transportat10n― city garage coⅳimittee meeting

TRANSPORTAT10N― CITY GARAGE
COⅣ IMITTEE MEETING
AGENDA
DATE:
Monday,Apri1 21,2014
LOCATI()ヾ :City Hall Confercncc Room
TIME
4:00p m
I
CALL T0 0RDER
II
AblNOUNCE MEMBERS nヾ ATTENDANCE(VERIFY QUORUM)
IH
ADOPT10N OF TRANSPORTAT10N MNUTES:Janllary 27,2014
1V
DEPARTMENT REPORTS:
a
Ridcrship Janu暉 ,Fcbrtlaw and March 2014(Arthur Bing)
b
Financial Slatcmcllts Dcccmbcr 2013,Janu暉 ,Fcbruaり and March 2014
(Lorrainc Foust)
c
Disadvantagcd Busincss Entcrprisc Program(DBE)
d Equal Employmcllt OppOrluniけ (EEO)
c
Budgct FY 2014-2015
,
FTA Tricnnial Rcvicw August 4th -5th
g
V
Gaagc RcpOrt」 anu岬 ,Fcbruary andヽ イ
arch 2014
COMMITTEE ACT10N REQUIRED
DECEMBER 2013,JANUARY,FEBRUARY AND MARCH 2014 FINANCIAL STATEMENTS VOTE
VI
VII
C:TY COUNCIL ACTICN REQUIRED
ADJOURNMENT
VIII PUBLIC COMMENTS(5 minutcs cach)
Transportation Committee Meeting Minutes
Monday, January 27, 2014 4:00 P.M.
City Hall Conference Room
MEMBERS PRESENT: Marc Harris, Committee Chair
Deanna McLaughlin, Member
Kaye Jones, Member
Kip McNeill, lvlember
EIVPLOYEES PRESENTI
Jimmy Smith, Director
Arthur Bing, Transportation Deputy Director
Lorraine Foust, Financial Director
Lori Hart, Accountant
Randy Reese, Garage Manager
Barbara Black, Administrative Support Specialist
CALL
IO ORDER
The January 27rh meeting o{ the Transportation Committee was called to order by Chairman lvlarc
Harris at 4:00 P.M., in the City Hall Conference Room
MINUTES:
Chairman Harris called for a motion to accept the November 25, 20'13 minutes. A motion from irrs. Mclaughlin
was made and seconded by Mr. McNeill; followed by the Committee's unanimous approval.
Department Reports:
[rr. Bing reported the ridership report for November. He stated the system transported 61,.1 11 passengers. He
stated in November there were '1,160 can goods collected and donated to lranna Cafe. Ridership was down
from the previous November by '19%. [rr. Bing stated that the December report shows the system transported
56,624. New Yeais Eve Operations Safe Ride transported '155 and Warm Souls transported 266. Mr. Bing
stated again ridership was down 16010. [,Irs. McLaughlin stated it was much colder this year. Lilr. Smith added
that even though we've lost riders; we are breaking even on revenue. There were no questions regarding the
Ridership.
Mrs. Foust stated we have the November 2013 financial statement. She stated that the accounting office ran
into a bump in the road with MUNIS trying to get their reports and lust got it going again. lvrs. Foust stated that
they have to revise the way they present the report. She stated that the December 20'13 and January 20'14
should be ready for the next meeting. l\,lrs. Foust stated for November the CTS is under budget $60,815.65.
The areas that are under budget are wages, fringes and fuel. She stated that will pick up in December and
January during the holidays. Mrs. lrclaughlin stated Transit was the only one under budget in fuel. There were
no questions regarding the November 2013 financial statement. Chairman Harris entertained a motion to
approve the November 2014 financial statement.
Title Vl Plan 20'15-20171
The next item was a request to approve the Clarksville Transit System's three year Title Vl Program Plan FYs
2015-2017. Mr. Bang stated this was annually; now it's every three years. He stated the plan basically states
that we are not discriminating against anyone due to race, color or national origin. We are also working on the
Equal Employment Opportunity (EEO) and Disadvantage Business Enterprise (DBE) plans which are also on
three year cycles. There were no questions and Chairman Harris entertained a motion for approval.
1
Tennessee Code Annotated 4-3-7'11 Energy Division:
Chairman Harris stated next we have the Tennessee Code Annotated energy division selaside program for
petroleum products. l\,Ir. Smith stated several years back there was trouble getting fuel. Mr. Smith stated that
we talked about that a little back then. He stated several months ago fuel got a little tight and we only received
one bid; not price just availability. Mr. Smith stated that the Governor signed this legislation several weeks ago.
He stated that it put public transportation provideG across the state on the same playing field as police,
ambulance and flre. lf we have a fuel shortagei then we have priority in getting fuel.
Garage Report:
Chairman Harris slated that he wanted to commend Mr. Reese on his Green Certification. He did an
outstanding job. lvlr. Reese stated that the Garage employees work hard and do a good job. lrr. Reese
reported Novemberthe citywide vehicle expense totals was $53,522.43. He informed the members the total
gas and diesel totaled 40,164.76. Mr. Reese stated the off- site fueling (Fleet One) total cost was 28,091.99.
The Fuel Master cost was $119,144.38. There were 770.60 work hours. The parts cost was $49,348.20. lilr.
Reese stated the tire cost was $3,358.03. He reported there were 34,050.0 gallons of unleaded and 8,20'1.0
gallons of diesel fuel purchased. Mr. Reese stated the average unleaded price was $2.95 and diesel was $3.05
the end of November. Mr. Reese ended his report by stating $224,431.8'1 in requisitions turned into finance.
lvlr. Smith added on the Fleet One usage it is roughly $28,000 a month. Mr. Reese stated we pay $0.10 a
transaction. [rr. Smith stated if we had a couple of alternate fuel locationst over time it would pay for itself in
what we are paying for outside fuel purchases.
l\rr. Smith stated the Capital lmprovement is not on the agenda but I will bring you up to speed on it.
[Ir. Smith stated that he had inskucted Mr. Reese to put three hundred thousand in the Garage Capital
lmprovement budget for land purchase (Miller property) across 1'lth street from the existing Garage. He stated
we need to start to plan for growth. Mr. Smith stated the city will not pay more than the land is appraised. Mrs.
Mclaughlin suggested that it made sance to put a carwash bay at the alternate fueling locations while in the
planning stage. Mr. Smith stated he agreed.
COMITITTEE ACTION REOUIRED:
Mrs. McLaughlin motioned to approve the Transit's November 2013 financial statement. Mrs. Jones seconded.
The financials were unanimously approved.
Mr. l\rcNeill motioned to approve the Clarksville Transit System's Title Vl Program Plan for FYs 2015, 2016 and
2017. Mrs. McLaughlan seconded. The vote of approvalwas unanimous.
COUNCIL ACTION REQUIRED:
ADJOURNMENT:
Chairman Harris requested a motion to adjourn at 4:'18. Mrs. McLaughlin motioned with Mr. i,IcNeill seconding.
PUBLIC COMMENT:
Chairperson
Date
つ 一
Clarksvillo Transit Sysism JANUARY 2014 Ridership Roport
OД IE
DAY
F,x● d
D● ,コ ●●d
Roul●
F● ●oo● 3●
7●
3J‐
“
llJo■
J
「
螢
1脚 ●n m● ●
140o●
16J●●
1"ぃ
I"
W“
■
F"
“
lN● ● ■
20」 ●
● M●“
●
21● in l● ●
2」 ●o W“
2N● o ￢
17」 ●●
o
"
7●
25J●●
鑢
““
7● ●● 晰
23● o●
■●●
劉 oo W“
300● ● ■h●
31● ●It ,■
Toi●
―
…
C-71“
―
",`円
凛
、
、
529“
15●
17■
17●
2230
2340
2376
1“ 2
471,7 632(7
7872
5767
62944 71 11
`o9●
T,:JW"iday(■
FL
otal W● ●kond(Sal,
Fi、 ●
d
Ro口● Tot●
￨
2,8
D:"bbd
: ,う ,
20,7
237`
2411
2'23
:∼
2112
3912
33エ
heelcha,`s
347
Bi,■ L=
537
131●
1,24
2182
2102
2,田
22
14“
O
0
0
2221
1珊
「
21●
21“
2=И
2'71
mi釧
i-od
55356
興
Toi.b
Oct 12
814741
0c112
78899
3599
3348
M● 71H
2■ ●v20,2
CTSい ●tem RIdeら ヽip
嗜
才
、
197
0
1 385
2“
O
■ …
/臨「
Ja卜 ,3
273〔
2 1“
Satu′ d● yAv●
中
`¨
ユ¨
薇,
…
2086
MFハ Y2[o9。
2,35
0
0
0
2412
Jar1 14
)oilv Av● ●
●。o
¨
ヾ
■t=
￨●
′
1955
0
0
C
0
￨
0
0
0
0
O
O
O
0
0
0
0
C
O
O
O
"“●● F■
3」
“
ω ●●
場ぃ
“
"“
,J● ● I● ●
"" ●Tho
10■
●
t●
Sv,f● ,"
‐
…
I―
75¨
“
l‐
■¨
65m
ml
…
1" …
―
1ヽ
噂
ユ¨
l,l lr !t
”
¨
¨
―
Od Xov
"詢
0r ,x! r.a L
12-r'mB
iv“
rar
Lr
:`
12,
=1,,,
薔
CⅢ ,● ハ0,
●り
●● 14 ●,3● 11
'
型
¨
””
■
油
一
一
︼
︼
︼
︼
口
一¨
¨
ｍ
¨い
“ ，
山
¨
″﹂
“
”
¨
m`≠
5ヽ
“い
腋:
賀
;
rn
Clarksville Transit System FEBRUARY 20'14 Ridership Report
Demand
″′
χed
04 TE
1ギ ●b
3f● b
S● l
Mo●
1976
2386
oO
T● ●
W● d
ob
Tho
2353
2387
7ギ ●b
F■
2366
●b
鍮
4‐ F●
鮮
「
R● s∞
flA γ
b
1釧Ю
1298
1041● b ll● ● 2341
「 1lf● 0 ■●● 2091
12fob W● d 2341
13f● b Tho
2780
l● √●
● F‖
2361
1暫 ●b
17f● b
1731
鍮
腸 ●
●5
2.701
1
10f● b To●
1野 ●b W● ￨
2呼 ●b 7hu
21f●
2● 58
2333
2623
F●
22f● b 鎌
1 7“
24f● b 恥 ● 2α
2年 ob To● 2501“
2“ oし W“
22"
27千 ●b
200,
2“ 5
Th●
20F● ● F■
5四
"sa
59
50
113
109
120
116
00
110
10,
106
116
1∞
65
50
113
103
103
110
53
103
100
130
0
0
C
O
0
2“ Ю
0
0
2“ 1
D R Avettqo(Sat,
2731
1317
2712
2810
2429
2514
D R Total(MF)
0
0
O
O
O
O
O
0
0
0
0
121
0
0
0
12
Fixed Rout●
Feb‐ 13
し
F●
`4
2286
299:
4808:
2057
6372,
076:
54862
71 95:
1994
9238
8766
20,5
2006
2499
2432
2487
2482
1323
2469
2500
2446
2006
2451
1706
1075
2,19
0
0
0
0
54862
Tola13
0′
Serlco
3 1“
●d Routo Total
'ス
Sonior C liz● o3
Disablod
1 704
55C
24
Fob 14
Demond Ro,po口 ,。 (DR)
Foし lo
2146
2160
2343
2392
229
O R Total(Sat)
DR Total
17150
27o7
23%
57195
Rocord Totals
Oc■ 12
Oct 12
…
Maゃヽ
2■ ●v2012
で
衝“
"M“
"01
贖 312
● 1=
b)
“
餞
耐
=
31¨
d
"7-■
餞,
…
Crs Syrtem Ridelship
85¨
1ヽ
…
7ヽ aXl
コ
・・
・
70¨
,“
ml
`、
弓刊
¨
“
',IIX
sllmo
tul tu!
t?
od ioY D(r Ln t
…
lr.r &r
il:l hi
--flI0lt
Ｊ ﹁
+rY20u -.-RaD
M―
t
B喘
11=,,
=,14
`12
ビ
'
」
隋
…
・
"―
"
“
d―
1鱒
●●ぬ
ロ
暉“ “
―
躊
…
…
● じ
● らB
“ “
“
爾
G―
順
■ 日
衝 t●
“r/知 1
メ
=●
"
'“
●
●
￨● ●
2
Clarksville Transit System MARCH 2014 Ridership Report
F=、ed
0ハ 7E
Dハ γ
l M● ,
軸
鍛 ,
■ll● ,
Spec al
ure
珈
“1386
M● ●
949
7● ●
,Mo, W● d
1750
2070
●M● ,
2′ 24
43
6
2“ 5
58
62
105
112
iO M● ′ M● ●
1“8
2481
1“
11■ ●′ ru●
2406
1"
1 2Mar W● d
13‐ M● ′ Tho
1989
100
116
104
7M●
Th●
`
F■
8 M● ′
14‐
Mar
8● t
,71
1-′
諏
174●
` Moo●
10M●
` I●
10M● r W● d
204● , Thυ
21■ ●
`
F●
鍮
22 H● ,
2225
1737
2405
2426
2509
2603
2625
1540
2● H● ′ H● ●
2ハ
2,M● , 7● o
204,
2611● ,
2′
W● d
27M● , T“
2ト リL7 F■
29]14“ ●
TOta18
螢
Mbo
23,
269
0
0
1 772
10009
8841
2329
17“
96
●
2● 1
133
0
0
O
2550
2020
26●
2723
1“ 7
2302
01
68198
￨
2138
0
0
43
Routo Tot●
1'08
51
0
1 387
58763
2585
2355
0
2623
2798
9435
FIス od
O
123
“
105
105
105
2265
1298
2`03
1000
2152
2539
2000
4'
Mar 13
2117
2223
1648
46796
,55
0
O
123
103
Mar 14
1"
0
0
0
0
0
111
“
2,76
rOt,′
S´ fem
0
0
0
40
2239
ice
0
O
O
O
2169
2369
0
■370
O
0
0
2400
Oi“ bled
571
607
°
酪J製
￨]「 ■
2201
1 341
57373
Oct 12
Oct 12
Marつ4
・
C●
●●●′
Ю,t,",,
t'・
・
l“ "
¨
“
∝
Rt i
G―・ IM“ u
2‖ α 2012
輸
“ …
●t=
`“
CIS
3"¨
…
●t,
詢
"―
Syrt.nRid.rehip
¨
・・
脚“
75¨
“
71¨
6ヽ 中
¨
“ Ю
SSα
¨
'α
ル1“
="“
―
Fγ
NOVは
υロ ー
Ⅳ 20B
l■
■い
Fγ
臓
ヽ 7町
jO■
m14
″︱
●●■■珈
い
一
“
一¨
“
¨
ビ悧
双
¨
四
︻
¨
ｍ
(●
8,311
■
,Ⅲ 劇
"●
I●
●￨●
―
躊
“
…
…
暉
…
k● I
"“
WЮ
t● ●
0“
●■し 14 ●m● ●
“
l
CtARKSViLtF TRANSiT SYSTEM
CITV OF CLARKSViLLE TEN NESSEE
SuMMARY FlNANCIALSTAttEMENT
DECEMBER 2013
・
MONTHLV
ACTUALS
フ8191
PASSENG ER FARES
47′
SPECIAL TRANSiT FARES
12.50550
AuXILIARY TRANSPORTAT10N FUNDS
INTEREST REV[NU[
NON― TRANSPORTAT10N FUNDS
TOTAL D!RECTLY GENERATED FUNDS
FEDERAL ASSiSTANCE
STATE ASS STANCE
LOCAL ASSiSTANC[
5′
22519
3256
000
65,54516
Net Y‐ T‐ D
MONTHLV
BUDGET
34633
14′ 58333
50′
underBudget$
MONTHLV
VAR!ANCE
YEAR10-DATE
ACruAtS
YEAR‐ ■o‐ DATE
56442
305,81698
302,07802
2,07783
000
2000
41′ 47519
23730
0∞
57200
421,24947
2′
6,16667
(1173)
0 1Xl
16
5′
232.58800
86.46530
191,45601
89,34801
(41.13199)
1,346′
88271
494′
116,lXll1 69
119′
42541
3,424フ 2
2′
TOTAL FEDERAL/STATE/LOCAL ASST
435′
05399
41Xl,22943
(34,82456)
TOTAL ALL REVENUES
500,59915
471,34659
(29′
WAGES&FRINGFS
351.30472
347′
3′
SERVICES
FUEL AND tUBRICANTS
TIRES AND TUBES
OTHER MATER:ALS AND SUPPL〔 S
09516
6Q52117
19400
16′
28,63842
TOTAL OPERATING EXPENSES
59915
495,6フ 842
2/20/2014
37642
786′
21201
2′
8
13,06966
4,92073
3704
36406
DECCMB[R2013
99998
139′ 96794
51′
135,56187
2′
786.21201
76676
71.21458
491,16420
1,17502
93.41244
39,68758
4フ ′
フ
(12201)
2′
(4,47521)
(11228)
0∞
(197′ 51466}
41,70966
192′
21888
36,41388
41,86745
1,949′
89,81760
38,11628
99438
4′
55254
2′
45210
73594
716′
25256
(183)
500′
8.54466
148′
536.08794
401′
19583
69207
CASUALTV AND LIABI[ITY COSTS
5,45357
2′
81,85530
(3,73896)
426,70304
96254
69,36672
460.60014
VAR:ANCE
13,78002
364′
1,944.56026
27′
60895
7′
1′
VEAR‐ To‐ DATE
50002
36′ 99998
12502
0∞
87′
2′
72451
15.56876
6.61457
8,66667
23,32801
UT,LIT ES
MlSCELLANEOuS EXPENSE
58021
86907
25060
37828
524′ 33366
4,22609
(21′ 33413)
11′
BU DGET
73′ フ
94148
2083
71′ 11フ
S46,72292
838′
38850
(5,20650)
(1,84786)
(30,56406)
(72292)
(3,59484)
57130)
(4′ 26294)
4.40607
(1′
CtARKSVILLE TRANS:T SYSTEM
CITY OF CtARKSVILLE TENNESSEE
SuMMARV FINANCIAL STATEMENT
JANuARY 2014
・ NetY T― D underBudget $54,86296
MONTHLY
ACTUALS
PASSENGER FARES
50′
フ9330
SPECtAL TRANStT FARES
20′
08269
AUX LIARV TRANSPORTAT10N FUNDS
:N■ REST REVENUE
NON‐ TRANSPORTAT10N FUNDS
TOTAL DIREt:LY GENERATED FUNDS
FEDERAL ASSISTANCE
5,09999
76′
00532
223′ 64300
82′
LOCAL ASS STANCE
87,30027
52795
TOTAL FEDCRAL/STAT〔 /tOCAL ASST
393′
TOTAL ALL REVENUES
469′ 47654
WAGES&FRINGES
328,52471
8.27415
FUEL AND LUBRlCANTS
47122
CASUALTY AND LIAB L1lY COSTS
35841
4000
13′ 28485
00586
67657
M SCELLANEOuS EXPENSE
18,31199
TIRES AND TUBES
OTHER MATERIALS ANO SUPPLIES
uTlLlTIES
TOTAL OPCRATING EXPENSES
TOTAL(PROF T)LOSS
83′
MONTHLY
VEAR10‐ DATE
VAR!ANCE
ACTUALS
34633
14′ 58333
(5′
1666フ
1′
6′
2083
000
49936)
06668
(4,88816)
191′ 45601
(32′ 18699)
89,34801
119,42541
6.82006
32′ 12514
400′ 22943
471′ 34659
63021
11′ 86907
81′ 85530
19583
321′
6′ 75821
{3,40853)
14585
(12079)
00D
O CXl
497.25479
497′ 82020
56541
1′ 569′ 89860
1′ 340,19195
0 1Xl
576′ 90623
611′ 63393
2′
625,43595
835′ 97795
801′ 60585
48,52972
224,34402
17209
3.299,4260S
43,73750
89450
2,273′ 08497
2,274.39697
13,594921
77.64087
83,08365
(1.31200)
(5,44278)
6′
1.50311
3′
543′
95855
49210
2′
(229′ 70165)
68855
573′
01950
(5,01602)
403,10245
4フ .12214
56,41361
153,87386
1,37085
108,98120
46.30215
60,66665
163,29595
2518鋤
3,255′ 68855
3,311,11692
(15583)
(2′
2′
8′
8,6666フ
990
2332801
28391)
39129
1,61817
“
2/20/2014
18593)
8,28066
(4′
102,08335
43,16665
255′
1,87005
6,6145フ
,6181η
42435
VAR:ANCE
43376
15.56875
゛ 0叫
352′
YEARIO‐ DATξ
758′
9′
469,47654 469,72842
BuDGFr
4657518
26664
1850
00D
71.11716
YEAR TO‐ OATE
356,61028
93.80269
(44697)
50′
2934
00D
STATE ASSiSTANCE
SERViCES
MONTHLY
BUDGET
(000)
11,69087
43′
(29′
(5,87875)
81999
(4′
25304)
(9,42209)
(55′
4283フ
)
1,690871
“
,ANUARV 2014
00,95)
(878フ 5)
CLARKSVlLLE TRANSIT SVSTEM
CITY OF CtARKSVILLE TENNESSEE
SuMMARV FINANCIALSTATEMENT
FEBRUARY 2014
'Net Y■ ―
D underBudget$7815178
MONTHLV
ACTUAtS
PASSENGER FARES
50′
SPEC!AL TRANSIT FARES
20′
AUXltiARY TRANSPORTAT10N FUNDS
INTEREST REVFNUE
NON‐ TRANSPORTAT10N FUNDS
TOTAL DlREC■ Y GENERATED FUNDS
FEDERAL ASSISTANCE
STATE ASS:STANCE
LOCAL ASS STANCE
94451
21120
5,44999
MONTHLV
BUDGET
50.34633
14,58333
6′
3567
0∞
76.64137
198,64210
71,11716
18722
(2,69185)
16668
(13563)
89616
56893736
{495880)
00D
(5′
52421)
4,93524
42フ ,84959
472,26062
WAGES&FRINGCS
315′
72176
SERVICES
13,97537
63021
12′ 78309
FU[L AND LuBRlCANTS
62,69794
81,85530
4800
TIRES ANO nJBES
321′
uTILlTlES
9′
89659
CASUALTV AND LIABIL!lγ COSTS
1′
OS0 66
19583
15.56875
6.61457
8.66668
13.81677
2332801
427.84959
470,64244
10,64250
000
(1.61818)
(6′
44′
573′
1,768,53570
3′
(19,15736)
(14783)
2′
3′
(9′
(42′
51124)
79285)
956.13426
67892
265′ 86460
209,14742
99.50544
3.77■
08478
94.54664
596′
02718
(7.22045)
(10.64866)
148.21831)
109′
64198
588,80673
91.61624
606.65649
167′
3′
69063
683′ 53814
000
`.61018
FEBRUARY 2014
0∞
690,26966
57′ 4642フ
(7,61602)
2,65279
(231′ 03808)
113,フ
28202
(4,7841■
537,49762
54010
4495
57′ 01873
(4,92625)
VAR:ANCC
715′ 51554
814
1.19228
000
VEAR10‐DATE
650′ 83662
41103
●,9084,
BuOGtt
114′
(1484)
8,43946
11,51678
TOTAL ALL REVENUES
3/24/2014
116.66668
49.33332
73.93039
78,63573
401,14346
TOTAL(PROFITI LOSS
402′ 77068
01389
52′ 02517
30231
009
62787)
71668
45488)
15′ 50907
40′ 88105
192′
20822
TOTAL OPERAllNG EXPENSES
407′ 55479
(59818)
(5′
000
351′
M SCttLANEOuS EXPENSE
VEAR TO‐ DArE
16667
2083
TOTAL FCDERAL/STATE/LOCAL ASST
OTHER MATERIAtS AND SupPLlES
MONTH[V
vEAR TO‐ DATE
VARIANCE
ACTUAtS
1′
3′
2′
102.26490
654,87480
1,56668
64′
(1,02658)
54996
(10.80501)
52.91672
69,33332
186,62396
4,10201
124′
3,788′
15752
10,07274
(11.86905)
(18,93333)
(104′
61938)
(10.07274)
1
The Disadvantaged Busines Entewrise
Program and Policy
for the
CΠY OF CLARKSVILLE
CLARKSVILLE TRANttT SY鰤
Chrks輌 ￨に Transit System
POLiCY STATEMENT
Sectiom 26:.2● 23 0bj“ t"コP硼 け Statemmt
Thc CIty orCtarksvillc Ctarksvillc Traltslt Sy■ teln(CrS)has cStabllshed a DittvantagOd
Busincss Entcrprlsc(DBE)"ogram tn aαttrdance wth rcgulatbns oFthc Li S Dcpanmt oF
Tr‐ portalお n(DOT).49 CFR Par 26 Thc City OrCiarksvillc Clarksvillc Tm¨ lt Systcln has
cc市 od F● d“ l FtnancLI assuallccぉ m thc Dcpm― tOfTttpo"at10n.and as a∞ ndnbn
ofro∝ iving this assista嘔 .lhc Ctty ofCIコ 蔵svi:lQ Clarksvillc trarL311 Syslcm has signod an
suranccthat i wi‖ ∞ ¨ ly whh 49
CFR Part 26
itヽ thc policy OFthc Chy o「 Clarksvilに Clarksvi‖
cT【sit Svsltt to clsurc that DBFs arc
dcincd in Part 2C havc an"嘔 l oppOrtt8ntty,0… ivc and pantcipatc in DOT― assistod
contrads it is also Our policy:
1
l o cnsurc nondiscnnination in the award and administ口 t,on oFEX)T― assistod contracts:
2 To cratc a kvelplaying ndd m、 hich DBEs can compcte Fairl,for DOT assisted conmcts:
3 To●、urethatthc DBE Propm is naru‖ y● 11-d in attvdは ncc with appllcablc Lw:
ncc1 40 CFR Part 26 chgibJity standards arc r‐ ・ ittCd to
I To cnsurc that tlnly rlnns that ful:ン
.・
pa"lcipate as DBR:
S To hclp rTЮ vc ba扇 c、
tO● F particip嘔 tKln OFDBEs in DOT assislcd conlttcisi
6 To assistthc dOclop¨
loFF― thatcan cotte s―
DBEPttm
‐Sinyinthc mrkd Placc ou、 idc thc
Thc Dcputy Di暉 ■or haFあm dc!egat“ s the DBE Liaison Orltt in thnt capac“ y,thc dcputy
Dh轍 orヽ rcspOnsib!c Forimplcrncnting an aspe oFthc DBE p70gram implcmentattln OFthc
DBE¨
印
mtaで ∞ rdcd thc satt pmaly as∞ mphance wれ ha‖ ottt lc8a:obligalhns
ulcncd by thc Clty。
「 Clarkvil:oC!arksvi:lc T"“
It sy● ¨n in its 611allcial assi●
ancc
agor-ls w"h thc DcPmm1 0fTranspOItabn
(ity oFClarksv‖ lc,Clarksvillc T口nslt Syscm has dlsscrninalcd this policy slatalmt lo l腱
Maン or and TrapOrtallon Commlttcc and● ‖Orthc cclmpOnents orOuror8mvathn Wc havc
DBE and mn‐ DBE bustns∞ almunltics ht prorln work for us
on DOT‐ asistcd∞ ntracts Thls pOncy statO曖 ■tW‖ i hc availabicお r public acccss on CTS
dぶ t"butcd thヽ ゛atmmtto
wcbshc(www CLttSv■ l職 麹 重 ,Qt8)and dIStibutod to busincstt in thc communhi“ that
pcrli)rm t\'()rk li)r
-ea3isled contracts via lcgsl rdvcrtise-rnent ofa Public Notice in
localjournals-
("`′
A、 ,■
rtri、
r`″ ′
ル
`′
st llP,\RI
\ (;u\lR,\t.
Rt:Qt IRI.t)tu\ ts
Sectlor 26.1, 26.23 ObJectlvcs
'I-he
obJc.cli|es arc lirund in lhe policy stalern€nt on the lirsrr page ofthis p.ogram.
Sectlon 26.3 Appllcsbllity
Thc City ofClarksville, Clarksville Transit System is the rccipient of fcderal funds aulhoried by
,19 U.S.C. 47i01..,rreg.
ofClarksvillq Clarksville Transit System is the rocipient of federal funds undcr
illoving Ahead firr Progres,s in lhe 2l sl Century (MAP,2l ). reauthorizing surfacc transponarrcn
programs. The Fcderal Transit laws coditied in 49 (,SC Chapter 5].
The Cily
Thc Cily ofClarlsville, Clarksvillc Transil System is the recipient ofliieral tran$it funds
authorized by Titles I. IIl, V, and Vl of I STEA, Pub. L. l0l-:40 or by F€d6al lroNir laws in
Titlc 49. U.S. Codc. or Titlcs l. ll. and V ofthe Teas-21. P!'b. L. 105- 178.
