Form Cad 521 PDF Details

Form Cad 521 is a construction form that is used to document the results of a material inspection. There are specific guidelines that must be followed in order to use this form correctly. In this blog post, we will discuss the purpose and use of Form Cad 521, as well as some tips for completing it accurately. We hope you find this information helpful!

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Form NameForm Cad 521
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesCAD 521 Notice of Requirement for Affirmitive Action mdot cad 521 form

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CAD-521

MISSISSIPPI DEPARTMENT OF TRANSPORTATION

Rev. 3-07

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 proposing to (sub) subcontract certain items of work to

 

 

 

 

(Sub) Subcontractor, hereby submit the following information regarding the heretofore mentioned (sub) subcontractor to comply with the contract provisions regarding Executive Order 11246 as duplicated on the reverse side of this form.

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)

(See Reverse Side)

NOTICE OF REQUIREMENT FOR AFFIRMATIVE ACTION TO ENSURE EQUAL EMPLOYMENT OPPORTUNITY (EXECUTIVE ORDER 11246)

1.The Offeror's or Bidder's attention is called to the “Equal Opportunity Clause” and the “Standard Federal Equal Employment Opportunity Construction Contract Specifications” set forth herein.

2.The goals and timetables for minority and female participation, expressed in percentage terms for the Contractor's aggregate workforce in each trade on all construction work in the covered area, are as follows:

Timetables

Goals for female

 

participation in

 

each trade

 

(percent)

From April 1, 1978 until March 31, 1979

3.1

From April 1, 1979 until March 31, 1980

5.1

From April 1, 1980 until March 31, 1981

6.9

Until further notice

Goals for minority

 

participation for

 

each trade (percent)

SHSA Cities:

 

Pascagoula - Moss Point

16.9

Biloxi - Gulfport

19.2

Jackson

30.3

SMSA Counties:

 

Desoto

32.3

Hancock, Harrison, Stone

19.2

Hinds, Rankin

30.3

Jackson

16.9

Non-SMSA Counties:

 

George, Greene

26.4

Alcorn, Benton, Bolivar, Calhoun, Carroll, Chickasaw,

 

Clay, Coahoma,Grenada, Itawamba, Lafayette, Lee,

 

Leflore, Marshall, Monroe, Montgomery, Panola,

 

Pontotoc, Prentiss, Quitman, Sunflower, Tallahatchie,

 

Tate, Tippah, Tishomingo, Tunica, Union,

 

Washington, Webster, Yalobusha

26.5

Attala, Choctaw, Claiborne, Clarke, Copiah, Covington,

 

Franklin, Holmes, Humphreys, Issaquena, Jasper, Jefferson,

 

Jefferson Davis, Jones, Kemper, Lauderdale, Lawrence,

 

Leake, Lincoln, Lowndes, Madison, Neshoba, Newton,

 

Noxubee, Oktibbeha, Scott, Sharkey, Simpson, Smith,

 

Warren, Wayne, Winston, Yazoo

32.0

Forrest, Lamar, Marion, Pearl River, Perry, Pike,

 

Walthall

27.7

Adams, Amite, Wilkinson

30.4

These goals are applicable to all the Contractor's construction work (whether or not it is Federal or federally assisted) performed in the covered area. If the contractor performs construction work in a geographical area located outside of the covered area, it shall apply the goals established for such geographical area where the work is actually performed. With regard to this second area, the contractor also is subject to the goals for both its federally involved and nonfederally involved construction.

The Contractor's compliance with the Executive Order and the regulations in CFR Part 60-4 shall be based on its implementation of the Equal Opportunity clause, specific affirmative action obligations required by the specifications set forth in 41 CFR 60-4.3(a), and its efforts to meet the goals. The hours of minority and female employment and training must be substantially uniform throughout the length of the contract, and in each trade, and the Contractor shall make a good faith effort to employ minorities and women evenly on each of its projects. The transfer of minority or female employees or trainees from Contractor to Contractor or from project to project for the sole purpose of meeting the Contractor's goals shall be a violation of the contract, the Executive Order and the regulations in 41 CFR Part 60-4. Compliance with the goals will be measured against the total work hours performed.

3.The Contractor shall provide written notification to the Director of the Office of Federal Contract Compliance Programs within 10 working days of award of any construction subcontract in excess of $10,000 at any tier for construction work under the contract resulting from this solicitation. The notification shall list the name, address and telephone number of the subcontractor, employer identification number of the subcontractor, estimated dollar amount of the subcontract; estimated starting and completion dates of the subcontract; and the geographical area in which the subcontract is to be performed.

4.As used in this Notice, and in the contract resulting from this solicitation, the “covered area” is to the county and city (if any), stated in the advertisement.

5.The notification required in Paragraph 3 shall be addressed to the

following:

Contract Compliance Officer (74-01)

Mississippi Department of Transportation

P.O. Box 1850

Jackson, Mississippi 39215-1850

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This document will require particular data to be typed in, therefore make sure you take your time to fill in exactly what is required:

1. Fill out the Form Cad 521 with a selection of major blank fields. Collect all the necessary information and be sure nothing is overlooked!

Tips to prepare Form Cad 521 part 1

2. Soon after this section is completed, go to enter the suitable information in all these - Name PO Box andor Physical Address, List County State and City if any, Respectfully submitted Date, Prime Contractor, Signature, Title, Submit signed original and attach, and See Reverse Side.

Find out how to prepare Form Cad 521 step 2

People generally make some errors while filling out Prime Contractor in this area. Be sure to read again what you enter here.

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