Common use of NO OTHER FORMS WILL BE ACCEPTED Clause in Contracts

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: Psomas AKA/DBA: N/A Address (Corporate Headquarters, where applicable): 000 Xxxxx Xxxxxx Xxxxxx, Xxxxx 0000 Xxxx: Los Angeles County: Los Angeles State: CA Zip: 90071 Telephone Number: (000 ) 000-0000 FAX Number: (000 ) 000-0000 Name of Company CEO: Xxxxx Xxxxxxxxx Address(es), phone and fax number(s) of company facilities located in San Diego County (if different from above): Address: 000 X Xxxxxx, Xxxxx 0000 Xxxx: Xxx Xxxxx Xxxxxx: San Diego State: CA Zip: 92101 Telephone Number: (000) 000-0000 FAX Number: (000) 000-0000 Email: xxxxxx.xxxxxxxx@xxxxxx.xxx Type of Business: Consulting Type of License: Business The Company has appointed: Xxxxxxxx Xxxxxx as its Equal Employment Opportunity Officer (EEOO). The EEOO has been given authority to establish, disseminate, and enforce equal employment and affirmative action policies of this company. The EEOO may be contacted at: Address: 000 Xxxxx Xxxxxx Xxxxxx, Xxxxx 0000, Xxx Xxxxxxx Telephone Number: (000) 000-0000 FAX Number: (000) 000-0000 Email: xxxxxxx@xxxxxx.xxx One San Diego County (or Most Local County) Work Force - Mandatory Branch Work Force * Managing Office Work Force Check the box above that applies to this WFR. *Submit a separate Work Force Report for all participating branches. Combine WFRs if more than one branch per county. I, the undersigned representative of Psomas (Firm Name) San Diego , CA hereby certify that information provided Authorized Signature) (County) (State) herein is true and correct. This document was executed on this January day of 04 , 20 21 . Xxxxxx Xxxxxxxx (A (Print Authorized Signature) Equal Opportunity Contracting Program 12/2015 WORK FORCE REPORT – NAME OF FIRM: Psomas DATE: 01/04/2021 OFFICE(S) or BRANCH(ES): San Diego COUNTY: San Diego

Appears in 1 contract

Samples: Agreement

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NO OTHER FORMS WILL BE ACCEPTED. CONTRACTOR IDENTIFICATION Type of Contractor: Construction Vendor/Supplier Financial Institution Lessee/Lessor X Consultant Grant Recipient Insurance Company Other Name of Company: Psomas Xxxxxxx Engineers, Inc. AKA/DBA: N/A Address (Corporate Headquarters, where applicable): 000 Xxxxx 0000 Xxxxxxx Xxxxxx XxxxxxXxxx, Xxxxx 0000 000 Xxxx: Los Angeles CountyXxxxxx Xxxxx Xxxxxx: Los Angeles Contra Costa State: CA California Zip: 90071 94598 Telephone Number: (( 000 ) 000-0000 FAX Number: (000 ) )000-0000 Name of Company CEO: Xxxxx Xxxxxxxxx X. Xxxxxxxxx, Ph.D., P.E. FAX Number: ( 000 ) 000-0000 Address(es), phone and fax number(s) of company facilities located in San Diego County (if different from above): Address: 000 X Xxxxxx0000 Xxxxxxxx Xxxxx, Xxxxx 0000 000 Xxxx: Xxx Xxxxx Xxxxxx: San Diego State: CA California Zip: 92101 92122 Telephone Number: (000( 000 ) 000-0000 FAX Number: (000( 000 ) 000-0000 Email: xxxxxx.xxxxxxxx@xxxxxx.xxx xxxxxxxxxxx@xxxxxxx.xxx Type of Business: Consulting Consultant Type of License: Business Engineering Consultant The Company has appointed: Xxxxxxxx Xxxxx Xxxxxx as its Equal Employment Opportunity Officer (EEOO). The EEOO has been given authority to establish, disseminate, and enforce equal employment and affirmative action policies of this company. The EEOO may be contacted at: Address: 000 Xxxxx Xxxxxx 0000 Xxxx Xxxxxxxxxx Xxxxxx, Xxxxx 0000000, Xxx Xxxxxxx Xxxxxxx, 00000 Telephone Number: (000( 602 ) 000-0000 FAX Number: (000( 000 ) 000-0000 Email: xxxxxxx@xxxxxx.xxx XXxxxxx@xxxxxxx.xxx One San Diego County (or Most Local County) Work Force - Mandatory X Branch Work Force * Managing Office Work Force Check the box above that applies to this WFR. *Submit a separate Work Force Report for all participating branches. Combine WFRs if more than one branch per county. I, the undersigned representative of Psomas Xxxxxxx Engineers, Inc. (Firm Name) San Diego , CA hereby certify that information provided Authorized Signature) California (County) (State) hereby certify that information provided herein is true and correct. This document was executed on this January 20 day of 04 May , 20 21 16 . Xxxxxx Xxxxxxxx Xxxxx Xxxxxxxxxx, P.E. (A Authorized Signature) (Print Authorized Signature) Equal Opportunity Contracting Program 12/2015 WORK FORCE REPORT – NAME OF FIRM: Psomas Xxxxxxx Engineers, Inc. DATE: 01/04/2021 May 20, 2016 OFFICE(S) or BRANCH(ES): San Diego Riverside COUNTY: San DiegoRiverside