Scctiotr 26.5 Dellnitions
l he
('ily ofClalksville. Clarksville
'[ ransit System
will adopt the detinitions mnlained in
Seclirn 26.5 ofPan 26 for lhis program
S€ction 26.7 Non-dlscrimhrilon Requlrcmetrtt
The Cill.' ofClarksville. Clarksville Transrl Slstern will nev6 exclude any pefson fmm
participation in. dLny any pcrson the benefls of, orothenrise discriminate against anyrnc rn
connection with lhe award and perfonnancc ofany contract covered by 49 CFR part 26 on thc
hasis ofracc.
cobr.
scx- or natirnal
origin.
In administering ils DBE pmgran! rhe Cily ofClarksvillc, Clarksville Transil Syslcm will not.
dir€clly or through contractual or other urrangernents. use crileria or mcthods of adrninistrat nrn
thnl havc lhc effclt ofdefcatinS or subslantially impairing accomplishmcnt ofthc objcrtivcs of
thc DBH program with resp(rt to individuals ofa panicular racc. color, se& or national origrn.
Sectio[ 26.1I Record Kecphg Rcqulrrments
L"@!cytre!!r_26.!
!E)
City ol Clarksvillc, Clalksvillc Transit S)a em will rqna DBE paniciparion lo thc relevant
operating administration FfA using the (Jnitbrm Rcpon ofDBE Awads or Commitments 8 l
Paymenls. fbund in App€ndix B to lhe DBE regulation.
Bidders
List_l "?6-1,!19)
'fhe City ol Clarksviltq Clarlcvillc Transh Systsn will create a biddcrs list, @nsistinS ol'
inforrnation aboul all DBE and rKrn-DBE finns thai bid or qrDleon DoT-assisted contrads. The
purpose ofthis requirement is to allo\ir use oflhe bidders' list appmach ro calculating ov(rdll
goals. The bidd6 lisl will include the name, address. DBE non-DBts status. age, and annual
tiross receipts of firms.
Wc willcollcct this inft,rmation in thc followrnS ways:
will crcatc a biddcrs list. consislinS ofall
DBE snd non DBE firms rhat bil or quile on Dol-assisted contrarls. fhe purpose oflhis
roquirement is Io allow use oflhe bidders' lisl appmach to calculating overall goals. Wc will
c.llect this informatbn from all ac:tual vendors who cilhcr rErfi.)rm work or wlx) seek k) do
busine$ wilh u.s. Prime mntractors will be asked to pmvile intbrmation for all sub-contrdctors.
The City ofClarksville. Clarksville Transit Srstem
Scctlon 26.1J Assura[ces
Ciy ofClarlsvillc. Clarksville Transit
Sysrem has si8ncd lhe
folhwing assurances, applicable to
all DoT-assisted contracls and thcir administ.ation:
F_ederal
Finqncial
Assi
-26.I3(a)
City ofClarksville. Clarksvillc Transit Slsiem shall rrcl discriminalc on thc basis ofracc. color.
national origin. or sex in the award and peribmnncc ol any DOT assisted contract or in thc
administratfun ofits DBE Progriun or the ruluiremq s of ,19 CFR pan 26. Thc rcripica[ shall
take all necqisary ard reasonable sleps uder 49 CFR part 26 to ensure oondisfiimination in ihe
award and adminislration ofDOT a.ssistql cuntmds. The City ofClarksville, Clarksvillc 'lransit
S:/stem's DBE Progranr .s requied b),49 CFR part 26 and as appmved by DOT. rs incorporaled
by referencc in this agreernenl. lmplementation ofthis program is a lcgalobligation and failure
to csry out iis t6ms shall bc trcrlcd ds a violation oflhis lgreemcnt. Upon notification lo lhe
City ofClarksville, Clarksvillc Transil Slaitcm ofits failure to carry out its appmved progranl
thc Dcpartnxint may impos€ sanclion as providod for und6 part 26 and may, in approprintc
cases, retirr thc matter for enforccrrrrt undcr I 8 U.S.C. I00l aryyor lhc Program Fraud Civil
Remedic's Acl of 1986 (31 tl.S.('. lEol ?r xeq.).
'Ihis languagc will appear in Iinlncial assistance agrcc-rnmts with sub-recipients.
epa&et1suelcc:
26.11b
we will ensure that the following clause is placed in c\'€ry DoT-assisted contrad
and
subconl ract:
'Ihc contrador. sutlr@ipient. oa sub(x)ntmdor shall not discriminale on the basis ofracc, (l)lor.
national origin. or sex in the p€rformance ofthis contrscl. The contraclor shall carry out
applicable requiremenls of49 CFR pan 26 in thc awatd and adminislration ofDOT assistcd
contracls. Failure by lhc q)ntraclor to qrrry out lhese requircments is a nElerial breach ofthls
conlract. \rhich may rcsuh in lhe termination ofthis contraq or such other rcanedy 4s tht
recipient dc'cnls appropriole.
SUBPART B _ ADMINISTRATIVE REQI.'IREMENTS
Sectlon 26,21 DBE
Prog.]n Upd.te3
Since the City ofClarksvillq Clartsvillc TrarBil System has re'ccived a grant of$250,000 or
more in FTA planning clpital. and or operating assistancc in a federal fiscal year we will
conlinuc to carry out lhis pmgram unlil rll funds from frOT financial arsistancc have been
cxpcndul. We will provide to DOT uJrdates represcntinS significant chMgcs in the program.
Scction 26.25 DBE Lirisor Ollicer (DBELO)
We have dcsignated lhc folhwing individual es our DBE Liaison Oflicer:
Arthur Bing. Clarksville l ransil Sysiem. 4J0 Boillin Lane. Clarksville. Ienncssee J7M0.
Teleptrnc: (931) 553-2410. Email: [email protected]
In that capacily. the DBELO is resfxrrlsible for implernenting allaspccts
ofthc DBE prugrdm arxl
ensuring thal thc Cily ofClarkvillc. Clarksville Trsnsil S)stcm complics with all provision
49 Ct'R Pa( 26. The DBELO has direa. independent acc6s lo the Director, Jimmy Smith
of
conceming DBE pmgram matlers. An orSanizark n chafl displaying the DBELO's position in lhc
organiz.tion is found in Atlachnc'it to this pro8lal'!
The DBEI-O is r€qnnsible for devehping. implemenling and rmnitoring thc DBE prugram in
coordination wilh othcr appropriatc officials. The DBELO has a staffof 2 assislants lo a-ssisl in
the administr.tion ofthc pmgram. The dutics and reqrnsibililies includc the follo\r ins:
l. (;ath!'rs
l.
and rcporls statisticaldala and olher infonnation as r€quired by
fr)l.
Reric*'s third pany contracls and purchrse requisilions for compliance with lhis
l. [i)rts
proSr"am-
wiih all dg,artmcnls lo s€l ov6all amual goals
4. Flnsures thal bid noliccs afld requesls for proposals arE available !o DBES in a limely manner.
5. ldcnlilies codtracls and proc$emcnts so thal DBE goals a.e included in solicilations (both mcc"
ncltral mahods and contracl spccilic gmls altainmc1lt and identifics *ay3 lo impm\'c proIrl"is.
6. Analt?-6 Cily ofClarksville.
wsys ro impmve progrcrs.
Clarkvillc Tramit Systern's progrcss toward altammcnt and idcnlifi6
7
Panicipalcs in prc-bid mcctinSs
8. Mvises lhc CEo\govcming body on DBE malt€rs and achicvcmcnr.
9. Chairs thc DDE Advis('ry Com,ni(ce10. PanicipatLs in prc-bid
I
L
ll
m.ltinfs.
Pmvidca DBE! wilh informalion and assistance in Freparing bids. obtaining bonding and
Plans and paaicrpates rn DBF rrarnrn8 seminars
I3. Cenifie\ l)llEs according to the crilqia s€l by DOT and acts as fiaison to the Unilbrm
Ccrlification Procss in Tcnncssec.
14. Provides oulr.ach to DBF-S and communily Ggrnizelions to advise them
l5 Mainlains thc City
DBEs.
Secrlon 26.27 DBll
ll
of( larkslillc.
ClarksvrIle I-ransir Systc.rn
ofopponuniti(5.
s updaled directory on
certified
Fir..chl lnstitutiohj
policy ofthe City ofClarksville. Clarksvillc Trarlsit Srstem to inv€$igate the full exlent
ol'services olTcrcd by financial institutions owned and contmlled by socially and curnomically
disadva aged individuals in the community, to rnake reasonable efForts io use thcsc inniutions.
and to enmurage prime contractors on DoT-assisted c{,ntract to make use ofthese institutions.
wc have made lhe bllowing efforts lo identiry and usc such inslitutions thmugh a sesrch oflhe
Tcnnessee UCP DBE direcrory maintained by lhe Teonessee Depanrhent ofTransportalion. Thc
City ofCla.ksville. Clartsville Transit System will re-evaluate the availability of DBE financial
insl itutions every year.
is lhe
Inforrmtion on the availability ofsuch inslitutions can be obtained from the DBE Liaison
Officer.
Sccllon 26.29 Pronpt Prym.Dt Mech.nl3ms
Lq'.D!!-qsc!!2q2ga)
Thc Ciry ofClarksville. Clarksville Transir System will includc rhe fullolring clausc in cach
DoT-assisted primc crnlmrl:
Thc prirne q)ntractor agrees to pay cach subc{rntractor urxier lhis prime contrad tbr srtisfactory
pcrlb.mance of its contmct rx) later than lhirty (30) da)s iom the rec_cipt ofeach paymcnt thc
primc contract rccciv€s from City ofClarksville. Cla*svillc Transit Systern_ Any dclay or
fx)(Jx)nemenl ofpayment li.om the atbve aeferorced timc frame may occur only for good csnsc
lbllowing *ritter app.oval oflhc Clty ofClarksville. Cliuksville Transit SFtem. This clause
applies to both DBE and non-DBE subcontmcls.
Balsinaec: 20.?90)
Thc prime slnlractor aSre€s lo return retain!8e pa).mcnts to cach sutrcontraclor u'i(hin thiriy (J0)
days aflerthc subcontractonr work is salisfacbrily complacd. Any dclay or postponement of
payment ,itm the atnve refermccd time liamc may occur only fbr good causc following written
approvalofthc C y ofClarksvillc. Clarksvillc Trarrsit Systcm. This clausc applics to both DBE
arxl non-frBFl suhcontiicts
iv"ni!q!!s at|!l-E!-&rce!!c!!-5"?9ld)
l
hc City ofClarksville. Clarksvillc Transit System
.'srablished a n[nitorinS and
ml'orcemer|t mechanism lo veriry that ihc n()rk commitled to DBES at contmct award was
itclually perfi)nned by the DBEs. This mechanism pnrvides a running tally ofiicrual DBE
atlainrncnts and includcs a prcvision ensuring that DBI! pa icipation is creditcd towad overall
h.es
or oontrad Soals only wtEn paymcnts are actually made lo DBE firrns. Thc CTS DBE Pmgram
Liarson preliotrsly me.nlloned in this prograr[ would bc the mechanism pmvided lirr thc
nx)nitoring and cnforcemcnt.
Setion
26.31 Dirccion,
'Ihc City ofClarksville, Clarksvillc Transit Syslern mainrains a dircdory idcntilying all firms
eligible to participate as DBES. The directory lists the lirm's name. address. ptnne number, datc
ofthe tmsl rarent certification, and ihe tvDc ofwork thc firm has been cerlificd to peribrm as a
DBE. \,lre revisc the Dircctory annually. Wc rnake thc Directory available at thc Clarksville
Tnnsit Slstcnr 430 Boillin Lane Clarksvillc. Teonessrx. The link to the directory is:
ht tp:
//w1v\v. tdot. statc.tn. uvdb€d irecl intcmr:l /
Scclion 26.3-1 Ove.coDcer tr.tlon
City ofClarksvillc. Clarksville Transrt Syslem has nol ldentified thnt overc{ncmtration cx6ts
thc t,?qs ofwork that DBES psrform Wo will rc-evaluate lbr ovcrooncentration cvery ycar.
Scction 26.-15 Burine.s llevelopmcni Prcgnms
Thc City ofClarksville, Clarksville Transil S,.stem has nol established a busincss developmenl
prograh. Wc will re-cvaluate lhe need for such a prcgmm cvcry ycar.
Sectioo 26J7 Monitoring.nd Enforccm.nt ltlG.h.!iuDs
The City ofClarksville, Clarksvillc Tra$it Systcm will takc the folkrwing monitoring and
cnlbrcemenl mechanisms to ensurc compliance *,ith 49 CFR pan 16.
rn
ofl
ransportalion any falsc. Faudulent. or
dishonest conducl in con ccl ion with the p()Btanl. so that DOT can lrke the steps (c.8.. retaTral
to lhc Deparlment ofJuslicc lbr oiminal prosecution, relcrral to thc DOT Inspector General,
aclion urdcr su-spcnsion and dcharment or Pmgrarn Fraud and Civil Pcnahies rulcs) providcd in
L we will bring k)
26.
the altenlbn
ofthe D!?aflment
t09
2. Wc
will considcr similar action
under our own legol authorities, including responsibility
delcrminations in firture conlraos- Attachment lists thc regulation. provisions, and conracl
rcrncrlics availablc lo us in thc cvents ofrmn-compliancc with thc DBE regulation by a
participant in our lEocurcrnenl activilics.
we will also provide a nnnitoring and cnfbrcelnent mqlhanism lo vcriry that work committcd
to DBES d contract award is aclually pglbrmed by lhe DBE'S. This will be accomplished by
3.
l-hc City ofClarksville. Clarksville Transit System will conducl compliance tct ic\r s and sitc
visit on each contract/projes on which DBF's are participating in. Complia.ce rcviews may
include a check ol'the identity and DBE status ofcontractors on-sitc (]Il the datc ol'a siie visit;
intcn'ieNs ofthc prime contEctor's sitc supc.rintendmt and on-sitc supcrvisors ofsubcontmclors
Jrcrlirrming work on the dole oli site visit and review ofother intbrmation and documcntation
dccmed relevant lo such compliance revicw. The findings ofthe compliance reviews shall bc
rcfxrrtcd in writing and thc wriltLn repon shall ide.tify lhc sources ol'infonnation nnd
docurnentalion rcvicwed and rclicd upon in making sprcitic firdings.
4. Wc
will kecp
a running tally
of aflual payments to DBE lirms tbr work mmmitt(i to ihem al
Section 26.39 Smrll Buiincsr Paiiicip.tion
Thc City
ofClarksvillq Clarksville Transit Sysem
h&s incorporated the
folbwin8 non-
disqiminatory clement to its DBE program, in order k) facilitate competitiofl on DoT-assisled
public works pn jeds by small business concems (both DBES ar non-DBE small businesscs):
The City ofClarksville. Clarksville Transit system (CTs) has esrablishcd a Small Business
Participation program in acc'ordance wilh regulations oflhc U.S. t cpartrnent ofTransponalion
(DoT),49 CfR
Part 26. Thc Clarksvillc Transil syslcm has receivcd Fcdeial tinancial assistancc
li'om thc Depanfircnt of Tran-spnarion- and as a condition ofreccilin8 this assislancc. the C'l S
has siSned an assurance that il will comply \rith 49 CFR Parl 26. Thc CTS willcxe'rcise
diligence and sensitivity to ensure thal opfnltunities to small businesscs for doing business with
CTs are equivalcnt to thosc pmvided to th)sc mlities which are not small and minority_owncd.
It is lhc policy ol thc CtS to crl5ure that Srnall Busincss s. as defincd in Part 26. hal'c an cqual
oppo(unity lo receive and panicipate in lx)T-assisted (irntra(,s. Il is also ihe CIs s policy:
.
To ensure nondiscrimiralion in the award and odininistration ofDOT essistcd contmcls;
.
'li)
create a lcvcl playing hcld on which Small Busincsscs
cln compete tairly for DOT
a-ssist€d contmcts:
. ]i) erlsure that the Srnall Business participatbn
.
.
is nalrowly laibred in aclordance with
applicable law;
To ensure thal only firms lhat lirlly meet eligibility standords are pennittql to padicipalc
as Small Business's: and
-Io
help rernve barriers t{l lhc lanicipation ofsmall Btlsinesses in DOT a\sisled
c{rntnEts
A.
Mission
To expand relationships and enrich economic opponunities for small businesses, including,
mixrrity and women{\ nod business cnteryrises with thc Clarksvillc Transit Stslcm
B. Corhmitment
To devclop rclationships and incrcasc our business prnicipation wilh small, including minorily
and wonrcn-owned busincss eitcrprisL's in a fiscally responsiblc manner
C. Objectives
In an eflbrt to implement lhe srnall busin€ss p.ogaml lhe CTS shall pursue the folhwing
objcctivcs:
a)
To establish
i
race-neutral small business pmglam
lilr primc contEcts und6
s 100-000.00.
b)
To easure in multi-year dqiign-build mntlacts or other largc contmcts k) rquiring
hidders on thc prime contracls lo specili elcmenls ofthc contract or specific subcontracls
that are considg srnall busincsses. includinli DBE'S, can rc-a-$nably perform-
c)
To enswe on primc oontracts not t|avmg contract goals, (4uiring the pnme contractor t()
provide subcontracting opgrnunities ofa sizt thal small businesses, including DBES, can
rcasonably perfunn rather than self-performing all thc work involved.
d)
To ide iry alcrnatilc acquisition slrateSics and struar,ring procurernents to facilitalc rhc
ability ofcorsortia orjoint vcntures consisting ofsmall busine;scs. including DBEs. to
cr)rnpcte for ard perform paimc contmcts.
c)
To ensure thc ptojected goal is ma thmugh race-neulral mc&sures, eirsuring lhat a
reasonable number ofprimc conlracts are ol a siz-e that sr|all businesses. including DBES
can reasonablY
pcrfornl
StiBPAR I(― GOAlS.(:000 FAITH EFFORTS.ヽ ヽD COliヽ T:ヽ C
Scction 26 43 Scrasidcs Or QuotaS
Thc City ofClarksville, Clarksvillc Transit System docs not use qtx)tas in any way in lhe
administration ol'this DBE prog^am.
Sectior
26.,15
(rverrll Co.ls
ln accordarcc with Secll()n 26.45. thc City ofClarksvillc. Cla*sville Trarlsrt Sysl€rn will submit
its triennial ove.all DBE goal to FIA by Augusr l< olthc year spcrified by FTA.
DBE Gmup B. DBE
l
year goal submission is due on or before August
l.
2014
'fhc City ofClarksvillc, Cla.ksville Transit System will slso requcst rrs€ ofpmject-spc\:itic DBF:
goals as appropriate. and/or will cstablish project- specilic DBE goals as dircctcd b], I:fA.
Thc proccss gcnerally usal by City ofClarksville, Clarksville Transit System ro establish overall
DBE goals is as folkrrvs:
Thc goal will bc dcrEmincd by lookiog al thc pcrcentagc ofthc rcvcnuc spcnt in a fiscal year,
thc percc,ntage charge(l to F-fA dollals. the availability ofDBEs in cach purch&\ing catcgory, and
proraled considcring lhc anticipatcd purcha$cs for thc lblbw fiscal ycars.
Method:
St(p One
Begin goal setting piocqss by de(ermrning a base figurc for the relalive availability ol-DBEs. Usc
DBE Dircclorics and Ccnsus Bu.@u Data. Dctemine thc numbo-ofready. *,ill and able DBEs
in lour markct fiom the DBE directory. Ls thc Census Bureau s County Business Pattefn of all
ready, willing and able businessei available in thc market that pgrform work in thc samc SIC
mdes. Divide the number ofDBEs hy the numher ofall husinessL\ to derivc a base figure for lhe
relativc availahility ofDBEs in lhe ntarket.
Stcp 2:
allofthe evidc"nce available in thc
lo
determine
what
sdjuslrneni.
ifany
is nerded to lhe hase figurc in ordcr lo amve ct
Juridiction
thc ovcrall goal.
C)ncc the calculated base figure I coftplete. cxamine
Beforc cslsblishing the ovctall goal cach ycar. thc City of Clarkville. Clarksville Transit Slstcm
will consuh u ith the Montgomer]' County Clcrk's Oflicc. Clarksville Chamher ofComm6cc.
Tennessee Department ofTraisportation, Tcrnessee Small Businqss Adminislration. thc
Ilispanic Organizatkrn for Progres and Educatiorl thc Minority Business Directory committc{
k) ohtain inlbrmation concerning thc availability ofdisadvanragcd and nonJisdvanlagql
husincsscs, the cffccls of discrimination on oppftunitius for DBEs. and lhe City ofClarksville.
Clarksville Transit System eflbrts Io establish a level playing field tirr the participation ofDBEs.
!-ollowing this consultatbn we*illpublisha notice ofthe pn,fmscd overallgoals, informing thc
public that the prolnsed goal and its rational are alailablc for insFrection during nonnal business
hours at your principal office for l0 dals followiog thc datc ofthc noticc, ard informing the
public that you and I)Of will accept comments on the goals fo. 45 days from the date ofthe
noticc. Thc notice will bc publishcrl in thc local ne*'spapersl Thc LcafChroniclc and El Cruceto.
Normally, wc $,ill issuc lhis noticc by June I or esch ycar. The rx)ticr: will includc addreises to
which commeols rray be sent and addresses (including offices and websites) wherc thc propos.l
may bc revicwed.
Our overall goal submission to DO t will include: thc goal (including the brcakout ofc'slimated
racc- neutral and mcc-conslious panicipali(trr as approFialc): a q)py ofthe mctludohrgy.
worksheas. etc., us€d lo d€r,,elop lhe goal a summar),of information ard comments rc{eived
during this public panicipation proq:ss and our reslnnscs: and prrrrfofpuhlication ofthc goal in
mcdia outlets listed ,tx)vc.
Wc will begin using our overall goal on Octob!, I ofthc specific{ year, tmlcss wc luvc receivul
olhcr instructions fmm DOT. lfwe establish a goal on s pmject b&sis. vre will bcgin using ow
goal by thc time oflhe first s.licitathn for a Dc)T-assisled c{rntract l-or th€ pmjcrt. Our goal will
rcmain eff'ectivc for thc duration ofthc threc-ycar perinl cstablishcd ard approvcd hy FfA.
Seclion 26.47 Go.l Sctthg ltrd Accouot.bility
lfthc
awards and commhmeots sk)\r,n on Cil), ofClarksville. Clarksville Trarlsit Systcm
Uniform RefDrt ofAwards or Commitments and Payncnts at thc cnd ofany tiscal ycar arc less
than the overall applicahle to that iiscal year. wc
L Analfzc
will:
in dc(ail thc reason for thc differcncc bc{wccn the ovcrall goal and thc actual
awardvmmmitmmts:
2. Estahlish specific slsps and mileslones to <r.rn.:ct thc problems idcntified in thc analysis: and
.1.
Suhmil thc plan to FIA within g0 da)s ofthc end oflhe affectol fiscal ycar.
Section 26.49
Trinill
Vehlcle M.nufrctur.rs Go.ls
'fhc City ofClarksville. Clarkvillc Transit System will require each transit vchicle
manufacturcr, as a condition ofbcing authorized to bid or proF)sc on FTA-ir-qsistql trarrsit
1'ehicle procurements. lo certiry thal it has complied with rhe requ[ements ofthis sectionAhcrnativcly, the Cily ofCla svillc, Clarksvillc Transit Systern may. at its discrction and with
FI A approval. cstablish projecr'spccific goals for DBF. pa.rticipaliln in the pmcurement of
transit vehicles in licu ofthe TvM cl)mplying $ith lhis element oflhe progrnm.
Sectlor 26.51 Meethg Ovenll Go.ky'Contr.ct Go.ls
hc Cit-v ofClffks!ille. Clarksville Trarlsit system will mea the rvrximum feasible ponion of its
orcrall goal using racc-ncutml mcans of facilitding DBE panicipalion. ln order l() do so. City (,f
Clarksville. Clarksville Transit Syslem wi,l look to DBIi husinessqi lo be prime q)ntaactors.
l
Thc City ofclarksville. Clarksville Transit Slstem *ill use cantract Eoals lo mecl any portion ol'
rhc ovcrall goal the City ofClalksyille. Clarksville Transit System docli not projL'ct being able k'
mc\t rrsing race-neutral means. Contmcl goals are eslablished so lhat. over the priod to which
lhc overall goals applies, thcy will cumulalively i€suh in meeting any portion ofour overall Soal
that is not projccted to be ma thmugi the usc ofrac€-nculral rrcans.
Wc will establish contEct goals only on ltlose DoT-a\sisted contla(1s that have sutrconlracting
possibilities. Wc need not cstahlish a c-ontmc't goal on evcry such contracl and tho size of
conlrocl goals will be adapted to (he cLcumstances ofsrch such conlmcl (e.9. l)?c and localion
of s'orlc availability of DBEs lo pcrform lhc panicular r$rc ofwork).
We
will
express our
Seciion 26.53 Cood
conrad goals
as a pcrcclllage
ofkrlal amounl o[a DoT-&ssistql
@ntrac1.
F.ith f,ffon! Proc.dure3
At _0ld_!-fgqllrlelstSlh_LDBgcontract Gool: 26.531
c-)
ln those instanccs whcre a c{rntract-specific DBE goal is included in a procuremcnt/solicitation.
thc City ofClarksville. Clarksville Transit System will rx)t award thc contmct lo a bidder \a,tn
doqt rx)t either: ( l) meel thc entract goal with verifiql. counrable DBE paflicipation: or (?)
documeots it has made adequate good faith cflons to mcet th€ DBE mntrad gool, cven though it
was unable to do so. lt is thc ohligation oflhe bidder lo d!.rmnstralc it ha( madc sufficient g(xxl
faith cfforts prior to submission ofits brrl
Evir,lustioaqf_Qrxr{Eal[E frrrlet
2!l3b)
& 1!)
The ft,llowing peromel arc rc'sponsible for dc{finining whether a hidder/offemr wlrt has not
rhct the contract goal has docuriented sumcient good faith effons lo bc regarded as responsive.
l'hc pmcrss used to ddermine whether gorrd faith eli'()rts have been made by
biddcr has mel thc minimum DBE pe.centage stated in the solicitatirl.
a biddcr is
ifthc
Wc will ensurc that all infonnaliJn is complele and accumtc ard adcquately documents the
bidder,'ofler's good laith efli)'ts before wc mmmit to thc pcrfonnancc ofthc contmct by thc
hiddcr/offenrr.
LLlbIn1.?Iion lo hc Submiled: 26.53(b)
( ily ofClarksville. Clarksville Transit Systcm treats biddff/offcrs' ormpliancc with good
(l'li!ns requitemcnls as a rnat lcr o f resFins ivcness.
l'aith
Each solicitstion for which
{ c.ntract
goal has been established will rcquirc lhe bidders/offrfors
to submil lhc following information:
.
.
o
.
.
.
Thc namcs and addrcsscs ofDBE firms that will participale in thc contracii
A dcscription oflhe worl that e3ch DBE will f'crform;
Thc dollar arnouat ofthe panicipation ofcach DBE firm pa(icipatin8;
Wrilten and signed documentatiofl ofcommitmenl to u-se a DBE subcontmdor whose
panicipation it submits lo rne€l a {rntracl goal:
writl.n and signed conlirmation fmm the DBE that rt is parricipating in the contracr as
providcd in the primc mntractors commitment and
lf the c.nlrad goal is not met, evdence of good faith effo(s.
Adeu!str4iy9tr999!sdcr!!ion: 26.53(d)
Within filtc-cn ( l5) days ofbeing informed by ('ity ofClarksville. Clarksvi,le Transit Sysrcm thal
it is not rsifnnsive b€cause i has not documentcd sufficient good hith ellorts. a bidder/offeror
may requcst administrative reconsiderallon. Bidder/otlemrs should make lhis requesl in wriling
to the following reconsidcration official: Jimmy Smith 430 Boillin Lanc, Clarksville, Tcnncssec
37040, (931) 551-2430. jimmy.smilh@:cillofclarksville.conr. The recorlsidcration official will
not have played s,ly role in the original daermination lhat the bidder/ofTeror did not documcnt
sulncient gu)d faith efFons.
As part ofthis rqronsideration the biddcr/offerr)r willhavc thc opF)rtunity to provide wrilrfi
docurientation or arguricytt (x)nceirling tlrc issuc ofwhcthc it met thc gorl or made adequate
good failh ctlbrts to do so. Thc biddcr/offcror will havc thc opportunity ro mcet in person with
our reconsidfiation olficial to discuss the issue ofwhethcr it met the goal or made adequate good
faith etlorts lo do. W6 will scnd thc biddcr/olfcror a written dcckion on rcconsidcration.
explaining the bask for finding thai the hiddcr did ordid nor rneet lhe goalor make adequarc
good 6ilh eft rls to do so. The result ofthe reconsideiation proc€ss is nol administratively
appe3lablc lo the Depanmcnt ofTranspiralion.
