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APPENDIX <br />ATTACHMENT D-4: CERTIFICATION OF NON-DISCRIMINATION BY <br />CONSULTANTS <br />CERTIFICATIONS <br />CITY OF SANTA ANA <br />REQUEST FOR PROPOSALS <br />FOR <br />ON -CALL ENGINEERING SERVICES <br />RFP NO.: 14.037 <br />As suppliers of goods or services to the City of Santa Ana, the Firm listed below certifies that it <br />does not discriminate in its employment with regard to race, color, religion, sex, or national <br />origin; that it is in compliance with all federal, state and local directives and executive orders <br />regarding non-discrimination in employment and including, but not limited to, what is listed in <br />the Non -Discrimination Clause in Exhibit 10-V per: <br />http://www.dot.ca.qov/hq/LocalProgram s/lam/forms/chapterl O/ 10v-2013-05-14. docx <br />and that it agrees to demonstrate positively and aggressively the principle of equal opportunity <br />in employment. The same shall apply and be included in all subconsultant agreements. <br />WE AGREE SPECIFICALLY: <br />1. To take affirmative steps to hire minority employees with the company. <br />2. To establish or observe employment policies within affirmative promotion opportunities <br />for minority persons at all job levels. <br />3. To communicate this policy to all persons concerned, including all company employees, <br />outside recruiting services, especially those servicing minority communities, and to the <br />minority communities at large. <br />FIRM RBFConsulting <br />TITLE OF PERSON <br />SIGNING S. Robert Kallenbaugh, PE; CEO <br />SIGNATURE <br />DATE Novemb <br />Please include any additional information available regarding equal opportunity employment <br />programs now in effect within your company. <br />THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PF <br />PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED <br />Santa Ana F <br />Page 30 <br />.17*9Z 1'&1l1rl <br />