Common use of BOX ONLY Clause in Contracts

BOX ONLY. The undersigned certifies that within the past 10 years the Consultant has NOT been the subject of a complaint or pending action in a legal administrative proceeding alleging that Consultant discriminated against its employees, subcontractors, vendors or suppliers. The undersigned certifies that within the past 10 years the Consultant has been the subject of a complaint or pending action in a legal administrative proceeding alleging that 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: Date of Claim Location Description of Claim Litigation (Y/N) Status Resolution/Remedial Action Taken Consultant Name Group Delta Consultants, Inc. Certified By Xxxx Xxxxxxx Xxxx Xxxxxxxx Name Name Signature Signature itle President T Date 3/24/2021 USE ADDITIONAL FORMS AS NECESSARY Equal Opportunity Contracting Program Page 6 of 12 12/2015 Equal Opportunity Contracting (EOC) 0000 Xxxxx Xxxxxx, Xxxxx 000 • Xxx Xxxxx, XX 00000 Phone: (000) 000-0000 • Fax: (000) 000-0000 WORK FORCE REPORT 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). 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: Group Delta Consultants, Inc. ADA/DBA: Address (Corporate Headquarters, where applicable): 32 Mauchly, Suite B City: Irvine Telephone Number: 000-000-0000 County: Orange Fax Number: State: California 000-000-0000 Zip: 92618 Name of Company CEO: Xxxxxxx Reader Address(es), phone and fax number(s) of company facilities located in San Diego County (if different from above): Address: 0000 Xxxxxxxx Xxxx, Xxxxx 000 Xxxx: San Diego County: San Diego State: California Zip: 92126 Telephone Number: 000-000-0000 Fax Number: 000-000-0000 Email: xxxx@xxxxxxxxxx.xxx Type of Business: Corporation (S) Type of License: B2010023114 The Company has appointed: Xxxxxxx Xxxxxxxxxxxx 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: 00 Xxxxxxx, Xxxxx X, Xxxxxx, XX 00000 Telephone Number: (000) 000-0000 Fax Number: (000) 000-0000 Email: xxxxxxxx@xxxxxxxxxx.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 Group Delta Consultants, Inc. Orange County (Firm Name) Orange County (County) (County) , a Californi

BOX ONLY. The undersigned certifies that within the past 10 years the Consultant Design Professional has NOT been the subject of a complaint or pending action in a legal administrative proceeding alleging that Consultant Design Professional discriminated against its employees, subcontractors, vendors or suppliers. The undersigned certifies that within the past 10 years the Consultant Design Professional has been the subject of a complaint or pending action in a legal administrative proceeding alleging that Consultant 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: Date of Claim Location Description of Claim Litigation (Y/N) Status Resolution/Remedial Action Taken Consultant Design Professional Name Group Delta Consultants, Inc. Certified By Xxxx Xxxxxxx Xxxx Xxxxxxxx Title Name Name Date Signature Signature itle President T Date 3/24/2021 USE ADDITIONAL FORMS AS NECESSARY Equal Opportunity Contracting Program Page 6 of 12 12/2015 Equal Opportunity Contracting (EOC) 0000 Xxxxx Xxxxxx, Xxxxx 000 • Xxx Xxxxx, XX 00000 Phone: (000) 000-0000 • Fax: (000) 000-0000 WORK FORCE REPORT 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). NO OTHER FORMS WILL BE ACCEPTED CONTRACTOR IDENTIFICATION Type of Contractor: 🞎 Construction �Consultant � Vendor/Supplier Grant Recipient 🞎 Financial InstitutionInsurance Company 🞎 Lessee/Lessor 🞎 Consultant 🞎 Grant Recipient 🞎 Insurance Company 🞎 Other Name of Company: Group Delta Consultants, Inc. ADA/DBA: Address (Corporate Headquarters, where applicable): 32 Mauchly, Suite B City:County: State: Zip: Irvine Telephone Number: 000-000-0000 County: Orange Fax Number: State: California 000-000-0000 Zip: 92618 Name of Company CEO: Xxxxxxx Reader Address(es), phone and fax number(s) of company facilities located in San Diego County (if different from above): Address: 0000 Xxxxxxxx Xxxx, Xxxxx City000 Xxxx: San Diego County: San Diego State: California Zip: 92126 Telephone Number: 000-000-0000 Fax Number: 000-000-0000 Email: xxxx@xxxxxxxxxx.xxx Type of Business: Corporation (S) Type of License: B2010023114 The Company has appointed: Xxxxxxx Xxxxxxxxxxxx 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: 00 Xxxxxxx, Xxxxx X, Xxxxxx, XX 00000 Telephone Numb( er: (000) 000-0000 Fax Number: (000) 000-0000 Email: xxxxxxxx@xxxxxxxxxx.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 Group Delta Consultants, Inc. Orange County (Firm Name) Ora, hereby certify that information provided nge County (CounStatetyherein is true and correct. This document was executed on this day of ) 20 . (Authorized Signature) (Print Authorized Signature Name) WORK FORCE REPORT – Page 2 NAME OF FIRM: DATE: OFFICE(S) or BRANCH(ES): 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 (County) , full or part- time basis. The following groups are to be included in ethnic categories listed in columns below:a Californi

BOX ONLY. The undersigned certifies that within the past 10 years the Consultant has NOT been the subject of a complaint or pending action in a legal administrative proceeding alleging that Consultant discriminated against its employees, subcontractors, vendors or suppliers. The undersigned certifies that within the past 10 years the Consultant has been the subject of a complaint or pending action in a legal administrative proceeding alleging that 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: Date of Claim Location Description of Claim Litigation (Y/N) Status Resolution/Remedial Action Taken Consultant Name Group Delta Consultants, Inc. Certified By Xxxx Xxxxxxx Xxxx Xxxxxxxx Name Name Signature Signature itle President T Date 3/24/2021 USE ADDITIONAL FORMS AS NECESSARY Equal Opportunity Contracting Program Page 6 of 12 12/2015 Equal Opportunity Contracting (EOC) 0000 Xxxxx Xxxxxx, Xxxxx 000 • Xxx Xxxxx, XX 00000 Phone: (000) 000-0000 • Fax: (000) 000-0000 WORK FORCE REPORT 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). 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: Group Delta Consultants, Inc. ADA/DBA: Address (Corporate Headquarters, where applicable): 32 Mauchly, Suite B City: Irvine Telephone Number: 000-000-0000 County: Orange Fax Number: State: California 000-000-0000 Zip: 92618 Name of Company CEO: Xxxxxxx Reader Address(es), phone and fax number(s) of company facilities located in San Diego County (if different from above): Address: 0000 Xxxxxxxx Xxxx, Xxxxx 000 Xxxx: San Diego County: San Diego State: California Zip: 92126 Telephone Number: 000-000-0000 Fax Number: 000-000-0000 Email: xxxx@xxxxxxxxxx.xxx Type of Business: Corporation (S) Type of License: B2010023114 The Company has appointed: Xxxxxxx XxxxxNikhila Srirangpatna xxxxxxx 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: 00 Xxxxxxx, Xxxxx X, Xxxxxx, XX 00000 Telephone Number: (000) 000-0000 Fax Number: (000) 000-0000 Email: xxxxxxxx@xxxxxxxxxx.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 Group Delta Consultants, Inc. Orange County (Firm Name) Orange County (County) (County) , a Californi