Good Faiti Eflorts when a DBE is Termin6tcd/Replac€d-o.n a Contract with Contr.ct
26.53(O
GoaLs_:
City ofClarksville. Clarksville Tiansit S)stem requires that prime contmctors not terminstc a
DBE subc{'ntractor lined on a bilcontrnct with a DBE oontract goal without Cily ofclarksville
Clarksvillc Transit Syslem's prbr wrirten consent. prior writtm consent will only be pmvidcd
where thcrc is 'good causc" for tqmination ofthe DBE firrrr. as c.stablishcd by Section
26.53(fIl) oi the DBE rcCularion.
Before transmitting lo Cily ofClad(sville. Clarksville Trarlsil Sldcm ils requcsl to teminatc.
lhe
prime contractor rlnlst givc notice in writinS lo thc DBE of irs intent
to do so. A copy oflhis
notice must he pmvided to Cily ofclarksvillc, Clarksvillc Transil Syslem prior to
consideration
ofthe request to rerminale. 'fhe DBE !rill then have five (5) dayi lo respond and advise the City
ofClarksvillc. Clarksvillc Trar$it S,.slcm ofwhy it objecls to thc ploF)scd lermination.
in lhose inslanccs where "good cause' exists to tqtninate a DBE'S qrntract. the City of
Clarksvillc. Clarksville TraBit S)lslem will requirc the primc contrsclor to nule good t'aith
effo(s to replacc a DBE that is terminatcd or has othcrwise farlcd to complcic its work on a
mnlracl wilh aiother cerrificd DBE, kr lhc cxtent ncldod lo meet the oontract goal. We $ill
rcluire the prime cont.acror to notiry the DBE t-iaisnn ofriccr immediately o f thc DBE's
inahilily or unr*illingness lo p€rform and provdc reasonablc documcntation.
ln this situation, we will require the prime contmctorto oblain ol,r prior apprcval ol the
substitutc DBE and to Fovide copies ofnew or arnended subcontmcls, or documcntation ofgood
faith effons.
lflhe contructor fails or rcfuses to cornply
in the time specili(d. our conlracling ofiice
an ordcr stopping all or pan ofpaymenl.'work until satisfaclory actbn has bcen laken.
c{rntraclor slill fails to
proceeding.
omply. the contrading officer may
will issue
Iflhc
issuc a ta'rmination for dcfault
Sartrlc-Bdllcqie4la!:
Thc rcquircmcnts of49 CFR Psrt 26. Rcgulation$ ofthc U.S. Dcpartrncnt ofTrsnsponatior\
apply to this contract. lt is lhe policy ol the City of Cla*svillc. Clarl6villc Transit System to
practice nondiscrimirution basod on racc. qllor. se( or nalional origin in thc award or
Irrformancc ofthis contract. All firms qualirying lrnder this solicitation ,Ic cncouraged to
suhmit bidvproposals. Award ofthis qrnract will be c{)ndilioned upon salisiring the
requiremcnts ofthis bid specification. 'l hesc rcquirements apply to all bidd€ayoflcmrs. includinS
tkrsc wfio qualiry as a DBE. A DBE contracl goal of 1 percent has been cstnblished for this
(-ntrad. Thc bidd€r/offerur shall malc good faith cffons. as defined in Appcndii A. 49 CFR
Part 26 (Attachrnent I ). to mcd tlte contract goal for DBE participatkrn in the pcrformance of
this contrac.t.
'I he biddcr/ofieror
will
(l ) the narnes ard
be required to submit thc tbllowing intbrmation:
addresses
ofDBE firms that will participstc in thc contract;
(2) a description oflhc work that cach DBE firm will perlirrm:
(3) the dollar armunt ol the parlicipation oferch DBE tirm
pa icipating:
(4) Wrillcn documentation ofthe bidder/offcror's commitment to usc a DBE sutrcontmctor
whosc porlicipation it submits to mcct thc co rad goal;
(5) Writtcn c.onlirmation fiom the DBE lhat it iJ padicipating in thc contract iN pruvided in
thc commilmmt rnadc und6 (4): and (5) ifthe mnlract lioal is nol met. evidcncc ofSood faith
clforls.
section 26,55 ( ountlng DBE P.niciprlior
Wc will c.unt DBE panicipatlon toward overall and conlracl goals as provided in.l9 CFR 26.55.
SUBPARTS D & E- CERTIFICATIOI\
Sectl,on 26.E1
Urificd Ce ificlaion Progrrms
Ttrc City ofClsrks{ille. Clirksville Transit System is thc rrembcr ol a Unified Ccrtitication
Pro&'am (UCP) administered by Tennessc- Depaitmenl ofTransfronalion. The tlCP !vill mcfl
all oflhe requirements ofthis scction. Thc City ofClark$villc. Clarksville Transit Systcm will
usc ard count lbr DBE credil only thosc DBE firms cc ilied by thc 'tcnnessee UCP. For firms
intc.csted in bccoming ccrtificd. the C(y ofClarksvillc, Clarksvillc Transit Slslem will rctbr
thcm to lhe l'enneisee Unified Cenificrlron Progran Ross H. Wcbb. Tenness€e Depanrrrnl of
Trrnspo(ation, Suite 1800. Jarnes K. Polk Building 505 Deaderict Stre€t Nashville. TN 17243.
Tele?hone No. 615-253- 1067. Ftr\ No. 615-741-3169. ]inl Frec No. 888-37G 16{7.
Itoss [email protected]. \r1t'w.!!,ao!G!)l crril-rjgh$-
SUBPART F _ COMPLIANCE AND ENFORCEMENT
Seclion 26.10.1 lnform.dotr, Corlid.ntl.lirt-. Cooperrtion
Wc will safeguard from disclose to thid parties infonnltion rhat may reasonahly bc regarded as
confidentialhusiness information. consistcnl with Federol. st6tc.ond looal law.
Notwithstanding any contrary provisbns ofstate or local lau,- we will not rclca\e pcrsonal
finar*-ial inforrration submittcd in rqiFrns! lo the prf$nal nel worth roquiremcnt lo a third party
(othcr lhan DOT) without thc writtm cnnsenl ofthc suhmiltcr.
!4ll!!!!nsc-lqtr]1c!!slo
DBES
Wc will requirc prime coniraclors to maintain reaords and documcnls ofpaymcnts to DBEs fi)r
thrcc yenrs firlbwing thc pcrforrnance ol thc contract. l hcse records will be made r\'ailablc ti)r
inspection uF)n rcqucst by any aulho.i2cd reprcsentati!e ofthe C,ly ofCla.rksvillc. Clarkslillc
Transir Syilem or DOT. This reJnnins roquiremert also extcnds to any
suhcontractor.
ccnifiul DBE
will revicw pa),me
DBE subcootractors to ensure that thc aclual amount paid to DBE sub!:ontractors cquals or
cxcccds the dollar armunts s(atcs in the schedule ofDBE paniciprtion.
wc will pcrform inlerim audiis ofcontmct
payments to DBES. The audh
s to
Section 26.83-26.91 Procoduroe fot Certlflcallon oecisions
Crty of Clarksville, Clarksville Transit System will follow the certification processes of Subparl E
of Part 26 to determine the eligibility of fi.ms to parlicipale as DBES in DoT-assisted conlracts
A copy of the Tennessee UCP cerlificalion procedures ancyor UCP program is included in
and/oi rs available at: httpr//www.tdot.state.tn.us/civil-rightvsmallbusiness/docJapplicatjon.pc,t
For informalon about the certilicalion process or to apply for certification, firms should contact:
Any firm or complainant may appeal a lstale UCP'S] decision in a certificalion matter to OOT
Such appeals may be sent to:
U.S. Department of Transportation
office of Civil Rights Certitication Appeals Branch
1200 New Jersey Ave. SE
West Building, 7lh Floor
Washington, D.C. 20590
we will promptly implement any DOT certification appeal decisions a{fecting the eliSibility of DgEs for
our DOT-assisted contracting (e.8., (errify a firm if DOT has determined that ourdenialof its rpplication
ヽ llヽ
(‖
ヽlI:ヽ 1ヽ
Attachmcnt 1 0gan口 bttl Chart
Attachalcnt 2:DBE Dlrccloり
Attachmcnt 3:Monlormg and Enfo… nt Mechanlsms/Lcgal Rcrnedics
Attachmcnt 4:Goal Sctting Mcthodology Attachmcnt 51 Cotld Faith E「
Attachmcnt 6:DBE Rcgulatlon,49 CFR Part 26
Attachmcn1 7:Tulnsゝ 澪 Unirol“ Ic“ irlc・ntion PЮ gram(TNUCP)
orts Fo,中
is
\tlrchmcnl
I
()rysnizrtional Ch.ri
●
",…
●
ー
"―
l
"艤
m
‐
●
●●
騎,
―
"●
…・
・・
"
i… …
―
… ■
,‐―dm
■3
…
・
…
"“
…
…
=…
…
Ⅲ
…
‐ ´
…
〔
―
-…
崚
,,\ttochmcnt:
DBE Dircctory \,vchsiic
Up:i &:E!.1do!.$4!-l[!94@]Iq lintel!c!
Altachnlcnl:l
[lonitoring.nd Etrforcemani Mcchrnirm/lrgal
Remedles
The Cily ofClalksville, Clarksvillc Trarlsit System statlrbnitors the peforrEnce ofwork lo bc
performed by the DBE firms on all fcdeal aid f,mjccts. Il is uhimately the rcsponsibility of(hc
Prime Conlracto.lo ensurc that the DBE firm is p€rforming a Commcrcially Useful Fuoclion
(CUF). Thc City of Cla*sville. Clarksville Transil S).stern will review all elements ofwo* to be
performed, including supervision ofemployee, paymll and equipment uscd by lhc DBE firm.
Contraclors, DBES, and all cmployees are requiied ro c(rp€rate with the Cily ofClaiksville.
Clarksvillc'Iransit SFtem personnel conducting investigations.
The City ofClarksville, Clarksville T.ansil System will bring to the atlcntion ofthe T.nncsscc
Department ofTraJlsportstion (TDOT) any false. Iiaudulent. or dishonest conduct in conn€:cli)n
with the prograrq so thal TDOT can lake pmp6 ncps. Thc City ofClarksville. Clarksville
Transit Systcm will also ulnsidcr similar aclion under ourown legal authorities, including
responsibility d€rerminations in future contmcts.
ln addition. thc firdralgovemment ltas available several mforcemmt nrechanisms lhat il rnay
apply to lirms participating in the DBE pmblcm, including, but rnt limited ro, thc following:
L
Susfrcnsion or dcbarmcnt proceedings pursuant to 49 CFR pafl 26
2- Enforccmcnt action punuant to 49 CFR pan
J. P.osoculion pursu&t to l8 USC 1001.
3l
,\ttrchnrtni il
Section 26.45: Ov€rill Gorl C.lcuLtion
Amount ofGorl
L The City ofClarksvillc. Clarksville Traisit Systcm's overall goal for th6 folhwing time perkrd
201 2 -2{) 14 is the following: I o/. olthe Fedcal financial assistance we will cxpcrd in DOTassisted contracts.
2. 5652.160.00 is the dollar armuot ofDoT-assisred contracts that ihe City ofClarksville,
Clarksville TraNit Syslcm cxpecls to award durinS FFY20I2 - 2014. This rncans lhar lhe City ol'
Clarksvillc. Clarksville Transit Syslem has set a goalofcxpending 565,216.00 wilh DBEs during
the fiscal years.
M.tbodolof!', us€d to C.lculrte Over.ll Co.l
Stcp
l:
26.45(c)
Dclcrminc the base fi8urc for thc rclarive availability ofDBEs.
The base figure for the relative availabiliry of DBE's *as calculated as follows: Ready, willing,
and ablc DBEi Thc Tc.rmqssee UCP ha-s 5 ccrtified DBEs in its TNUCP listing in our area that
are available foa our anticipate oontracl awards.
According to lhe Census Burcau's County Business Patt6ns. lhcre arc 480 busincsses in thc City
ofClarksville, Clarksville Transil Syslem mark€t area willing to pmvide servicer in the SIC
codes. Thcreft)rc, thc base goal for the City ofClarksville, Clarksvillc TraNit System is:
Base fi8ure = 5 DBES /
.A,ll firms rcady,
4t0
Businesses tbr a base
goalof
19i,.
willing and able
The data source or dernonstmble evidenoc used !o d6ive the numerator wos: TNI.)CP listing
The data source or dcrmnstrable cvidence used to de'ive the dcrnminator wa\: Clnsls Burcau's
Countv Business Patt.rns
When wc divided the numerator by lhc dcnominator we arrived at the base tigure lbr ouroverall
goal and lhal numbcr w&s lyo
Step 2: 26.as(d)
Aflcr calculating
a basc figurc
ofthc rclativc availability ofDBEs, evidence was examinql lo
determine what adjustment was needcd lo thc base figure in order to arrive at thc ove,all goal.
ln ()rder to rcllecl as accuralely as Frssiblc thc DBE panicipalion we would expect in thc
abscncc of discrimination wc have dcl.rmined lhrl a l9; Race Neutral goal seenl^s l() br
rc&sonable for lhc City
ofClarksvillc. Clarksvillc Transit Systcm.
Bascd on Cily ofChrksville. Clarksvillc Transil System knowledge ofthe contractin8 market in
this orca, the base Soal will not bc adjusted.
Public P.rticip.tion
Wc publishcd our goal information in these puhlications: The LeafChronicle newspaper and thc
Spanish publication El Crucero.
Wc reccived no commenls from individuals or organizations:
Seclloll 26.51: Brelkoul of Estimrled
Racc.Neutr.l & Rice Consciour PanicipatioD
Ciry ofClarksvillc. Cls.ksvillc Transi SFtem will mca thc maximum lcasible ponbn of its
overallgoal by using race'neutral mearN offacilitating DBE panicipation. Thc Cily of
Clarksville. Clarksville Tramit Systcm uses the ftrllowing racc'neutrdl means to incrcase DBE
panicipation: Arranging solicitations. timcs for bid prcsentarion ofbids. quantitics.
spccificaiions, schedules in ways lhal taciliiate partrcipation by DBES rnd othel snrall businesses
and hy making contracts rmre accessible.
Wc cstimate that, in mcsting ourovLrallSoal ol l70, we 1lillobtain l9/o liom race-ncutral
parlicipatkn.
Wc will maintain data separately on DBE achievcm.nts in contmcts with and without cont act
Boals, respeclively.
.\tlrchnrcnt
「
5
orm、 l よ 2 ror l)emonstration or(:0。 d Faith EfForts
FORM
l:
DISADVANTACED BUSINESS ENTERPRISE (DBE) UTILIZATION
The undcysigned hidder/olTemr has sarisfied thc roquirements ol'the bid specilication in the
fbllolving manncr (plcssc chcck thc appmpriatc space):
-
The bidder/offeror is conunilrcd to a minimum ofo,6 DBE ulilization on lhis contraci.
The bidde/offeior (ifunable to mcct the DBE goalofTo) is u)mmi(cd lo a rninimum of
96 DBE utilization on this contract a submits docurncntalion dcrnonstratins Sood lirith
-
etlirns.
)(anrc
ol-hifticr/ollrror's lirm:
Stirtc RcSrstrrlion
\o.
Signalurc
Titlc
F()Rヽ 12:LEl■
ER OF:ヽ TEヽ
:
Name of bidder/offeror's lirm:
Addrcss:
City: Srate: Zip:
Namc
ofDBE [inn:
Addrcss:
Cn\': Statc: Zip:
'I clcphone:
Dcsc-ripion uf
lork
to be pcrformed by DBE firm:
The bidder/offsor is committed to utilizing the abovc-named DBE firm for the work dcscribed
above. The estimat€d dollar value oflhis work is S
Amrmrtion
The above-named DBE 6rm affirms lhat il will petform the po(ion ofthe contracl fur the
cstimatcd dollar valuc as stated above.
Si{nirlurc
ltc
lfthc hidder/offcror docs not reccive a$ard ofthc prime conlrrct. rny rnd sll
rcpreicntations i.t this l,ctter of lntar|t rnd Amrmrtion shall be null rnd r'oid.
lSuhrnit this pagc for each DBE subqnrtraclor.)
R.guhtlonr: a9 CFn P.n 26
Panicipatbn by Disadvant.gcd Birsincss
Assistalce Pograms:
E
crpdses in Dcportrn nt ofTrarl3porldbn Financiol
hn!:/^r'l,i.a,x|.aol$qypks/CFR40!0.!tb4!:!o]l8t0Cf8:2OLq!{k{-9:vdlj!0d20{xlf
Tmnessc€ t Inilicd Ceai6cat|on Pmglam'
hl!!ll4 !r,!dot.$llc.!!Jgg!viI'riahllsaql'husbqlEld{'€spnlee$0.!d-f
Tennessee
Unifo:I:1
Certification
Program
M.rb.r A!..cht
TENIIESSEE TNIT.oRM CERTIPICATION INOCRAM
(Ir-t,cP)
Th.nt you for your rntcrt'l in p.niciFring in th. TcnnciE Unifofin C.rtificsiim
Pm8rrm {TNUCP) to bccomc r Disa&$u8.d Burincsr EntcrFile (DBEyAirpod
Corrcssion Diildvlnllgcd Burincas Entcrpri3. (ACDRH). Our DBE oti.Etivc is to cnsuE
thrt diladvrnhScd busin6s fiftrs have rhc muimum opponunity b Fnicipsre h DOT
Y.troFllDn linr\rllc
Cldleotr Ur',!pol .r
tton l'6srrlb ('@i!
Tlr
TNUCP ir chargcd wirh thc rEsponsibilii, of crnrrying 6rEs for thc porpG. of
n.inlainin8 r drl!b(r. of c.niticd DBFJ for ftc Un[.d Statc! D.p€nmdrl of
Ttsn.pontion (U.S. DOT) gr! r|ccs in thc arltc of fc|nca!.!. Thb is pursu.,rt to thc Final
Rule 49 Codc of Fcdazl Rcgubtions (CFR) P.n 26 thr! rrquirEs U.S. DOT Ecipicnts b
tllc Fn in r slrtcvi(L unifoflr ccnificirion p.(Ecss.
Ctatre& AE l.!'d.l
TrlnJ,on{dr Authohrt
,.cts
Tan\rr
Srnrm
A,Fn Aurtrnl!
T.{tia
C&rI$
Plc.lc compldc lhc att chd lpplicltion ifyou wish to bc corlidcrcd for DBf
cci.lificarinn. ln ordcr lo aroid unn cls.s!ry d.l.ys. plcasc compldc ell fnnions of rhc
Uoifoin Ccnificltioll AlDlr.tion lrd imludc all .o]i6 o[docuoctrl! ltqocdad on thc
ln lddrtidt. thc Affi&vir ofc<iificdion r!|d rh. Fcflon.l fin ncial Srltcmcnt
musl both h. no{..iad.
rFlicltin.
\uhn'r\
A4ur ( mB'Btrh
'll(
I6n,t litrotr
R$M{ I6pdi.r'dt
,rt{
Ur'!.ol
Addiiioo.l &.utr|Gr|tltion tnry hc tlqu6l.d if it is conridcrld trcc.s.ssrr-, to mllc a
ti(m. lncompldc .pplic.lims $ill nor ba Gvllualcd ufltil rll
tlqucacd documoa.tion hr! b.m subrnir.d for rEricw. Wc hiShly rccomncnd firt )r)u
l6.p a copy of all subu[cd documcn!. for your rEords.
c.ttifr!6on dctcrmin
It is rc lona.' ,|lccss.ry lo apDly for DBE cdrificnion !t norr dan onc ofllE mclnbcr
!8cocics. lfyour firm mcds th. critcri! for c.nifEsti{h. it vill bc.ot€'!d in rh€ TNUCP
deubosc. Only firms cuneuly c.niftcd rs cliSibl. DBES for rhcTNUCP may p.nicipare in
lhc DBE FoSr.rn ofU.S. IX)T Sraotccs \rhhiD $c slatc of Tcnncas.c. 'lfic TNUCP is nor
rrrluircd to Frlcdr ,n .pplrc.thn for ctniicalion liom r firln hrving its principl plac! of
buriFas odsi& lhc sl'ic ot fcrm.sr.G if th. firm isnot ccnifi.d in rti trnn slslc. lfthc
lirm has its pftrcipol pLc. of hlsincss in anorhcr slarc and is cu.Gnrly c!.nified in rhrr
srrtc. pl.asc conrrq $c Tdncslcc DcFnr6ll ofTransporistion.
AiD(n A'rhdnt
l<nEls lrus
To pniciFlc in lhc TNUCP DtsI-IACDBE Fogrrm. plc's. s.rd th€ complcrcd
rrplicllim and rll suppo.linS &rumcrtltion to thc lppropriltc rrcmb(r .Ecnc) listcd
dl. follo$ing
Xrirrqr &d
rdlll
S.n
rr
pa8e.
on
Iltc followiog mcrntrcr rg6c.3 FEcs DEE rppliorims. Plos for$'rd your coEptercd cenifrcrtion Fctet
mc of th. lFilci! .crvinS thc lrE et'crc your fi.m hrs irs FirEip6t ptec of bolincss:
ro
lcnno資 呻
On
"mcn1
0r TanOtta■
S熊 ‖ Bu● ness●
、cbpmmtい
Mmphi、
s…
:18n0088A■ 8R“ iG■ l TrampoⅢ t_
N●
贔●‖c Mdropolltan Tanlit Au¨ ■け′
RegimarrOn,ponat,On Autho■ ty IMiddlビ INl
430 Myatt C"vc
N“ hvine,TN 37115
(615ヽ 80‐ 19,7
凸 vi!に m● rロ
ty
^utho■
!r11フ w‖ 。
。スB卜●
alatt」 lQ・ 8a.TN,7● い
(423"2'14!!
,■ ∝ arla o‐
―
If
r_ou
3Rl“・ 101:
下
(901),22‐ 1138
ww■ m二 !― ■■it…
Ntth、 口i●
・ TN 3'243‐ 0■ 7
(888)37● 3647
(615),41‐ 3681
“
Autho■ ty
ll,0:で,cc R∝ d
K Polk Buildlng
"m
SuⅢ c:800,alll‐
505Dで acnck
Mcmphis Ara T口 ngil
-翻
wirh to bc considcEd for ACDBT c.nific.tion, you $1I n6cd to cornplctc lhc Airpori
('orrc€ssion DBE ccnifrcstin appliclli,n
McmphiVShclby Coun,Ai…
350S rchulahOma Ro3d
Mmphヽ TN 381:R_27:8
(9011922‐ 0255
Fclrgc, *hich lrn
bc acccilcd at:
MctroPontan Nashvlne A10o"Au● onty
"Au`ho""
● eT― inal Dnvt Suite 50!
Nashvilに TN 3,2144!14
(6!5)2,S‐ 162()
_nv口
腱hvi!L com
…
Ch8ttan008a Mctm""tan AirpO● Autho■ ty
lα )1人 inЮ ● R“ d Sunc!I
Chatun00Ba・ TN 3,421
(42318SS_22!4
―
M“ Юpol13n Knoxvinc Al■かIt
PO B。
KnoxvllL TN 3790!_SaXl
(865)3423062
L Followtn8-ltt a… les輌 be ac― d
―
Sm、 口旧 A● ド
"AuthoHty_(6:SxS●
2651
For your●
(731x23‐ 0995
'aCk30n AirpOlt A●
“
J8CkSOn Trandt AuthO■
ty (73:X23112∞
ぐlattsγ illc T口 富1l S"cln― (932)553‐ 24∞
Kno■ vi110 Anョ
T… dt
0● stol Tcnncs“ Transit― (423)旧
'SS19
MurFt・ thuro Ro■ cr Public Tmsit(61S,803‐ 6441
"Aral■
:―
wwΨ
―
tlor
"COm
tHnitthi com
mklal‐ lt
―
Coln
w ndeilamm
、wvc"崎 tL越 ■lは ctlm
(861)21S‐ ,830
,ohn― Citv TEnsl■ (423X34.6269
Кingsp●
F―
www smv…
Th Citics AirpOrt Colnmi輸 ―(423)325碑
IIty―
Autho■ ty
、 ￨`“ X)
nsitヽ
"vicc―
(123)22■ 26!3
W■ vloMaciM■
―
■
=il o■
w理 ‐ bngOltn o"
www murF― ntn"v
ww ttn―
rtl― Lole
“
T.nn.sse. Unlform Ccrtilicrtion Proarrm CINUCP)
Applic.tlon for Cstlri6tion rs . I)i..dv.nlrg.d Businers Etrtcrprise
(I'BE)
TNSTR UCTIONS AN D I N FO R M ATION
Ptce-ic read
iniruc,ions coanl.klv and thorouehh!
rt.:.
L
!
!
A!!questi,cflsmusrbcars\r6d.Qucshonsthatdonorapplyroyourlirmshouldbcmarkd':,J'A.'
2.
Alldo.umcnrs rcqulsrc{ on theCcnilicrton Chccktilr musr be prolrdcd. Mark "N/A" tor any items thar do
IEI penain lo your company.
l.
Th€ Pellrrnrl l-in.ncirl Shlemenl mclosed musl he filled out in its cntirEly lcaving IO linc hlanl. This torm
musl bc cornpletcd for (?ch DBE applicanr ed rhis forn rnust ti:.si8nd b! each DBH applicsnr in rhc
prcscnce of 3 Noran Puhlic.
.1.
Ilrc Allidavir ofCdificalion must ti'signed by theprincipnlownc(s) in lhe prescnce
Pl€r3€ not. thst fillur. ro complct. th. rpplic.aion ir lnnrudcd .hov.
! d.nlil of c.rtlfrrtlon rs r Dh.dvrntrA.d Butlltct! Ert.rprl.G.
ofi
Nolnry public.
rtll dct.y pmc.tdni rnd mry t.tiult
in
!'or Your lofonnrtion
L
An on sirc inrenic{ will bc rEquircd for all in-srare applicanb. as pon of rhc ccnificalron r'r\\ccss.
ii complete. rhis should occur wi$in m busin$s drys of rsceid ofrhe
ceriification flackagc.
Oncc rhc application
2.
Addilional informrtion may be rcquirc.d durinS lhe prccessing
information will causc a dela], in proccs.sinS fie applic{ion.
:.
(lan8es in olneship. control. or opcrauon oflhe busincss shoutd lx nponcd within -10 dnys ofrhc
mcu'r!'tlcc. Any chrnges in o*ncnhip or rransfer of o*.rership lro (t) yca6 prior ro sutmisstun of
an application u.ith ilrc Tennessee Uniform Ceni6catim Pmglrm sitt nor be acceolabtc and witl bc
seriously scrutiniTcd fortiming and rcasons lor ownership changc.
4.
An applicant has lhc riShl to prolcst a
Depanmcnt of Tnhsfbnatio.l.
tt
fmod
ial ofCcnificarirxr by
fiIng
l)clays in suhmi(inp rL\uesred
an
appqt with thc U.S.
