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Form 1140-d Bid or invitation number or othrr <br />(November 1973) identification: <br />UNITED STATES <br />DEPARTM1fENT OF THE INTERIOR <br />• BUREAU OF LAND SiA~fAGEMENT <br />EQUAL OPPORTUNITY <br />COMPLIANCE REPORT CERTIFICATION <br />In accordance with 41 CFR 60-1.7(b) and Executive Orde: No. 11246 of September 24, 1965, as amended, <br />the following certification will be completed by prospective contractors and subcontractors. <br />1. Have you participated in any contractual agreement which contained the Equal Opportune[., Clause? <br />Yes U No (f/ "yes," answer question ') <br />2. Were you required pursuant to the regulations on Equal Opportunity (41 CFR 60-1) to file a compliance <br />** report' as a result of such contractual agreeme;rts? ~ Yes ~ No (!/ "yes," m:,rrcr :)uesrwn 3) <br />3. Did you file the compliance report as required ~ Yes `_; No <br />In the event any work under this proposed contractual agreement is subcontracted, 1 will secure this same <br />certification (paraS:apF.s I tbroe•Ab 3 5rrro/) from proposed subcontractors prior to award of any subco-tract. <br />** Form 100 (EEO-1) has been submitted annually since incorporation. (1974) <br />This form was submitted as a general reyt~i.rement of Executive Order 11246 <br />and not as a specific response to a contractual agreement with a contra.:tin~ <br />• 3genty. <br />4festern Slope Carbon, Inc <br />(Name of Brdder) <br />r <br />(Signature of Authorrz ed Officer) <br />EEO COORDINATOR <br />(Title) <br />\All employers with 50 or more employees who are <br />• towered by Eset ut eve Order No. 1124ti. i.e. huldGrs <br />of Frdural Government contracts, subc ontra<t s. or <br />Frde:ally asses rrd cons:ruction corttrac';s or subcon- <br />tracts. amount rng to more than f50,000, and holders of <br />7-19-78 <br />_ _____ _(Darr) _ _ <br />Fed oral Government bills o! lading. Ce poet[ ~r ~-s of <br />Federal Government funds, or issuing and p+>rnv n,:e nts <br />o[ U.S. Sa vrn gs Bonds and Notes in any amount are <br />required to lilt SF-l00. <br />GPO \! I.3J\ <br />