AAP 49
(04/06) CIVIL RIGHTS COMPLIANCE REVIEW REPORT
REGION: / COUNTY: / CONTRACT NO: D / TOTAL CONTRACT BID AMT:$
NAME AND ADDRESS OF CONTRACTOR:
[Name]
[Address]
[City, State zip] / CONTRACT DESCRIPTION:
[from contract proposal]
NAME/TITLE OF DBE OFFICER: / NAME/TITLE OF EEO OFFICER: / NAME/TITLE OF CONTRACT SITE EEO REP:
CONTRACT AWARD DATE: / ESTIMATED COMPLETION DATE: / ANTICIPATED PEAK EMPLOYMENT DATES:
From: to:
EEO Goal (Minority) ____ % / Representation _____ % / EEO Goal (Women) ____ % / Representation _____ %
DBE Goal ____ % / Goal Amount $ ______/ Commitment $ ______/ Participation to Date $ _____
ON-SITE VERIFICATION DATE:
/ IS A WRITTEN AFFIRMATIVE ACTION PLAN AVAILABLE? [ ] YES [ ] NO
On-Site Verification:
Yes / No / N/A
Are required posters conspicuously displayed?
Has outreach been done?
Have facilities been provided on a secure and non segregated basis?
Are prescribed equal employment opportunity clauses included in all applicable purchase orders, sub-contracts, and collective bargaining union agreements?
Are applications for employment accepted, and are selections in effect made, without regard to race, color, religion, sex or national origin?
Are transfer, wage, training, workforce development, promotion and other employment practices achieving equal employment results?
NARRATIVE
Description:
[Local demographics, unusual conditions that may affect compliance (material intensive contract, specialized methods, remote location, etc.). For union contractors, mention what Union Locals are actively supplying workers to the contract.]
EEO/Nondiscrimination:
[EEO Goals and utilization, analysis of GFE, corrective actions, policies/plans/handbooks, on-site observations, and interviews. Final summary paragraph with corrective actions, if needed.]
DBE:
[Goals and utilization, analysis of any CUF violations, corrective actions. Status of payments to DBEs (current/delinquent). Final summary paragraph with corrective actions, if needed.
DBEs maintained a separate and independent workforce and supervision. All DBEs performed commercially useful functions. DBEs independently provided more than 50% of the equipment used to complete their work, and documented the cost of any equipment obtained from the Contractor, other Subcontractors or their affiliates. Materials used by DBEs were ordered and paid for by those DBEs.]
Training:
[Training goals and utilization, analysis of GFE, corrective actions, policies/plans/handbooks, on-site observations, and interviews. Final summary paragraph with corrective actions, if needed.]
Determination/Corrective Action /Show Cause:
[If the final determination is in compliance:
Based on the formal civil rights compliance review conducted, the contractor was found to be in compliance.]
[If the final determination is Noncompliance, include a chronology of corrective actions and follow-ups. Make reference to what areas are in noncompliance]
Civil Rights Compliance Review Conducted By:
In Compliance Noncompliance
Date:
Regional Compliance Specialist
Reviewed By: (Include commentary memo if non concurrence)
Concur Non concur
Date:
Regional Construction Engineer
Concur Non Concur
Date:
Office of Construction