5. -lAII ceflifial
busincsses will be lisred ir rhe Dir€ctory ofDisadlantascd t usiness Enlcrrm*.s for rhe
enncss€c Unif{rrm Ccnification Pmgmm.
nder Sec. 26.107 of 19 CfR P.n 26. d.l.d F.brr.ry 2, 199!r. ifrt rny tim., thc Drprriment oru
reciplent h.s re.ron to lr.ll6.e thrl.ny Ffton or lirm h.s witlfulty rnd knowingty provucd
incorr.ct lnfo.mrllon or mrd.lj!. trrt.m€nt!. th. Dcprnmrnt mry lnlthte sury€nsion or
debrrmerl pmceedingi tgrh3l ti. Frton or llrm uld.r 49 CfR Prn 29. trkc.lforcemenr
t
rction under {0 Ct'R Prn 31. Pro*r.m fr.ud rd Clvll R.m.da.. rod/or rcfcr th. nttr.r to rhe
Dcp.rtm.trl ofJurik. for crimiml pmr.crtlon uod.r l8 L.S.C, 1001, *hich prohibl.3 frlle
ttrtamaD8 in Fedarrl pmglrms
，
，
〓●●ュ ０● 一
δ﹁ 一
︶Ｃ一
〓 ●一■一 一 ●● ユ ｏ● ︶ｏ● ョ ‘い一” 〓 ”０
０ 〓ｏ 〓 ヨ”
う０● Ｆメ ｏヽ ●〓 ｏ一 一〓● ¨
，
０ こ一 ■ Ｚ 一
一Ｃ 刀‘ ︹ 日”Ｈ〓二︵ ン ¨宍︶
Ｚ ン ヽ﹁〓＾ ＞ ¨宍︶Ｚ ′〓 ０﹁０ 刃 ¨︻
２０ ¨
′¨
Ｘ ︼［´■∼〓Ｚ 一′ 今〓 ﹃︵ス ¨¨
一３ ０﹁‘ ●ヽ 一● ＾●●一●一＾一● 一０ ●ヽ “も
僣ぼ 愚 ぼ 信
︶
口 そ う■
計 ８２
ョ ‘ズ ー ３ ０
一 ︵ 彗 ¨
３ ●〓
お３ Ｒ Ｏ １４ 一
Ｓ
ａ
‘
ヽ
３
ｔ
３ ２ ︹■
ア
８ ヨ 嗜 ０こ 一
３ ●〓ａ ︶ ａ ３ 一
，
，
，
，
〇一コｏ●コ´ｏ﹁︶ｏ〓﹃﹁ヨＳ
，
，
こ ｏ﹁只 ヽ ｏ﹁ｏｏ●５ ０Ｆ ６ ●´ 嵯 ６ 一 ６ ”Ｒ 〓 す い ０喪 ョ ３ ‘ ●
おヨ＾
，
■ ７ｏ●２ ﹁〓●‘す一∽¨
♂●●腱‘〓ｒｇｏモ¨
３一
７●“０■″●¨
ヶ●︶
彙●ヨ●ヨ ︵
Ｊ，むＩ Ｉ ユ 〓ヨ●♂■Ｆ Ｂ ﹂ ８●マ８ コ 一
Ｆ ●一〓８ ０Ｆ 夕ヽ８ ｏ菫Ｒ”ｏ ヨ一
Ｓ一
●∞ ‘αく彗 Ｓ零こ●
，
く２ ３ ヨ ，
ｌ ■ ョ Ｌ〓 ﹂曽８ ●ぎ ２ ●，
‘ 要 ヨ こヨム 〓 ´ ｄ，
０﹁ 〓 ２， コ ゼ，
螢И
， ︵ ” ヽζ 、 ● 、 ● Ｓ や ヽ 戻 “ ヽヽ ヽ ＾ヽ ヽ●●
，
■ ８，
ｏす ｏて つ０
ＯＲと
ｒ● ３ ■ ●一
８１ 雪
１１ 一
■ ■ 意た ｏ
﹁雪 壺 お
，
口 ‘ ０ヽいｏ●‘２ ０コｎｔ●ヨ，
三●ｒぜパ０もｏ﹁ｏｌ贄﹁ 〓
●ョ ”●ＱＯ一バ予＾″´ｏてヨＥ ”●一´
︻
Ｘい●ヨ●ヨ〇一一，ご い０﹁●●ヽ■目ら Ц′０﹁”‘Ａ一パ■■０ヨ マｏ“一﹁﹁ョ●コＯδ︻６３８ヨ ”コ
，マ０﹁一
″ ｏて３Ｑび０そｎ
＞ 一ｒ 澪 〓 り ｓ ｂ ¨ 〓 Ｑ 口 〓 あ ′ 〓０９ ｒ Ｒ Ｉ ‘ ３９ ヽ Ｌ
一
ぴ コ ゴ ´ ｏ● コヨ 〓 ´ 一５ 一 〓 ●Ｃ 一 ”●¨ ｏ ■ 一 い０ コ ゴ ∽
マ
，
σＣ●一
一０●０●コ２︼二７５一
‘〓２ユ
コ︵
ら７一
ヨ●
´一ヽコ●く一
ヒつ
００＾
０●ｍ ＞０●●ｒ”●
α∽口＞ ∞→︶ｏ﹁ Ｏヮｏ
， ８●〓﹁
■〓﹁●２●●´ ３ ご ●
一
３●ＯＦ
〓εＯ﹁
わ彙●●´ ■●ヨ︶
， ，
，
螂一”●９９●３ ｏコ彙‘ ユ愴●６●，８さ´
，
オ ン ｏこ ‘Ｆ つヽ 口
一
ユ ｏ´ ＾ｏ﹃ Ｑ ｏ一 〇〇 ３ 一
Ｘ ５ ● 〓 ０コ ０ ﹁ ａ ヨ こ ¨
る 日 〓０ ご ８ ェ ＾
● ”〓 ｏ ﹁ イ 螢 フ ヨ ●﹁”” ﹁ ´ ｏ て ３０み
〓 ヨ
， ，
﹄ケ ヨ く ３ 日 ａ ＞ ● ︱ ヨ ー デ
，
﹁¨
，
，
ヨ
ＨＰ ●Ｉ 〓 ３ ３ ¨
多 豊 ご ３ １ ≦ ｑ ｏ一
麟ユ コ∞含 量 ‘露 ︱ 餞 ３ ； ョ ８ ︸
”ヨ ８
ヽ
〓●
ヽ こ
ヽ
ヽ
ミ
ヽ
ヾ
ミ
ヽ
ミ
ミ
ヽ
，
﹁
Ｏ ｏュ 笙 ”Ｌ 雪 Ｌ 自 マ ●う ３ ● Ｅ
い隈Ｅ骨ＥＥお
● ０ 一
２Ｌ＞〓ユ ｏこコ●
９ ︼〓０●●■崇ヽ て ヽ■ミにｏ
ヽヽヽ０
● ψ，
Ｌ一いｏ■ “
■ 〓
９７●こｏ´ｏヽ，
，
ｏ４Ｒ Ｆの０２一
レ，
雪こ マｏ﹂ ﹁ヨ■´′ ■ ¨
おコ４■ 〓と”﹃
，
，
，
，
口 ∽７ ■ ニユ
＞
Ｈ
８
ユ
′
”
る
ヨ
全
ニ
∝
＾
リ マ〓コｃ¨
●´ｏ﹁”〓‘Ｏｏ一すｏこＯａ ¨
５一９９巴‘ｏ﹁﹂〓●ユｏコニヨ０■一
●”′
０姜 ”＆
２
ｏ ﹁ｏ Ｒ ヨ 一
ヨヨ
一て ヽ ︶
Ｆ
５ヨ ¨
ｏ ｎｅ ︶
¨
●８ ご 一
“熊´日 一彗 マ”ヨ０●０ョ３ ●
口 の
ｒ
こ
ざ
●
Ｆ
‘
ｏ
０
３
ａ
５
ａ
，
３
ス
︶
一
●
︼
５
霊
“
お
い
Ｌ
■
年
´
∞
，廷 ●０﹁ヽＲヨ２ざ，
口 ０ヨ ｏこ ︿●〓 史
〓∞＞”８ １３ ¨‘一 営 マ●ヨ３ ８●３︵
●”う００■︱一
０﹁ｒ¨
らし
，
，
一
Ｐ
ｏ姜 え こ ９ ⊇ ８ コ ０ こ ﹀ ︼ｏ 黒
い籠晨ぼＥＬぼ踵暉旧Ｆ
一
Ｕ ︻
χ澪ｃヨａ■ ﹂０日０﹁０﹁０■■９２三ｏｏ﹁■るｏｏヨ■３ヽ
，
口 Ｉ Ｐ
■ ３ ８ 一
Ａ，● 力ヽ ８ ３
僣 ● ３ ● ｅ ■ ●３ ３ ９ ♂ Ａ Ｒ
，〓 Ａ ● ３ 一 ａ Ｌ ‘ ● 〓 ヨ
ロ ﹃
，
ｎ一
ｒ一
﹃ ｃヨ ■
，
２ｏ﹁ｃ● ●ハ︶
● ﹁●８７一
ｇＯズｏ■●２﹄０
﹁コ■３■０﹂０マＹＯ●﹁ ヨ
， ， ，
，
檬鍵ぼ﹄麿Ｆ
，ヨ ユ●
ヨ〓””¨
８ 日 ｖく■一 ■ ヨ ●●﹁言●３●■ ぅ０ヨ”
彙 ３●●〓
●８■●ま”お３ ■ ６ “〓Ｆ も Ｅ””
，
、ョ０お 壼﹃
，
”﹁﹁●ョ●０ ﹁
霊﹄０日，
，
Ｂ ま８
，
，
ヒ に 旧 Ｙ ↓〓ｏ■ ２ ３ の日 “″ ｃＯ ﹁ さ “ ｒ●ｒ くｏε ”富 ”﹁■ く ■ ヨ 摯К 〓”く●”ユ含 ユ●ヨ３ ８ ●〓 富 ‘ ﹂ｏ●暉ヨ ｏヨオ 争 〓 史δ〓
● ＰＲ一
﹃Ｒ ‘彗 ３ ｏｃ‘ ｏ′曇３ ま つ０ 一
８１
口 ｒ一
´ ｏヽマφ一ｃｎ 〓コｏ望ヽ﹁オ０
日︼ ¨
Ｌ∽一ｏ﹁●ら一
■７●一ｏ●＾
Ｌヽ
Ｘ一
●〓︼ＪＯ﹁¨ｏて ０一ヽ
ヨ一
ｏ﹁一
●ＰＡこ一
，
”ヨ ｔ ｏ﹁ α 〓 Я ¨
¨
０コ ｏ ﹁¨ ０
，
く８１５０８ ３
３
０
ま
，
ａ
Ｆ
， ヽミ‘¨
ら
ヤミ
●
８
８
８
ヨ
●
‘
一
０
ヨ
０
”
参
ｌ
２ ８●×
８７●１ミ一●一一
ミ ヽヽ■、ヽヽヽ
●８姜
， ，
い０“‘¨
て０ヽ●巴‘
く８ 一コヨ ．
，風 一
´■増 ＆ 〓●●出 昼 ヨ ３
総０ま
日Ｌ８
翼 震ョ窒
お ♂ヨ ´
Ｕ●８■■一
お■躊０コ”●´
ｏコ´ｏヽＬ一︻笙 一
■Ｎ″ 一つ２，
，︺
ｃｅ””０﹁，
霊Ｈ 住い︶ｏそコＲＥｎメロ¨一﹀﹀ＯＣヽ０﹁●●こ ０＾
おこヨ●２２一０哭び、ｏ﹁
０´
くづ●ファ一
´一
●ヽあａ‘
●、
”うｏＣ 一
CCCし
L Lし
し●し
し
CCし
ビ
\'..r:tA(;ED Br sr\fss E:\Ttt{pRtsu Pta(x;tLi}t
{9 C.t'.R. pARr 26
DISAT
Uvt
ronu Cnart nclrtoN
A
ppt-tc,trtoN
ROADMAP FOR APPLTCANTS
slbold I .ppb?
.lsyourfirmsrlcasr5lo-owncdbyasociallyandcr-'onoriicrllydir.dvantaged
individurl( s ) lr tr' also conlml. lh. firm"
o ls lhc di$dvrn68cd owncra U.S. citizcn or ln$fully.dmincd lEfin.ncnt rcaidcnt of thc
U,S.]
o
ll husincss thrt m.cis rhc Small Busincss Adminisration
sr.ndad e!!ld(E. nor crccd 322.41 million in gross annuat rEcciFlt:'
ls your firm orEanizcd as a for-Fo6r bulincasl
ls )our finn a srn
.
:t
s
(SBA'S)
si^
lfyou antwcltd "Ycs" lo all()frhc qucsrions !bvc. you g4g! cligiblc ro
Fnicipsrc 'n thc U S. DOT DRI] pft,Aram.
l! th... .! .$hr rry ro.pply?
lf ytu.E curE lyc.nifi.dby lh.sBA 6sn,(r).nd/cSDn finn. tou 6.) b..ti8rbt. forr{Mmlincd
.. ifi.anon .pplrc.rion Foce\s. t,n&.th^ prE.ss. th. c.nifylng .gmt
ro *hrch you.r! apptyinS s.ilt.cc.pt
$hm (hi\ form. NOTf,: you,nu .tl
r.d ih. r.golr.-.ra. ft. dr. DAE Folrl!.ll.hdhg uld.rf.tq r. o..tr! r.rtr.
your
cunmt SBA applicarion p..lagc,n tEU ofr(qulnhg you to fitt our and
a.
ltE
ro
.n.d
rn ot
.L ntdrtd do.t-..r! lhr.{ b .r.
iorr coipkr.{.??lb.dor.
&rrt!!!!.CE
LE .r .r.
.d
ofutb ,orD
'tr:
Whara crtr I flnd Do.a ilformatioo?
c
DOT lflp/o.dbrrcb.dolr."rhd!.rr,/db./hda.bipl (this sitr pmvides ueful
linls lo thc ruk! alld llguhricrs gor.cming rtr DBE Fogr.m. questiorE snd lnswers. and
U.S.
othcr
Ftin.nr
informarion
)
o SRA lnl'://rrra.rt{Grovl.ndrrrr/uL!.htrl
eod@(FDvidcs
.,
(F$vidcs
!
lislinS of NAICS codcs)
r lisiing of sizr srsndffds by
NAlCScod6)
.19
Cl-R Pans
2l rnd :6
(!he rul.s .nd
rruhtions corcrnin,. fic DBE r,ld ACDBE Dro(rams)
Undcr Se(. 16.10? of49 CFR Pan 26. drt.{ f'd'ru.ry :. 1999. if ar an} tinE, fic DcFnmcnr or a rccipicnr hlr
r.a$n to hcli6'c thrt any !.rson or firm has s.illfully ard kno$ingly provi&t incorrld infonnarioa or rude
l)lsc sht.rn.rts. lh. I)cp6nm6rt mry initiatc snqtnsion o. dcbirmcnr pmcctdingr againsr rhc pcrson or lirm
undcr 49 CfR Pan 29, i.t. cnforcqn(fl actrfi undcr 49 CFR Pan 31. ProErJm lmud and Civil Remedies. and/or
rcl(]. lhc mltter to th. Dcp.nm.,lt of Justice for crinin l prlDsdutirn und6 I8 t-i.s.C. lml. which p.ohibits fals.
.,i1,..:
￨ヽ
STRt,CT10NS FOR COMPLET:ヽ C rii[olSADVAヽ TA(〕「
CER「 :「 (A日 ON APPll(A110N
Ю l■ :l● ●●,qd,・ ●
d■ l“
",‐
●1●
●4● ●●●,q● ‐ ●
I● L●
D〔 i
tJヽ
●phth
iヽ ESS
J● ―
tド
“
vi3 υtticw
tl●
yttnm ht,.nd颯 “ an
m hes muav un‐ 暉 mm●
"¨
yOu′
厳
indicalc■“に mos―
壺 le t,CPlha cond“ ヵ
:dllt or:h31"対
a“
“
"SDB"3‐
Y`泄 ゛Ю。日 αttaci興 nalt uCP IO“
out… ia,回 m“ r■ ,"￨● tⅢ 国 ふ
面 安
aに ッ∝ni■ d unda thcい )a“ SDB rOmm`
"nm“
I PrlorKll●
●r App嗚 d● ‐ ●●d…
“
r●
this app‐ in
:ndctl● 中 綸 your nm Orany o,the p― IIs 11週 、ぉ
cv“ witMnw● 8,,"!'画 I● ● for B DBE「 q鬱ョmOm
SBA 81■ )or SDB pЮ tt Or whelh露 anン ヽ、ce● ζ いm
(■
y‐ lnn's
ntt num‐
(6) lndiCt:e yo“ , rtm.; 。r
l― ‐
tlOn o「
(9) State l● ●■■
“1lin3-Of
rlm s…
赫
●
hy'●
.ddn"6)
your.m iFl::・ l
ditF―
who
“
t
_■ m
…
[飩 0ド 蔵 メ
η
(4)C,vで lhC“ C on wh ch you maor erh Olhcr o中簡
ok ow― ● ofthC“ nn
(5)Cは k llC appro● n“ c bok that― い ,市 でmmner Ⅲ
hyou mduに 1■ h“
抑 h」 OW― ● 。r
"hiで
[r、 Ou cに led"市
O臓 ‐α in'nlt rCC
、Ourrm
`●
OI●
｀1出
(6)― k lhe―
6m is trr"`t‐
uc bO・ thtt i“ 劇
`ぃ
￨■
rdums
,our:imヽ ■1“
t鎖
●―
rB■
―
っぃ Ⅲ ate boス Ⅲ ii“ icaloぃ 口 時
“
Rel■ Ⅲ ‐ Mp■
(1)-1巖
)● ●
■m isa● 1∝akd lli my ol lti bsi― :odiion, 0,`
、hd隋 ,● ●,6m…
■に1…
numu嶽 。 ap。 菫
o“ ∝
,■ ■,omce中
="rd wathotl,α her
Oに Jitに“
、 ally suipmtnt,o子“ anッ ofrcc ュ wit1 8ny
Ⅲ で,● ●釣た ,,α ,"■ ttOt1 0r ctllly of
『 my kind lf
“
y"a■ ,o■ Vヽ ¨〔 n,cl● thr nl nc orl"olhcr
缶 S)● ●d“ m)aメ
画 雌 。f厳 Ⅲ Ⅲ
“
`htに
佳 ilitも o,d腋
s in● でョ理∝ 四 ｀ 腱
=1ぃ
“
(2)鮨
-1
1:卜 ●
ale bOR tha indた 3ttS¨
綸 時 llt
“
∝ …
im.1lme l■ lhc,s!
・
(1) y。 ●′■●m has“m t subsl`in,of iny ot卜 で,
輌
"●
:,in Whth
(b)your
im∞ ■●口 oF a―
onc"In r Of■ “
tp● ■にx、 責 OIM
「 Ims:
y
(C)● ●u,6m“ so,同 ●nγ rτ 。‐ ● 。
olH■ m:md
(d) y"￨■ ■
(3)Ct● で (ht と 1● ぃ which l‐ur ■m wぉ o"k」 ly
卜￨1爛 、 ‐ 嘲 in vα 工 `ms A● ●も o`
Ⅲ
,Cm口 o"も
rOS― ipl=oryOur■ 。n fo7“ 卜or
the p3"th薇 定 yば 、 s●x● 祠
I
(2)Gi、 で 1卜 ● Fedcml Taメ lo ,unbσ or yω ,■ mも
prO、 id`On l● J,■ m,61“ u瞑 n■ umュ if y● ●hav●
●nc ● :、 ∞ o:d ilo brtL S∝ IJ S∝ unty n面 け o「
lに o、 ner or、
田
前 h8,∝“i● ■
8 the
“ nunけ of mplov‐
wofl
“ o,3 fu‖ ‐:￨■κ and ParJinc卜 ● ゝ
(101S,κ iFy:lct● loi
,菫 階
"ur
'“
s hld 3ny"● :diar‐ ofi、 。ぃっ
"ヽ
(3)(ヽ ck:he t_ln3に い ,lht lndに ■●sw■ 時 mッ
a諧 m、 ぉ Ocr、 ● 3n● ″naship inicFen in Vour
6m “
(1)ry00 3n"… ‐Y‐‐
l●
(d)or(3)idmti″
",●
en3● い
澪sh゛ に_pЮ 、1側
e n“the,“
hOW凧
Ⅲ V●
:
四
●●I ProO●
…
(!)i● th● box prO、 iⅢ bneny l― b. Ⅲ prrm彎
蒟oも 罰 p_FcK● ●nal●
i■ 3:"whlch yo『 輌m
B口
燿
yα ″
if tty
…
t,。
ciに ung率
i〕
so■ ■ょ誌 _31=p● ● 。Fre bo、
dd
Nle“ =tha“ ,● い lht ic3J Fonn
ry‐ r“ 椰 .“ indio“ ::メヵr ttnn s
M`Ls of l籠 o“ α毬:Ю軋 if yOu cは k“ ヽ■腋ィ‐
bncn,α pl■ in in thcョ コ ,① V:● d
Ofい ―
(9)in山
ifmy
― 6m (ic
(8)Suで thc,應 3-or vour
p“ ●●―
(8)は liに t― r」 eぃ“、 1:… lcSヽ 卜
…■hip
ow■
nm 18'‐ σ ‐ ●ed under
"ura
“ d“ 輌
lir_,,yド 。1‐ x■■ ip ″ t dir― t● 3mで [Fy●●
´
●
lcrk“ ヽ6 ,∝ 1,whth lndい o"op■li the
your omun p_.s e“ 濾
… ic● ey‐ ■m.,weL:1●
(7) !“
`●
prirll
",■
"t‐
■
)-1:に
―
dmied cenincJitt d― iFld d● ―
即寧 祠 40r国
bidding¨ ■lぃヽ dmi"Or― dd"則
饉忙
00m
asn,α F“ hi:otil) :rЧ 断 筋 _:,yヽ :‐
k¨
『 c●
atc oF ich額 面 ●耐 ifl● e na ne of:ht■ _“
cxpla n“ :ly」 、 ●●tttた oftに
蒟 :,晨 警 cP● ∝
`は
“
,に ●o■ 21C口 NERAL:ド FORMハ ■loN
た Cont●
fornm● ●●
`(1■
w“ l,い 。あ
(:)St■ に ●r― le ttd“ tた 。f● c_wl●
yα ′■mlζ ●nmη CO-1 thi'"tatⅢ
,■ m、 :“ κ趙t“ h you・
(2)Stalで ,に にコ ー t。
6m、 Anに 遂 of:驚 。 'yo●tb
(3)IndiCuc he pnm"り phOm●
"b腋 面 け ofyour lm
(4)[ndi‐ に ,,だ OⅢ ヮ ph∝e nttmに ran,
″
doNOT Ⅲ■‖fv
調 th● 薇■or do 融 no“ to
●ompは c t,κ ‐ or t卜 :, 3pplitlll輛
lle DBE
m `ヽquiに , ュ: ●3● ici"tin3 ■!hs ● tx● rol:
:● ″
heに 、1● ″
NO￢ E:“ you`5nnヽ cummtけ
crti6“ u‐ 1に SBAs
“
8(■ ヽ同
、 y"餃 v由 M、 r io,mplac
(5) indital●
"輛
for thc DBE "o_
I●
:。
on“ に 、
:h」 曇
壼ヽ市 ●
NOTE:ir v●ucldrdヽ o‐ tlF● y“
1■
ind c■ lc wl燎
TERPR:SI(DBE,PR(Ю RAM tヽ :FORM
“
、山
FiCA■ 1011:NFORMAnON
"1:ccR■r(1● 出 ■ ■tlom
A“ PrD"0い
Chに t hC8-● ntiCい え indlaling"whish…
your 6● m ls c● -1,で C●
[f you tre liRttdγ co● :6“
●
bo、 thc ntmで
“
`DBLIACDeF ndicalc in th● _p●
“
ol lle ctrtl,i● g,脚 Cy¨ ths r‐
Jy
αni「
●‐
・
6m and`1∞
Eヽ
出 ines for∝ h
節 y Ort籠 ■.di。
l
'Sh(2x■
口 腱 ddres ttd
t"眸 。,
・
“
im却 匈 F,口 yM● mbr BⅢ 疇
0意 l昴 で中 呻 口 にい え :indicale,、
hdher
“
,。 tr
immediュ lt Famity mer●“い
o、 ll
an)of
or manage inolH
ml,■ ■mber is any_tl
=c●
、ho is ytt rt峙 m¨
、‐ 鰤嗜 、if● nd● ●ghu
訥 h動
口祠 Falに
・
"“・
pdd●
…
ught=md卜
in[`w∝
f● l朧
"mmw [ryo●
“
"in l●
“Idelhe n3 ne OfCach日
anぃ ●gntt ves‐ p●●
c your
=￨、
rci腱 im■ ip to them:￨● ●●
me or● c comp8nソ 1卜 り 0″ ●。r
ct m,m, A■ lmm`●
-33C the〔 察 ol“ 員に s lnd whelho!い
maSCt● ￨―
pan)
oW・ 。r
lE
'u'l ,{ro l.qr qrh dq@'q, a'..q rr{!'!t
Jo ,.Itu 4l P@ @rd .ll Jo ,l@ ,o u! ,{r
lo u!.qr ,qrnDo. .. s.1- paDsw nJ{Jt '@u rrci
qr.n dxF6'r.tr . s.q rql (rlu!, ,.{F x@ DJ lln
b oro.^dt. t0t) {t@l[ (t) u Pr!'r srJ6ld.ql
Jo Xu. E{pqa r,rbrpo lntr rq .[u.tuLlr {r I-rtJ € I )
$.uGq ,4p l&il t'
pcMld @onnJ dlsrq Flr'Po!or!' s.{. tt.ril$
{ lg'sq qto,fl ,o .lenr'.u,rtr'{,le
&
6r..1 qD lln6or -:.,!, PcDi.@ mI lt -g'riq
Dqro ,i@ &J uorranJ Iait d6 & t€uDr@u
t @ojl.d . \.qr {0 | )
(
u' p.EI ,o6!d .qr
'6@$ | )
Jo iur r.q|.qa s:rF FI rqr rc{ ,r3J.brd(h qr t-qJ ( t I )
'P.F!t -!N.{o ro{JFFq r.ug
re,{ E rdp.ruur F|MJ E{p {E tutrrFDJ (ol)
Fn :(.dnxl I{i rJ) rtsp l!rd@ tutu8'S (6)
:u.u.t!,be -,rru Jo &liqud (8)
\rp3
pue
turDpcl\t {t)
:tEqD6@u
_r.llo
19)
'e^B raD8.,fu tc6rd !u{,qEl- .sruda
nF tulpnta !o'sr^!dE sE.l!E(l) qol po{,r!,l1 itl
[email protected]
d.@orrd ,urD.Fro. p@ ttrrErMur tuDntrur
'F/uoird rEuDr@u lo tuu! D,?u. tru'H (r)
'JFq.q ,.@9 m{ 6 n*r6 tdr6E
Pc r@rsptsu s,uu eI .ro fu u' @t.d'ru.d
tupnt r '61@D r.!arro! Fn trEroi,lN 1t)
:m,6'r{6
P@
uolltrlard Pqr.s[urEr
Brttr1b tulpnlr!'.tu'p?a F tu,r.u'E3 la)
: n stddt 'rrloq
ItlB l'peD Jo s&'t Jo Dl'rnbd nr E.'Fta'
'JFtPq i.uu rol oo rls6p p'.@u ro tu'try{ t)
xE! &Fq|g
r$ or lrr! J.oI |qtuo oir (irD{rt F..{I'F.|D lca
'.rrli Iq) p.rorl,ll t!,I.lE.rl .,tr{ no.{rptIo r
'@g dtto rr{ q!.n d'{sDrttta su'tnq ,,{6r{,,o
mn! { P6 5rs,p r d.ll6 a0 '@, ,lr Jo rlm
ac qus.p, -!r , p.r$4 ml ,t '@J r@,i qns
d'{.wr{a o .q l.{l (s}u} Dqp 16 E} i&d ro
uao .^q3 pcrix eor$JtP ofim @uo s.u!g ,o(
Jo Io! Dq|.r6 s"rr.'F/, rqDoq ,rrudor.li r+ tn{J (rl
sg6!q r{lo l.$ u, 9.@}:d
@u,tru J.'l r{ Pd Pc^|q[' s, 3t{6 rt]lqn o r*snq
Dqr. .9 Jo tu .'0 r|lu Eirr{ .{lE .q srn
qlcr &r!:p' -3r.\- FDN4 mI Jt
a0o
'g's.q
{u. ,oJ uorrJljnJ &6r,u.dlr' ro rtEuldnnu
r @lDd
.isF t Flt $r,.r'P &/?(r rEr,l,o r.@, ,eI
dp.rii 3r.1F, rElr bq .rudrdr. r0 \$lJ (€l
Jo
'55r!r'o Jo IE€ s. ulu ,oI s tu'.s
^m
FPiPU' qJr, Jo r.p!d P4 &Hu{r. }er{u'od.h
':n'r '.@! lqr ,|!E ?op'roi ,3b aI !t (i)
J6
'rP
'uu rm(
qa
DJtuo
lFcl
.{r'Jrut|,
rwpq!!
,o
,o
F!
Jo 1+.+!t..um ro:s! FPl^.d,i& 4r ct (li
:!.rr.rMo Frag F..r.{o r,al|,E( gor.cl a
1OALIOJ :r Fe..s
r.6. Jo
(sI,turr,ttJo
,t.^ luM. p$ -d&n<l IsEr{ '!nl!! ,rI ur.tdr.
IUr.a -'t ,ts, p.Ddsc @,(Jl ae t EnB^F3r?
rt'[ Jo rJrst :{r &, pcr..r. lat !e $rl E\!