Appears in 1 contract

Samples: Agreement

NO OTHER FORMS WILL BE ACCEPTED. CONTRACTOR IDENTIFICATION Type of Contractor: Construction Vendor/Supplier Financial Institution Lessee/Lessor X Consultant Grant Recipient Insurance Company Other Name of Company: Psomas Xxxxxxx Engineers, Inc. AKA/DBA: N/A Address (Corporate Headquarters, where applicable): 000 Xxxxx 0000 Xxxxxxx Xxxxxx XxxxxxXxxx, Xxxxx 0000 000 Xxxx: Los Angeles CountyXxxxxx Xxxxx Xxxxxx: Los Angeles Contra Costa State: CA California Zip: 90071 94598 Telephone Number: (( 000 ) 000-0000 FAX Number: (000 ) )000-0000 Name of Company CEO: Xxxxx Xxxxxxxxx X. Xxxxxxxxx, Ph.D., P.E. FAX Number: ( 000 ) 000-0000 Address(es), phone and fax number(s) of company facilities located in San Diego County (if different from above): Address: 000 X Xxxxxx0000 Xxxxxxxx Xxxxx, Xxxxx 0000 000 Xxxx: Xxx Xxxxx Xxxxxx: San Diego State: CA California Zip: 92101 92122 Telephone Number: (000( 000 ) 000-0000 FAX Number: (000( 000 ) 000-0000 Email: xxxxxx.xxxxxxxx@xxxxxx.xxx Email:xxxxxxxxxxx@xxxxxxx.xxx Type of Business: Consulting Consultant Type of License: Business Engineering Consultant The Company has appointed: Xxxxxxxx Xxxxx Xxxxxx as its Equal Employment Opportunity Officer (EEOO). The EEOO has been given authority to establish, disseminate, and enforce equal employment and affirmative action policies of this company. The EEOO may be contacted at: Address: 000 Xxxxx Xxxxxx 0000 Xxxx Xxxxxxxxxx Xxxxxx, Xxxxx 0000000, Xxx Xxxxxxx Xxxxxxx, 00000 Telephone Number: (000( 602 ) 000-0000 FAX Number: (000( 000 ) 000-0000 Email: xxxxxxx@xxxxxx.xxx XXxxxxx@xxxxxxx.xxx One San Diego County (or Most Local County) Work Force - Mandatory X Branch Work Force * Managing Office Work Force Check the box above that applies to this WFR. *Submit a separate Work Force Report for all participating branches. Combine WFRs if more than one branch per county. I, the undersigned representative of Psomas Xxxxxxx Engineers, Inc. (Firm Name) San Diego , CA hereby certify that information provided Authorized Signature) California (County) (State) hereby certify that information provided herein is true and correct. This document was executed on this January 20 day of 04 May , 20 21 16 . Xxxxxx Xxxxxxxx Xxxxx Xxxxxxxxxx, P.E. (A Authorized Signature) (Print Authorized Signature) Equal Opportunity Contracting Program 12/2015 WORK FORCE REPORT – NAME OF FIRM: Psomas Xxxxxxx Engineers, Inc. DATE: 01/04/2021 May 20, 2016 OFFICE(S) or BRANCH(ES): San Diego Los Angeles COUNTY: San DiegoLos Angeles INSTRUCTIONS: For each occupational category, indicate number of males and females in every ethnic group. Total columns in row provided. Sum of all totals should be equal to your total work force. Include all those employed by your company on either a full or part-time basis. The following groups are to be included in ethnic categories listed in columns below:

