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Section 00400=-Page 1 CERTIFICATE A CERTIFICATION OF BIDDER REGARDING EQUAL EMPLOYMENT OPPORTUNITY Instructions This certification is required pursuant to Executive Order 11246 (30 F. R. 12319-25). The implementing rules and regulations provide that any bidder or prospective contractor, or any of their proposed subcontractors, shall state as an inifial part of the bid or negotiations of the contract whether it has participated in any previous contract or subcontract subject to the equal opportunity clause, and, if so, whether it has filed all compliance reports due under applicable instructions. Where the certification indicates that the bidder has not filed a compliance report due under applicable instructions, such bidder shall be required to submit a compliance report within seven calendar days after bid opening. No contract shall be awarded unless such report is submitted. Certfication by Bidder Bidder's Name: f~2'~.l90~ ~~~5 c"' Address and Zip Code: o o CoEs~ ~ 1. Bidder has particpated in a previous contract or subcontract subject to the Equal Opportunity Clause. Yes No [ ] (If answer is yes, identify the most recent contract.) a ~~~s ~tS~A t~9o~t,C E-~~5'~~ 2. Compliance reports were required to be filed in connection with such contract or subcontract. Yes [ ] No ~ (If answer is yes, identity the most recent contract.) 3. Bidder has filed all compliance reports due under applicable instructions, including SF-100. Yes ~ No [ ] None required [ j ' 4. ff answer to item 3 is "No," please explain in detail on reverse side of this certfication. Certification: The information above is true and complelie to the best of my knowledge and belief. Name and Title of Signer: C~A~e~' (Please Type) Signature: ~ ` Date. ~ -'2, ~ - O~ RFB No. 2003200138 Standard Bid ForrNPublic Works Improvement Revised February 1897