Io aiEtr ot..rr!r la0 roq
t-iljr
''rdor<b,O
(al
,trM s.E.@ qJE a.d@ q @rl3 rtdlr sr0to
r UbJ -rqntrF. ,tvtd .{r 6f) uone{ltmb
5qr
3QO Dl
pr!
ro'Il&hsr o'th ouno rFDJo (/{Nd) quo^\
Ft)r r.ll pr9'ro:d d6 atr u'.lr.rput (|l
tt!rud
(B.r&rl 3AC .? ,o o!.r&t br dgu{.o
F. prr.@ { Pr.$r p{.@r .q or tt rualt
df,q.o...tr prr Jr.i.r!.rF{D fitDtEoro
P.. lt|.tsi { ol r.F|'p r! qr r&ao.t c
,ro,l ! t) lottrllNnb ?eo loJ trr,(dd..t ttqr rruao
qraer lois. t{.duororPsIPomA rm
r.t.r!- ptq..rP.qo
.4
|
t
..)
pr9udd
..i<l nr !r .r$@'r.t! sqE(l }{ Jo r.|tu aI
xlqlp
lsrfr{ rql q plr{ @'r5uij ro:irn
^lrrual
pB lqrB| rlro nrJoJUru 4r,l)qu+r
s.Dhos'qr
polul5 no,i Jt @U rnol q}n .i'q.@rpl!
-!tI..
it@ slq l'$ (s]u, r4p Iu! &J s:tDn s sono Duio
s'q! ,nt.qr er6plrr rqr loq .Euddd& .'turqJ
's98nqrqru pt.q @r|.unt
D )pt' r.rne r$ P@ $.uNq f\|o ,'tr Jo .u!
r$5!e...s.A- p.iroqJ no{Jt s$tsiqD!& {@ rol
DuanJ isr.rrl(,nr D rDu.l,llfu . r@Jd de
tq rnDqi et.rrlBr rqr rdt.BBIldlr rlr tdlj
@! m{ u' FonJo rsqs 4sq
pcJ'nb. s{o srtr q ln & poqr.u pw g,rrb.r
.rrP B3ll tED|,qr Jo.rqudd alunu,ql.|6rpdr
.u! jnolJoD6oEqlo
qE or 4{, s"I J. drqrdqa l!'tr@J .q|,Es
.s-r...od eo srrtl !.qr elj
rrciJo lo{@r d'FB{o Frol Jo .inc!.d .qr .ias
ru.@.\ur
,sq'o
(l)
(9)
(()
(r)
(t,
Dlpc
'rDudotD r!.rs: ts., qlb & hop Dlo{ @.1
rmi $ E$rs, dlsudo r. r!r!.u or rDUEllr
Bl'ur i.s o <'q!o rt!^ qtof rqr,tbtpll (:)
'@!t ,@{ Jo Du N u, @.q
$q buno s'qr {."ta,u6p eo,{Jo airmu {r rl.ls (r)
rElrut qqg{{o
.no.@'nber tu4rlEb D{p'.ul8o/d
}Il sr&o tu, ,u:Per ru{uld tDu'upt {ltnr{!l
E Durrrr s r . n h$o ,npw I uutod aAO
nr uruJ DqElott. @U el ij'tdt6lp ill]tl..a
rd...P DeN\ !rlJ. a$:tgo I s sorrt'rDr
)oJ nq.li,p toN i q,@ $u unr .s n rqr Jo
p.r'trp..(InJ{q sr@ urnr. s.o
ru+aa
e D{r 'urural
i sao sr{rJt 1@Pl3! ruar@d pr|nups
r ir Dbo nqr Dlp.qa s|hrpu' le{r \dl
^llnj.r.l rql tBtr'Dzrr. s n e r@ sr D0{d s,qr Jl (,i l
t!!r.,or&
uzor. {'lt. n Dono
.rq! rqDqi .!D'Po or ro9 .Errldrtr ,'tl JtelJ (ti
'Pr'slls'uqll)
rd iuu.prrrN, ,ruq|: s.ra{o i{l rqr)r6 .. u{r|
p.rtrqr bi Jt 1{d& l.ql lF :t..qi) nr!'uqt
r.eno riqt s:rb'po tlt0 rq.|ludlddr rqr isqt t
..lMo
,.9€6
.E!d!ddr .']r :iDqJ
s PP. (r-r.r 5'Dq r.q^"l re's
,rtunu eq.l ru4 rr{r.q51r9
u'.,tu{lqnn dt,..d &,t[ elf,q r!.:S
4ho )qr ro,!ru +!:r'c
srqr
s.[rP!'
l.Lo roq
.s
(J)
(r)
(i,
(i)
(rl
!.Oloorrt r.Nrrr.I|
.r
tiotrtpgr qf,. ,., lo|rs lAt ,o etdor p.r.tduN .ptiud
,ero *o rqr !N rq uU ,.oi t0 ro|.q p.|sb,
E|r.uorrt .{, i-tl,ldd oI &oi ot tErut dtq!${o
I.t +F ri..d-o r|tFt ,o rr-pt^tp{t tr. ,Vplrpt
lalt{stt t\L$o :{ loprq,
l..tk . !@. n '. ln.rro., ln tt
,.Iorli
!
Sirr. rh. g?c. Dt. Dd rbd.l, arld currar <l,ll&
vd@ of a.h tE. of cquipo@l h.ld .nd/or r.d ly
yolrfid.
or
la&d
S6!e
r.la
6.
of
lndiclr. *h.rhd
by
you fim.
D,p..
4h ,i@
's.irhd
fim. ln<n€l. r hdlE ch t drcb
lasd by !tu, rm.
i5
arl'6
6,rd d
tt.srn r .ddEr3 of..ch oflie 9... h.ld .ndd
ty yor fim. l.drol. *hdtFr t@. fim wnr d
les lhc 0llj6 ,*. rrd tlE co@r dolln v.lc of
St l<
Gcd
rh.r PlbFrry
q
ils
l6s.
rlrei.ddB ofd.h doEg. +rc. h.ld
rnm. lndii. r,trrhf !q, nm
oyns d 1..s tlE ,rmg. +.e i., dE curmr d,llt
r.l€ of rlld Fr'p.ny d rr! lar
Do.. ,o.r 610 Elr o. .., .tLr lt loi r..arr.rr
SIllc lh.
,x!q
!s.d by y
auxlhnr o. .dplDrR p.trdl?
Chet d& ipprq.al. bor rhtt indi..l6 *116rl.r r@r 6m
Eli5 o {y dhd fn fd mug an tun rio.. d fd
dplorE FrrDll. lf ro! .nwnld -Yc1- b.iclly.rpLo
rh. ntruc ofrl'I rl'.E ..d dE qrall ro ri-t dx orlE
6m
(l
)
.:riq
our
*h flmidi
,rl(]mri6
(.) sllt rhc nD. of your ,im: hdr.
tb) Ctr. D.'n Dhom nmb.r ot v@r llm.!
B.rtinS
'h.
b.nt b..mh.
(c) Civ.
slarc ih. nrm. and arldrcs ofcet s!rcc. rh.ongrnrl
h Idn,Md
doll* imoud ud lhc .uMl b.l.nc. .f
r,urp(le fs wh'ch dch lou *.s nBdc ro you. nm.
.
@rEd
tulc rd iDdcl, dd.un <ldlr
Enack hcld d,or u.d b, ,ilt
.*h mim
0E rddnrs of yM tim'! bdl heh
(l) Bodi'c lnfm.rio
(r) sl!l. yq.lim\ Bin trNunbq
(b) sr.c rh. im. oF yoE fim's tE d .aor
a,rld k ld
(c, On. !tu rsar'r/b!tn'3 plaE n6b.r.
{d) Giv. rw !8.tr'/b*d 3 .dnE s.
(.) sEG ru lim: lnditr8I'ni6 (i. trolts).
S..'rym! bdh rh. At8rlt . .d PioJer
Irrddl! .ll ro.r.( .nd.s. ..d p!.Fs ol mct
td!.d ro ror tt.r. lnlrdlnr lt!. 016 .f FtuB or
ll t 6ul4 rtr. L.( lf olh.. r!.n ln. lbi.d oi 6r:
(:
Urr rll
|l
lh.
.o nbrrl@ o. lnE .d ol &*n t.r'ttub lour
.!] ol lr o,rn ov.. tt Drn r'o
md r.llD6
I.<fic.'c'n lh. s6.6 pr$
rhc hF olcmFhrrd or
'&d.
.!!d.h.t r.s tMsf.rld, nr
cutml dolla. trlu..lhe F$.
.r lim fM rhd ( Ers rturfdrd. lh. Fs or ,lm ro
rhm r d ttutf.ftd. dE Bhlrm{!'p bd*@ dE tuo
F,mt 3i&d fms. .nd rli. di. ot rh. rf5sf..
E. Url .rm!l llara!..dL t ld by .nt orE. or
.Dplora rlyd. n6.
Lisr rh! n . of *h Fe in y@r lim who hokt5 r
prcf<qitul liccn. d pcnn, th. rrr. of Fnn d fi.ctrs,
tlE dp,rrron d!.. of iE rE i or li@$,.d 0le
1,6.'rEmn nuhbd.nd isinr Sfl. of ln.licdc or
t.
l,br d!. rtl!. L.t6r (rrrn b .oopLr.d b!-, yolr nr.
l. di F.r riE r'aE lf .rt.
I'n tn. t[ft of acn oe... d .drftro. for rrch coimd.
eid l@rid of dE
un&r ad, 6rr&1.
'lm. ot ro p.rffin d dFDjei.
ah codr*t. .trd th. .rolle
\r.
!.1* of.eh corEr.
yd. nm h
J. Url l} trrlr ht6r ..ttv. l.i. on
rh.
lh.
'f,.t
.ft.rry irlltR.
Fo. eh dn! job lirrd, 3lt th. nle ofilE !riD.
.d r..rn rrd rlE por..l nuDtEr. th.le.rid. tl* tn of
* ort Ffm.d. rh. Fojd $n &r.. rh .nftiplr.d
co6pld'6 (hE. ed rh. dollr f.lE of rlE 61Er-
ATnDAVIa StGlrATUt[
C.rtully E
d
rlE
.tEh.d .ffid.vi
nrmrid
in ils
arircty. Fill h
rd adr bhtrl S.e. .nd sisn ud
d... rtr rtid.vn in ln. F!*ft. of . Nor.ry P.Hic, sho
mlr En norriz. rh. fm
tlE EqniE<,
ヽcttion i,(1:R II「
IC′ ヽ11()ヽ 1ヽ
l()Rヽ 1ヽ T[0ヽ
1'ri,r′ ()ther(iertirlc.ltiOn、
ヽ
ls your firm currcnrly ccnificd for
● DBL
lirllo*ing pro&-dms?
t tf Y.:. thd k op?ru?riate tht(.: t)
□ACDl■
Nnmc ot
ct:nrI
rn8 xscncy:
any of the
llas your finn's strtc UCP c.oductc(l rn on-silc visirl,
1
dYcr.on//StarqCtNo
￢ ヽ111
A STOP! lf you ch€ck.d cith€r lh! 8(a) or SDB box. you EgI
￢ SD13
Lrel have
lo complele rhis applicarion
.
Ask l,our slarc UCP
alnut lic slrc3mlined application fnocGs under rhe SBA-tX)
N'oU,
[
I las your ,irm { undcr 6ny nsme) or any of ils owncrs, l}oard of I)irechrs, officer or managcment p€rson nel, ever
withdrsM ln spplicadon for any oflhc programs lisred.bove. or cvcr trln d€li€d cenificarion. decenificd. or
debaned or suspendcd or othcrwisc had biddin8 privilcgcs &flied or ftslricted by sny slalc or tocal agcncy. or
Iicdcmlcntir),]
CYes.on___ ONo
lf Yes. idcdif Skle and narrc of state. local. or |..{c.al agcncy and erplain thc naturt ofrhe adion:
ヽ(ction 2:(1:ヽ ::R、 [ lヽ [()Rヽ 1ヽ 1:()ヽ
(i)niadlnformrtion
,\.
(l) Conucl person
and Tirlc:
12) Ixsalnamc
1)Phonc=:
.ddBs of lirm/\"/,.,
(9) Mailing xddrEss oflirm
[
l14)01に ,Phonc・
6)E‐ mail:
(r ) Srrter
offinn:
(
r,,'
(illl f.'.ontl:
“
(-enry/Prirnr
\
.'rv
( nunr\
?.nshr
ll.
(
Ilu\in(\\ Profih
I) D€scnbe thc primary acrivities ofyourfirm:
(?) Fc{cml
V.r.:
7,tt
Srar.:
7|,:
.r&r
lD (ifiny):
￨
{')l his ttnn、 3s s● bnshed on
(5) Nlerhod olicquisition kh(At thtt dppl\):
n stancd ncw husincss nllought e\isting
ClMergcr or consoli&tion O0thct tc-.nloit
￨
￨
￢
■
(4) | 1Ve hare o$ned rhis llnn sinco:
hlr\trrc\s nlnh.nrd business
fls(ctrred conc$srol
)
e STOP! Ifyour
firm is NOT for-pmlit. thcfl you do i-O r qualifl-
for lhis Fogram lnd do NOT nced ro
fill out
this applicitaon.
(ll llDndiq Informrdor:
th) Name
tfyou ha\e tx'ndins c.pscrt_v.
ofrgcnLtrok6
idcnr'ti:
ta) Bind€, No:
phonc No: (
(.)
ld) AddBs of aeenttftIf;
cr llordinr limit:
limhヽ
)
C iv
Z PI
mi S
“
１
Ｌ陪１
Idcntif\ ,ll eurc.i, rmounti strd purposcs ofrnoncv torncd to !our firm, in(ludins thc nrmN
ot rn\' p(rsoDs or firmr
lhL l,rrn- ifolhcr lhrn thc listed o$n(r:
l-ist
lll contributhns
( ,,nlrihtrii,'n \\sct
or trrnrfc^ of a{$rr ro/from tour firm rnd to/from rnr of i(s otrners over
dnkh nl,htr'.ttl \tat^
「 oヽ いom
Data of
"r.-"rm
Lisl crrrenl liccnrJpcrmits hcld b)
\"n(
ot l.iccos/Permil lloklcr
()nncr/Con(rrctor
..! oxrcr
rnd/or €mptolce of )our firm (. l| .4nrld.ra4
'tvpc of l,iccnse/Permit
\rm./l,oc.lion of
T)p€ of
u\pi
tion
l)arc
\ork
and Slatc
Dollrr vrlu. of
Corlract
Prrformed
￨
,
l isl lぃ threF
\rmc of
(
irrtr..hr
Prime
and Projcrr
Tr pe of '$
orl
; \nrtit
C°
燎
I t),,I.r
nl淵
お
cd
=￨
￨
11
|
f yF of firm
f
f
k
td
"tt
ttat ap?tt:
Sole Pmprietorship
Pannership
lJ Corporatx,n
lf
Limited Liabillty Plrtnership
O l-imited Liahility Corporarion
5
Joint vraruROrher. Dcscrit'(:
(8) Has your firm evEr cristcd undcr dilrqErr
J
d Yes ClNo
owreship., difcra't t)". ofo*Tctship. or a difTcEtrr naEc?
If Ycs, explain:
l,) )
Numbcr ofcmnlo!.ccs:
lulliimc
l0) SFcify $c Imas Eccifls of rhc finn for
(
fi. bn 3 ycaB: Yeat
l,n!l
Year
Iorilreceipls
S
$ilh ()lhcr llu\ine\n\
( l) ls your firm co-lo.atcd at my ofits busincss locations. or does it sharc a tetephone number. P.O. Bor. ofiice
spac€. yard, rvarEhous€. fac ilitics, equrpincnr, oroflice $slT. wirh rn),oth6 busincss, organiation, or mtityl,
O Ycs ONo
(
IfYeS identifv: ()th.r trm s.am.:
Ixplain narur. of rhaEd faciliti.si
l:)
At pEscnt.
pasr. has youa
or
(a) bccn s sukidiarv ofany oft.r firm'.,
￢ ヽぃ 0ヽ 0
{b) consislcd ofa tBnnershrp in u hich one or more ofrhe panne.s arc other
my lime in drc
firmi
]\'r:s uNo
o\'cs 3No
lc)o\rncd anv lcrccnligcofan\ olhcr tlnn'l
(d) had rny subsidiari.s'l
1
1) Has any othcr fi rm h.ad an owncrship inrerest in
(1) lf you answcrEd'Yes" rc any of rhe
6tu thearitread..l,l
Nanrc
qu@
OYes JNo
y.* ffi
Addt€ss
L
TlxE of Business
2_
l.
l)o
I
l.
l
anr.,
of r"our ammediate famity membcs o$T or manage
f Ycs. rhefl list /a?tu
Nnme
,
.n tu
shccts.
i
anorheriompanli-dT-E-
f n..d..hl
R.l,rion\h,n
ヽ
Jゝ ェ
ゞJll l,1ヽ RIせ ヽ
i
""r"at-r*
|
S“ tlon 3:OWNERS‖ IP
:dで ■::、 3‖ indiVldual■ or holdlllg● ompanits with■ ■ Ownc｀ hip interest in,our ninl、
●
PrOVlding thc
infornatlon reqllested belo■ ″′ で ′
力α″
η ″′
′
αci、 o″ ′ ccrlメ イて 力″
″′ ,″ で″:
`,″ ``'ヽ
`′
`,力
`′
`777″ `,″
`,、
"り
“
ヽ
(2ヽ l itlc:
(3)Homc Pllonc″
:
(1、
.
r
‐
(6) Erhnrc goup rncmbcBhip /Ch..* all thd, appht,
￢
OBlack
1ヽ (1/。 11つ ヽc、 ￢ 、て
、
￨‐
(8,IawIも 1ly Admlt“ :'cmanmt Rcsident
口 Yo
□NO
● Asian hc,輌 c
3(】 hO(vな
OHisponic
arNarive American
-suhi.nrin.nr,\.iJ,
)
“
{I)
ro
Numhcr of years as o$ncr:
TvrE
ash
(2) lnilial invesdnarr
Dollar Vsluc
acquilB oun€rship (
S
mlercsl in
Rcal Eslate S
firm:
(.t) l:llmilial relationship to olhcr owners:
lhuipm€nr
{5) Sh!rcs
ofStock
NlElrr
(6)睡 sthis owncr rrrOm n managemenlorsu"Ⅳ iSO″
IfYes. idenlify:
(7)1)ocs ihis o、
S
Function for any other busincssl
O Yes dNo
Nam. orBu$ncsj:
vncrown Or wo■ お r
anv Othcr iinm(、 )that has ft rclnl on、 hip wilh lhi、
￢
‐
!i口 ll(.(
`,ヽ ￨,./s7″ ,'・ 彙′
′
で、
￢
If Ycs. idenrify: \m..f Bu!,na.
of ausli.s R.laxonslr,l
\rrft
￨
Status I\OTE: Co pt(t. ihir rdn,n onll for e!.h oin.r ippttnts fo, l)B!l
.- l)irrdvrrlrgd
(1... forerch o*n.rct.ininq to b. ro(i.lt! r t (onomi.rlr diudrmo;j
(l ) Whar is rhe PeEonsl Nel Wonh (Pltlv) of rhc o"""(.)
fn;6m;;Ifr;t ,rt r bse aad aloch th(
P.no.dl FiMncial Stot@t fo ot,he.nd of,h.t opptionod: "mtynrC
otikh oatnitionot ,h..b I do^.tted o,.6n4 i! q4,h.ias)
(
.liflc.ri,,lr
(2) Hasanyin-st bccn crcarca for rtrc tencirt of rnis
It Y es, ct pldin (ahct o.lditio,ol shzen if nedcdt
aiJrnbg€d;wnc(sp Oye. ONo
Section 4:
(O]vfROl,
ldonlif! Your rirm's (Xn..rs & B[rrd ol Dlfe.tot. ll od.li&,nl rpd.. n ,\tttuir.d, auu.h t r.fit1 .
E(卜 n
icit、
lr
(3) Do any of lhe rErsons list€d in
businessl O Ycs ONo
IJYes. idenlify lorcach:
{4) Do
an_\i
(l) andor (2) above perfonn.
PcBon
Businc,s:
managcmcnt or 3upervisory fundion for any other
rirtr:
IuncnoD:
of thc persons listed (l I and/or (2) above own or wo* for an}. odler fimrLs)
;,1")rl"rr
lhal h".
has a
*"1"*r.tilp
rclnlionship wilh
\to^.:t ofice
nd.tdt t,vstn.n!\..4utpddt. tea s \rvn .t \hdt r, )? O)
O)es
es 3l
3No
'IE...
"ll
rhisfirm("s d.i(^r,p r..6!.
lfYes. idenrii) li,rcjcfi: Firm i..amc,
Nahrre of ltusi..s\ Rclationship:
^.rvn.t\hdt
p.rvh:
ldenrifr rour rirm's mrnrgemcn( pcrsonnct trho conirotlour firm in lhe fo os.irg arcas ///
notu
thl
^*1r.^o^\.
l) Financiil D(cisions
lu\pxihilnr fu.
dfio.h a
{
"1r1rtvhn,
ot 1i,.\ nl
(l)
as{im.ting nnd bidd;ng
(.1)
Iliringrfiring ol managemenr
(5) Ficld,'Producli,,ll OFrations
{6) Officc manrg(rnenr
(?) Itlorkctins Salcs
(q) Authori/ad lo Sign Company
( h('cks (lbranv nnrrbse)
lll) Authonz.d ro make
Iinancial lnns3crions
(
PERSONAL F:NANCiAL STATEMENT
へ
`d
Cly State &Zp Cod,
n'
'.,noss
NamE ol
Applenr
C,sh6&ndAn&nt6
Sae.Os
Jr.arL
Ad6b
3
S―
Orl. R.lir.ndl 4et
4.6!r{3 & Nol6 R@ivabh...
Itl6 ln$BE C.sl Sufi.rdo.
IRA or
Val@ Orly .
―
.
(Coa\toto Sst an 8j
Slod(s and Bords
R€arE!.te
P.tyrbL lo
3)
(D.sib k S.do .t
Aulom.bHEsl Vd6
unl● ITao6
3
0倍 t出
(Oat6itb in Soctkn 5)
..
よ臓鵬 品13
らし
“
l olsl .^ssttr
.nd
J[mle
rDe―
0蒻 昴
3
_
3
―
S
s
41
"騒““S________
In●
“
銹
61
““
s
た めヽ αo● り
IDes● ■
P.MEIPDDolv
OttsA6s6ts
B.d!
(oesdlb h *ct@
Mm_On麟
.
(D.@ib k s.dbn
OIG ..
2t
rndC*E e6rn{Ado) ..
....
iro PaytrEnt! t_
hstc*rErr A@rt (OttE)
Ivkr Payftnk l_
LM o UE hsrrE
tlol6
__
3
P.yEU6
S
__
l otal:iabil:● cs
l otal As雙
"―
S
To● lt,Ч
――_
ttF L― 一
灘紗￨IF〒≡
[ヽ ヽ,■ ption
●
oF O(撻 ,:,,で 。●:O in StttiOn l
,oあ i趙 ●呵り 、●
耐 ｀ ほ 暉
―
`―
^I"節
"輛 “
“
ヽ●(1 ,n2 ヽ(,tt、 [ら ,)`:,Iて 1`11:"`,ヽ 、a,(!()tht,“ ￨
‐
最・ ●● ‐
′￨.￨● ￨
ll"1●
` `￨●
`￨
疎ヨ toし ￨●・ 醸
“
ヽ
●
P● ,¨
A′
●●,● ● lt● 輌
そ
れ 調
●
o●“
t
山
,,…
…
“
,ヽ
―
■
A― ・ r―
…
NOTARY
Subscribed and sworn to bofore me this
Signed
County of
State
My Commission Expiroi
day Of
20_
Notary Public in and for the
/1′ FID′
′
,″
7カ バ′
ヽ てヽな
"′ "″
`わ
1/rO「 cどRF/F/(ル 4r/θ Ⅳ
′
″″ ″″々
′
lrヽ
,I、
`′
`′
'`′
,"`′
″ て 方、
“ “
,′
,ク
″
lllた
"￨｀
ヵ卜
`′
`′
`ム `″
′
″′
■ ″、
、`“ ′ヽ
,′
1ヽ
/t'″
ど
′
Aヽ lATERIAI
,ヽ :']｀
OR rA:SEヽ rATEヽ lEヽ TOR()ヽ :sヽ :0ヽ ヽ1ヽ DEIヽ COヽ ヽド(11()ヽ W:T:::il:S
FOR DEヽ :Al(〉 (じ RTIFiCAT10ヽ 、REヽ ()(:ヽ T:0ヽ OF A PR10R
「
A: 1ヽ II:All()ヽ Or Stヽ PENSloN OR DEBARヽ
Eヽ I PROCEED:ヽ (ヽ Aヽ :)ヽ lAY Stl■ JEて :Tl■ ,「
::て ヽ l:0ヽ 卜
ヽi'I'It()ヽ
St F「 iCIEヽ TCハ tSE
PE RS()ヽ ヽN D7()REヽ ■lTヽ ヽ:AK:ヽ G TI:EFハ :ヽ S:.ヽ lEヽ :Eヽ「 :()ヽ ヽヽ Aヽ 1).ヽ IIく [ヽ il Aヽ :)
Prヽ ハ::■ にsAヽ A::Ani E Pt RSt Aヽ「: l()AI.I・ li(]ヽ BI E FEl)「 Rヽ ]ヽ ヽ1)・・ [ヽ [じ :Aヽ
(RIMIヽ ■I
(full name printei), $r'car or arlrm under p.nalry oflaw rhar I am
(iillc) ofurTlicanl firm _
(,irm nrnrc) snd rhar I havc rcad
and underslood all oflhc questions in rhis application and that all ofrh€ forcgoing infomllion and s|arernenls
submirtcd in this applicaliofl and irs atlachrnenb and surponing documm$ arc tnrc and con€cr to lhc besl
o[
nr) Inowlcdgc. and rhar all r6ponscs ro the quesriorls art full and corDpletc, omiiling no m.r6ial infornarion.
lhe rcsponscs includc all tnarcridl informaiion n.c6sary ro fully and accur.tcly idcniify snd srplain rhc
ofrclntions. cap.bilitics and penincnl history of rh€ narned firm as well as fie owncrship, conml, snd
alfiliations thcrenf.
I recogniza that lhc information subrnilrcd io lhis applic{lion is for rhe purpos€ ofinducidg cenificstion
aftfm)val by a govemmcnt rSency. I uode$tand th.r a Sovcrnmenr agency may. by means it d€sns
nprmpriarc. dcrcmine rh€ accuncy and truh oflhc $al.rnsrrs in rhe applicalion. at|d I auhorize such agcncy
lo cont ct lnv crrtiiy nam€d in rhc af,plic.lion. and lhc n nEd firm's bonding compani.s. banking rllstitutionr.
credit agencies. contractors. clicnts. and odrcr cenifying agcncics for rhe purposc ofvenling rhc information
surplied and delcrminins $c namcd firm's €ligibility.
I agrc€ to sulrmit to govcmm€nt audir, examination ond nvicw of books, records, dftumenrs and filcs. in
whatever form thcy eriit, offic named firm snd its aflilistcs. instecrior ofits ptaccs(s) ofhusiness and
cquipmcnl. and lo Fmir inrervi.ws of ils principals. a!!ct|ts. aid ernployees. I undcrstald lhat Efuss! ro
p.mil such inquiries sh.ll be Frounds for dcnial ofccnification.
lfa\rarded a conlrad or subconhcl. I ag,t ro promflly rnd dirr.tly provi& rbe pnmc conlaclor. if.ny. and
rhe Deparimcnt, r€cipigll igrncy. or f.dcral funding agcncy on an ongoing basis. cun flr, complele and
accurate information rEgarding ( l) wo* performed on the pm.i.cl: (2) paylhenrsi snd (l) pmpos€d chang.s,
if
sny. lo lhe follgoiog rrrangefients.
I aSrec to provide writt€n Doticc to thc rEipicnl ag€ncy or Unified Cerrification pmgtam (UCp) ofany
orrtcrial chsngc in $c intorrnstion conrsined in the original application ,r.irhin l0 cal.idar days of such
chan8r (€.g.. oercrship, lddrEss. tclqfionc nljlnbcr. etc. ).
Lcknowl€dge rfld .8rE! thrl any misrcpEs€nrarions in ihis application or in rccords pcnairinS lo a conlmot
or subco,tract will tc gmunds for rcrminaring any contrr.r or subconracl which may be awarded: deflial or
r(\ ocalion ofa.nilicalion; susFslon 6nd debarmcnr: and for iniriaring action undcr fcdenl andrbr srarc law
conceminS falsc srarcfircnt fEud or othcr applicable offct|scs
I cenify rhat I am a socially aI|d c{tmomi€lly disndlanr.gcd individual who is ao owncr of drc abov6
rrfcrenrxd firm sccking ccnification as a DisadvantaScd Businars Enlclpris€ (DBE). In supoo( ofmy
npplicotion, I ccnify thal I am s ncmbcr of onc or norc of tfc folowin8 gmups. and rhar I hrvc hcld myself
oul as a m€mber ofthe group(s) (circleallthat apply):
:tmュ
lc
lllick \fircncan
.\srnn- Pacil;. fuicric!n
Olhcr (spcrify)
Hisp6nic
Subcontincnt
American
A!i!n An ricrn
Narivc Arncricrn
@
orherh sincssl I Ye ONo
lf Ycs. idcnrili for alch: P.Rlnl
B.\inc(s:
I
Iill.:
Fu.c on:
,
I
I
I
(
l2)
Do
anJ_
of the persons list€d in (l ) throu8h ( l0) above o*n or worli for any orhcr firm(s) rhat hrs a rBlalionship
spta.. fudcidt nvnh. ts. qripnat_ to'6. N^onn.t shatin(_.t 1.)
wilh lhis firm (. F. o{n.6rip o!.teit.
oiic.
