STD_19_State_of_Compliance.pdf
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- Attached to
- 23FS0010 - Emergency High-Voltage Electrician Services and High-Voltage Switch Replacement
- Solicitation number
- 0000031927
- Issued by
- California
About this file
The document is a State of California Nondiscrimination Compliance Statement (STD. 19) that must be completed by prospective contractors. The statement certifies the contractor's compliance with California Government Code Section 12990(a-f) and California Code of Regulations related to nondiscrimination programs. The official named in the document is authorized to legally bind the prospective contractor to the certification, which is made under penalty of perjury.
The related state and local contract opportunity is for Emergency High-Voltage Electrician Services and High-Voltage Switch Replacement services at the Veterans Home of California - Fresno. The scope of work is detailed in the attached Exhibits A - E document. The bid timeline, including the deadline for submitting questions, is outlined in the Notice to Prospective Bidders (IFB Letter).
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STATE OF CALIFORNIA
NONDISCRIMINATION COMPLIANCE STATEMENT
STD. 19 (Rev. 10/2019)
COMPANY NAME
The company named above (herinafter referred to as "prospective contractor") hereby certifies, unless specifically exempted, compliance with Government Code Section 12990 (a-f) and California Code of
Regulations, Title 2, Division 4, Chapter 5 in matters relating to reporting requirements and the development, implementation and maintenance of a Nondiscrimination Program. Prospective contractor agrees not to unlawfully discriminate, harass or allow harassment against any employee or applicant for employment because of sex, race, color, ancestry, religious creed, national origin, physical disability
(including HIV and AIDS), medical condition (cancer), age (over 40), marital status, denial of family care leave and denial of pregnancy disability leave.
CERTIFICATION
I, the official named below, hereby swear that I am duly authorized to legally bind the prospective contractor to the above described certification. I am fully aware that this certification, executed on the date and in the county below, is made under penalty of perjury under the laws of the State of California.
OFFICIAL'S NAME
DATE EXECUTED EXECUTED IN THE COUNTY OF
PROSPECTIVE CONTRACTOR'S SIGNATURE
PROSPECTIVE CONTRACTOR'S TITLE
PROSPECTIVE CONTRACTOR'S LEGAL BUSINESS NAME
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