Fillable Yes No (If yes, answer question 2). (Minerals Management Service)

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Yes No (If yes, answer question 2). (Minerals Management Service)

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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)
(Qualification Number of Bidder)
(Signature of Authorized Officer)
(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).
Form BOEM-2033
(February 2020 - supersedes all previous editions of this form which may not be used.) Page 1 of 1
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Completed 26 September 2021

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