BIDDERS EEO REPORT

 

 

 

 

Part 1 – IDENTIFICATION OF VENDOR

 

1.        NAME

           &

        ADDRESS

       (As shown on BID)

2.  CHIEF EXECUTIVE OFFICER FOR ABOVE BIDDER (NAME)

 

4.  ADDITIONAL LOCATIONS IN CONNECTICUT

ADDRESS

TELEPHONE #

Part II:  NONDISCRIMINATION POLICIES AND PRACTICES

1a.  Have you put into effect a company wide equal opportunity program to promote nondiscrimination?                                                                                 

Yes         No

          

3c.  Do all your employee recruitment advertisements state a nondiscrimination policy?          

Yes         No

          

1b.  If “Yes” have all your employees been informed of this in writing?   

Yes         No

          

4a.  Do you have a collective bargaining agreement or other contract or understanding with a labor union representing the employee employed by you?

Yes         No

          

2a.  Do you sponsor or promote any educational or  training programs for your employees or prospective employees? 

Yes         No

          

4b.  If “Yes” does each such agreement assure full compliance nondiscrimination requirements?                                             

Yes         No

          

2b.  If “Yes” are all such persons given the opportunity to participate in accordance with your nondiscrimination statement?                                                 

Yes         No

          

4c.  If “No” check here, and explain on a separate attached sheet.                                                                                                  Yes         No

          

3a.  Have all your recruitment sources been notified that all qualified applicants will be considered without discrimination?  

Yes         No

          

5a.  Is there a person in your employ who is responsible for  assuring equal employment opportunities?                                      

Yes         No

          

3b.  Has this been done in writing?

Yes         No

          

5b.  If  “Yes” give Name and Title

Yes         No

           

Part III-HIRING AND RECRUITMENT

                          

1.        Which of the following recruitment sources are used by you? (Check “Yes” of “ No” Estimate % if not known)                                                                           

 

 

 

 

% of all applicants

provided by this source.

 2. Check any of the  following that you use as hiring qualifications.

3a. Describe any other practice which show that you hire, train

      and promote employees without discrimination.

SOURCE

Yes

No

 (x)

Work Experience 

State Employment

Service

Ability to speak or

write English c

Private Employment

Agencies

Written Tests

 

Schools and

Colleges

High School Diploma

Newspaper

Advertisements

College Degree

Walk-ins

Union Membership

Present

Employees

Personal

Recommendation

Labor

Organizations

Car Ownership

Minority/Community Organizations

Employment Resource

Development Agency

OTHER (Specify)

 

 

PART IV – STATISTICSEmployment at bidder’s location (as shown on bid submittal).  In lieu of completing this section, bidder may submit copy of its most recent Federal EEO-1 report for the reporting location or a copy of its consolidated report for the total organization, if filed within the last year.

EMPLOYMENT FIGURES WERE OBTAINED FROM

    Visual Check         Employment Record     Other

CLOSING DATE OF REPORT PERIOD

JOB

CATEGORIES

OVERALL TOTALS

(Sum of all columns A-E

Male & Female)

A

WHITE (Not of

Hispanic Origin)

B

BLACK (Not of Hispanic Origin)

C

HISPANIC

D

ASIAN or

Pacific Islander

E

AMERICAN INDIAN or

ALASKAN NATIVE

Officials and

Managers

Male

Female

Male

Female

Male

Female

Male

Female

Female

Male

Professionals

Technicians

Sales Workers

Office and

Clerical

Craft Workers

(Semi-Skilled)

Operatives

(Semi-Skilled)

Laborers

(Unskilled)

Service

Workers

TOTALS

ABOVE

TOTALS ONE

YEAR AGO

ON THE JOB TRAINEES (Enter figures for the same categories as shown above)

 

Apprentices

 

Trainees

 

 

 

 

 

PART V- DOCUMENTATION AND COMMITMENT REQUIRED

 

1. Please submit as part of this EEO report, a copy of your Company Policy Statement of Equal Employment Opportunity.

 

2. For companies employing more than 10 persons, please submit as part of this EEO report a written commitment to hire minority and female workers if your work force statistics are not representative of the minority and female work force availability in your labor market area.

 

3. If your company is not located in Connecticut, please submit a copy of your local labor market area statistics.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AFFIDAVIT

The Bidder understands and agrees that its failure to meet the equal opportunity requirements established by section 2-573 of the Code will preclude such bid from being considered. The bidder agrees to the procedures set forth in section 2-573 of the Code in regard to the determination of whether such bidder is an equal opportunity employer. The Bidder also understands and agrees that the equal opportunity documents will become a part of the contract, and that a breach of the provision of the equal opportunity documents will constitute a breach of the contract subject to such remedies as provided by law.

NAME OF PERSON SUBMITTING BID

TITLE

DATE SIGNED

TELEPHONE NO. (Include Area Code)

X