EMPLOYEE BREAKDOWN. Part A – Employee Statistics for the Primary Location M--------a--------l--------e--------s F----e-----m-----a-----l-----e s Employment Category Total Employees Total Males Total Females White Black Hispanic Asian or Pacific Islander Indian or Alaskan Native White Black Hispanic Asian or Pacific Islander Indian or Alaskan Native Project Manger Professional Labor Clerical Totals Part B – Employee Statistics for the Consolidated Company (See instructions for this form on whether this part is required.) M--------a--------l--------e--------s F-----e-----m-----a-----l-----e s Employment Category Total Employees Total Males Total Females White Black Hispanic Asian or Pacific Islander Indian or Alaskan Native White Black Hispanic Asian or Pacific Islander Indian or Alaskan Native Project Manger Professional Labor Clerical Totals UBE PARTICIPATION ON BID Name of Bidder: Is bidder a UBE (circle one): Yes No Total dollar amount of UBE participation in bid work: For each row, check one column: E or F, . Column A Column B Column C Column D Column E Column F Name of proposed subcontractor for base bid work Goods and services to be provided for base bid work Subcontract amount, in dollars, for base bid work Percentage of total base bid (Column C divided by total base bid) Minority- owned UBE Women- owned UBE $ % $ % $ % $ % Attach extra sheets as needed. Do the above participation amounts meet the goals on this contract, assuming only the base bid is counted? Yes No. If the answer is No: (1) the bidder must have made good-faith efforts; (2) the bidder must provide, within 2 business days after bid opening, documentation of good-faith efforts; and (3) the bidder must sign below. As an authorized representative of the Bidder, I swear or affirm under penalty of fraud that the good-faith efforts documentation submitted with this bid, pertaining to the base bid and all alternates, if any, is correct and not intended to defraud or mislead. After the contract between the City and the Bidder is signed, except to the extent that the City gives prior written approval for changes, the Contractor agrees that it shall engage the subcontractors listed on this form to perform the work for the dollar amounts or percentages described on this form. Signature of individual authorized to sign for Bidder STATEMENT OF INTENT TO PERFORM AS SUBCONTRACTOR Name of Bidder: Name of Project: The undersigned firm meets the City of Durham’s criteria as a UBE. The undersigned UBE represents that it wi...
EMPLOYEE BREAKDOWN. Part A –
EMPLOYEE BREAKDOWN. Part A – Employee Statistics for the Primary Location MALES FEMALES Employment Category Total Employees Total Males Total Females White Black Hispanic Asian or Alaskan Islander Indian or Alaskan Native White Black Hispanic Asian or Pacific Islander Indian or Alaskan Native Project Manger Professional Labor Clerical Totals Part B – Employee Statistics for the Consolidated Company (See instructions for this form on whether this part is required.) MALES FEMALES Employment Category Total Employees Total Males Total Females White Black Hispanic Asian or Alaskan Islander Indian or Alaskan Native White Black Hispanic Asian or Pacific Islander Indian or Alaskan Native Project Manger Professional Labor Clerical Totals EEO-1 Report may be submitted in lieu of this form PURCHASE CONTRACT STATE OF NORTH CAROLINA COUNTY OF DURHAM DRAFT COPY DO NOT COMPLETE T This contract is dated, made, and entered into this < > day of < > between the City of Durham, a N.C. municipal corporation (the "City") and < > ("Seller," “Vendor,” and “Contractor”).
