BOX ONLY. The undersigned certifies that within the past 10 years the Consultant has NOT been the subject of a complaint or pending action in a legal administrative proceeding alleging that Consultant discriminated against its employees, subcontractors, vendors or suppliers. The undersigned certifies that within the past 10 years the Consultant has been the subject of a complaint or pending action in a legal administrative proceeding alleging that Consultant discriminated against its employees, subcontractors, vendors or suppliers. A description of the status or resolution of that complaint, including any remedial action taken and the applicable dates is as follows: Date of Claim Location Description of Claim Litigation (Y/N) Status Resolution/Remedial Action Taken Consultant Name Group Delta Consultants, Inc. Certified By Xxxx Xxxxxxx Xxxx Xxxxxxxx Name Name Signature Signature itle President T Date 3/24/2021 USE ADDITIONAL FORMS AS NECESSARY Equal Opportunity Contracting Program Page 6 of 12 12/2015 Equal Opportunity Contracting (EOC) 0000 Xxxxx Xxxxxx, Xxxxx 000 • Xxx Xxxxx, XX 00000 Phone: (000) 000-0000 • Fax: (000) 000-0000 WORK FORCE REPORT The objective of the Equal Employment Opportunity Outreach Program, San Diego Municipal Code Sections 22.3501 through 22.3517, is to ensure that contractors doing business with the City, or receiving funds from the City, do not engage in unlawful discriminatory employment practices prohibited by State and Federal law. Such employment practices include, but are not limited to unlawful discrimination in the following: employment, promotion or upgrading, demotion or transfer, recruitment or recruitment advertising, layoff or termination, rate of pay or other forms of compensation, and selection for training, including apprenticeship. Contractors are required to provide a completed Work Force Report (WFR). NO OTHER FORMS WILL BE ACCEPTED CONTRACTOR IDENTIFICATION Type of Contractor: 🞎 Construction 🞎 Vendor/Supplier 🞎 Financial Institution 🞎 Lessee/Lessor 🞎 Consultant 🞎 Grant Recipient 🞎 Insurance Company �� Other Name of Company: Group Delta Consultants, Inc. ADA/DBA: Address (Corporate Headquarters, where applicable): 32 Mauchly, Suite B City: Irvine Telephone Number: 000-000-0000 County: Orange Fax Number: State: California 000-000-0000 Zip: 92618 Name of Company CEO: Xxxxxxx Reader Address(es), phone and fax number(s) of company facilities located in San Diego County (if different from above): Address: 0000 Xxxxxxxx ...
BOX ONLY. The undersigned certifies that within the past 10 years the Contractor has NOT been the subject of a complaint or pending action in a legal administrative proceeding alleging that Contractor discriminated against its employees, subcontractors, vendors or suppliers. The undersigned certifies that within the past 10 years the Contractor has been the subject of a complaint or pending action in a legal administrative proceeding alleging that Contractor discriminated against its employees, subcontractors, vendors or suppliers. A description of the status or resolution of that complaint, including any remedial action taken and the applicable dates is as follows: Date OF Claim Location Description of Claim Litigation (Y/N) Status Resolution/ Remedial Action Taken Contractor Name: Certified By Title Name Date Signature Equal Opportunity Contracting Sole Source Contracts, Cooperative Procurement Contracts Goods/Services Contracts Under $150,000 Revised 1/1/16 OCA Document No. 1208377 Equal Opportunity Contracting (EOC) 0000 Xxxxx Xxxxxx, Xxxxx 000 • San Diego, CA 92101 Phone: (000) 000-0000 • Fax: (000) 000-0000 WORK FORCE REPORT The objective of the Equal Employment Opportunity Outreach Program, San Diego Municipal Code Sections 22.3501 through 22.3517, is to ensure that contractors doing business with the City, or receiving funds from the City, do not engage in unlawful discriminatory employment practices prohibited by State and Federal law. Such employment practices include, but are not limited to unlawful discrimination in the following: employment, promotion or upgrading, demotion or transfer, recruitment or recruitment advertising, layoff or termination, rate of pay or other forms of compensation, and selection for training, including apprenticeship. Contractors are required to provide a completed Work Force Report (WFR). NO OTHER FORMS WILL BE ACCEPTED CONTRACTOR IDENTIFICATION Type of Contractor: Construction Vendor/Supplier Financial Institution Lessee/Lessor Consultant Grant Recipient Insurance Company Other Name of Company: ADA/DBA: Address (Corporate Headquarters, where applicable): City: County: State: Zip: Telephone Number: Fax Number: Name of Company CEO: Address(es), phone and fax number(s) of company facilities located in San Diego County (if different from above): Address:
