TYPE OF SUBMISSION. This document is submitted as: ✔ Initial submission of Contractor Standards Pledge of Compliance Initial submission of Contractor Standards Pledge of Compliance as part of a Cooperative agreement Initial submission of Contractor Standards Pledge of Compliance as part of a Sole Source agreement Update of prior Contractor Standards Pledge of Compliance dated . Complete all questions and sign below. Under penalty of perjury under the laws of the State of California, I certify that I have read and understand the questions contained in this Pledge of Compliance, that I am responsible for completeness and accuracy of the responses contained herein, and that all information provided is true, full and complete to the best of my knowledge and belief. I agree to provide written notice to the Purchasing Agent within five (5) business days if, at any time, I learn that any portion of this Pledge of Compliance is inaccurate. Failure to timely provide the Purchasing Agent with written notice is grounds for Contract termination. I, on behalf of the firm, further certify that I and my firm will comply with the following provisions of SDMC section 22.3004:
TYPE OF SUBMISSION. This document is submitted as: Pledge of Compliance Initial submission. OR Update to prior Pledge of Compliance dated / / Complete all questions and sign below. Under penalty of perjury under the laws of the State of California, I certify that I have read and understand the questions contained in this Pledge of Compliance, that I am responsible for completeness and accuracy of the responses contained herein, and that all information provided is true, full and complete to the best of my knowledge and belief. I agree to provide written notice to the Purchasing Agent within five (5) business days if, at any time, I learn that any portion of this Pledge of Compliance requires an updated response. Failure to timely provide the Purchasing Agent with written notice is grounds for Contract termination. I, on behalf of the firm, further certify that I and my firm will comply with the following provisions of SDMC section 22.3004:
TYPE OF SUBMISSION. This document is submitted as: Initial submission of Contractor Standards Pledge of Compliance. Update of prior Contractor Standards Pledge of Compliance dated / / . Complete all questions and sign below. Each Pledge of Compliance Attachment “A” page must be signed. Under penalty of perjury under the laws of the State of California, I certify I have read and understand the questions contained in this Pledge of Compliance and that I am responsible for completeness and accuracy of responses and all information provided is true to the best of my knowledge and belief. I further certify my agreement to the following provisions of San Diego Municipal Code §22,3224:
TYPE OF SUBMISSION. Where applicable, the application should identify whether the submission is a Group Submission, an Anonymous Submission, a nonamender submission, a multiemployer or multiple employer plan submission, or an Orphan Plan submission.
TYPE OF SUBMISSION. This document is submitted as: ✔ Initial submission of Contractor Standards Pledge of Compliance Initial submission of Contractor Standards Pledge of Compliance as part of a Cooperative agreement Initial submission of Contractor Standards Pledge of Compliance as part of a Sole Source agreement Update of prior Contractor Standards Pledge of Compliance dated . EQUAL OPPORTUNITY CONTRACTING PROGRAM (EOCP) GOODS AND SERVICES CONTRACTOR REQUIREMENTS
TYPE OF SUBMISSION. This document is submitted as: Dx Initial submission of Contractor Standards Pledge of Compliance D Initial submission of Contractor Standards Pledge of Compliance as part of a Cooperative agreement D Initial submission of Contractor Standards Pledge of Compliance as part of a Sole Source agreement □Update of prior Contractor Standards Pledge of Compliance dated Contractor Standards Form Revised: April 5, 2018
TYPE OF SUBMISSION. The. Questionnaire being submitted is: □ An initial submission of a completed Questionnaire. □ An update of a prior Questionnaire dated / / jf^No change, f certify under penalty of xxxxxxx, under the laws of the State of California that there has been no . change, to any of the responses since the last Responsibility Questionnaire dated 05 / 30 / 0v3 was submitted by the firm. Attach a copy of that Questionnaire and sign below. Xxxx Xxxxxx, AIA Principal < _ _ _ _ Print Name, Title lature Date TOTAL NUMBER OF PAGES SUBMITTED, INCLUDING ALL ATTACHMENTS: I ~1 Responsibility Questionnaire (Rev. 05/10/02) EXHIBIT F DMJM Design/Xxxx+Xxxxxxxx Design Agreement
