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

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