BOX ONLY. [Z] The undersigned certifies that within the past IO years the Contractor has NOT been the subject of a complaint or pending action in a legal administrative proceeding alleging that Contractor discriminated against its employees, subcontractors, vendors or suppliers. D The undersigned certifies that within the past IO years the Contractor has been the subject of a complaint or pending action in a legal administrative proceeding alleging that Contractor discriminated against its employees, subcontractors, vendors or suppliers. A description ofthe status or resolution of that complaint, including any remedial action taken and the applicable dates is as follows: DATE OF CLAIM LOCATION DESCRIPTION OF CLAIM LITIGATION (YIN) STATUS RESOLUTION/ REMEDIAL ACTION TAKEN ,;;ft..,, Contractor Name: 1 Certified By ' £' ,1,f1¢,lk. / Name Title /vfD AcutJ II -�· �:fL=- Signature Equal Opportunity Contracting Sole Source Contracts, Cooperative Procurement Contracts Goods/Services Contracts Under $150,000 Revised 1/1/16 OCA Document No. 1208377 Date The City of SAN DIEGO� EQUAL OPPORTUNITY CONTRACTING (EOC) 0000 Xxxxx Xxxxxx, Xxxxx 000 • San Diego, CA 92101 Phone: (000) 000-0000 · Fax: (000) 000-0000
BOX ONLY. The undersigned certifies that within the past 10 years the Contractor has NOT been the subject of a complaint or pending action in a legal administrative proceeding alleging that Contractor discriminated against its employees, subcontractors, vendors or suppliers. The undersigned certifies that within the past 10 years the Contractor has been the subject of a complaint or pending action in a legal administrative proceeding alleging that Contractor discriminated against its employees, subcontractors, vendors or suppliers. A description of the status or resolution of that complaint, including any remedial action taken and the applicable dates is as follows: Date OF Claim Location Description of Claim Litigation (Y/N) Status Resolution/ Remedial Action Taken Contractor Name: Xxxxxxxx, Xxxxxx & Xxxxxxx Certified By Xxxxx X. Xxxxxx Name Title President Date Signature September 7, 2021 Equal Opportunity Contracting Sole Source Contracts, Cooperative Procurement Contracts Goods/Services Contracts Under $150,000 Revised 1/1/16 OCA Document No. 1208377 Xxxxx X. Xxxxxx WORK FORCE REPORT – Pge 2 NAME OF FIRM: Xxxxxxxx, Xxxxxx & Xxxxxxx DATE: September 7, 2021 OFFICE(S) or BRANCH(ES): 000 X. Xxxxx Xxxxxx, 00xx Xxxxx, Xxx Xxxxxxx, XX 00000 COUNTY: Los Angeles INSTRUCTIONS: For e6ch occup6xxx00 x0xxxxx xxxxx0e number of m61es 6nd fem61es in every exxxx xxxxx. Xx00 co1umns in row provided. Sum of 611 x00x xxxx0x be equ61 x xxxx x00 work force. Inc1ude 611 hose emp1oyed by your comp6ny on eixxx 0 xx00 xx x0x- ime b6sis. The fo11owing groups 6re o be inc1uded in exxxx x0xxxxxxx 0xxed in co1umns be1ow:
BOX ONLY. The undersigned certifies that within the past 10 years the Design Professional has NOT been the subject of a complaint or pending action in a legal administrative proceeding alleging that Design Professional discriminated against its employees, subcontractors, vendors or suppliers. X The undersigned certifies that within the past 10 years the Design Professional has been the subject of a complaint or pending action in a legal administrative proceeding alleging that Design Professional discriminated against its employees, subcontractors, vendors or suppliers. A description of the status or resolution of that complaint, including any remedial action taken and the applicable dates is as follows: Date of Claim Location Description of Claim Litigation (Y/N) Status Resolution/Remedial Action Taken 12/11/2015 Jacksonville, FL Employment - related claims of age discrimination Yes Case settled w/prejudice in March of 2016 Settled in mediation in March of 2016
BOX ONLY. The undersigned certifies that within the past 10 years the Consultant has NOT been the subject of a complaint or pending action in a legal administrative proceeding alleging that Consultant discriminated against its employees, subcontractors, vendors or suppliers. The undersigned certifies that within the past 10 years the Consultant has been the subject of a complaint or pending action in a legal administrative proceeding alleging that Consultant discriminated against its employees, subcontractors, vendors or suppliers. A description of the status or resolution of that complaint, including any remedial action taken and the applicable dates is as follows: DATE OF CLAIM LOCATION DESCRIPTION OF CLAIM LITIGATION (Y/N) STATUS RESOLUTION/REMEDIAL ACTION TAKEN 12/31/15 Los Angeles, CA Allegation of racial discrimination Y Resolved None necessary Consultant Name Psomas Certified By Xxxxxx Xxxxxxxx Title Vice President Name Date 01/04/2021 Signature USE ADDITIONAL FORMS AS NECESSARY Equal Opportunity Contracting Program Page 6 of 12 12/2015 City of San Diego EQUAL OPPORTUNITY CONTRACTING PROGRAM (EOCP) 0000 Xxxxx Xxxxxx • Suite 200 • Xxx Xxxxx, XX 00000 Phone: (000) 000-0000 • Fax: (000) 000-0000 WORK FORCE REPORT ADMINISTRATIVE The objective of the Equal Employment Opportunity Outreach Program, San Diego Municipal Code Sections 22.3501 through 22.3517, is to ensure that contractors doing business with the City, or receiving funds from the City, do not engage in unlawful discriminatory employment practices prohibited by State and Federal law. Such employment practices include, but are not limited to unlawful discrimination in the following: employment, promotion or upgrading, demotion or transfer, recruitment or recruitment advertising, layoff or termination, rate of pay or other forms of compensation, and selection for training, including apprenticeship. Contractors are required to provide a completed Work Force Report (WFR).