BOX ONLY. The undersigned certifies that within the past 10 years the Consultant Design Professional has NOT been the subject of a complaint or pending action in a legal administrative proceeding alleging that Consultant Design Professional discriminated against its employees, subcontractors, vendors or suppliers. The undersigned certifies that within the past 10 years the Consultant Design Professional has been the subject of a complaint or pending action in a legal administrative proceeding alleging that Consultant 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: Date of Claim Location Description of Claim Litigation (Y/N) Status Resolution/Remedial Action Taken Consultant Design Professional Name Group Delta Consultants, Inc. Xxxxxxx Xxxxxxxx Xxxxxxx Xxxxxxxx Name Signature Certified By Xxxx Xxxxxxx Xxxx Xxxxxxxx Name Name Signature Signature itle President T Title Date 3/24/2021 Principal 8/13/21 USE ADDITIONAL FORMS AS NECESSARY Equal Opportunity Contracting Program Page 6 of 12 12/2015 Equal Opportunity Contracting (EOC) 0000 Xxxxx Xxxxxx, Xxxxx 000 • Xxx Xxxxx, XX 00000 Phone: (000) 000-0000 • Fax: (000) 000-0000 WORK FORCE REPORT 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). NO OTHER FORMS WILL BE ACCEPTED 🞎 🞎✔ 🞎 🞎 🞎 🞎 🞎 🞎 CONTRACTOR IDENTIFICATION Type of Contractor: 🞎 Construction �Consultant � Vendor/Supplier Grant Recipient 🞎 Financial InstitutionInsurance Company 🞎 Lessee/Lessor 🞎 Consultant 🞎 Grant Recipient 🞎 Insurance Company 🞎 Other Name of Company: Group Delta ConsultantArchitects Xxxxxx Xxxx s, Inc. ADA/DBA: Address (Corporate Headquarters, where applicable): 320000 Xxxxxxx Xx Mauchly, 150 Suite B City:San Diego County: San Diego State: CA Zip: 92110 Irvine Telephone Num619ber:223 000-000-0000 County:2400 ext. 118 Orange Fax Number: State: California 000-000-0000 Zip: 92618 Name of Company CEO: XxxxxxxXxxxxxxx Reader Address(es), phone and fax number(s) of company facilities located in San Diego County (if different from above): Address: 0000 Xxxxxxxx Xxxx, Xxxxx City000 Xxxx: San Diego County: San Diego State: California Zip: 92126 Telephone Number: 000-000-0000 Fax Number: 000-000-0000 Email: xxxx@xxxxxxxxxx.xxx Type of Business: CorporatArchitecture ion (S) Type of License: B2010023114 The Company has appointed: Xxxxxxx Xxxxxxxxxxxx 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: 00 Xxxxxxx, Xxxxx X, Xxxxxx, XX 00000 Telephone Number: (000) 000-0000 Fax Number: (000) 000-0000 Email: xxxxxxxx@xxxxxxxxxx.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 Group Delta Consultants, Inc. Orange County (Firm Name) Orange County (County) (County) , :a Californi

BOX ONLY. The undersigned certifies that within the past 10 years the Consultant Design Professional has NOT been the subject of a complaint or pending action in a legal administrative proceeding alleging that Consultant Design Professional discriminated against its employees, subcontractors, vendors or suppliers. The undersigned certifies that within the past 10 years the Consultant Design Professional has been the subject of a complaint or pending action in a legal administrative proceeding alleging that Consultant 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: Date of Claim Location Description of Claim Litigation (Y/N) Status Resolution/Remedial Action Taken Consultant Design Professional Name Group Delta Consultants, Inc. Certified By Xxxx Xxxxxxx Xxxx Xxxxxxxx Title Name Name Date Signature Signature itle President T Date 3/24/2021 USE ADDITIONAL FORMS AS NECESSARY Equal Opportunity Contracting Program Page 6 of 12 12/2015 Equal Opportunity Contracting (EOC) 0000 Xxxxx Xxxxxx, Xxxxx 000 • Xxx XxxxxSan Diego, XX 00000 CA 92101 Phone: (000) 000-0000 • Fax: (000) 000-0000 WORK FORCE REPORT 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). NO OTHER FORMS WILL BE ACCEPTED CONTRACTOR IDENTIFICATION Type of Contractor: 🞎 Construction � � Vendor/Supplier  🞎 Financial Institution 🞎 Lessee/Lesso r 🞎 Consulta nt 🞎 Grant Recipi ent 🞎 Insurance Com pany 🞎 Other Name of Company: Group Delta Consultants, Inc. ADA/DBA: Address (Corporate Headquarters, where applicable): 32 Mauchly, Suite B City:County: State: Zip: Irvine Telephone Number: 