sub-contractor pre-qualification questionnaire for ... - STV Group, Inc.

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ev. 6.12.201310. Trade Union OR Apprenticeship Program Affiliation:List any trade union OR Apprenticeship Program affiliations your firm may have:11. Affirmative Action Plan and/or Apprentice Programs:Firms must demonstrate participation in a New York State approved apprenticeship program that has at least one graduate and/or having an established and recognizedaffirmative action plan. If yes, supply supporting documentation.Examples of supporting documentation are: a letter from the New York State Department of Labor stating that your firm has participated in an approved apprenticeprogram that has met the criteria listed above; or a copy of a signed union contract.Apprenticeship programs must be appropriate to the work to be performed under the proposed categories of work.YesNoProvide a response to all questions. Attach additional sheet(s) of paper to this application as needed to respond fully to all questions.Page 12 of 14
ev .6.12.201312. Enterprise Programs:IT IS THE OBJECTIVE OF NEW YORK CITY HOUSING AUTHORITY (NYCHA) TO ENSURE THAT ALL BUSINESSES HAVE AN EQUAL OPPORTUNITY TO PARTICIPATE IN ALLASPECTS OF NYCHA'S PROCUREMENT OF ALL GOODS AND SERVICES WITHOUT REGARD TO RACE, COLOR, RELIGION, MILITARY SERVICE, NATIONAL ORIGIN, SEX,AGE, DISABILITY, MARITAL STATUS, OR SEXUAL ORIENTATION OF THE OWNERS, PARTNERS OR STOCKHOLDERS. FURTHER, NYCHA IS COMMITTED TO ACHIEVEMAXIMUM PARTICIPATION OF MINORITY, WOMEN, AND SMALL BUSINESS ENTERPRISES (MWSBEs) IN NYCHA PROCESS OF AWARDING CONTRACTORS FOR GOODSAND SERVICES.PLEASE CHECK HERE IF THE FOLLOWING DOES NOT APPLY TO YOUR BUSINESS1 IS THE BUSINESS AT LEAST FIFTY-ONE (51%) OWNED, CONTROLLED AND OPERATED BY (or in case of publicly owned business at least fifty-one of thestock owned by) CITIZENS OR PERMANENT RESIDENT ALIENS WHO ARE (Please Check All That Apply):ASIAN / PACIFIC - ASIANS AND PACIFIC ISLANDERS AMERICAN PERSONSHAVING ORIGINS IN ANY OF THE FAR EAST COUNTRIES.SOUTH EAST ASIA, THE INDIAN SUBCONTINENT OR THEPACIFIC ISLANDSBLACK -HASIDIC JEWSWOMENBLACK PERSONS HAVING ORIGINS IN ANY OF THEBLACK AFRICAN RACIAL GROUPSHISPANIC - HISPANIC PERSONS OF MEXICO, PUERTORICAN, DOMINICAN, CUBAN, CENTRALAMERICAN OR SOUTH AMERICAN DESCENTOF EITHER INDIAN OR HISPANIC ORIGIN,REGARDLESS OF RACENATIVE AMERICAN - NATIVE AMERICAN OR ALASKANNATIVE PERSONS HAVING ORIGINS INANY OF THE ORIGINAL PEOPLES OFNORTH AMERICAN2 CERTIFIED AS MBE, WBE, SBE OR ROB: IS THE BUSINESS CERTIFIED AS ANY OF THE FOLLOWING TYPES OF BUSINESS BY A NEW YORK STATEGOVERNMENT AGENCY OR AUTHORITY? IF YES, ATTACH COPIES OF ALL SUCH CERTIFICATIONS.MINORITY - OWNED BUSINESS ENTERPRISE (MBE) YES NO SMALL BUSINESS ENTERPRISE (SBE) YES NOWOMEN - OWNED BUSINESS ENTERPRISE (WBE) YES NO RESIDENT OWNED BUSINESS (ROB) YES NOProvide a response to all questions. Attach additional sheet(s) of paper to this application as needed to respond fully to all questions.Page 13 of 14
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Page 3 and 4: ev .6.12.20131. Experience and Refe
Page 5 and 6: ev .6.12.20133. Financial Strength
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Page 9 and 10: ev .6.12.20137. Safety:(a) Workers
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sub-contractor pre-qualification questionnaire for ... - STV Group, Inc.

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