Exhibit_A-_Affirmative_Action-signed.pdf
PDF 178 KB Posted
- Attached to
- Competitive Selection OH|DOT59026-1
- Contract number
- DOT59026-1
- Issued by
- Ohio
About this file
This document is an Affirmative Action Affidavit (Exhibit A) for Invitation No. 590-26, completed by Vital Assurance Ltd, a company based in Columbus, Franklin County, Ohio. The affidavit is specifically designed for firms with less than 50 employees and is associated with a proposed project, likely involving the Ohio Department of Transportation (ODOT). The document is signed by Ryan McKinley, the President of Vital Assurance Ltd, and certifies the company's compliance with Ohio Revised Code (O.R.C.) 125.11.1 regarding affirmative action requirements.
The affidavit outlines Vital Assurance Ltd's commitment to affirmative action regulations, specifically acknowledging that the company has fewer than 50 employees and is familiar with the state's affirmative action requirements. The document includes provisions that if the company does not comply with the specified regulations, no payments will be made by ODOT, and the contract may be terminated with potential debarment from public contracts for up to five years. Additionally, the company commits to contacting the Ohio Affirmative Action office and completing an Employee Information Report if its workforce increases to 50 employees or more.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 590-26.pdf | ||
| Affirmation_and_Disclosure-signed__2_.pdf | ||
| Exhibit_B-_Non-Collusion-signed.pdf | ||
| Signature.pdf | ||
| 590pricing-Vital_Assurance_VA-0710.xlsx | XLSX spreadsheet | |
| Exhibit_C-_Debarment_and_Suspension-signed.pdf | ||
| 590-26_VA_Technical_Proposal_VA-0710.pdf | ||
| Exhibit_D-_Certification_on_Lobbying-signed.pdf | ||
| Score_Sheet.xlsx | XLSX spreadsheet |
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Text version
Invitation No. 590-26
EXHIBIT A
AFFIRMATIVE ACTION AFFIDAVIT
(to be completed by firms with less than 50 employees)
(STATE OF )
(COUNTY OF )
I, of the of _____________________ in the County of , State of , of full age, being duly sworn according to law on my oath depose and state that:
1. I am of the firm of , a bidder making a proposal inclusive upon the above-named project.
2. does not have 50 employees or more inclusive of all officers and employees of every type.
3. I am familiar with the affirmative action requirements of O.R.C. 125.11.1 and rules and regulations issued by the Ohio Department of Administrative Services pursuant thereto.
4. has complied with all affirmative action requirements of the State of Ohio, including those required by the O.R.C. 125.11.1 and the rules and regulations issued by the Ohio Department of Administrative Services thereto.
5. I am aware that if does not comply with O.R.C. 125.11.1 and rules and regulations issued pursuant thereto, that no monies will be paid by ODOT until an affirmative action plan is approved. I understand that the contract may be terminated and may be debarred from all public contracts for a period up to five
(5) years for violation of said provisions.
6. In the event my workforce increases to 50 employees, I must contact the Ohio Affirmative Action office and complete an Employee Information Report.
Signature of Authorized Official Title
Ryan McKinley City Columbus
Franklin Ohio
President Vital Assurance ltd
Vital Assurance ltd
Vital Assurance ltd
Vital Assurance ltd
Vital Assurance ltd
President
File details come from the government source that posted it. Updated .