the above provisions concerning non-discrimination and equal employment opportunity and the contractor’s commitments represented herein, and shall post copies of the notice in conspicuous places available to employees and applicants for employment.

________________________ (Name of Contractor/Business) agrees to permit access to all books, records, and accounts, pertaining to its employment practices, by the Director of the Office of Human Rights and the Contracting Agency for purposes of investigation to ascertain compliance with the above provisions concerning non-discrimination and equal employment opportunity, and to require under terms of any subcontractor agreement each subcontractor to permit access of the subcontractors, books, records, and accounts for such purposes.

________________________ (Name of Contractor/Business) agrees to comply with all guidelines concerning non-discrimination and equal employment opportunity applicable in the District of Columbia.

________________________ (Name of Contractor/Business) shall include in every subcontract the above provisions concerning non-discrimination and equal employment opportunity, so that these provisions shall be binding upon each subcontractor or vendor.

________________________ (Name of Contractor/Business) shall take action with respect to any subcontract as the Contracting Officer may direct as a means of enforcing these provisions, including sanctions for non-compliance; provided, that in the event the prime contractor becomes involved in, or is threatened with, litigation with a subcontractor or vendor as a result of such direction by the contracting agency, the prime contractor may request the District to enter into such litigation to protect the interest of the District.

Name of Authorized Official and Title Date

Signature of Authorized Official Name of Contractor/Business

EQUAL EMPLOYMENT OPPORTUNITY

EMPLOYER INFORMATION REPORT

GOVERNMENT OF THE DISTRICT OF COLUMBIA

DC Office of Contracting and Procurement

Employer Information Report (EEO)

Reply to:

Office of Contracting and Procurement 441 4th Street, NW, Suite 700 South Washington, DC 20001

Instructions:

Two (2) copies of DAS 84-404 or Federal Form EEO-1 shall be submitted to the Office of Contracting and Procurement to comply with Section D of this report ONLY. One copy shall be retained by the Contractor.

Section A – TYPE OF REPORT

1. Indicate by marking in the appropriate box the type of reporting unit for which this copy of the form is submitted (MARK ONLY ONE BOX)

Single Establishment Employer

(1) Single-establishment Employer Report

Multi-establishment Employer

(2) Consolidated Report

(3) Headquarters Report

(4) Individual Establishment Report (submit one for each establishment with 25 or more employees)

(5) Special Report

2. Total number of reports being filed by this Company.

Section B – COMPANY IDENTIFICATION OFFICIAL (To be answered by all employers) OFFICIAL USE

ONLY

1. Name of Company which owns or controls the establishment for which this report is filed a.

Address (Number and street) City or Town Country State Zip Code b.

b. Employer Identification No.

2. Establishment for which this report is filed. OFFICIAL USE

ONLY

a. Name of establishment c.

Address (Number and street) City or Town Country State Zip Code d.

b. Employer Identification No.

3. Parent of affiliated Company

a. Name of parent or affiliated Company b. Employer Identification No.

Address (Number and street) City or Town Country State Zip Code

Section C - ESTABLISHMENT INFORMATION

1. Is the location of the establishment the same as that reported last year?

Yes No Did not report Report on combined last year basis

2. Is the major business activity at this establishment the same as that reported last year?

Yes No Did not report Report on combined last year basis

OFFICIAL USE

ONLY

3. What is the major activity of this establishment? (Be specific, i.e., manufacturing steel castings, retail grocer, wholesale plumbing supplies, title insurance, etc. Include the specific type of product or service provided, as well as the principal business or industrial activity.)

e.

4. MINORITY GROUP MEMBERS: Indicate if you are a minority business enterprise (50% owned or 51% controlled by minority members).

YES NO

DAS 84-404 (Replaces D.C. Form 2640.9 Sept. 74 which is Obsolete) 84-2P891

SECTION D – EMPLOYMENT DATA

Employment at this establishment – Report all permanent, temporary, or part-time employees including apprentices and on-the-job trainees unless specifically excluded as set forth in the instructions. Enter the appropriate figures on all lines and in all columns. Blank spaces will be considered as zero. In columns 1, 2, and 3, include ALL employees in the establishment Including those in minority groups

JOB

CATEGORIES

TOTAL EMPLOYEES IN

ESTABLISHMENT

MINORITY GROUP EMPLOYEES

MALE FEMALE

Total Employees Including Minorities

(1)

Total Male Including Minorities

(2)

Total Female

Including Minorities

(3)

Black

(4)

Asian

(5)

American Indian

(6)

Hispanic

(7)

Black

(8)

Asian

(9)

American Indian

(10)

Hispanic

(11) Officials and Managers

Professionals

Technicians

Sales Workers

Office and Clerical

Craftsman (Skilled)

Operative (Semi- Skilled)

Laborers (Unskilled)

Service Workers

TOTAL

Total employ reported in previous report

(The trainee below should also be included in the figures for the appropriate occupation categories above) Formal On- The-Job Trainee

White collar

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)

Production

1. How was information as to race or ethnic group in Section D obtained? 2. Dates of payroll period used: __________________

a. Visual Survey c. Other Specify 3. Pay period of last report submitted for this

b. Employment Record establishment: _

Section E – REMARKS Use this Item to give any identification data appearing on last report which differs from that given above, explain major changes in composition or reporting units, and other pertinent information.

Section F - CERTIFICATION Check one (1) All reports are accurate and were prepared in accordance with the instructions (check on consolidated only)

(2) This report is accurate and was prepared in accordance with the instructions.

Name of Authorized Official Title Signature Date Name of person contact regarding this report Address (Number and Street)

Title City and State Zip Code Telephone Number Extension

INFORMATION CITED HEREIN SHALL BE HELD IN CONFIDENCE