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0 <br />CITY OF SANTA ANA <br />REQUEST FOR PROPOSALS <br />FOR <br />ENGINEERING SERVICES <br />RFP NO. 14 -069 <br />APPENDIX <br />ATTACHMENT D -4: CERTIFICATION OF NON- DISCRIMINATION BY <br />CONSULTANTS <br />CERTIFICATIONS <br />As suppliers of goods or services to the City of Santa Ana, the Firm listed below certifies that it <br />does not discriminate in its employment with regard to race, color, religion, sex, or national <br />origin; that it is in compliance with all federal, state and local directives and executive orders <br />regarding non - discrimination in employment and including, but not limited to, what is listed in <br />the Non - Discrimination Clause in Exhibit 10 -V per: <br />http://www.dot.ca.aov/ho/LocalProcirams/lam/forms/chapterl 0/1 Ov-201 3-05-14.docx <br />and that it agrees to demonstrate positively and aggressively the principle of equal opportunity <br />in employment. The same shall apply and be included in all sub - consultant agreements. <br />WE AGREE SPECIFICALLY: <br />To take affirmative steps to hire minority employees with the company. <br />2. To establish or observe employment policies within affirmative promotion opportunities <br />for minority persons at all job levels. <br />To communicate this policy to all persons concerned, including all company employees, <br />outside recruiting services, especially those servicing minority communities, and to the <br />minority communities at large. <br />FIRM NAME <br />TITLE OF PERSON SIGNING <br />SIGNATURE AND PRINTED NAME <br />DATE <br />Please include any additional information available regarding equal opportunity employment <br />programs now in effect within your company. <br />THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. <br />PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE. <br />M <br />