BOX ONLY. The undersigned certifies that within the past 10 years the Contractor has NOT been the subject of a complaint or pending action in a legal administrative proceeding alleging that Contractor discriminated against its employees, subcontractors, vendors or suppliers. The undersigned certifies that within the past 10 years the Contractor has been the subject of a complaint or pending action in a legal administrative proceeding alleging that Contractor discriminated against its employees, subcontractors, vendors or suppliers. A description of the status or resolution of that complaint, including any remedial action taken and the applicable dates is as follows: Date OF Claim Location Description of Claim Litigation (Y/N) Status Resolution/ Remedial Action Taken Contractor Name: Certified By Title Name Date Signature Equal Opportunity Contracting Sole Source Contracts, Cooperative Procurement Contracts Goods/Services Contracts Under $150,000 Revised 1/1/16 OCA Document No. 1208377 EQUAL OPPORTUNITY CONTRACTING (EOC) 0000 Xxxxx Xxxxxx, Xxxxx 000 • Xxx Xxxxx, XX 00000 Phone: (000) 000-0000 • Fax: (000) 000-0000
BOX ONLY. The undersigned certifies that within the past 10 years the Consultant has NOT been the subject of a complaint or pending action in a legal administrative proceeding alleging that Consultant discriminated against its employees, subcontractors, vendors or suppliers. The undersigned certifies that within the past 10 years the Consultant has been the subject of a complaint or pending action in a legal administrative proceeding alleging that Consultant discriminated against its employees, subcontractors, vendors or suppliers. A description of the status or resolution of that complaint, including any remedial action taken and the applicable dates is as follows: Date of Claim Location Description of Claim Litigation (Y/N) Status Resolution/Remedial Action Taken 06-10-17 Brazos County Texas Age Discrimination Y Dismissed Dismissed with no payment made to plaintiff. 10-17-17 Los Angeles County California Wrongful Termination Y Closed Closed with no payment to plaintiff. 03-14-19 Maricopa County Arizona Disability Discrimination Y Closed Dismissed with no payment made to plaintiff. 08-24-22 Cass County Georgia Race Discrimination N Pending Claim being defended Internal investigation determined case is frivolous Consultant Name Xxxxxx-Xxxx and Associates, Inc. Certified By Xxxxxx X. XxXxxxxxx, P.E. Name Title Vice President Date June 27, 2023 Signature USE ADDITIONAL FORMS AS NECESSARY Equal Opportunity Contracting (EOC) 0000 Xxxxx Xxxxxx, Xxxxx 000 • San Diego, CA 92101 Phone: (000) 000-0000 • Fax: (000) 000-0000
BOX ONLY. The undersigned certifies that within the past 10 years the Consultant has NOT been the subject of a complaint or pending action in a legal administrative proceeding alleging that Consultant discriminated against its employees, subcontractors, vendors or suppliers. The undersigned certifies that within the past 10 years the Consultant has been the subject of a complaint or pending action in a legal administrative proceeding alleging that Consultant discriminated against its employees, subcontractors, vendors or suppliers. A description of the status or resolution of that complaint, including any remedial action taken and the applicable dates is as follows:
BOX ONLY. The undersigned certifies that within the past 10 years the Consultant has NOT been the subject of a complaint or pending action in a legal administrative proceeding alleging that Consultant discriminated against its employees, subcontractors, vendors or suppliers. The undersigned certifies that within the past 10 years the Consultant has been the subject of a complaint or pending action in a legal administrative proceeding alleging that Consultant discriminated against its employees, subcontractors, vendors or suppliers. A description of the status or resolution of that complaint, including any remedial action taken and the applicable dates is as follows: DATE OF CLAIM LOCATION DESCRIPTION OF CLAIM LITIGATION (Y/N) STATUS RESOLUTION/REMEDIAL ACTION TAKEN 12/11/2015 Jacksonville, FL Employment - related claims of age discrimination Yes Case settled with prejudice in March of 2016 Settled in mediation in March of 2016