000-000-0000 County: Orange Fax Number: State: California 000-000-0000 Zip: 92618 Name of Company CEO: Xxxxxxx Reader Address(es), phone and fax number(s) of company facilities located in San Diego County (if different from above): Address: 0000 Xxxxxxxx Xxxx, Xxxxx City000 Xxxx: San Diego County: San Diego State: California Zip: 92126 Telephone Number: 000-000-0000 Fax Number: 000-000-0000 Email: xxxx@xxxxxxxxxx.xxx Type of Business: Corporation (S) Type of License: B2010023114 The Company has appointed: Xxxxxxx Xxxxxxxxxxxx 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: 00 Xxxxxxx, Xxxxx X, Xxxxxx, XX 00000 Telephone Number: (000) 000-0000 Fax Number: (000) 000-0000 Email: xxxxxxxx@xxxxxxxxxx.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 Group Delta Consultants, Inc. Orange County (Firm Name) Orange County (County) (County) , :a Californi

BOX ONLY. The undersigned certifies that within the past 10 years the Consultant Design Professional has NOT been the subject of a complaint or pending action in a legal administrative proceeding alleging that Consultant Design Professional discriminated against its employees, subcontractors, vendors or suppliers. The undersigned certifies that within the past 10 years the Consultant Design Professional has been the subject of a complaint or pending action in a legal administrative proceeding alleging that Consultant 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: Date of Claim Location Description of Claim Litigation DATE OF CLAIM LOCATION DESCRIPTION OF CLAIM LITIGATION (Y/N) Status ResolutionSTATUS RESOLUTION/Remedial Action Taken Consultant REMEDIA L ACTION TAKEN 7/24/2008 San Antonio, TX National Origin Discrimination (claimed that discriminated was due to inability to speak Spanish) Y Employee initially filed a complaint with the Equal Employment Opportunity Commission (EEOC). The EEOC dismissed the claim on 4/8/09 because they were unable to conclude that the information obtained as part of their investigation established a violation of the statutes. On 7/29/09, the claimant filed a civil suit in U.S. District Court. On 10/29/10 the court granted Xxxxxxx’x motion for summary judgment. None Necessary Design Professional Name Group Delta ConsultantsXxxxxxx Engineers, Inc. Certified By Xxxx Xxxxxxx Xxxx Xxxxxxxx Xxxxx Xxxxxxxxxx, P.E. Principal-in-Charge Name Name Date May 20, 2016 Signature Signature itle President T Date 3/24/2021 USE ADDITIONAL FORMS AS NECESSARY Equal Opportunity Contracting Program Page 6 City of 12 12/2015 Equal Opportunity Contracting San Diego EQUAL OPPORTUNITY CONTRACTING PROGRAM (EOCEOCP) 0000 Xxxxx Xxxxxx, Xxxxx 000 Xxxxxx • Suite 200 • Xxx Xxxxx, 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). 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: Group Delta Consultants, Inc. ADA/DBA: Address (Corporate Headquarters, where applicable): 32 Mauchly, Suite B City: Irvine Telephone Number: 000-000-0000 County: Orange Fax Number: State: California 000-000-0000 Zip: 92618 Name of Company CEO: Xxxxxxx Reader Address(es), phone and fax number(s) of company facilities located in San Diego County (if different from above): Address: 0000 Xxxxxxxx Xxxx, Xxxxx 000 Xxxx: San Diego County: San Diego State: California Zip: 92126 Telephone Number: 000-000-0000 Fax Number: 000-000-0000 Email: xxxx@xxxxxxxxxx.xxx Type of Business: Corporation (S) Type of License: B2010023114 The Company has appointed: Xxxxxxx Xxxxxxxxxxxx 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: 00 Xxxxxxx, Xxxxx X, Xxxxxx, XX 00000 Telephone Number: (000) 000-0000 Fax Number: (000) 000-0000 Email: xxxxxxxx@xxxxxxxxxx.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 Group Delta Consultants, Inc. Orange County (Firm Name) Orange County (County) (County) , .a Californi