TYPE OF SUBMISSION. This document is submitted as: ✔ Initial submission of Contractor Standards Pledge of Compliance Initial submission of Contractor Standards Pledge of Compliance as part of a Cooperative agreement Initial submission of Contractor Standards Pledge of Compliance as part of a Sole Source agreement Update of prior Contractor Standards Pledge of Compliance dated . City of San Diego CONTRACTOR STANDARDS Attachment "A" Provide additional information in space below. Use additional Attachment “A” pages as needed. Each page must be signed. Print in ink or type responses and indicate question being answered. I have read the matters and statements made in this Contractor Standards Pledge of Compliance and attachments thereto and I know the same to be true of my own knowledge, except as to those matters stated upon information or belief and as to such matters, I believe the same to be true. I certify under penalty of perjury that the foregoing is true and correct. Print Name, Title Signature Date Contractor Standards Form Revised: April 5, 2018
TYPE OF SUBMISSION. This document is submitted as: Pledge of Compliance Initial submission. OR Update to prior Pledge of Compliance dated 01 / 09 / 2020 Complete all questions and sign below. Under penalty of perjury under the laws of the State of California, I certify that I have read and understand the questions contained in this Pledge of Compliance, that I am responsible for completeness and accuracy of the responses contained Xxxxx Xxxxx / (000) 000-0000 Xxxxx@xxxxxxxxxx.xxx 0000 Xxxxxxx Xxxxxxx Xxxx, Xxxxx 000, Xxxxxxxx, XX 00000 9/21/2021 $63,360 Review of RFQ, electrical design, site visits, drawings and specifications, review of DB Contractor deliverable 10.1% Xxxx Xxxxxxxx / (000) 000-0000 xxxxxxxxx@Xxxxxxxx.xxx 000 Xxxxxxx Xxx, Vista, CA 92083 9/21/2021 $34,850 Cost estimating 5.6% EXHIBIT G herein, and that all information provided is true, full and complete to the best of my knowledge and belief. I agree to provide written notice to the Purchasing Agent within five (5) business days if, at any time, I learn that any portion of this Pledge of Compliance requires an updated response. Failure to timely provide the Purchasing Agent with written notice is grounds for Contract termination. I, on behalf of the firm, further certify that I and my firm will comply with the following provisions of SDMC section 22.3004:
TYPE OF SUBMISSION. This document is submitted as: ✔ Initial submission of Contractor Standards Pledge of Compliance Initial submission of Contractor Standards Pledge of Compliance as part of a Cooperative agreement Initial submission of Contractor Standards Pledge of Compliance as part of a Sole Source agreement Update of prior Contractor Standards Pledge of Compliance dated . ADMINISTRATION OCCUPATIONAL CATEGORY (1) Black or African American (2) Hispanic or Latino (3) Asian (4) American Indian/ Nat. Alaskan (5) Pacific Islander (6) White (7) Other Race/ Ethnicity (M) (F) (M) (F) (M) (F) (M) (F) (M) (F) (M) (F) (M) (F) Management & Financial Professional A&E, Science, Computer Technical Sales Administrative Support Services Crafts Operative Workers Transportation Laborers* *Construction laborers and other field employees are not to be included on this page Totals Each Column Grand Total All Employees Indicate by Gender and Ethnicity the Number of Above Employees Who Are Disabled: Disabled Non-Profit Organizations Only: Board of Directors Volunteers Artists TRADE OCCUPATIONAL CATEGORY (1) Black or African American (2) Hispanic or Latino (3) Asian (4) American Indian/ Nat. Alaskan (5) Pacific Islander (6) White (7) Other Race/ Ethnicity (M) (F) (M) (F) (M) (F) (M) (F) (M) (F) (M) (F) (M) (F) Brick, Block or Stone Masons Carpenters Carpet, Floor & Tile Installers Finishers Cement Masons, Concrete Finishers Construction Laborers Drywall Installers, Ceiling Tile Inst Electricians Elevator Installers First-Line Supervisors/Managers Glaziers Helpers; Construction Trade Millwrights Misc. Const. Equipment Operators Painters, Const. & Maintenance Pipelayers, Plumbers, Pipe & Steam Fitters Plasterers & Stucco Masons Roofers Security Guards & Surveillance Officers Sheet Metal Workers Structural Metal Fabricators & Fitters Welding, Soldering & Brazing Workers Workers, Extractive Crafts, Miners Totals Each Column Grand Total All Employees Indicate By Gender and Ethnicity the Number of Above Employees Who Are Disabled: Disabled
