Form CAD-521 "Notice of Requirement for Affirmative Action to Ensure Equal Employment Opportunity (Executive Order 11246)" - Mississippi

What Is Form CAD-521?

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

Form Details:

  • Released on December 1, 2018;
  • The latest edition provided by the Mississippi Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CAD-521 by clicking the link below or browse more documents and templates provided by the Mississippi Department of Transportation.

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Download Form CAD-521 "Notice of Requirement for Affirmative Action to Ensure Equal Employment Opportunity (Executive Order 11246)" - Mississippi

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CAD-521
MISSISSIPPI DEPARTMENT OF TRANSPORTATION
Rev. 12-18
NOTICE OF REQUIREMENT FOR AFFIRMATIVE
ACTION TO ENSURE EQUAL EMPLOYMENT
OPPORTUNITY (EXECUTIVE ORDER 11246)
Mississippi Department of Transportation
Project No.
P.O. Box 1850
Jackson, MS 39215-1850
County
(Sub) Subcontract Request No.
I (We)
Prime Contractor on the above captioned
project in regard to proposed (sub) subcontracting of certain items of work to
(Sub) Subcontractor, hereby submit the following information regarding the heretofore mentioned (sub) subcontractor to comply
with the contract provisions of the NOTICE OF REQUIREMENT FOR AFFIRMATIVE ACTION TO ENSURE EQUAL
EMPLOYMENT OPPORTUNITY (EXECUTIVE ORDER 11246).
Name:
P.O. Box and/or Physical Address:
City, State and Zip Code:
Telephone Number:
(
)
Employer Identification Number:
Actual Dollar Amount of the Subcontract Agreement:
Estimated Starting Date:
Estimated Completion Date:
Geographical Area:
(List County, State and City if any portion of the contract is within the limits of an incorporated area)
Respectfully submitted,
Date
, 20
Prime Contractor
By:
Signature
Title
(Submit signed original and attach to Request for Permission to Subcontract, Form CAD-720)
CAD-521
MISSISSIPPI DEPARTMENT OF TRANSPORTATION
Rev. 12-18
NOTICE OF REQUIREMENT FOR AFFIRMATIVE
ACTION TO ENSURE EQUAL EMPLOYMENT
OPPORTUNITY (EXECUTIVE ORDER 11246)
Mississippi Department of Transportation
Project No.
P.O. Box 1850
Jackson, MS 39215-1850
County
(Sub) Subcontract Request No.
I (We)
Prime Contractor on the above captioned
project in regard to proposed (sub) subcontracting of certain items of work to
(Sub) Subcontractor, hereby submit the following information regarding the heretofore mentioned (sub) subcontractor to comply
with the contract provisions of the NOTICE OF REQUIREMENT FOR AFFIRMATIVE ACTION TO ENSURE EQUAL
EMPLOYMENT OPPORTUNITY (EXECUTIVE ORDER 11246).
Name:
P.O. Box and/or Physical Address:
City, State and Zip Code:
Telephone Number:
(
)
Employer Identification Number:
Actual Dollar Amount of the Subcontract Agreement:
Estimated Starting Date:
Estimated Completion Date:
Geographical Area:
(List County, State and City if any portion of the contract is within the limits of an incorporated area)
Respectfully submitted,
Date
, 20
Prime Contractor
By:
Signature
Title
(Submit signed original and attach to Request for Permission to Subcontract, Form CAD-720)