Form DC-130 "Re's EEO, on-The-Job Training and Dbe/Esbe and Sbe Checklist" - New Jersey

What Is Form DC-130?

This is a legal form that was released by the New Jersey Department of Transportation - a government authority operating within New Jersey. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 13, 2017;
  • The latest edition provided by the New Jersey Department of Transportation;
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Form DC-130 (03/13/2017)
NEW JERSEY DEPARTMENT OF TRANSPORTATION
RE’s EEO, ON-THE-JOB TRAINING AND DBE/ESBE AND SBE CHECKLIST
This checklist is a supplement to EEO information contained in the Construction Procedures Handbook. This checklist is applicable to Federal funded and 100% State funded projects. It
is designed to assist REs in obtaining appropriate documentation to assure Contractors’ compliance with the contract specifications. REs should review this checklist with their respective
Contractors before the start of work.
The Division of Civil Rights - Contract Compliance Unit will perform reviews to evaluate Contractors’ compliance with the contract EEO, DBE/ESBE or SBE and Training Provisions.
The RE shall maintain a file of required documentation. All such documentation is to be supplied by the Contractor and each subcontractor holding a subcontract of $10,000 or more for
Federally funded projects and $2,500 for State funded projects. This file should include all applicable items below with date received recorded.
DP NO:
PROJECT:
FED. PROJ.#
MINOR.GOAL _____% FEMALE GOAL _____% (Work Hours)
S
ubcontractors
Dates Received
Name of Prime
Name
Name
Name
Name
Name
Name
A copy of Prime Contractor's annual EEO Affirmative Action
1.
Program & Disadvantaged/Emerging/Small Business
Enterprise approval letter (the approval letter also covers
company EEO policy statement, designation of company
EEO Officer & Approval of D/ESBE Affirmative Action
Plan.) There is one approval letter issued for the prime
contractor.
A copy of the subcontractor's annul EEO Affirmative Action
2.
Program annual approval letter for each subcontractor holding a
subcontract of $2,500/$10,000 or more.
Page 1 of 8
Form DC-130 (03/13/2017)
NEW JERSEY DEPARTMENT OF TRANSPORTATION
RE’s EEO, ON-THE-JOB TRAINING AND DBE/ESBE AND SBE CHECKLIST
This checklist is a supplement to EEO information contained in the Construction Procedures Handbook. This checklist is applicable to Federal funded and 100% State funded projects. It
is designed to assist REs in obtaining appropriate documentation to assure Contractors’ compliance with the contract specifications. REs should review this checklist with their respective
Contractors before the start of work.
The Division of Civil Rights - Contract Compliance Unit will perform reviews to evaluate Contractors’ compliance with the contract EEO, DBE/ESBE or SBE and Training Provisions.
The RE shall maintain a file of required documentation. All such documentation is to be supplied by the Contractor and each subcontractor holding a subcontract of $10,000 or more for
Federally funded projects and $2,500 for State funded projects. This file should include all applicable items below with date received recorded.
DP NO:
PROJECT:
FED. PROJ.#
MINOR.GOAL _____% FEMALE GOAL _____% (Work Hours)
S
ubcontractors
Dates Received
Name of Prime
Name
Name
Name
Name
Name
Name
A copy of Prime Contractor's annual EEO Affirmative Action
1.
Program & Disadvantaged/Emerging/Small Business
Enterprise approval letter (the approval letter also covers
company EEO policy statement, designation of company
EEO Officer & Approval of D/ESBE Affirmative Action
Plan.) There is one approval letter issued for the prime
contractor.
A copy of the subcontractor's annul EEO Affirmative Action
2.
Program annual approval letter for each subcontractor holding a
subcontract of $2,500/$10,000 or more.
Page 1 of 8
Form DC-130 (03/13/2017)
RE’s EEO, ON-THE-JOB TRAINING AND DBE/ESBE AND SBE CHECKLIST
Dates Received
S
ubcontractors
Name of Prime
Name
Name
Name
Name
Name
Name
For Prime Contractor, copy of Notice of EEO Officer for each
3.
specific project and DBE/ESBE Liaison Officer. Their names,
addresses and telephone numbers must be included. The above
may be incorporated in one notice which must be posted on the
project site and where applicants for employment apply.
