Company Form 3 for Lake County Indiana
BETA FOR County Forms - click the blue shadow buttons below to see a form by number. Click on The Expand link to show all data for your company or office. Yes, you can have multiple companies.

The first step is to create a Company (or Office if internal Lake County user) as most forms require Company information. Note that you will still have to have your forms notarized. This is beta software so Onyx is not responsible for errors, omissions, or bad data of any form. In other words, you use this at your own risk.

Create a Company (To create forms automatically)
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LAKE COUNTY FORM 3: July 1, 2020
County Form 3 - AFFIDAVIT OF EQUAL EMPLOYMENT AND AFFIRMATIVE ACTION

THIS IS TO ACKNOWLEDGE, that __________________________________________________________

of __________________________________________________________________

1. Has adopted a policy of Equal Employment and Affirmative Action in all aspects of employment.

2. Does NOT in its hiring, advancement, promotion, or any other condition of employment discriminate by reason of age, military service, race, religion, color, physical handicap, political affiliation, sex, national origin, or ancestry.

3. Certifies that its Affirmative Action and Equal Employment program is current and in compliance with all applicable Federal/State/Local laws and interpretative court decisions.

4. Acknowledges that if awarded the bid, breach of any Federal/State/Local Equal Employment and Affirmative Action provision of the United States of America, the State of Indiana, or the County of Lake may be regarded as a material breach of the contract.

5. Agrees to provide to the County of Lake a copy of its Equal Employment Opportunity and Affirmative Action program within ten (10) days of receipt of a written request.

6. Agrees to submit to the County of Lake, Affirmative Action Officer, upon request and prior to awarding of the bid written information regarding the minority ownership of the company.

SIGNED:

_______________________________________________________________

COMPANY NAME

_______________________________________________________________

COMPANY REPRESENTATIVE SIGNATURE

 

SUBSCRIBED AND SWORN to before me, a Notary Public in and for said County and

State, this _____ day of __________________, 20___.

_________________________________________________________

NOTARY PUBLIC

COMMISSION EXPIRES:________________________________

RESIDENT OF ____________ COUNTY