State of Connecticut

Attachment II

The Seal of the Office of the State Comptroller

TO: All Potential Contractors
FROM: Jeffrey Holyst, Fiscal Administrative Manager II (860-702-3330)
RE: CONTRACT COMPLIANCE REQUIREMENTS

All contracts to be awarded are subject to contract compliance requirements mandated by Section 4-114a of the Connecticut General Statutes and, when the awarding agency is the state, Section 46a-71(d) of the Connecticut General Statutes. The awarding agency must consider the following factors when reviewing the bidder's qualifications under the contract compliance requirements; therefore, we are asking that the following information be provided:

  1. Contractor

    Name: _________________________________________________________________

    Address: _______________________________________________________________

    Telephone: _____________________________________________________________

    Principal Place of Business: ________________________________________________

  2. Subcontractor(s)

    Name: _________________________________________________________________

    Address: _______________________________________________________________

    Telephone: _____________________________________________________________

    Principal Place of Business: ________________________________________________

    Contact Person: _________________________________________________________

  3. Section 4-114a-3(10) Criteria

    Does the contractor have an Affirmative Action Plan? Yes ___ No ___

    If no, does the contractor plan to develop an Affirmative Action Plan? Yes ___ No ___

    Total Number of Employees? ________

    What percent of total employees are women? ________

    What percent of total employees are minorities? ________

    Does the contractor promise to set aside a portion of the Contract for minority business enterprises? Yes ___ No ___

    
    
    
    __________________________________________ ______________________________
    Signature and Title of Principal Officer Date

Back to Comptroller's Home Page