Appears in 1 contract

Samples: Agreement

NO OTHER FORMS WILL BE ACCEPTED. CONTRACTOR IDENTIFICATION Contractor Identification Type of Contractor: Construction Vendor/Supplier Financial Institution Lessee/Lessor Consultant Grant Recipient Insurance Company Other Name of Company: Psomas C&S Engineers, Inc. AKA/DBA: N/A C&S Companies Address (Corporate Headquarters, where applicable): 000 Xxxxx Xxx. Xxxxxx Xxxxxx, Xxxxx 0000 XxxxXxxxxxx Blvd. City: Los Angeles Syracuse County: Los Angeles Onondaga State: CA New York Zip: 90071 13212 Telephone Number: (000 ) 000-0000 / (000)000-0000 FAX Number: (000 ) 000-0000 Name of Company CEO: Xxxxx Xxxxxxxxx Xxxxxxx Xxxxxxxx Address(es), phone and fax number(s) of company facilities located in San Diego County (if different from above): Address: 000 X Xxxxxx0000 Xxxxxxxxx Xxxxx, Xxxxx 0000 000 Xxxx: Xxx Xxxxx Xxxxxx: San Diego StateXxx Xxxxx Xxxxx: CA Xxxxxxxxxx Zip: 92101 92108 Telephone Number: (000) 000-0000 FAX Number: (000) 000-0000 Email: xxxxxx.xxxxxxxx@xxxxxx.xxx Type of Business: Consulting Type of License: Business The Company has appointed: Xxxxxxxx Xxxxxx Xxxx X. Xxxxx as its Equal Employment Opportunity Officer (EEOO). The EEOO has been given authority to establish, disseminate, and enforce equal employment and affirmative action policies of this company. The EEOO may be contacted at: Address: 000 Xxxxx Address:000 Xxx. Xxxxxx XxxxxxXxxxxxx Blvd., Xxxxx 0000Syracuse, Xxx Xxxxxxx NY 13212 Telephone Number: (000) 000 )000-0000 FAX Number: (000) 000 )000-0000 Email: xxxxxxx@xxxxxx.xxx xxxxxx@xxxxx.xxx xx One San Diego County (or Most Local County) Work Force - Mandatory Branch Work Force * Managing Office Work Force Check the box above that applies to this WFR. *Submit a separate Work Force Report for all participating branches. Combine WFRs if more than one branch per county. I, the undersigned representative of Psomas C&S Engineers, Inc. (Firm Name) San Diego , CA hereby certify that information provided Authorized Signature) California (County) (State) hereby certify that information provided July herein is true and correct. This document was executed on this January 22 day of 04 December , 20 21 2022 . Xxxxxx Xxxxxxxx Xxxx X. Xxxxx (A Authorized Signature) (Print Authorized Signature) Equal Opportunity Contracting Program 12/2015 ATTACHMENT BB WORK FORCE REPORT – NAME OF FIRM: Psomas C&S Engineers, Inc. DATE: 01/04/2021 OFFICE(S) or BRANCH(ES): San Diego Diego, CA COUNTY: San Diego

