EXHIBIT 10 - GENERAL CERTIFICATIONS.pdf
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- Attached to
- Employee Assistance Program
- Solicitation number
- PS141248
- Issued by
- California
About this file
This document is a General Certifications Pro Form 026 issued by Metro for use in state and local contract opportunities. The form requires bidders and proposers to certify compliance with nondiscrimination requirements under the Fair Employment and Housing Act, including commitments to equal opportunity employment regardless of race, sex, color, religion, ancestry, national origin, marital status, age over 40, or disability. Bidders must also certify their compliance with applicable Federal, state, and local directives regarding nondiscrimination and commit to advertising employment opportunities without discriminatory language or practices.
The form includes additional certification requirements addressing Iran investment activities for contracts valued at $1,000,000 or more, fraudulent use of Disadvantaged Business Enterprise (DBE) fronts, and whistleblower protections under California Labor Code Section 1101. Bidders must respond affirmatively or negatively to each certification item, with full written explanations required for any negative responses. The document requires execution under penalty of perjury by an authorized official, with attestation to the accuracy of all certifications. Violations or suspected fraud, waste, or abuse may be reported to the Metro Small Business Diversity and Labor Compliance Office, Metro Inspector General, or the U.S. Department of Transportation Office of Inspector General.
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Text version
METRO ARCHIVE #
TBD (IFB/RFP NO.)
ISSUED: 00/00/00
GENERAL CERTIFICATIONS
PRO FORM 026
REVISION DATE: 04.10.2026
BIDDER/PROPOSER: ______________________
GENERAL CERTIFICATIONS
The Bidder/Proposer shall respond either "Yes" or "No" to each of the following where indicated.
If the Bidder/Proposer's response is "No", a full explanation shall be provided in the space following the last item.
1.0 CERTIFICATE OF NONDISCRIMINATION Yes No
The Bidder/Proposer hereby certifies: that it does not unlawfully discriminate against any employee or applicant for employment with regard to race, sex, color, religion, ancestry, national origin, marital status, age (over 40), or disability (including AIDS, and cancer-related medical condition); that it is in compliance with all applicable Federal, state, and local directives and executive orders regarding nondiscrimination in employment; and that it agrees to pursue positively and aggressively the principle of equal opportunity in employment. The Bidder/Proposer and its Subcontractors shall comply with the provisions of the Fair Employment and Housing Act Gov. Code § 12900 and the applicable regulations promulgated thereunder. The Bidder/Proposer agrees specifically to adhere to the following:
A. State in all solicitations or advertisements for employees that the Bidder/Proposer will consider all qualified applicants for employment without regard to race, sex, color, religion, ancestry, national origin, marital status, age (over 40), or disability (including AIDS, and cancer-related medical condition).
2.0 NOT USED
3.0 IRAN INVESTMENT ACTIVITIES Yes No
If this Contract is one for goods or services of $1,000,000 or more, the Bidder/Proposer certifies that it is not identified on a list created pursuant to subdivision (b) of Section 2203 of the Public Contract Code as a person engaging in investment activities in Iran described in subdivision (a) of Section 2202.5 of the Public Contract Code, or as a person described in subdivision (b) of Section 2202.5 of the Public Contract Code, as applicable.
4.0 FRAUDULENT USE OF DBE FRONTS Yes No
Only certified Disadvantaged Business Enterprises are eligible to participate in Metro contracts as DBEs. The Bidder/Proposer certifies that it has not knowingly and willfully used “fronts” as defined in section 100.6 of Metro’s Contract Compliance Manual (Federal) to meet the DBE goal established for this contract, as applicable and subject to Applicable Law. The use of “fronts” and “pass through” Subcontracts to non-disadvantaged firms may constitute a criminal violation1.
1 Any indication of fraud, waste, abuse, or mismanagement of these funds should be immediately reported to the Metro Small Business Diversity and Labor Compliance Office, at (213) 922-6000; the Metro Inspector General Office at (213) 344-7300 or the toll free hotline number (800) 221-1142; or to the Office of Inspector General, U.S. Department of Transportation at the toll-free hotline number (800) 424-9071; or to the following field office: 201 Mission Street, Suite 2210; San Francisco, CA 94105-1926; (415) 744-3133.
METRO ARCHIVE #
TBD (IFB/RFP NO.)
ISSUED: 00/00/00
GENERAL CERTIFICATIONS
PRO FORM 026
REVISION DATE: 04.10.2026
5.0 WHISTLEBLOWER REQUIREMENTS Yes No
The Bidder/Proposer certifies that it will take no action, or adopt any rule, regulation or policy which is contrary to the provisions set forth in California Labor Code § 1101.
A full explanation of all "No" answers shall be provided below.
Bidder/Proposer hereby declares under the penalty of perjury under the laws of the State of California that the certifications made above in No. 1-4 are true and correct.
Executed on , 20 , at , (Date) (City) (State)
Typewritten or Printed Name Signature of Authorized Official
Title
GENERAL CERTIFICATIONS
| BIDDERPROPOSER: |
| The BidderProposer hereby certifies that it does not unlawfully discriminate against any: Off |
| If this Contract is one for goods or services of 1000000 or more the BidderProposer: Off |
| Only certified Disadvantaged Business Enterprises are eligible to participate in Metro: Off |
| The BidderProposer certifies that it will take no action or adopt any rule regulation or: Off |
| Date: |
| City: |
| State: |
| Typewritten or Printed Name: |
| Title: |
| year: |
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