'ha.dl
O Yes lJNo
II Ycs. idcrtily lbr
NaIure oi
ltu\in$\
ea€h: Ftrm Nam(:
Relationship.
C. lndi.gr. roor firm's itrlentory in the follo* ing czte$oric. lada.h odditionot shcttr iI needd):
O$ ncd or l.c.sed?
￨
ヽt1liclて 、
ヽiakt'ヽ lodcI
O$ ncd or l-easd?
(b'
Ot^ ned or
Correol l'rluc of Prop{rlv or
Lcr\cd?
l-ces,c
4
()nned or t,cssd?
(t'
D. Does
(
Currenl \'3luc of ProDrrt\ o. Lease
)
\onr firn r.lr oo an) othcr tirm for mrnrgemenl funclions or rmpto)er pelrolt:
l. in.ncirl ltrfrrrmrti,,n
l) B.nIint lnrormetion:
(b) Phonc No:
Cir\
(
,
E
] es O \o
I cenil_v that I am (rially disadvantaged ircause I have bcen subiected Io mci.lorelhnic prejudice or
cultuml bias. or h!\r sulT.Ed rhc caic.ts of dir;mimtion. b€causc of my rd€ntiry as r mcmber ofoDe or
uu. ofthe 8rcuru idenrified above. without .e8ard to my indilidual qualitics.
I ftlnh( cenify lhar my pelso.al nel wonh does nor erce€d Sl -12 hillion. and rhat I am e.onomicall)_
diradvnnhSed becsuse my rbility to conrpere in the frce enr€rprise svsrern has b(ten inlpsrred due lo
di ririshsl capilaland credit apponuniriei 6s compared to othe6 i, the samc or silnilir linc ofbusiness who
arc not $cially and economically disadvanr,scd.
I dela.E under p6'alty of perjury thsl thc inlormatioo p.ovid€d in rhis applicarion ind supponing docoments
(l)drc)
Signarurr
lDBf,\pplicanr)
:r-()'I ARY
( l:RTl!'ICATE:
メ〓 じ レ一
と。● ●。
一
ド菫 〓 一
，，
■
，
︶
︶■
﹄く ０︵
一
一
，
一ＣＮヽ
Ｃ︹ヽ一“‘︶ｏ﹂ ぃＣ︼
︶ｏ一で こ一ｎ奮 一ｅ
８ 一ｏυ︵
８ ■ Ｃ，
一
，
翡能
勇輩︸
郵¨
盛鵠♂
襲筆橋︺
輩¨
議褒翼毒
謎¨
一
一
奨一
義滞
一
縫一
ｏｃ“■つ●‘一
● 〓型Ｂ メ●一一一●ｃ〓●一一●Ｅ
，
量難
詳一
彗無幸響
、 “ Ｃ Ｃ 一り “﹄ Ｃ ● 一９ヽ 一Ｌ ﹄ｐ ︼■ 一 Ｃ ︼
一一 ０ 一﹄Ｃ ● Ｃ の
一
メЭ〓ピＥＥＣ︶”τ
彗嚢一
摯筆一
一華畿
議醸一
一
纂襲義一
襲一
聾霙
¨票 ﹂
舞討¨
、
＞●
み
０〓¨
〓﹄“︻
υ。●０こ●ョ只︶●︼
〓ｏ一
¨
￠．
“
ルｒｏ●“´
疑彎
鴫議婆
拝
嚢¨
≡弩“
峯舞
．
野
華
瑳
纂．
押
議一
織癬
一
一
場
銘
王墓 鐸彙
Ｃ ●
。
一 一 一“一ゥに
．
●マ ´Ｃ一● 〓こ
●´﹄う ０●一
一 一
．
一 ” 粁 魔 一 ︼ ¨ 一 一 一 一“ ¨¨
一¨ 諄 ｔ 螂 嗚
´マ Ｃ ”〓〓 ”一 ′ Ｃ 一っこ ■こ
ｏ﹄一Ｅ ｃ ｃ ´¨ ︻
．
諄¨
一
レギ”諄﹄器
一
覆 壺﹂
３
¨
１一
●ヽ０´
■一■〓撻 ηｔ´≒ぅ ¨
． ．
髪群甲
蟄﹄
¨露≒ 襲¨
０あ ¨● ●メ ０ ¨も 一ウｏつ
● 一 ヽ■● ´●一●´ ０こ “´一
，
Ｆ一 ●︺Ｃ Ｃ
●一ｒ Ｏ一に ぅ ●っ つ Ｃ 一 ●一 ´●● ● 〓 一
〓 Ｃ 一●”一ｒ Ｃ
Ｃ 一〓
一 一´
●一一０ ＾〓 こ ● っ 。こ 〓 っ 。一‘ ●‘
．．．
ョ 一ｏ Ｃ 。 ●● ¨● 一 ０ ¨´︵︶
︲Ｌ Ｏ つ ０一 ●●
一ｒ●一
卜すＯＮ “ ０やＯＮ ．
トロ﹁“０
一
″コヨくり∽こ の０２く り０コ くＬくＬ ＯロコくにｕＺШＯ の０＞一
● ｃ●〓３■
‘
■●■﹂■¨
丼
ｒ
一一一
︻
ｔ一〓︼
“
e_
・ T,{tt〔 AF
THURSDAY JAN 30 2014
CHRONICti
● 01
￨ :鼈
い111∼ ___
・
=￨￨￨.:`￨￨￨
――――
・
・
・‐
―――― IL‐ 1' 訛■
￨‐
財
IIIL彗
呻
馨
1鸞
I聴範墓FI繭
・ iF嘴
語
専
11
1 1 1`千
1 , 1 1 111‐ 1
1脚
]電
壼
整
1:
i‐ 11
11111
,
￨
1 1 11
￨
【
」]
甲警T鮮 岬
脚柵距 =■「李
1憂
:鵬 ‐
楊 嘉
品 . ￨.
'
11
1:'￨`
￨
￨ ●1
￨
￨￨. ￨￨￨￨・
:i:￨:●
'￨￨
￨
rr._P.山 tl.●
嗜
■1
"。
‐￨
￨'￨
1響
￨ ,
111(￨ l i ll 11
11 11
=
￨
躍 『:辮 男語●eC諦
'誡
ロ■口■■ロロロ‐‐―――
:Illllllllllllllllllllllilllllllllllロ
‐
CLARKSVILLE TRヽ
NSIT SYSTEヽ 1
CLARKSヽ ILLE,TEヽ ヽESSEE
EQUAL EMPLOYMENT OPPORTUNITY PROGRAM
FEBRUARY ll,2014
(UPDATE)
CLARKSVILLE TRANSIT SYSTEM'S EEO STATEMENT OF POLICY
Clarksville Transil System is an equal opportun[y employer. These polrcies are Clarksv'lle Transil
System s Mitten commiunent to undertake specific aclrons and lo endure equal(y of opportunity
hs employment praclices and bases employm6nt on rndrvrdual meri! qualificalDns and
i;
competence.'All employees and apPlicants for ernploymeni are consid€red equally and are
ptac;a, trainea, upg.:O*, promoted, and otheMise tesled during employmont withoul regard to
race, color, religon, age, gender, nationalorigin or disabality.
These policies shall bo ap?lied to all aspecls of recruili.g, seleclion, hiring-, training.,
compensation, upgradang, promotion, relenlion, transfea, terminalaon, layofts, benefits and
working conditioni of employees. SeNices shallbe provided to the public inan equaland non_
discriminatory manner.
1. Cla*sville Transit Slslem ls committed lo noa having any praclices, activily, policy or d€cision
which can/or will discri;inate agamsl an individual o. group on the bas;s of rac€' color, ieliglon'
national origin, sex, physical oi mental disabiliy includrng v€terans, age, nationalay, afflliation.
place of birih or any oliter characterislic protecled by law. clarksvrlle Trans System will maks
reasonable accommodations lor qualifEd iadrvrduals wrth known drsaullilas unless doing so
would resull in an undue hardship. This policy govems all aspects ol employment, including
selection, iob assignment, compensation, discipllnes, iemination access to tenellts and training
2. Clarksville Transil System b mmm(ed lo undenaking afllrmalive action proqam including
goals and timelable in e continuous effort to hire, train, upgrade, promote and rclrain minorily
employee and female{s) wtErever it is tn lhe power oa managemenl lo do so.
responsibility for :he implementation of Clarksville Transil System's EEO program is
asslgned lo lhe DeputyTransil Director, Arlhur Bing of lhe Clarksville Transil System.
3.
fhe
4. All managemenl p€rsoonelshare in lhe responsib ily and wlll be assigned speciric task lo
assure compliance of Clarksville Transil Slstem's EEO pol]cy.
5- All epphcants and employe€s of Clarksville Trensil System will have the righl to file comdaints
alleging discflminatron wlh lhe appropriae offlcial.
Ali Clarksville Transit Syslem managers, supeNjsors, etc., will be evaluated on lhe success of
the EEO program.
L
7 Aci:evemenl of EEO goals wll b€nefll recip,enusub-recipienrcontractor lh.ough fully ulilizalion
and development of previously underulilized human resources.
L This policy will be
publacaze
and dissemimte intemal and extemal.
9. EEO meetang wjll be held semiannuallyto discuss lhe prograrn and its implementalion.
I
0
'11.
EEO poslers and policy statement will b€ posted in conspacuous and accessible areas.
The EEO policy statemeni willbe including in the personn€l handbook
12. [.{e€ting will be held with persons wilh disabilaties, minorilies, and females for p'ogram
slrggeslions.
13, AII employees will receive a presentation of the EEO program as pan of employee orientation
14. The EEO policy and prolram will be drsseminaled exlernallv to the career cenlers,
educalional institutions, min;rity, persons with disabllilies groups crvil dghis and women's
organizalions, vete.an's cenlers, communrty action qroups. training organZation, others who refer
ap;licants. pLrblic media sources, radios. television slatlons, newspapers, magazines and other
15. The City Code, Personnel Policies & Procedures and Personnel Handbook will cover olher
policy slatemenl for sexual harassmenl. hostile-free working envircnmenl, non-discriminaton on
sexuilori€ntalion, rcprisa or person wrth physical or menlaldisability' including veterens
16. All advoriisement and vacancy announcements will slale thal lhe Clarksville Transil Syslem is
an Equal Employment Opportunity employer.
Clarksville Transit Systen
Organization Cha.t
I
rl,
III
rhfli
rTT
III
III
III
lLrtr
fr
L1
II
-I
E
I
(t^nlteh cbmmunicalion hom CEO)
EOUAL OPPORIUNIW EMPLOYMENT
The Clarksville Trans System is an Equal Opportunity Efiployer. We resuit. select, train and
promote only fully qualilied persom without rega.d to mce, crlor, gender, religion national origin,
age, or disebility. Lik6wise. such malleG es pay, benefts, lEnsIe6, lay-offs, terminatiom,
lraining, educetion or other programs will be admrnistered equally to all efiploy€es in keeping
with equa: opportunily guidelines. The Clarksville Trans:l Sysiem will nol dascriminate on the basis
of nationel o gln in recfilitment, hiring or termination. However, wewil:aot employ e p€rson who
is or b€comes an lnauthorized align. All new employees musl provide suitable identillcation and
complalo lmmigralion and Naturalization Services (lNS) Form l-9.
DIRECTOR (CEO) RESPONSIBILITIES
r
.
Assisl in idenlify problems areas and establish agency goals and obFclives
.
Particapale activoly in perrodic audits of allaspecls ol employmenl in order lo identify and
to rernove baniers obsttcling lhe achiev6ment ot specified goa:s and objeclives
.
Hold regular discussions with other managers, supervisors, and employees to assure the
agency's policies and proceduaes are being follow€d
.
Reviewlhe qualilicaiions ofallemployees lo assure that minoritaes, people wilh
disabililies, and women are given full opponunilies for itansfers, promotions, training,
salary increases, and olher forms of compensallon
.
.
Padicipate in the .evieu/ e.d/or investigaiion of complaints alleging discriminataon
.
Participate in periodic audits to ensure that each agency unit is in complhnce (e.g- EEO
posters are prope.ly d6played on allemploy€e bulletin boa.ds).
86 actavely involved with local minority orgEnizations, woman s and disabled groups,
community aclion organizations, cohmunity oulreach organizalions and c-ommunrty
seavice progaams designed io promote EEO
Conduct and suppon
ereer counseling fo. all employees
DEPUTY TRANSTT DIRECTOR (EEO MANAGER) RESPONSIBILITIES
.
Develop and recommend EEO policy, program and internal and exteraalcommunication
procedures
.
Collect and an analyze employment data, identify problem areas, sel goals and
timetrables, and develop programs lo achieve goals
.
Designing, implementng, and moniloring internal audit and reporting syslems to measure
progEm effectiveness and to delermine where progress has been made and where
further aclion is needed
.
Reportinq periodically to lhe Di.eclor on progress of each unit in relalion to lhe agency's
goals
.
Serving as a liaison tletween the agency, Federal, State, and local govemments
regulaaory agencies, minonly, handicapped and $/omen s organizalions, and other
communitygrou9s
.
Assuiing that currenl legal intormallon affecling affinnative action is dissem'naled to
responsible officials
.
Assisting in recruling minority, disabled and women appllcants and establishing oukeach
sources for use bY hirjng offlclals
.
Be a part of aI h'res ard oromolions decrslon
.
Processrno and trac\ emplo)Tnenl d6crimination complainl based on race color' national
(rnc uding vel€ra1s)or ag€
ongrn, sex; religor. ohysicElor nenlaldEabilily
.
Develop a system fo..eporling, monitonng and evalualrng improvement in hiring. Itaining
transter and promolions rn are€s of under partEipanon
MONITORING AND REPORTING SYSTEMS
.
The EEO program will consists of rcpodng, monitonng and evaluating ,mgrovemenl in
hrin9, training, transfer and promotions is areas of under paaticipation and periodic
reports will be collecied from supeNisory personnel
.
.
The EEO program willtrack discaplinary aclions i.e- terminations, suspensions,
demotions, etc. wilh breakdown on race, color, nalional origln, disabjlily, or sex?
The EEO program willlrack EEO complaints based on race, color, national
o
gin, sex,
religion, physical or menlal disabilily (including Veterans). or ago
.
Upper echelon manageme.l will be keep inform of progress and problems and
solicitation of recommendalions
COMPLAINT PROCEOURES
The CTS has never had an EEO compleint since it b€gan service June 1, 1987. Holvever, inthe
event lhal an employ€e teels thal he or she has been subiected to discrimination on the basis of
race, color, creed, national odgin, sex, age, or handicap, mayfile a wrilten complainl with their
immediate supervisor, th€ DeptyTransit Drraclor (EEO Ofllcer, Arthur Bing,430 Bojllin Lane.
Clad(sville. TN 37040, Phone: 931'553,2330), or the Drectot (Jrmmy Smilh, 430 Boillin Lane,
Clarksville, TN 37040, Phone: 931-553-2430). All complainls must be in w.,ling and signed by
the complainani or their authorized representalive.
Complaints s,1al!slate as i.rlly as possible the circumstances regarding lhe alleged discrimlnalion.
A complaint will be regarded as me*ling en invesligalion onless:
It clearly appears on its face io be trivra orfrivolous,
The complainant wiiidraws the complaint,
The pa.ty complained againsi concedes and agrees lo lake remedial aciion,
There is other good cause lor not invesligating lhe cornplaint
CTS managemenl will invesiigate any complaint in a limely manner and 1ie findings,
recommendatons. and proposed aclons wil be repo(ed to lhe comdaiaant.
lf the complainant is nol satisfied wth the CTS managements investEation aM decision they
mayfile a complainl with the Tenressee Depadment ofTransporlaton s Office of Civil Rights
(Suite 180o. James K. Polk Building, 505 Deaderack Slreet, Nashville, TN 37243 Phone:615.741'
3681 ) for further invesligalion.
Employmenl Practicos
Employ6e classification andiob descnptions have been established ior al1 posiiions wilhin the
depan;ent. No applicants will be conside.ed fo. position with the departmenl unless they meel
lhe qualificalions of the posilion for $+rich they have applied.
by the selection of the most highly qualified applicanls,
regErdless ofrace. color, sex, leligion, nationd o&in, age or disability, wlE meets the iob relaled
criteria of the job descnplion.
Aln6wor vacanl positions wllbefilled
Now or vrcant posrtions will be filled by applicants provided by the Personnel Depa(ment through
the Job Services of Tennessee. The Clarksville office of Job Service of Tennessee has copies of
all deparlmenl iob descripljons, pay tables and job placement tables. When an order is pleced by
the Personnel D€partmont io Job SeNices of Tennessee, that offce will compare lhe iob relaled
requir€menls of the job description to lhe applicants qualifications on file. Those applacants will
6omplele the applicalion forms. The Pe6onnel Department will coordinale wjlh the departmenl
head lo schedule lhe applicants for inlerview. The inierview questionnaire will be used
Final selection musl be based on objective criierie relaled lo the applicanls' ab,liiy lo perform lhe
essenlial elemenls oftheiob. ln the event that the department head chooses nol to hhe a
aandidate who Job services has determined to moet al: the essenlial requiremonts of the iob
based on lh6job description, the Personnel Departmenl wi:l be inio.med in wiling or lhe reason
the decision was made lo reiect the olheMise qualified candidat€.
When lhe applicanl for employment has been chosen, atlg departmenl will complete the 'Record
of Appointmenl' form, altach the application and foMt.d the docuhenls to lhe Pe6onnel
Departmenl. The personnel Depa(ment will coordinate lhe co.dilional emdoylnonl assessment
(physical examanation) wilh the Risk l\,lanagement Omce and lhe backg.ound invesligation with
the Clarksville Polico Department.
Upon complelion of the process outlned above,lhe new employee should then be sent to
Pe6onnelfor in pocessing and opening theemployee's itre. This prccess willcover all ilems
listed on the Employee Oner{alion checklisl
vacanl position6 within the department wil, be advertised intemally rn accordance with the
provisions of Sec. 1-1310 of the city code. The iob wi:l be posled in each department for 5
working days. Employees wishing to apply for such posilbns will complele the shonjorm
applicaiion and relurn it lo lhe Personnel Department. The Personnel Department will lorwerd lhe
forms to the gaining deparlmenl lo schedule lhe inletview. All vacant positions/|,€nsfer will be
lilled by the seledion ofthe mosl highly qualified appl,cants, .egardless of race, color, sex,
religion. natronalo.igin, age ordisability, wtlo meets the job relaled c.rteria ot lhe job descriplion
The PeEonnel Director willcletermine the proper piacemenl on lhe pay table and job placemenl
table. The Personnel Directorwill sign the Record of Appoiritmer{ and forward to the appropriaie
flnance office and lo the l\,layor for rinal appro\ral.
FullTime Bus Operator positions wrll be ailled frcm the PartTime Bus Operator pool based on
seniority. All olher posilions/promotions will be filled by the applicalion and interview process The
seleclio; oftho most highly qualmed applicants, regardless of race. color, sex, rehgron, natonal
ongir, age or drsabiltly,-wro meels lhe Job re,at6d crlte'la or thelob descrPton, will be made
There are no writton. formal or scorcd tests used
Clarksville Translt Systgm.
an
lhe employment selection prccess for the
(1)
Intemd !,
^re
mglllllgers rnd sup€rvisors futl-v intormed of the sg€ncl's Polic!
bI actions
a) writtcn cofiuntrnicalion ftom the CEO/GM (Share a cop.v ofthe communication)
EOUAL OPPORTUNITY EMPLOYIVENT
The Clarksville Transit Syslem as an Equal Opponunity Employe.. We recruit, select, train and
promole onlylully qualified persons Mthout regard to race, color, gender, religion, national origin,
age. or disa6ilaty. Likerrvise. such matlers as pay, benefils, transfers. lay"offs, teminations,
rilining, oduc€lon or other programs willbe adminisle.ed equallyto allemployees in keoping
with eaud opportunity guidelines. The Clarksville Transit Slstem willnot discriminale on the basis
of nalional origin in rectuatmenl, hiring or lerminalion- However, we will nol employ a p€rson who
is or bocomos an unauthorized aliea. All new employees most provde suitable idontitication and
complete lmmigralion and Naturalazalion Services (lNS) Form l-9.
b) Inciusion ofthe EEO Prolram
iD
persorlllel and opemlio.s Inan als Oell us wherc this
ir
located rn your manuals)
The Cily Code (Sec 1 - 1303)
Personnel Policaes & Procedures (91-2 #3)
Personnel Handbook (pag6 2)
c) Meelings held al leasl serxannually to discuss the Fogram and its implemenudon? (Tell us
when & where thc mcctings were held)
Department Head meetings are held atlhe Clarksvi,le 'fra.si1 SFtem the lasl Friday of each
monlh and the program and ils prcgress is discussed.
,rr lerrlr!, fu rotr{upervi6ory stafr idorm€d by
.ctio[s
such rs (d):
locations (where?)
1 Posring of EEO postcn and policy statemants in co.sPicuous and accessiblc
EEO posier and policy statemenls are posted in the Adminislraiion Building near the opet'ato/s'/
training room and the Transfer Cenler on the bulletin boardconn.acts, (Name the
? Including EEO policy in ernPloyec handbooks. reports, manuals ard un:on
locations)
The Cty Code (S€c 1 - 1303)
Personnel Policies & Procedures (91-2 #3)
Personn€l Handbook (page 2)
There are no unions
f
meeting ll/ilh persons with disabilities. millor:des, a,nd f_emates for program suggestions
(whelr?)
4,
Meeling with minorities and fern ales for program suggestions r^,as held on Fe'uary 5 20'1 at
Polcing
communlty
New
Provioonce
ths
t." omL oi Hou",ng a Commun y oevelop;ent and al
Centerjob fair on Fobruary 10.2014.
in all traininS proglarns'
4 PrescDtation of EEO program as part ofemplovee orientalion and
(wlen & *'here did tlis
lake Place?)
EEO oresentatrcn is Derl of new employee orGnlaton thats held al Cfty Hall. dunng new
6mployee faining at lhe Clarksville Transrl Syslem and duihg serra'lnually Ealning'
(2)
Eiemallf , is lhc EEO polic) Itrd programs di$€minstEd to regtrlxr r.cmitm€trt
sucl as:
a) enrplolrnent agcncies,
hirilg halls. unions, educational inslilubotrs. minority'
Pcrsons
sources
with
dlsabiities groupi. and womcn s organizations. civit rights oryarizations' velerans centers,
Ciry/stare rob Piaccmc Ccnters, coErnunity aclion SrouPs, lraining or!,anization alrd others
who refer applicanls. (Pl€se namc)
All applicants for employment wilh the Clarksville Transit System come through the City of
Oaai(sville, Clarksville/Montgomery Counly Career Center.
5) public media sourccs, radio. telerisiotr stalions. news?apers' rnalEzines and oth€rjoumals
(o;e €d to persons with disabilides, disabled veterans, and minority populatio,t, (Plcasc name)
The Clarksville Transit Syslem disseminates rts EEO policy throlgii ils web sile and whenever
ads are placed in the loc;l newspaper Cfhe Leat-Chronicle), Spa.,si language paper (El
Crucero) and radios stiations (WJZM and Five Sta4.
EMPLOYMENT PRACTICES
Th. D.lailed urt"tilc should include Prccedutls for: Rccruitmcol ud emplovment s'l'ctioil posiiol
desc&trars, reduitmcni melhods. intenieq Proc.durcs lesl adhinislered siorily practiccs, proma'ioel
prociu'es, rransfer pmceaur.s, trailing proramsi proc.durcs rctardmg q age and sslarv lcvels
Lnens;
a
and
otis
r) pro.edures ond drschErse and reffi,narion prdctices' (N'ed promorion
na*u*
procedures- d'schars."raUlPlin
& tctmrdtionpro.€dlrei)
Eql.l opPonunhy.nPloyrn€nl
S.c.
- 1{303.pe.ion
be de;i€d emdorrr€nt or .dvanc€ment. o. be eYaluacd on th€ basis ol s€r
lo
set bv
"ttjrr
or;aomv, rac!. coror. coeo o. national orig . &e shall be consldeled onlv wnh rcsp€ct to minimum
{ord. No.
s&200
6,
1-
6)
S€c. 1-1304. E nploym.nt clas.Hatlon
EmDlov66s will be hired ln one of tae tolrofing classfficaions'
som€ turltme scnedure
ii;r^;. Nirmirry *,,r', icdv (a0) d morg hours per week onb€nsnts
and pnvire!€s or
to
at'
are
eniileo
emprovses
#;;;t;
r;;;"p";;i.-(esulr ruut'-i
omDloment as det8rminod bY lhe crtv counc'I.
hours p€r reei Emplov€€s rn thrs dass are
tzi ii.*i"i, ilr:,tt * No;alry w6 s lass thsn 'odv {'Io)
number
of h@rs m'[ed' No dhor b€nafrts re
lil;
based
on
bemfrts
reti.srnonl
*i,ri"O
lo
ir*a',
pad-rime
the
dutie€ ot school cossrno suard on Julv 1'
emprove€ F€r,omins
il;
;;;ili
"q,lar psvm€nt or ri,e e;dq,ee'i neat ano oentat 'ns"'ance prcmums at the
,;i liirl"-;;d"d.
il""tt# t"i;'[
11)
R.a;i;;
cily's expense unlilthat smployae c€as€s e(nploylEnl-
l3l
Tenponty, tu/lrime. Normalry wo s rony (40) holrs psr w€sk, bd the emplovmenl ls nmo_limited
l. this classitcation are nol norhally ennued lo benefits Th6 ns6d to contnu6 to requir€ any
Employees
ts;po;rrr employ€€ wlll be evaluaisd by th6 dsiariment hoad bv lhe end ol on€ (1) vear ol emplovment f
fris'neGi co;tidres to exist, ih€ lEmpoEry statt s may b€ enended wirh th6 rEcommsndauons of ihe
depadrnent head 5nd approval of the human rcsourca6 dr€cror and hsvor. How€@r' d ih€ neod lor anv
teirporary emptoyee exieeds t\ o (2) ysar€. lhB posilion will b€coms 6 r69ulsr. pan'time positon and will be
nll€d $rcugn lhe approved s€loclion pDcesE oulinsd in section 1n 306.
renpoGty, p;Aahc- Nomallyqo s forty (40) hou6 per waek, but th€ emplovment is limo]imhed'
amlbyees inihrs classiication arc nol nomally 6nmbd lo bsnsf6. The nsed lo conunue lo Eq''re anv
$)
teniporary emptoyee will be €valuat€d by lhe deiatunenl h€ad bv tie ond oi on€ (1) v€.r ot omploymenl lf
this need codinues to exis1, lhe ismpoGry galus may be enended wul tie reclrnmendatlons of th€
d€parh€nt hsad and apploval ol ihe human resources diroctot and msyor Howevet, if th€ noed for anv
te;porary employs€ sxc;sds lwo (2) yEaG. ltle Posilion will become a regular, psn_Ime posiljon and will be
illed lkough the appmved ser€ction pmcess outinsd an s€cton 1 -1 306.
(5) Seaso;f M;i be tull-lime or pan'Un€, bul ehploy6es arc hi€d only dunng a padicular season of th€
y6ar. Emplolsss are lsnninaled al the end ol lhe saason Employees in this class arc nol entitled to
(016.
No.50"2m 6,1-t06)
S€c. 1-1305- Job qurllilcr{ong
(a) Oualifcaions for poEitons have b€en, or will b€ eslablished by, a posilion classificaton sFern using
the Fb description and s!€luato. lBqu€st proc€dur€s outin€d in seclion 1-1307 and 1J310.
(b) No applicants will b€ consdsred tu a posrlion wilh the cjly unlss! lhsy meot rle minimum qualifications
of the position bl which th€y nat/€ appled.
(Ord.
No.5G200
6,1-
6)
S.c. l-'!306. S6l*tion of @plicstrtB
The human resource6 depattnenl is lesponsible for cootdinaling lhe s€l€clon and onentation of
new employs€s. The procedurcs i'r th€ s€reclion and onenbtion of new €mPloyaes is ouuined in Personnsl
Proc€dure 91-2, daled June 6, 1991.
(Od. No. 5G200S6. 1-$06)
Sc.. 1-1307. P6lton classlfic.tlon
crealrng a n€w loo withan a dePadment. lhe depanmenl h€ad will submn a complete iob
(a) When
d€scdplion and evalualion requen form lo lhe hsnan resources departmenl flo newty crcaled posttion may
be flled belorc proper job classilicalion is defmed.