Appears in 1 contract

Samples: www.sandiego.gov

NO OTHER FORMS WILL BE ACCEPTED. CONTRACTOR IDENTIFICATION Type of Contractor: Construction Vendor/Supplier Financial Institution Lessee/Lessor X Consultant Grant Recipient Insurance Company Other Name of Company: Psomas Xxxxxxx Engineers, Inc. AKA/DBA: N/A Address (Corporate Headquarters, where applicable): 000 Xxxxx 0000 Xxxxxxx Xxxxxx XxxxxxXxxx, Xxxxx 0000 000 Xxxx: Los Angeles CountyXxxxxx Xxxxx Xxxxxx: Los Angeles Contra Costa State: CA California Zip: 90071 94598 Telephone Number: (( 000 ) 000-0000 FAX Number: (000 ) )000-0000 Name of Company CEO: Xxxxx Xxxxxxxxx X. Xxxxxxxxx, Ph.D., P.E. FAX Number: ( 000 ) 000-0000 Address(es), phone and fax number(s) of company facilities located in San Diego County (if different from above): Address: 000 X Xxxxxx0000 Xxxxxxxx Xxxxx, Xxxxx 0000 000 Xxxx: Xxx Xxxxx Xxxxxx: San Diego State: CA California Zip: 92101 92122 Telephone Number: (000( 000 ) 000-0000 FAX Number: (000( 000 ) 000-0000 Email: xxxxxx.xxxxxxxx@xxxxxx.xxx Email:xxxxxxxxxxx@xxxxxxx.xxx Type of Business: Consulting Consultant Type of License: Business Engineering Consultant The Company has appointed: Xxxxxxxx Xxxxx Xxxxxx as its Equal Employment Opportunity Officer (EEOO). The EEOO has been given authority to establish, disseminate, and enforce equal employment and affirmative action policies of this company. The EEOO may be contacted at: Address: 000 Xxxxx Xxxxxx 0000 Xxxx Xxxxxxxxxx Xxxxxx, Xxxxx 0000000, Xxx Xxxxxxx Xxxxxxx, 00000 Telephone Number: (000( 602 ) 000-0000 FAX Number: (000( 000 ) 000-0000 Email: xxxxxxx@xxxxxx.xxx XXxxxxx@xxxxxxx.xxx X One San Diego County (or Most Local County) Work Force - Mandatory Branch Work Force * Managing Office Work Force Check the box above that applies to this WFR. *Submit a separate Work Force Report for all participating branches. Combine WFRs if more than one branch per county. I, the undersigned representative of Psomas Xxxxxxx Engineers, Inc. (Firm Name) San Diego , CA hereby certify that information provided Authorized Signature) California (County) (State) hereby certify that information provided herein is true and correct. This document was executed on this January 20 day of 04 May , 20 21 16 . Xxxxxx Xxxxxxxx Xxxxx Xxxxxxxxxx, P.E. (A Authorized Signature) (Print Authorized Signature) Equal Opportunity Contracting Program 12/2015 WORK FORCE REPORT – NAME OF FIRM: Psomas Xxxxxxx Engineers, Inc. DATE: 01/04/2021 May 20, 2016 OFFICE(S) or BRANCH(ES): San Diego COUNTY: San Diego

