Form BOEM-2033 "Equal Opportunity Compliance Report Certification"

What Is Form BOEM-2033?

This is a legal form that was released by the U.S. Department of the Interior - Bureau of Ocean Energy Management on February 1, 2020 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 1, 2020;
  • The latest available edition released by the U.S. Department of the Interior - Bureau of Ocean Energy Management;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form BOEM-2033 by clicking the link below or browse more documents and templates provided by the U.S. Department of the Interior - Bureau of Ocean Energy Management.

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Download Form BOEM-2033 "Equal Opportunity Compliance Report Certification"

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U.S. Department of the Interior
Bureau of Ocean Energy Management
Solicitation, Serial, or Company
Miscellaneous Number, and Offering Name.
EQUAL OPPORTUNITY
COMPLIANCE REPORT CERTIFICATION
In accordance with 41 CFR 60-1.7(b) and Executive Order No. 11246 of September 24, 1965, as amended,
the following certification will be completed by prospective contractors and subcontractors.
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
1. Have you participated in any contractual agreement that contained the Equal Opportunity Clause?
Yes
No (If “yes”, answer question 2).
__________________________________________________________________________________________________________________________________
2. Were you required, pursuant to the regulations on Equal Opportunity (41 CFR 60-1) to file a compliance
report* as a result of such contractual agreements?
Yes
No (If “yes”, answer question 3).
_________________________________________________________________________________________________________________________________
3. Did you file the compliance report as required?
Yes
No
_________________________________________________________________________________________________________________________________
In the event any work under this proposed contractual agreement is subcontracted, I will secure this same
certification (paragraphs 1 though 3 hereof) from proposed subcontractors prior to award of any subcontract.
__________________________________________
__________________________________________
(Name of Bidder)
(Signature of Authorized Officer)
__________________________________________
___________________________________________
(Qualification Number of Bidder)
(Name)
___________________________________________
(Title)
___________________________________________
(Date)
_______________________________________________________________________________________
*All employers with 50 or more employees who are covered by Executive Order No. 11246, i.e., holders of
Federal Government contracts, subcontracts, or Federally assisted construction contracts or subcontracts,
amounting to more than $50,000; and holders of Federal Government bills of lading, depositories of Federal
Government funds, or issuing and paying agents of U.S. Savings Bonds and Notes in any amount are
required to file SF-100.
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Title 18 U.S.C. Section 1001, makes it a crime for any person knowingly and willfully to make to any department or agency of the
United States any false, fictitious, or fraudulent statements or representations as to any matter within its jurisdiction.
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
The Paperwork Reduction Act of 1995 (44 U.S.C. 3501 et seq.) requires us to inform you that this information is collected to
comply with regulations in 41 CFR 60. This information is used to confirm compliance with those regulations and is not
considered information collection under 5 CFR 1320.3(h)(1).
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
(February 2020 - s
Form BOEM-2033
upersedes all previous editions of this form which may not be used.)
Page 1 of 1
U.S. Department of the Interior
Bureau of Ocean Energy Management
Solicitation, Serial, or Company
Miscellaneous Number, and Offering Name.
EQUAL OPPORTUNITY
COMPLIANCE REPORT CERTIFICATION
In accordance with 41 CFR 60-1.7(b) and Executive Order No. 11246 of September 24, 1965, as amended,
the following certification will be completed by prospective contractors and subcontractors.
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
1. Have you participated in any contractual agreement that contained the Equal Opportunity Clause?
Yes
No (If “yes”, answer question 2).
__________________________________________________________________________________________________________________________________
2. Were you required, pursuant to the regulations on Equal Opportunity (41 CFR 60-1) to file a compliance
report* as a result of such contractual agreements?
Yes
No (If “yes”, answer question 3).
_________________________________________________________________________________________________________________________________
3. Did you file the compliance report as required?
Yes
No
_________________________________________________________________________________________________________________________________
In the event any work under this proposed contractual agreement is subcontracted, I will secure this same
certification (paragraphs 1 though 3 hereof) from proposed subcontractors prior to award of any subcontract.
__________________________________________
__________________________________________
(Name of Bidder)
(Signature of Authorized Officer)
__________________________________________
___________________________________________
(Qualification Number of Bidder)
(Name)
___________________________________________
(Title)
___________________________________________
(Date)
_______________________________________________________________________________________
*All employers with 50 or more employees who are covered by Executive Order No. 11246, i.e., holders of
Federal Government contracts, subcontracts, or Federally assisted construction contracts or subcontracts,
amounting to more than $50,000; and holders of Federal Government bills of lading, depositories of Federal
Government funds, or issuing and paying agents of U.S. Savings Bonds and Notes in any amount are
required to file SF-100.
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Title 18 U.S.C. Section 1001, makes it a crime for any person knowingly and willfully to make to any department or agency of the
United States any false, fictitious, or fraudulent statements or representations as to any matter within its jurisdiction.
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
The Paperwork Reduction Act of 1995 (44 U.S.C. 3501 et seq.) requires us to inform you that this information is collected to
comply with regulations in 41 CFR 60. This information is used to confirm compliance with those regulations and is not
considered information collection under 5 CFR 1320.3(h)(1).
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
(February 2020 - s
Form BOEM-2033
upersedes all previous editions of this form which may not be used.)
Page 1 of 1