Common use of BOX ONLY Clause in Contracts

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: Contractor Name: Certified By Title Equal Opportunity Contracting Sole Source Contracts, Cooperative Procurement Contracts Goods/Services Contracts Under $150,000 Revised 1/1/16 OCA Document No. 1208377 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). 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. The undersigned certifies that within the past 10 years the Contractor Consultant has NOT been the subject of a complaint or pending action in a legal administrative proceeding alleging that Contractor Consultant discriminated against its employees, subcontractors, vendors or suppliers. The undersigned certifies that within the past 10 years the Contractor Consultant has been the subject of a complaint or pending action in a legal administrative proceeding alleging that Contractor 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: Contractor Name: DATE OF CLAIM LOCATION DESCRIPTION OF CLAIM LITIGATION (Y/N) STATUS RESOLUTION/REMEDIAL ACTION TAKEN Consultant Name Nasland Engineering Certified By Xxxxxx X. Xxxxxxx, PE Title Equal Opportunity Contracting Sole Source ContractsPrincipal City of San Diego EQUAL OPPORTUNITY CONTRACTING PROGRAM (EOCP) 0000 Xxxxx Xxxxxx • Suite 200 • Xxx Xxxxx, Cooperative Procurement Contracts Goods/Services Contracts Under $150,000 Revised 1/1/16 OCA Document No. 1208377 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). 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. The undersigned certifies that within the past 10 years the Contractor Design Professional has NOT been the subject of a complaint or pending action in a legal administrative proceeding alleging that Contractor Design Professional discriminated against its employees, subcontractors, vendors or suppliers. The undersigned certifies that within the past 10 years the Contractor Design Professional has been the subject of a complaint or pending action in a legal administrative proceeding alleging that Contractor 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: Contractor Name: DATE OF CLAIM LOCATION DESCRIPTION OF CLAIM LITIGATION (Y/N) STATUS RESOLUTION/REMEDIAL ACTION TAKEN Design Professional Name Certified By Title Equal Opportunity Contracting Sole Source ContractsCity of San Diego EQUAL OPPORTUNITY CONTRACTING PROGRAM (EOCP) 0000 Xxxxx Xxxxxx • Suite 200 • Xxx Xxxxx, Cooperative Procurement Contracts Goods/Services Contracts Under $150,000 Revised 1/1/16 OCA Document No. 1208377 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). 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:.