(b) Upon recsipt ot ,le job descnplon and €valualion reqlJest with a Eummary of duues or n€w ddies
;c.ompanying rre rcqussl, the human resource6 depanm€nt will compl€i€ trs job descnpton in coniunclion
witr the dep€nm€ri hsad. The job will b€ ovaluated by the human r€sources depadment and placed in a
pay grad€. The mayor will be the linal appmval althotily for al! reclassifrcaton lBquests.
position is filled, the deFdment h€ad will consi'lisr
ici Whsn a new position is sstablish€d or a vacantparl_tme
€mploys€ Every efort will be made lo uliliz
wneln€r the posito. c5n b€ tllled wi$ a tempoGry or
patt'me
temporary or
employaes
(Od- No. 5G200+06, 1-t06)
Soc. 1-'l 313. Promotion6
Oualafications hav€ b66n establish€d for each posilion in city govsmmeni and are on
fl€
rn the
iuman resources deparEnent. whsnover possible. vacancies wilhn will be lilled bv a qualined c(v
€mployee. Th€ ptoc€ss tor posting v6cani posilions and th€ aPplication process arc as ouUDed itl
Poc6dure 91-2, paragtEph 6.
{od.l{o. 5G200t06,
&c.
1-
PeEdnd
6)
1"1316. Dlsciplin.ry actlon
conduct th€ms€lves in an od€dv and eflci€nt mann€r at all
lil r* " ot. All ;,nployses arc Bxpsclsd lorEgulalDns,
or standards of the citv or lh€ departtnenl in xhich
ths
rules,
violEtes
Wtren
an
emproye6
iimes.
employed, disciplin;ry adion maybe !,aksn. Disaiplnary aclio. mav belaken in the following forms:
{1) Vetualreprimand.
(2) Writren repnmand.
(3) R€dlction in pay.
(4) Suspen$on wllhout
{5} DBmoton.
i6)
lellnination.
pay.
Fat trcatnonl- Employees ot lhe cr, 6hall b6 l€arsd larrlv rn all .sp€cts ol emdovmonl when n
lb)
jcomgs
i
b didplino an emPloy€e, such discPlh6 wll b€ aPpl'6d al tlE appropnate levol in
*t tlri, ciry Cdae ano suci itrar imptementng pohc€s and proc€du€s aE lh€ olv co"'cil
i""o,uu."""ocessary
or work nabits.
ba6is of disciplins i5 nol lo punish, bui to coreEt unaccoptEblE behavio'
wjll 6e Gqually apltoo ano, to tho €n6nl po$lbls, will b€ comistent and
Ihe ;od€nying
deems n€cessary.
Dascaplin€
prlgressive in nalurE.
smploy€€s wlll b€ afir.dsd ths b€noft or dLre prccass Du€ pioces'
;Aulres Sral sstabiishsd rulEs and_ proc€dur€s for di6dplmary actDn are fo,lowed and lh€t emplovees hd€
an opportunity lo rsspond io chaQ; made against lllem pdor lo ths daoision o. the dis€iplinary action to b€
Lken. Due ptoc€ss.onsists of lhe following:
(1) Emploiees shall be notifiad of lhe chaiges againsi hsm. Such noffcalion will detail times. places and
ic)' Mhjnun due .,r/.,ess. All ragular
(2) r;e noi'fcalion {ill pmvide for rhe €mployss lo have a pre-dscBion discussion. Th€ employee shall b€
;ien 3 Easonable psliod of lim€ to PEpare to an$iff charg€s and Prcs€nl inturmation which might
,nnuence lhe dEcipl,nary dscrs'on.
conducling lhe pE_decision discussion will b€ a departn€nt h€ad or ihe sanior supeMsor
in the employee'8 wolt
'Jnit.abovs shall b€ lor tha puaose of allowing the employ€e io pres€nt inlormation to
drtined
{4) The
the manager rcgarding the dis.iptnary actron undor consideraton.
stat€rerts ftDm
{s) Th€ ;isc!;ioi sian b€ irlf;mal. Th€ €mployee snal hava lhe dght lo prcsent \atitenwin
regatd to $e
informaton
l€levanl
st
Ement,
or
any
oth6r
;;tness€s, or his or h€r own rritten or o.a!
chaEes. Attendancs 3nd parucipalion by p€Eons olher lhsn the depa(m€n! lEad and th€ €mployoe shell
be al fle discreton of the depanm6nl head.
(6) lf t'€ employe€ d€dln€s the oppoturnrty to havs the disa$sion or pr€senl infotmslion th€ prcvisions or
this seclion ar€ deemed to havs be€o met.
{d) Cars€. Disclplinary aclionswillbe based on cause or suficienl leason, as ou{ined in s€clion 1_1317 ol
rhe city code.
{3) fhe PtEon
;;[ng
lel
Aaljons
for which ez{'loyees
iay
.tot be clisciplined. Aclions ,or whi.h emdovees may not be
disciplined include:
(1)
Condilions contDllsd by equal smployh€nl oppo.tunity law such as race. religion, national origin, sex.
€g€, dasabiliy. or military stat'rs.
(2) Unioo aclivities as d€lemined by law.
Reponing Occupalional Safety and Healh Act (OSHA) violalions. or cases of waste, fraud a'd abuse
i3t
{1i
Rgtusing
to p€rforrn an unLisual work assrgnment which lhe €mplovee ,usijiablv 06[ev€s lo b'
hazar.lous or life-hrcatoni'lg
{5) Retusing to perbrm an acl whicn is cleany n violation of th8 law
Disaprinary pro@ss.
11) Enployees olhet lhan depadnonl ,,,.ads or ctty ofllcials.
i-- Discipli;ary aclion up lo, and anduding, a Mitlon repdmand will be conduct€d by supervisory P€rsonnel
wihin the cJly depatun€nt. Wdtten rcpnrnands will b€ authenticalsd bv the d€padnsnt h€ad belore tney ar€
placed in the employ€e's oflicial p€tEonnsl file in the human resource department.
lft
b- Excepl as prcvld€d in subserlion (0{1)c-, allegations of €mplov66 misconduct whlch could wzranl
redudi; in pay, sr.,sp6nsion wilhout pay, demolion, or temination, will be thorcughlv invenigatod and
documeded al lhe d;pa(ment levsl. Pnor b th€ decis,on on any disopline by lhe deparlment head, lhe
empioys€ will bo atroded du€ Process as s€l lorlh r subs€ction (c) Upon comPlelion ot trle invssligation
lnat
and aidicaiion ol du€ procesa th€ dep.dment head will decids ttlethsr to impos€ disciPline
'nd
pav,,suspenson
in
reduclion
of
rmposo
drsciplane
dis.iplde b impos6. ,l ih6 dspanm6ni h€ad decides lo
wisroul pay, d;mobn, or dmination, the depanmgf,l h€ad will filgl fo ait the rssults ol his or her
invedig;to; and decision, with all supporting documentation or matsnals, 1o ihs hlmsn resour'es
depar;ont head. The human msourc66 depadtneni head will ved, that Ihe emplove€ was aforded due
p;cess, and that $e discipline i5 appropriats and gonslally consislenL Upon such find'ng, the human
Lsourr:as aepartrent treaa witt so notify m appropnie depanmo^l h€ad of lhe €mplot€6' Th€ depadhent
his o'
nead willlt1; iifom the omploy€s in wrlting ot the dlscrPllne dec,son, and wll advis€ iho emplovae-ol
n.. ridhr to aoDdl The €m;bv6e will havs l6n (10,;bndar davs lo apP6.l lhe dec6'on Dv notryrng lh€
..sorr""" o"pu'tmenl h€ad h wnling lf lh€ emplovs€ doe6 nol app€al lhe drscrPline decision' o
does not app€alin a lim6]y mann€r,lhe discipline snallbscoma final
c. All allegations oI emdby€e misconducl that invorv€ s6xuat haEssmenl or hostils wo* onvironmenl'
vol€ncs, and/or mnglul retaliaton. w l be reisnsd bv lho dep'tmEnl head
irr.."i Ol""n'r.ut
"oriol;c4
resouEes
department lo conducl th€ €nlirc rnveslEaton Anv such allsgalrons will h€
r"rui
i" it" nr.""
-.
ir,"i,rgnly 1;r."ljsrt"o .nd;ocumentsd bv the human tosourc€s d€panmem. Upon comPleton of lh€
lnvestliation, fre_human resourcos dopsrttn€nt will provids tte rB6ulls of said invGsligstiojl, with all
suppo;ing d;umenration or matedals, lo lhe sppropdat€ d€paimenl h€ad ot lhe emplove€' Pnor b the
decilion on 6ny discirline by the d€part nent head, the employee wlll be afforded due P.ocess as sel lonh in
subs€clion (c). Upon compietion of the invesigatim and application ol due ptocess, oie deqaranenl head
will d€cdo e/tiBthor lo impose dis.ipline, and what discrplrne lo lmpose ll tie depa,tmenl head decides lo
impos discipline ot reducton i. pay, susp€nson qlhosl P.y, deinonon, or teminaliln. lle depattment
hsad will frrst fo,wa.d the esults of iris or her deosion. wilh all suppotung docuin€nl,alk o. materials. io the
huinan resources depaamed h€ad. The human rcsoLrrces departFent hoad sill vedfo U'al the €mploFe
was afodod duo prccess, and lhat the displine is appropnate and gonerally consistent. Upon such fnding,
the human rcsoules deoadnent head wll so noiiry ihe appropriale departnenl head of i!€ emplovee. The
d€psrh€nl hsad will tien infom the employee in Miiing oi the disciplin€ decision, and will advise th€
employ€e of his or her ngft to appeal. The employee wil have 16,r (10) calendar days to apperi ltre de.ision
by notlfying lhe huhan raso!rces deparitnent haad in wdling. lfths employee do€s not app3?'1le dasciplin€
d€ci6aon, ordoesnol appeali. a ljmely manner, the discipline shal become llnal.
d. lf an employee exercises nis or he. ngn lo app€al the disciplinary aclion, ine appeal lvill [e solelv to the
mayor. Tho employee's appealshall be made in writing and shall conlaln a bnet stalemenl oi the grounds for
th€ appoal and the lsliol sought. The mayor shall rBnder 6 decision on the employee appeal wfiin twenlv
(20)calendar days oflhe rec€ipt orthe employee appoalby rhe human resoumes diractor' Upon review,lhe
mayor shalt cletemins stEther the decjsion of the dePadment head is suppodsd by any matenal evidenc€
Itihe mayordeiemines thal the decision ot the depa,lmont head is supPoned by any halenal evdence, lle
imposed dis.iptinary action shall be affimed. The human resour.€6 departnsnt shall noli'{y the employee in
wrilng of the mayors decision on i,le appeal by cedilied mail, addEssed to flr€ lasl inown address of the
€mployee. Upon request the human resoutces departrnent will prcvde a mpy of all dodnentation
p€daming to lhe disclpline of any e.nploy*. lo include the mayo,'s decision on an appeal. to any city councjl
e.
Any €mployos may s6et turlher review of any disopline imposed lhrcugh the courts as provided by law.
Any employs€ whose disclpline 6 slspendon wit,lout pay. or leminalion. shall nol erercts€ any ot lha
tunctions ofhen emplofnent dudrlg the tnre of suspension, or lermination, p€ndlng to.dlsion ol fle lime
for appoal !o lapse, or dun.g any appeal plotlded for he.orn. or Pending any fnal coun adildicalion Any
employse whose discipline is a redudton rn pay, demotion, or termination, will have lhei. conp€n*1i.n
wilhh€ld in tho apgropnate amour{ f,€ndiE conciusion of any app€al p.ovided lor nerein, or pendng fnal
coud adjudicalion. Employ€es subjec! to suspension withoui pay will have tnon comPnsalion withheld for
lhe suspensior time penod pendins conclusion ol any app€al pmvided ior hs,€in, or p€nding final coun
Ar. problem areas idertified
and a plan
ofacrion proposed? (Not idorified)
With the current minoriiy and female c€tegorres soe chart, the Clarksville Transat Slstem's
worldorce appeirs 10 be stable ?1:his time With very ljttle turnover anticipated excepl in lhe
op€rator classfication which ias e more modeEle turnover rate. With the completion of the
workforce analysis, CTS wilJ plac€ emphasis on recruiting women inlo lhe service worker
category and mld-levei managElne.rl over the nexl three years. lf successful, women wall
comprise a larger peacenLge of these rolls.
MONIfORING AND REPORTING SYSTEMS
The Clarksville Transit Systern has established an internal monitonng program that will assess
EEO accomplishments by Aacking data. evalliate the program and take necessary corrective
action regarding lhe development and execution of programs and goals.
The EEO Managerwill reporl to the CEO moniloring and evaluating imp.ovement in
hiring, training, transfer and promotions in areas of under participation, intorm of progress
and problems and solic atrcr of recommendalons.
The EEO Manager wili.ollecl rcports from supervisory pe$onnel periodically'
The EEO Manager will lrack atlcomplaints and disciplinary actron on a spreadsheet with
breakdown on race, color and sex.
.
The EEO program wlllcorslsls of r€ponrng, molitorrng and evaluanng improvement in
.
Tne EEO program willtrack disciplinary actions, i e. terminalions. suspensions,
demolioni. eL. wilh breakdown on race, color, nalional origin, djsabllily, or sex?
.
The EEO p.ogram willtrack EEO complainls based on tace, color' national origin, sex,
religion, physlcalor mentaldisabilhy (including Vete6ns), or age
.
Upper echelon managemeni will be keep inform ol progress and problems and
solicitation of recomtnenda:ions
hinng, rarnrn6. lransler ard promoilons ls areas of under panidoalpn and penodrc
reports will b€ c,ollected from s!,pervisory personnel
Eh}br.D*1,|@.rdr'lldzo]1.2!l!
Norh,l!Fv*doFfu
コ ■ ‐20B
A●
"疇
ヽ
Ⅵl●
,
鮨 ‐
鮨
…
“
●￨
“
A●
―
0-●
―
0ぃ ヨ
"…
3● ●
a剌
‐
"●
“
"腱
,“ ●■
●
0● 口'M―
M● ―
Cv J“ ●b¨
‐
●●●●),● ●●
I・
・
縣
…
m・
勁
“
‐
…
…●●●H―
…
“ ●
―
“ ●0,¨ ‐ ●¨由輌
"
廊
“ ON● ●●1歯 詢り
“
10ぃ け
“
鮨
肛
0"―
0"`置
鮨
‐
絋
転
…
・
―
“ 1・
―
i● 鮨
''
・
`…
""_lt●
VO日蘭●
""M衝
V―
…
●●
…
0…
V● ′
●11“
M●
●●●●
"い
…
―
…
廊
疇
ヽ ⅢⅢ ●● 競
…
輌
腟 嚇
1
0- M● ●●●●‐
0● ●
1掟 朦
0¨ ,撼 ●●￨
ml● ￨`.￨● ●
0●
●￨'`“
“
"
II●
…
…
―
お掲
"●
h権 ●●“
●
0″ ヽ,麟
C● ● W● 面
'呵 ""■
"●
― b●
∼
““
・・
…
… M● 衝
"吋 ―
,…
Ⅲ
・
1町
●
u・
● ● ￨― … ―
'"―
●●●
●
l● ●●
￨● ●
●
“
転 ●●￨● ●●
転 い
"
銀
““
…
'中 …
…
"●
“
'W''1
却
て
'
A
' '` ' '
'V― F ,
'″
,v7mB
o
■‐ n, ・
M ^
7フ Ю
1“ ヽ “
2 ' A
'
型 綺“
'咬, `
,″ ″コ
:″
″
'" `,
〃,,01,
″
'W'012
M
27● α201'
,012 “
M
"″河
υツ
,ツ ' M■
"0
フW""
,′ 7が ,
M“
^
^
A^
`A
0
``
`
●
M C
M C
'lμ
'' M C
″
C
,‐'V"'2
″ 2 M `
'′
'n,
'"ツ
"'
″Ю
…
"■
呻
‐ "
―
西―
W… 呻 ■¨
に,0"‐
“‐
―
"“ "
●●u“ 亀
… …
…
―
“
・・
v●
“薔
“
,W…
…■
,●
…
●●
市
,W"ヽ 、
V● ￨“
詞 ●●
'“
“
11…
V● ●
●
Ⅲ満
￨ヽ Ⅲ
…
'‐
IW"瀾 喀
―
メ
・―
"・
m
"副 ",l
狐 l M ^
:′
`′
,■ 2
"聟
■
′″ 狐 2
‐ 12
"コ
″
″か 2
,ン 2′ お1'
″′ソ
,
1
1
`
`
`
'
`
'
C
`′
V潔"12 M `
1″ 宙"' M l ` C
"ν, ￨
て
ツ yユ
,"サ 短 1 1 0
F `
'Vη
"υ F C
:""B
●′ 2●l' i C
'″ 碑
101謝
' C
'′
1W,● ●●
―
●
"1' M '
2%02
1‐ 口 l M“
●
ツ 2●
“か , M (
″場
●
“￨
V● ●●
l・
…
●
-1-
,ν
1∝
l‐ ―
…
V-1
―
■w● ‐めn‐ m― “●￨● mo"“
"Mじ …
螂 ●″Ⅵ 綺
“ ￨● ●t●
I● し
画
“““ "1"
● ￨●
I● `h●
-1“ F● ,M鮨
●い●●
V●
“ ●‐ げ
― ¨― Ⅲ
,・ ‐
・
―
…
“
・・・ ― ―
・・
…
‐ 喀 ‐ "・
Vn_“
o_
・
・
"w‐
―
・・ ―
…・ 珈
“
―
・
・
…
… ●… ●
コ
●●鋼
∞
―
・
`峡
"・ よ"'ヽ
"●
‐
お
ⅢⅢ
―
―
―
…
R“ Цnt“
棘 t●
￨● ‐
,輛 ″ Ⅵd“
…1出
…
""“ “ "●
…
2●
“
"柿
…
― ● Ma輌
…ヵ●o"“
"“
“,“
●
●FM｀
“…
漱
…
―
Ⅲ ■■蘭■
"1薇 ldT― ●●"い
tl‐
WI“ ●嗚 ■
““
出
師 ‐
"●
"“
￨●￨
wm"●
―
●￨
W… 麟
‐●
●￨
‐ "‐
H・ M“
“ …
厠
II"い 苺
"―
W,―
…
・
0中 に
,●
“
… ●● ●●
‐
…●●―
― ・・
疇
…
…
V蔵臨
・“
‐
壽 ' '`
″ ""
I C
,Wコ
'1′
"￨●
…
￨● ●0,● ま●
―
W― ●￨●…●m●“●
wnl● ●
喝 ,,Ⅲ
'
・・
,出
“"″
●H
―
“
● ￨●
・
腱
―
4“ '一 "“
―
… …
・ ―
・ ・
●●￨● ‐
“
ゆ
0フ
V● ′
●￨● ●
●● 中
2“
… …
…
附
“ …
―
1●
Ⅲ O国いお 靖 ●
“
`"″
"Ⅲ ●●b
'"● III詢 ‐ ●●●
a_●
“
●●●
お
2′ 簿 "
匈“
M `
' M C
Ｍ
Ｍ
…
…
…
―
…
…
,“""
,,¨ 1暉"
"…
…
…
…
Ｎ ＝
Ｍ
Ｉ ‘
︱
︱
，
Ｍ
Ｍ
Ｍ “
“
―
，
1醜
●
い 出
︱
Ｍ
Ｍ
“
,ぃ
"m。
'“
●●●●
・
―
…
螂
“
‐
Ｍ
Ⅲ略 ●
…
・ 詢
●
V―"出
m
￨‐ ‐
,……
術
―
“
―
′
“ `‐
V“
Ｍ
…
Ｍ
「
M…
Ｍ
―
―
t●
11餞 ¨
Ｍ
￨●
“
`‐
,■
鋼
"`―
Ｍ
“
"魚
‐
― ●中 “
鶴 セ ●●
“““
… 由 ¨ ￨● ●●‐
蹂輌
・ ―
●●
…
Ｍ
￨― "
""赫
Ｍ
―
…
…
鍮
Ｍ
…
Ｍ
“―
*fu@.
Ｍ
●
■●
`‐
●
‐ ￨‐
・・
―
Ｍ
鮨 ―
'“
“
`
Ⅲ
”
い ‐
―
“
“
●‐時
b
,跡め
“
¨“ ●
`ヽ
"
,断 ¨ ●●●
肺●
・
肛 ●●●Ⅲt●
"―
Ⅲ
…“
I―
“
b…
Ｍ
‐●v
"紙
腋6コ
ー・
Ｍ
`
前
MII・
“ 綺
―
…
Ⅲ Ⅲ 膊 ⅢⅢⅢ 凛鮨 “
∼
“
`凛 "Ⅲ
…
…
…
Ⅲ
…
…
Ⅲ
"OⅢ
―
― ‐ 3M“
… "嗜
ω
― ・ "
ll・
。
―
・ …
"
…
N―
・・ ―
・
‐
…
l―
…
由
…
…
口…
―
湘 口
‐“
い
・
・・・
―
輌 ‐
‐ … ¨
…
“ 鮨
・ "“
・ ・
―
"“
v● ●‐
“
"rl●v…
‐
′
― ・ ¨螂
… 喀―
“… ●
●,"‐ 記“
0∝
Ⅲ
“
―
一
… “[4‐ …
…
・―
…・
♂ r― …
―
・
―
―
― ‐
…
。
‐
Ⅲ
・
・
・ ―
`―
―
●●●…
■
―
腋 t・
瑯`嗜
,V―
―
'・
‐ ●
●｀
… "mplt
"'"Vk●
ヽ｀― ￨‐
'れ
鋤
姉
崎
="鸞
′
“ⅢⅢ RI― ― ￨“ ―
“
“
“
…
―
…
●￨● ●
“`l
0""ω
…●￨‐ ●u
●
…
,rr.n
Ｍ
￨
―
¨
6/:rrn
●
●。 ∞ ″
・
Ｍ
…
Ｍ
―
い
Ｍ
Ⅲ 林 I●
… 崚
“
●●●‐ ●″Ⅲ申Ⅲ‐
ヽ
。
・・ 0…
一
…
“
… ●
…_‐
“
“
“
`“
崎 …
“…
″い醸… ‐ 1-●
o
m,o"漱
「
0中
●
‐
―・ ―
・
“
―
'…
揃
r_“
‐
― ・・
…
…
●
●●●●I● ￨￨― て ●‐‐ ―
"“ … ‐ "―
"咆
3に ¨ ,¨ ― お 諭 ‐ ●●イ Ⅲ
…
“
●FI"― ‐ ,Ⅲ“
…
d“
‐ …
・… ―
・
―
""r.● …
“
鮨 い
勁
― ¨■出臓‐ Ⅲ
●I● ―
腱 Ⅲ綺
…
…
ホ …
綺
― ‐ 鮨 ヽ
●●
,― ・
‐
・・ "・"“
‐ い“ ―
―
…
…
Ｍ
…
鮨
‐
a―
―
Ｍ
m● ‐…
“ …
●
“●￨‐ ●‐
‐
●●● ●
臨 0ぃ ‐
肛
“
・・
Ｍ
"ハ Ⅲ略
“ "'“
●L
""・
…
Ｍ
‐・ ・
●h● Ⅲ "・
W僣 颯 ● ●
…
′
い ●叫 ●●慟 ●RI● ●
41
""‐
“
Ｍ
…
‐ 9●
Ｍ
.
‐ ●‐
“ ‐ ●‐
臨
“
…
I・
・ ― ・・
W…
晴 ●●‐ ―
Ｍ
にい
…
V/●
―
―
―
●
`腋
"Fv●
ヽ
1`“
‐ い￨
‐ 4● ●
`廊 “
●‐
―
,饉
…
…
―
“
―●―
■●
● Ｍ
―
●
“
…
…
鰊
゛ⅢⅢ¨
,0…
Ｍ Ｍ
…
I●
“ “ “
●
―
…
…●●●
●
●ln● v
●●●●
●
￨●
Ｍ
“
Ｍ Ｍ
●●●H
崎
"● “
“ⅢⅢ
l■ “
“ ● ●●
“￨●
"V
―
●●■●
‐ ●●●● ●ヽ1け
“
Ｍ
`A●
Ｍ
●●●
疇
・・
…
・
い M… ￨
“
鮨 ●● … …
“ H
嗽
"・
●― ¨ ″
●
""●
●
v● ●,0い Ⅲ
"
疇
,Ⅲ Ⅲ
… …
“
Ⅲ●●
Ⅲ
q""`∝
麟 …
0"Ⅲ "`
`
“鍛
●●
∼ `
q´ ■ “■ 躊
●●
"∼ `
“
●●
`“
,M● ●1応 ′
“
11置
●両 け
"喘
C―
■●
●
満
V―
―
‐
W―
W・ ‐
・
W・
・ …
n…
―
…
―
―
・
・・
い ￨ぃ
"枷 ●Q崚 "珈
"●
M● ●0ぃ
"“
,。
●●,―
●‐
‐
●
“
鮨
“
―
●
・
哺
…
崚 `tM"'‐
…
W」 ●Ⅲ
W喘 …
ぃOⅢ¨
… ■
"“ ぃ い
輌
● ￨―
¨…
“
W"● ∞
W● ●Ⅲ …
―
Ⅲ
"“ ―
,● ― ‐
“ ヽ"● ‐
'…,い
‐
“
鮨
“
V晨
"
"“ "
鮨 ,―
'“
1 0Ⅲ ‐
…
“ ,― ‐
“ C● ●‐ロ
は
∞ ￨ ●‐ ●
絋 ●_● ●
●_u
“
―
:
`“
ー
ー
,…
出
●Ⅲ
"￨“
ⅢI"●
―
・
∼…
‐
"‐ “
●●日
`“
,●
¨ 噌
“"● …
ヽ
■蒟
貯
…
…
…
￨コ
・・
“
…
…
…・
r_
0
`
■
1'′
'′
,0わ ツ´
"'
コか
Wツ´ '
"'
″ 4‐ 0"
`′
￨
“
M C
て
●
●
`
"121"
W`"χ ,, M“ A
″″籠
″,“ ' M ^
あ'′MM A
"り
2,′ お 1, M
A
り
,″ ″狐 2 1
0
●,2 1 0
`2●
ψ首
い , ' 0
フV● 12 M `
,W"'1' ′ ^
2 ' ^
' ^
,"口
"●
■
'
″W型
,…
1′
ロー
,● ￨,““ ‐ ●
…
V"“
1● ●
‐ ●醸
●●●￨●
wm● ●餞 面
お
…
W′
W‐
窃
コ:1
″ "O
7,″ 2● ν
'1′
F' ^
l
て
て
1'た″
"2
'
`
F, t`
Ю
“B ' `
'力
●
ア `
ψ ″・
' M C
W'′ 2●t'
02 M C
″フ ′
●‐y",2 M
●
ml M
●
"" 2
,V“ ″
'1′ '留
0′
″
撃"γ
…峰
￨￨“
“■
,′
"￨● ●●餞 耐 ¨
W由
“
・・ ―
'・ ●
,●
●
'‐
‐ ●
“…
'ヽ "‐
●￨― ●時
Ⅲ―
'
'1′
W`―
ヽ‐
●
て
●
て
￨
●
●
″
―
‐ ―
…
W It● ●
H
"輛
V●￨●●
, “1…
V鰤 ¨ ― t
…
。 nⅢ
"n
‐
"
'″ イ
■'
2 ,' A A
l"Wn' M ^
'′
"￨"●
‐
W●
W● …
―
喘
●― 綺
`"`ヽ
““
‐前 ―
・・
=・
●
●
“
峰
“― ●●
“ ヽ
““
"●
"Ⅲ …
い ll● ““ “
出 t・"●
輸 h,V・ ￨●
・ ―
疇 M●●●●,
‐ 鮨 ‐ ￨● ● ●― ● ―
1-.輛
‐
“
ヽ ‐・
-3・ ・
“
ぃ n_t● ,
い
―
''
由
‐ ―
…
“
鶴
“
―
‐‐ 腱
缶
Ⅲ "―
Ⅲ
‐
“
…
…
…
……
…
,,2′
●●
“
“
V… 11● ,,I● ●M
●
●
W¨ ●
…
●
耐 “Ⅲ “
… ●●1● ● … …
"`洒 ¨ ―
,…
V●
― ・ ―
― t“
―
"“い
V●●
●●,崎
t● ●い ● ¨ 綺
嶼
・・ ゆ α
"∼
―
●￨
¨ ¨ m“
“
…
…
'Ⅲ … …
""哉
““ ,
“1“ 市 ‐
―
"Ⅲ … “ “ “
V●●H中
●●￨
“"‐衝 昴 “ ―"● ■
"に
t‐
“
"●
“
●
●
“
―
“ …
・
…
―
●●
￨… Ⅲ●
"¨
●“
●●‐
M■ ■■ …
u・ ￨・
い
""‐
●￨● ●
“●●
●●
“
｀
“ⅢⅢ●― ●●
И ●●‐ ●l● ●
И Ⅲ●
¨
“
W4●
"“● ″
“ ぃOヵ
■ 嘔●C● ●●J、
“
W4●
“ Ⅲ ¨翡
W■ ●■0¨
“
W11● ¨●x●`″
晰
W“ ● OⅢ d、
“O¨ d■
W“ Ⅲ
●′
ψ
' M
ツW2"
フツ
"12
1'′ 1“ 神
WI“ ●■●
饉●
"時
,・
…
,●
"―
I・
―
・
1け ″ 狐
"高
… メ趨
●
￨‐ ●●■
"…
V・
,‐
0● ‐ ■ “
・ ・
―
‐
氣 '‐ M…
“
∼
― ・ ―
'Ⅲ …
‐
餞
鼈
・・
―
躊
口 噛
―
.“ Ⅲ
‐ ￨―
●●
―
―
―
・
“由
…
…
“
…
…
…
"喘
"晰
―
画
“ '"V― ―
…
扇 0"■
“
0",,ヽ
興
…
〔
…
・ ―
―
―
“
…
● ●いい
“
“
"" MM C
,9m2
η
″コ'つ '' M
,ハ ″"0
カ ツ11●
1
●
￨
ンフ
""B
コ ツЮ
,,"珀 “
″コ
“
〃 "B M●t
'7'2 ●
ねず
"0
●
C
C0
●
て
C
で
`
で
,´
C■ 0`● o,,i● ● A ■ 斯
F罐
H■ Hた ,,0● '●
N● AMOた ,0'“ 0●',●
M● 瀬。籍
締
IVO●
IIAttE
POSrTloN
2●
‐ 線in・ R。 縫 V ol澳 磁
・
0“ 節 渤
Im"● ●
漏・ 却●,陥 0｀ 節 V●
,て
￨●
`0歳
"`●
鼈崎
o`o`
0■ Oh●
●●
`
`Voh轟
[lNttγ κ ■10ヽ‐ ｀ ON_
01Se■ ●
=￨。 N,バ をヽ
AC,10ヽ
0奸 t
IO
●●
●
●.● ―
・
0'0 類
66ordb,wei.,n-ad
&i.;tu
E6 Op'dr
Erc..* k
Ls*s. S.bt
ebi. MRv
wdm ReFitud
`1悦
鶴とめ10
僣刻
",O
曖 3m,o
'
"`O
10 FM
餃 3カ
62捻 0,C
C
M Cc
27`ち
鬱 嫁 いO
A
M
CC
O
M C
ll愚,iO tt C
*6tv'ddd sePr{mDuY
6co,.ddv3saldyebvelwsh€
wfr3nR@iE{
Ertd oor, €r.eE v r*qs.dv vhbM
B6oe.d
s6cl,€6blwihfupjod
wdmR@lft
2d. No! Parc etu b s s#*i.
o!r.e.
e6o!.elsE€da,uRvwdbnnsin'ld
.xp'cdoor.5*lyvfuMRvw.e!^Ram'd
860,€@.scd.9.ilFvv@[email protected].
