STD_19_State_of_Compliance.pdf
PDF 55 KB Posted
- Attached to
- 24BDM001 - WATER HEATER REPLACEMENT
- Solicitation number
- 0000035196
About this file
This document is a State of California Nondiscrimination Compliance Statement (Standard Form 19, Revised 10/2019) that requires prospective contractors to certify their compliance with state anti-discrimination regulations. The form mandates that contractors agree not to unlawfully discriminate against employees or job applicants based on protected characteristics including sex, race, color, ancestry, religious creed, national origin, physical disability, medical condition, age, marital status, and family/pregnancy leave status.
The compliance statement is a legal certification under Government Code Section 12990 and California Code of Regulations, requiring prospective contractors to develop, implement, and maintain a Nondiscrimination Program. By executing this document, the authorized company representative swears under penalty of perjury that they will adhere to these non-discrimination guidelines, with the certification being legally binding and executed in a specific California county.
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Other files
| File | Type | Posted |
|---|---|---|
| 3._24BDM001_Project_Manual.pdf | ||
| SFQ_-_Solicitation_-_DVBE_Only.pdf | ||
| STD_18_Nondiscrimination.pdf | ||
| Sample_Agreement.pdf | ||
| 1._24BDM001_Cover_Letter.pdf | ||
| 2._24BDM001_Bid_Package.pdf | ||
| 4._24BDM001_Construction_Drawings.pdf |
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Text version
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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