Appears in 1 contract

Samples: Agreement

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NO OTHER FORMS WILL BE ACCEPTED. CONTRACTOR IDENTIFICATION Type of Contractor: Construction Vendor/Supplier Financial Institution Lessee/Lessor X Consultant Grant Recipient Insurance Company Other Name of Company: Psomas Xxxxxxx Engineers, Inc. AKA/DBA: N/A Address (Corporate Headquarters, where applicable): 000 Xxxxx 0000 Xxxxxxx Xxxxxx XxxxxxXxxx, Xxxxx 0000 000 Xxxx: Los Angeles CountyXxxxxx Xxxxx Xxxxxx: Los Angeles Contra Costa State: CA California Zip: 90071 94598 Telephone Number: (( 000 ) 000-0000 FAX Number: (000 ) )000-0000 Name of Company CEO: Xxxxx Xxxxxxxxx X. Xxxxxxxxx, Ph.D., P.E. FAX Number: ( 000 ) 000-0000 Address(es), phone and fax number(s) of company facilities located in San Diego County (if different from above): Address: 000 X Xxxxxx0000 Xxxxxxxx Xxxxx, Xxxxx 0000 000 Xxxx: Xxx Xxxxx Xxxxxx: San Diego State: CA California Zip: 92101 92122 Telephone Number: (000( 000 ) 000-0000 FAX Number: (000( 000 ) 000-0000 Email: xxxxxx.xxxxxxxx@xxxxxx.xxx xxxxxxxxxxx@xxxxxxx.xxx Type of Business: Consulting Consultant Type of License: Business Engineering Consultant The Company has appointed: Xxxxxxxx Xxxxx Xxxxxx as its Equal Employment Opportunity Officer (EEOO). The EEOO has been given authority to establish, disseminate, and enforce equal employment and affirmative action policies of this company. The EEOO may be contacted at: Address: 000 Xxxxx Xxxxxx 0000 Xxxx Xxxxxxxxxx Xxxxxx, Xxxxx 0000000, Xxx Xxxxxxx Xxxxxxx, 00000 Telephone Number: (000( 602 ) 000-0000 FAX Number: (000( 000 ) 000-0000 Email: xxxxxxx@xxxxxx.xxx XXxxxxx@xxxxxxx.xxx One San Diego County (or Most Local County) Work Force - Mandatory X Branch Work Force * Managing Office Work Force Check the box above that applies to this WFR. *Submit a separate Work Force Report for all participating branches. Combine WFRs if more than one branch per county. I, the undersigned representative of Psomas Xxxxxxx Engineers, Inc. (Firm Name) San Diego , CA hereby certify that information provided California is true and correct. This document (Authorized Signature) (County) (State) hereby certify that information provided herein is true and correct. This document was executed on this January 20 day of 04 May , 20 21 16 . Xxxxxx Xxxxxxxx (A Xxxxx Xxxxxxxxxx, P.E. (Print Authorized Signature) Equal Opportunity Contracting Program 12/2015 WORK FORCE REPORT – NAME OF FIRM: Psomas Xxxxxxx Engineers, Inc. DATE: 01/04/2021 May 20, 2016 OFFICE(S) or BRANCH(ES): San Diego Walnut Creek COUNTY: San DiegoContra Costa INSTRUCTIONS: For each occupational category, indicate number of males and females in every ethnic group. Total columns in row provided. Sum of all totals should be equal to your total work force. Include all those employed by your company on either a full or part-time basis. The following groups are to be included in ethnic categories listed in columns below:

Appears in 1 contract

Samples: Agreement

NO OTHER FORMS WILL BE ACCEPTED. CONTRACTOR IDENTIFICATION Type of Contractor: Construction Vendor/Supplier Financial Institution Lessee/Lessor Name of Company: KCM Group Consultant Grant Recipient Insurance Company Other Name of Company: Psomas AKA/DBA: N/A Address (Corporate Headquarters, where applicable): 000 Xxxxx 0000 Xxxxxx Xxxxxx, Xxxxx 0000 Xxxx: Los Angeles County: Los Angeles State: 000 City San Diego County San Diego State CA Zip: 90071 Zip 92109 Telephone Number: (000 ) 000-0000 FAX Number: (000 ) )000-0000 Name of Company CEO: Xxxxx Xxxxxxxxx Xxxxxx Xxxxxx Address(es), phone and fax number(s) of company facilities located in San Diego County (if different from above): Address: 000 X Xxxxxx, Xxxxx 0000 Xxxx: Xxx Xxxxx Xxxxxx: San Diego State: CA Zip: 92101 City County State Zip Telephone Number: (000( ) 000-0000 FAX Number: (000( ) 000-0000 Email: xxxxxx.xxxxxxxx@xxxxxx.xxx Type of BusinessBusinessC: Consulting Type onstruction Management and ConsultingType of License: Business CA General Contractor A/B (#716043) The Company has appointed: Xxxxxxxx Xxxxxx Xxxxx as its Equal Employment Opportunity Officer (EEOO). The EEOO has been given authority to establish, disseminate, and enforce equal employment and affirmative action policies of this company. The EEOO may be contacted at: Address: 000 Xxxxx 0000 Xxxxxx Xxxxxx, Xxxxx 0000000, Xxx Xxxxxxx Xxxxx, XX 00000 Telephone Number: (000) 000-0000 FAX Number: (000) 000-0000 Email: xxxxxxx@xxxxxx.xxx xxxxxx@xxxxxxxx.xxx X One San Diego County (or Most Local County) Work Force - Mandatory Branch Work Force * Managing Office Work Force Check the box above that applies to this WFR. *Submit a separate Work Force Report for all participating branches. Combine WFRs if more than one branch per county. I, the undersigned representative of Psomas San Diego KCM Group , CA (Firm Name) San Diego , CA hereby certify that information provided Authorized Signature) (County) (State) herein is true and correct. This document was executed on this January 31st day of 04 Xxxxxx Xxxxxx October , 20 21 17 . Xxxxxx Xxxxxxxx (A Authorized Signature) (Print Authorized Signature) Equal Opportunity Contracting Program 12/2015 WORK FORCE REPORT – NAME OF FIRM: Psomas KCM Group DATE: 01/04/2021 10/31/17 OFFICE(S) or BRANCH(ES): San Diego COUNTY0000 Xxxxxx Xxxxxx, Xxxxx 000 XXXXXX: San DiegoXxx Xxxxx

