CITY OF NEW YORK DEPARTMENT OF DESIGN AND CONSTRUCTION

 EMPLOYEES’ COMPENSATION DIVISION LABOUR DEPARTMENT STATEMENT OF
BILL LOCKYER STATE OF CALIFORNIA ATTORNEY GENERAL DEPARTMENT OF
  COMMITTEE ASSISTANCE DEPARTMENT INTERNATIONAL & ENVIRONMENTAL PLANNING

  US DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION
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STATE OF WISCONSIN DEPARTMENT OF ADMINISTRATION DIVISION OF ENTERPRISE

Subcontractor's Non-Discrimination Certificate

CITY OF NEW YORK

DEPARTMENT OF DESIGN AND CONSTRUCTION

Division of INfrastructure


SUBCONTRACTOR’S CERTIFICATE OF COMPLIANCE

WITH NON-DISCRIMINATION PROVISIONS OF THE CONTRACT

(Subcontractors and Subconsultants must attach this form to each payment requisition.)





In accordance with the provisions of this Contract relating to non-discrimination, it is hereby certified that I/we have complied with the provisions of Section 6-108 of the Administrative Code of the City of New York, Executive Order 50 (1980) as revised, and with the non-discrimination provision of Section 220e of the New York State Labor Law in the performance of any work in connection with this Contract.







Contract Registration Number Name of Subcontractor (Print)



Date Signature, Member of Firm or Officer of Corporation




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