4. For Prime Contractor, and subcontractors, copies of EEO
Policy commitment letters, signed and dated and referenced
to the specific project to employment referral agencies such
as: public and private employment agencies, State
employment services, minority-oriented organizations,
educational and vocational institutions, and other recruitment
sources in the project locale.
For Prime Contractor and subcontractors, copies of EEO policy
5.
commitment letters to unions must be posted in area (s) readily
accessible to employees and applicants for employment. Also
these letters must include request for unions’ cooperation and a
reply. These letters must be signed, dated and reference the
specific project.
A. Unions reply.
(Also to be posted as in 5.) Must be signed, dated and
reference the specific project.
Page 2 of 8
Form DC-130 (01313/2017)
RE’s EEO, ON-THE-JOB TRAINING AND DBE/ESBE AND SBE CHECKLIST
Dates Received
Subcontractors
Name of Prime
Name
Name
Name
Name
Name
Name
6.
Documents which indicate that the Contractor/subcontractor is
an “Equal Opportunity Employer” e.g., employee applications,
advertisements, payroll checks or envelopes showing the “Equal
Opportunity Employer” legend. Other literature may include
employee handbooks, bulletin board displays, and other
appropriate communication media.
Record of minutes or letter indicating Prime Contractor provided
7.
EEO orientation to all project supervisory and office personnel at
the start of construction and at least every six months thereafter.
(The Contractor should invite the RE and all subcontractors to
these meetings. If a subcontractor does not attend they are to
hold their own meeting and document it.) Must include date of
_______
_______
_______
_______
_______
_______
_______
meeting, list of attendees, including project supervisory
Start
Start
Start
Start
Start
Start
Start
personnel, specific items discussed.
______
_______
_______
_______
_______
_______
_______
6 months
6 months
6 months
6 months
6 months
6 months
6 months
8.
Document or record indicating that the EEO officer or his
representative has made periodic EEO on-site inspections of
general working conditions; including employee interviews to
uncover complaints of discrimination, wage disparity or other
unfair treatment of site personnel. (The EEO officer should
make EEO inspections during the 1
month of construction and
st
every month thereafter and submit a memo of record to the RE.
On short-duration jobs of less than six months, such inspections
st
should be held at least once during the 1
month of construction
and at the 50% stage.) Must include date of inspection, who
performed the inspection, names of employees interviewed, and
findings of inspection.
Page 3 of 8
Form DC-130 (03/13/2017)
RE’s EEO, ON-THE-JOB TRAINING AND DBE/ESBE AND SBE CHECKLIST
Dates Received
Subcontractors
Name of Prime
Name
Name
Name
Name
Name
Name
9.
A “running-log” of all minorities and females who perform
work during the course of the project must be submitted
monthly. (The names, addresses, job classifications, sex, ethnic
group, dates started and the date and cause for termination must
be included.)
10. A log of “walk-in applicants” is to be submitted monthly.
(This must include names, addresses, telephone numbers, ethnic
group, sex, type of work sought, date of application and
disposition of applicant.)
11. Appropriate EEO and Labor/Wage Rate posters must
be prminently displayed on the project site and where
applicants for employment and all project workers
will see them. Note: there are different posters for
Federal funded projects, and State funded projects.
Any area where there is a box for contact info MUST
display the contact information for NJDOT, not the
prime contractor.
Page 4 of 8
Form DC-130 (03/13/2017)
RE’s EEO, ON-THE-JOB TRAINING AND DBE/ESBE AND SBE CHECKLIST
Indicate Contractor
Report
Date
GOALS
Inst.
Report
Date
GOALS
Inst.
Report
Date
Craft (s)
Inst.
and subcontractors
Month
Rec’d.
NOT MET
Date
Month
Rec’d.
NOT MET
Date
Month
Rec’d.
Not Met
Date
12. Received E-Mail notification from
Contractor and/or subcontractor
indicating submittal of monthly
employment and wage data to the
Department via the web based
application using the electronic Form
CC-257R Report. Form CC-257R
must be submitted via the web based
application within 10 days following
the end of the month. To verify and
ensure compliance, each month the
Contractor and each subcontractor
must also submit a printed “hard
copy” of the electronic CC-257R
Report to the RE., and an E-mail
Confirmation receipt. Submission of
this report also satisfies the
requirement of the FHWA Form 1391.
Indicate: Month of Report, Date
Received, Craft (s) in which goals are not
being met, and date of your documented
instructions to Contractor (s).
Page 5 of 8