Appears in 1 contract

Samples: Design Professional Services

NO OTHER FORMS WILL BE ACCEPTED. CONTRACTOR IDENTIFICATION Type of Contractor: Construction Vendor/Supplier Financial Institution Lessee/Lessor X Consultant Grant Recipient Insurance Company Other Name of Company: Psomas Xxxxxxx Engineers, Inc. AKA/DBA: N/A Address (Corporate Headquarters, where applicable): 000 Xxxxx 0000 Xxxxxxx Xxxxxx XxxxxxXxxx, Xxxxx 0000 000 Xxxx: Los Angeles CountyXxxxxx Xxxxx Xxxxxx: Los Angeles Contra Costa State: CA California Zip: 90071 94598 Telephone Number: (( 000 ) 000-0000 FAX Number: (000 ) )000-0000 Name of Company CEO: Xxxxx Xxxxxxxxx X. Xxxxxxxxx, Ph.D., P.E. FAX Number: ( 000 ) 000-0000 Address(es), phone and fax number(s) of company facilities located in San Diego County (if different from above): Address: 000 X Xxxxxx0000 Xxxxxxxx Xxxxx, Xxxxx 0000 000 Xxxx: Xxx Xxxxx Xxxxxx: San Diego State: CA California Zip: 92101 92122 Telephone Number: (000( 000 ) 000-0000 FAX Number: (000( 000 ) 000-0000 Email: xxxxxx.xxxxxxxx@xxxxxx.xxx Email:xxxxxxxxxxx@xxxxxxx.xxx Type of Business: Consulting Consultant Type of License: Business Engineering Consultant The Company has appointed: Xxxxxxxx Xxxxx Xxxxxx as its Equal Employment Opportunity Officer (EEOO). The EEOO has been given authority to establish, disseminate, and enforce equal employment and affirmative action policies of this company. The EEOO may be contacted at: Address: 000 Xxxxx Xxxxxx 0000 Xxxx Xxxxxxxxxx Xxxxxx, Xxxxx 0000000, Xxx Xxxxxxx Xxxxxxx, 00000 Telephone Number: (000( 602 ) 000-0000 FAX Number: (000( 000 ) 000-0000 Email: xxxxxxx@xxxxxx.xxx XXxxxxx@xxxxxxx.xxx One San Diego County (or Most Local County) Work Force - Mandatory X Branch Work Force * Managing Office Work Force Check the box above that applies to this WFR. *Submit a separate Work Force Report for all participating branches. Combine WFRs if more than one branch per county. I, the undersigned representative of Psomas Xxxxxxx Engineers, Inc. (Firm Name) San Diego , CA hereby certify that information provided Authorized Signature) California (County) (State) hereby certify that information provided herein is true and correct. This document was executed on this January 20 day of 04 May , 20 21 16 . Xxxxxx Xxxxxxxx Xxxxx Xxxxxxxxxx, P.E. (A Authorized Signature) (Print Authorized Signature) Equal Opportunity Contracting Program 12/2015 WORK FORCE REPORT – NAME OF FIRM: Psomas Xxxxxxx Engineers, Inc. DATE: 01/04/2021 May 20, 2016 OFFICE(S) or BRANCH(ES): San Diego Orange County COUNTY: San DiegoOrange County INSTRUCTIONS: For each occupational category, indicate number of males and females in every ethnic group. Total columns in row provided. Sum of all totals should be equal to your total work force. Include all those employed by your company on either a full or part-time basis. The following groups are to be included in ethnic categories listed in columns below:

Appears in 1 contract

Samples: Agreement

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