Fa6 R.p& Dry.
No'sh@mo,
esoF6b
Sr?t
v.le MRv
Bso!€mlsatdyvdab'w
B6o!€'el&R4nkRueMd.hs6pgls
BECFi&'
sablv#E.uRv.GHtEr3E
whsrR4m..a
●230iO
10曖
7千
wtue.irod
010 F
6220,C
`曖
,20,O F
“320'O
,1“ Ю,O
v.Mrt rntn
vsturli.t d
wM.l.,:Md
MRV S3t !!e6
tuoEtu
36o'sEblSlcJyvd'ereowfudiqtrd
scoEd,L#R.@1'sivsakl'v,r'.6weR4rn'n
Sllwon
M6d€ @ R.pds. l,s& O'a
9c OFtu
w]6li.!.nd
saEryvdtu,se.dns tu!4 r.6 @
B6opae
€co,embwijsR.,]ffi
EGoleBlols.,tlyvdai]csFdcMRvo@l@n'd
S*Vvl,e, MFv, Roe D.!re
B60!.6
kRcdvoMilbieBirc.Rd!,i'lvdtoweFepfu
No,s.btv&e Miv
sE&.6bi
1n Rd L'tn sFdiaera&3.rrvoM
96&€rb,
ryo*Rgd"Fv's:k!,R.jLi!.lv.lewetrRelimd
C
A
C
C
C
A
M C
tt C
713m10 M
c
●320,O
C
at"ヵ io
M
M
,9040 F
倒η iO
010
at授
“
F
F
c
C
C
P
C
22010 M A
1"O`O F A
191● FOiC
6′
P.!ws.O"o. xRVs*rvffi
●
312010 M
,α
€GoEnlo
M
2010 M
●
鋭 0,O F
υ
“1320,0 '
ρ040 M
89“ 10 F
“
●
● 10 ,
,,Z″ ￨:C tt
,摯滋 0`0 議
,2府
議
"`0
曖 ∝詢
`O VM
η?3● 10
t,つ ヽ
つ010 F
C
A
C
C
A
C
A
C
^O
C
010 M C
M A
'"滋
F2a10
銀
●露
"010
ヽ
O
艤 A
tt C
F
lor Fom.lo
M
lor l$als
C'Cauca8lan A = Atdcan
Promotlons-Transfers
H. Hl3p.nlc P E Pacmc
Al
E
Arn€rlcan
lslande.
Arnsrlcan lndlan
Ar{ =
Alallan atlvs o=other
Emplo,ln.nl
Employ.€r
2010
Po.nbn
Staru.
9l21l2OO9 acrvo
Swan scoll
Pbmo
on
-rr.nrt.r
End
0.r. c.nd..
T'6n3r../c.G.,.s.
DI,aO‖ ty
Voi●
`=●
C
No
No
C
No
Yts
A
No
No
2011
Audet,Scott
Bus
Mills,Gina
Admln. Support Techn.
Wil13mS,Argela
Operalor
2/23/2005
M
2/1/2006
9/19′ 2011
ReslSned /Pollce Dept.
2011
」ob● App踏
`nl廂
NAME
3mg ed lame,
,
Ho`o、
Denl,
ヽ ●● al
"Mdヽ
Wampe■ 6o"
Wald`om [ddie
jo● e,Da●le
MO=腱 n Paol
Pet=`` 0,n101
S∞
"OeShawn
3owen,3`￨10
Char W CI''ence」
anln Go「 doo
jack‐ ● HOwar」
`
lス
Wdit J● q
K● ●
●● v “
Nathan
Zigmυ ●
O AnthonY
Hll,,d ta■
ヽ
Va`hlo『 o■ す
Ohn,v
P● le“ Dan e
L。 ●卜●● [dd e
E“
Hi・
・
0“い
…
ヽヽ海準もヽ﹄継﹄継ヽ海ヽ粕格海毬ヽ﹂ヽおも
Gibbs,D8● 0こ
H‖
Eぃ 01¨ 碗
Po、 ■boA● ●I● ●
D●
M.b C.!or..
Mal. Nno.n [email protected]
F€@l€ C.u66l.n
bJbddoibFi F€mb
1.frtu^ffirLM.L
M.5
(]lidYd(tu)<uaL
liLE
1/l1l2o[ orDnins i,iEbdnnoll- rltL
1/3v2ou Nordni.g t,ldrobbDorlo Mil.
1B1l2ot1 1/31/2011 h,6d sniq knID tl5r.
M3b
UtL
&!dtidr&4rd.
r&b
rrb
i4dnb!E6
4lll.2'tl
uaL
4/tll2olt
&2./2oll bndE'id"d
lBv2orl
\B7l2)rr
v31/2011
い も
F,,me,Man● 2
9′ 19′
c.@ttrn
iln6^ AmBn
arii6nAm6r'
An'6n
An.i.tn
C.u*r'rn
afiranarui..n
C€6.En
c.@r6h
cruat€n
1′
,′
2012
,ohno■
AIc
F.@re
hr.nY+nb
lt,k
r!/bre
Not&..!ilnrC.lB [r!le
r'l*ds clx
D€o\
h
Mare
fd i^r.Did r F@le
No 5hd lor t.r.aia r!La.
.3n.d
Duke`:manoe
M!'3
Co● o● [お Soe
Femr€
joh●
‐ o Oietta
Steohen,o ■e`rano
G′ o“
F@L
M.re
DloYlo● [￨'ah
γ 19′ Ю ll
]ddr&bi&uF.@9
〔h`,,6
■,っ v。 ァヽ
″
D*lidd lob
M!l
lЙ
`vo。
AF●
rl,c
M.t
',ucl
Lmo,`o
McPheroo
MaM■
M● ooc C畔 鮨 lt
F.mle
Zem・ 。。IИ arn唸 o■ T
Fe@le
Atklos Car t。 ●
Co``o` Sh8●
」
am“
Cha● 、
H●
re l
7amm eC
C ar●
,{o Shov lo.
l'n.rvta
に e〔 〕
,
ev〕 eao● e
■,ahao Tol="
G口 y Moo● て,A
9,1,′
2011
CDL
t
a&n lo. lnteryr.w
n
c.dd rol p.s
Coneat le``A
Hadley Sharo●
affil
lld.
FmE
UaL
M.re
I√
UNK
UNK
UNK
Y“
UKN
wEn c l&b
,6nioi t.@L
M∞ o ngham K―
■ne,AL腱
H● ll
UNK
UNK
UNK
UKN
M.L
Oemew,
No
our ol TM
Ded'n.d
￨
6● 0●
Y“
No
el d
SandB
UNK
UNK
nm. th M.l.
U.l€
ld
and C● ●■
=v
Pa丈 ●al 'uana
Glke`[oOで
No
Full
Qon
2011
i■ ichael
N。
No
ulL
C ev・
Robioo■
No
lrd.
N.tlr.*
2011
γ■
9′ 2011
C.@d.
c5l].en
&lE&n
C.ee.
UKN
Yes
Y●
・
″11′ 2011
4′ 1■ ′
2011
sh Do● old
Nemo, G`olvr
α
D・ ●o`'よ ●
D● ′
ham■ y,Iロ
c,ua'i'n
lLL
H6.frdddrffi
4′ 11′
`ah
"
HayOco Dale
l●
Vot●
`●
tl37l7'rt
4′ 11′ 2011
lard Ca畔
, R,0●
Go●
Stolo,
F.tuk
OoAm● ●c,,
erlo
‘ い ０ ‘
01ぼ Ord
Oo疇 a,い ア
3,●‐
Char "
es
R● ●old,C,`、 ●
T● ,rll■ i●●
Sa● 0● 、
Di. r nlen/PrelDkMrL AtkanAmsrroi
9719′ 011
9た 9/2011
3′
Qu@nr.
DecriPd Poltoh irtL
..nrd nd oboi^ col F€@re Gussran
F.@b Aliia. h.nen
72012
Shaい●●.
●■ bi。 ,
Wl● mt Rad“
s。
●ne● ,・ d′
￨
stilempLoy.d n€ds
A● 卿
,,(ob`.Ch,,top e`Ao● ony
Stoket th,■
c.uositn
F.erE
Jle,Ko● yata N
Aveヽ JO● ●aヽ
γ19′ Ю l:
り l,ms A●gea 0
F.tule
60
F● 10sり ●mph
adare
Akian A6.rk
Mrl.
Alnon
h..k
.
n
F6Ea
｀Ca● o● o
γO■"n'「
■&JOh。 [ ‖
H晏
￨
S,● ￨● ,L
lemvJ
H“ い )●
=elen t
`0●
illck,o■ .」 ,￨10,
9′ 19′
,elk, jome`3
,oho‐ o Sand`場
A3m● j‐●ω
Hoし り
,“ i●
2011
c.dd not obr.li cD!
!v*ds cDt
0os1
h
Frmal. AiiiB.amdian
MrL Afile. aft.nen
F.Gr.
Alri6n am.'i@n
FgE16
F@ts C.Er.h
口ak,∞ 0● v
O嗅 0,Hdlヽ
aketdv
Hol“ ,y.calい ●
Homlndo2 M B腱
*o.tha lulh
Male AfilonAn.nan
:
1," Roben
S●
r●
lo`P,'“
“
H● R Maω m
NeeO「 ol● い0
Sin``iL Chemitta
Nbodl,■ ,ohn
Wllam`Fo,k Henγ
r.m3re atnon Aroian
Mrr.
akian Ah.ieh
Si, Chiγ ‐
γVete
●
`cllo
moe
C曖
`re,0ヽ
￨
oF
tu●
` t・
Kemple ,a蛉 ￨
Mい ol`“ Rl■
し mb Arra“
la勁`
い
は
…
“
'Cn
'30bS(anγ
CM● ●[`m,d
Sch● K,`
S,崚 oH
Smth Ⅵいo「
St■
ngne O,D,。 掟
Cmし
￨
Uoi。 ■
T● ￨″ o● R●
beA[
G bb,Da゛
6〔
￨lom■wM● s囀 し
,`ooに Ro“ 椰 0
iよ 0● ●
3 0ar■
"'
3腱 hm“ r“ r,M
Mで ●●lee Miい aet R
Manin 31 yリ
,ande2 ●
C′ o,H● ′
Cret, 1`ckre L
`meo L
=o● ` 0,lnω
h"m OaeA
oし たはγL
"●
3moに M,い oた M
o Regina
O Hara Seorst
Sto●
Owen`Hol,
Mal€ lldG. Afrrrlai
Yo,
2012
」oLA,ploo′ H]′ ed
NA腑 [
Pos,■ o● A,,■
1は
o∼ ,● w
Davd[
G:b“
Yos
3田 邸 1● ● J,mes
γo,
Mel鮨
Yos
Ye,
鍼
=。
“
髄嶼
,挺 画‐
`dが
Wam,た
らもaγ
ヽ
″●Id`o,0[d01=
Ye,
Ves
Ves
Jooe,Da.・
ヽや,
。gr。 。 ゎ ul
Po曖
●iel
,´
Vt,
Yes
`sン
OeShOWn
S∝ ヽ
3ow・■3● ,,
Chart. Cbr・ oc・
d● ′RIo●
0● ●
Stato,
[il3]. c.u*rlan
Mar. Aten .trcric,n
1rB1/2011
FedaL Cau€5€.
F€atle c.@s.
lradic&P5
,'-iee^n..d@, M,b ct@shn
r.lar. C.*asian
caucasiai
cln .,sr4d6l.rraE
Mal. C.uc.s6n
Mare ca,cas..
1/:!AOrr Nor@'ning Lrdb'6o.16
!3{2a1t
1/31/2011
Tl:i/2a1]
11312011,!orra'nins
Y・ ,
jr
Matt n 6ordo,
力Ok∞ O HO● rd
wore,」 ere∼“
l‐ ●
nedY Nathan
Z,8mOnd Antho畔
Hlお ● L=町
Wを ,hnぼ oゎ ,1。 hn町
Paett Daniel
い oeh,ら [Jd e
Hlね ,d Ca″
Y。 ,
Ye,
Yes
ヽbs
MtL fir'can Arercan
Msle CaEs.^
.qE ryvdhBdh/rMrl. AtocanAme'lcan
sl6 C?u..ean
rdtdh!n6!.d3 Ma€ ftwaE3n
3/24l20ukhNqk^!6€i'ldr,rare caudasi,n
am■ ■●
でみMa,uo
=o申
rl● e.
C:観 eland
PaК ual 」
uana
“
=
Joお oつ , S,● d●
M● ●nin“ ,m
Dukヽ
4′
γl夕 ● 11
D.crmedPosnlcn FeroL
γe`
γo,
7=ゝ 11
`“
Fero e
Needs
col Doern'i hFenaL
F.m16
ヽo,
9'19′
■ ●3● スぃ。●c,●
2011
`ra oce
Cha,w6
:ゃ
F6mk
o,3お
Mで ,herott l● la″ n
Tぃ γo■
Woぃ oM
Mao● eC畔 籠 ￨[
Feffiie
Zigmond Varlγ ●●●T
Flele
Atkins Q`to■
爬」
C●
`0`Shg。
ねme`■ .mmie C
Ci。 ●
。
●●●●[1,
・
No show fo. lntefl'e,
H,e協"■
」
e,● oe
Fmale
F*.re
T`=hao,To"●
6● v Matitt A
Coocal,日 ,■ A
γ
=,
●
/19′ 2∝ 1
UKN
No
2012
Ye,
Ve`
Yes
UKN
lVЮ ll l′
Soe
,o,a′
UNK
N。
carredlw int.dr.w r Fe@re
Cro、
ONK
■1′鯰0■
=m,●
O"o,3●
じNK
じNK
4711″ 0,1
Y,,
J説 ●
・●● Do楡
Stephen,。 ●=、
せNK
じNK
4′
KD`"￨
=￨
oc
II●
Ye,
Ye,
Al“
4● ●=サ
Y・ ,
Y‐ ,
Gun,0,me“
R,￨ち
ONK
UNK
Y● s
■ner A berl
0●
No
11¨ 11
Mioh● el
P● Oinso●
01ke,[o■
No
4′
Deoois 'ュ t`て k
O● ぬ
N。
Y・ s
,h Do■ ,10
``01y,
UKN
Y‐ s
4l1tlr0r7
Ahllzatt
'′
NeMた o。 こ
Veto``n
Yes
Ye,
Y“
H`"en '￨。
￨●
●●t
O`te
つご降
“
口
End "“
=輛
Hlに
●●● ηot,as CDttt Ma e
“
M`o
At,:‐ o An er● ,
C.¨ 鶯
'"
￨
Mo● lanに ,3● ,ヽ Vぉ 機 ,
=●
D● 喀 IIS
“L● γ
DI● ●
3,い ″、 ChOI●
Divo,
Dlve,
Dive,
Rev● oり
議
￨「
,∽ ●`Sa
11,3
`セ
D■ vo,
u、 は 。P
Diver
%● t撻 饉 ●
D● ver
opher Ail● o,y
la∝め、 Ch●`気Angel
D■ ●
e,
:時 、 K節 、
●tta N
サ
Ⅲ′
oら ,osho,N
WI:お msA,8■ o II
D■ ●
o`
nelで
D■ ver
"衝s“ わ
,,。
D,ve`
Hernande, Mig∝
D● er
￨
Dlvo=
Santi電 o
Rob賦
lore, た d● o
0■ ●
篠
Ma∞ m
S,car Che`o tta
Dlve,
0,ver
Monda畔 ,ohn
O`∼ o,
VЛ ‖,m,Fttnk
D,ver
Dlve`
lten呼
鈴x Ch● 輛
・
Co● ●
e e γttte
￨
0「
渤an`“ 鷲 Rに ,
Olvet
● m● Amanda
lev`a,on
3●
Diver
[ikle
AtlonAn€nBi
F€f,ale
719′ 2011
t @b nti@r a@i6n
norob$inc1)!r& ,ttlen
Affii6.
Do6rt i' Fml. Aln6. ^$sic.
courd
fteedr COL
r6m.r. caEsBn
Alcadye
inE
luilt
Mal. Atn€nAn.n6^
M.t.
Mak
teedirr[me
M.a. ca@ta.
Fs.le ffnonrm.ne.
M'r'
Mah
Atiun Ameri6n
Mik
Ai.6.
Dお ol
Dlver
Divel
,● .￨
,￨“ Os X● t,
O■ ve,
Cお e慎 ■年
魚 。pmenl o""ゎ ′
=Owa“
Schざ 拠■ゝ
D● vo`
Smth Vido`
D"o`
贅■
D● ver
C,aat・ t。 。
D`拉 ol
"e,H
'8ied Dane
ve,Roben[
Dr er
Drve`
Glbbs Dav d=
Ho`n`bv IИ els,a[
D,ヽ er
B`ooな Rona10 D
D● ver
MCu,=Cha le,P
D`ヽ o,
3reim 3a`bar,M
Dlver
M●・
● tee
Dr v●
M`13,R
`
Lr ve`
BIIlv,
●
`‐ `o`nte2
●
Cr・ en』 actte t
`me●
[
04ve`
0● ver
[,an, De r,● ●
D`ver
卜yden
D● ve,
D● le A
Staoに yRc●
1
Divo`
3mok`Mohe e M
Dive,′ A● y
Stooe Regi● o
D● Ver
6eo,ge
“
Atndfl Amen@n
o`
Dive,
Dlvo,
OH●
Md.
∼
Soe“ Ql,mae
t臨 、 oF
Kem口 Q力
“ ,m
C●●
717“ 11
r.ron,
や や ヽ 資 ０ い
D● ver
Holidw ● IMn
M2■ ,n´
・
0,ve`
0wens Hol,
To′
F€el. Aln€. Anei6.
ツ19′
・ 011
O■ ve:
01vo
“
a3燕
Yo`
O■ ver
鉢 ●￨,o
'3ま ,■
3 ake,C●
4
おot
F.@1.
Oive″ Os“ 隧 ,
Divol
“
,a
'―
た
∼
H。 に
Atlcn A@n6n
srbtla.eede Fe@L caucj?r
0,vo`
D,ve`
ldk■
●eし
F€ro]e Af.'6nAm.d6n
siin
0■ vo,
￨
H● thir,o■ Helo● t
,o卜 o,∝
elobiri. ColFeere c.uasan
Dhve`
n[ ‖
"L,aに
Ja● les e
Could
l&Bl!
O■ ver
ヽ ndeも temvJ
改
1,12011
2012
De.limd
3′ 5′
Diver
Hag3,"￨,:s CF・ and●
l・
=夕
,′
2011
D● ver
,1● ,D
Yo●n8 ,oヽ
ツ
D● ve,
1,ms´ R,議 ,
Soに
Ahi6n
Dis M.le
^ferion
Porr'on M.le ca€lan
L.r. t inl.ry/prei
`
,● Oe“ Sh,mo● a
.t●
.alr.d Jor nietoie*. Fem.r€
Dlver
Hadtty sh′ 0●
Dive,
Am€.icai
t€3
Divel
2013
po,■ io● Appt。
`
¨
Y● B
3● ssF e10 ,`m●
Y● 6
Ho●●J″
Mc`,`
Y“
bisda
∝ o,st
γ
“￨
Y●
,α
γじ
γ
γ“
。,
,e,0■ e
M“ にL
Paυ
Pag、 oaoに
Y●
￨
=
Y● t
Sc● t10c勁
““
w● 3reo
Cha■ tり こa`聰 ne,`
,acB● ● Howard
Y田
Yes
Ytt
Y“
Wdfe Jefle″
Y● 3
3●
Man■
6o● lo■
Nathan
Ke,■ ,dY′
Y● ￨
218mund Aitho● γ
HJわ ● b畔
囃
ぶo,り 0卜 0● γ
γ田
Pα
Y● 3
H■
Yes
Yes
``h●
"5 Dooiel
し●●llan [ddた
1,`“ 呼
H■ ●en Daに
サ
′
`h Oohall
ヽ叙 on O,olv●
=¨
HI"
口● n輌 t
Eod
tuld&frb!
rrud^llllffi,iu.k
lBrnoLT
rBLno:l
7n1l2OL7
'*bdsoLLM
1Bt/7OLr ffrD1l,!,k!did!anhrll.
Votol`o
●●
Ca@sln
UKN
AI,6AM
c.@$.
c.dsL^
c.@En
c.l,.s
Y● ,
[email protected]
rr.b ca6*^
M.r.
l/l120u NorEnns
cr@*F
1DV20u N.lEin'.s
4lll/2917
4/t1J2Ot7
3/2al2OI!
″11′ 2011
7117201■
4/11′ 2011
47■ 172011
u.h
M.h
iredrtdBort).M.L
M.l.
krd bh ne [,l b
lhlnr,lr{dqEi iLL
r&E
b'h@&"6&
No Sh"
l′
9｀ ^''
al@tuEn@n
Al,ia. ABi@n
941ツ20■ 1
￨lo,
1●
Tr'a
γぃ
9′ 1,′
Y6
￨
。 →″,●
・
0● veland Co● ■
ev
`￨ ,uaol
Not`‐ ¨pt ng● 1,
2● bil,o■ Miで hael
C‖ kes
Lonel
M● ●nhgham
Ve`
C,― s● o
N。
C,o“ 雌■n
Aれ‐ ●んmch‐ ●
N●
b
"哺
躊
Ah“ o Ame― o
崎
Al■
Mab
OoAmt● ●n
Al● ‐。Ame● 0●
M● ￨●
IneL A ben
Ma●
Gono Dem"`
Mao
● leO'or,nteM"`F● mb
No Show千 o′ nt_ぃ
い
Ho‖ 疼1∝
,ぃ o● 11,oh
Dotes[mII● ●●
●●hoo L‐ Su●
り
い ヽ‐ ● D"tta
Stephe● o■ ,,′ ′
ao“
D′
"い e
Ma
1
Cha●
Paoel t●
o●
Mao
Fo廂 時
￨
lγ
Fe―
Ve,
9′ 19′
2011
腱
"―
■―
“
6
l●
￨―
M● 崎
=o磁
Mab
a“
Mc'he`o, Ma`vl●
O“ I腱 0す ob
I● Yo,ヽ V,、he
No A● 難
M
r
Moo● e Crvsta t
Z gmund MarⅣ an,T
製いに
嘘
Fenに
お mae
M● 崎
鮭 klo, Carlto●
Co`so, Sh8oreリ
Jame`iamm eC
rto show i。 ′ite‐セヽ
F● m● わ
00● W Caに ,ce[J`
Moに
Fo"o撼
●
leley le`o● e
T,■
6′
Fmoに
han i,′ o,a
,v Mao● cA
Yせ ,
ツ1'々 Oll
Co口 d● otpas
UNK
嬌
鮨
Ne`ゝ C01 Doe,nt klFo廂 b
K∼ 苅
UNK
Aliα tt A e● ●
an
M,lo
John`on Sandi`
UNK
M● ●
Molo
Pa`ω
N●
γヽ,
臨 に
t―
Y“
C€@d.n
F● 暉
― ・・
UNK
UNK
UNK
F●
2011
N●
UNK
M● 崚
D“
IIo
atie.aru.i€.
cr!*6i..
C.esln
0"ol T● ‐ Wh● ●C ttb
Y“
No
Csuesi.n
Q山 :4● ,Full■ me=m"い 略
“ '●
Famet Man腱
Gr● s
rid.
!@trqti,u).M.L
0卸 o,Pat● d
Ouぬ am
`ol R●
lr!5
r,l.t
F6.L
FrmL
!37no11
Y● ￨
議
Go●
St凛 o`
Det●
0● t●
6ibbs Dを vl`〔
Wampe,C,γ
Wat`′ ●m 〔
￨lio
1"
Ottヽ L燿
Am,"ω o
A(● ω、
UNK
UKN
UKN
A
Co● o,t ier′
Hadley Sha`oo M
ai.d tolDl.rui* .
f6.b
Lr.
r&l.
oに [● C
C■
∞●
“
8● S ta,■
8∞ ‐ Cha■ ●S
Rev● 0日 、C鮨 ●S
γ19′ mll
γ19′ 2111
3ゎ ′
υ 12
Te曖 ￨,Tina
'nEa,rPEr
Oc
c&ld.ol dtin clx
r/bb Crudrln
Fdb [email protected]
Fdb^lde.^fr.rlon
FdEl.
ヽ詰
Shamo“
」 “ 。
fir.a
affia..n
h6.i.
^lna
(:El].n
Still .mri.y!d rEdk ftml
k&6dcd
WI`ms
"1“Rache
uhedand Ao8el
力∞鮨
C卜 rL● pMAnmonv
“
Jles K● 0揮t口
r
F.mr
ll
A"ヽ 』
`huaヽ
ヽ′1,ms Angea D
・ 011
F@L
Afron lrErren
72011
llrL
AtdonAndon
l.L
Arrt@nAm oo
9′ 1・
Stokes Cha‖ es O
,0史 ph
Fie10■
Ha8,●
v。 ●
ng
S Ca●
=●
j。 卜●[ :‖
ndm
'71●
ヽ Ode、 [emvj
IIt t‐
h,,0, Heに oL
Jad撃
￨●
F@t
馘
" j●
Jel鳴 ねme,3
9′
,“ nson Sand,a
Ag。 ●1 ,es,ω
1972011
could.ot obBin @t
N*ds cDt Do.s.'i k
F.dL al.lEn Am.ian
Mrh Afrloi am.n6.
F.nEl. Ar.l6i A0.116.
F.rot
F.trdt
Holt J∝ kl●
C.uea.n
3ta短 路 Gnt,y
Cw・ os 卜olヽ
At6dy
Holldav Olvin
Hemar巌 M8● e
Sant ag●
T。
"咎
Ho■
lullt
Mal. lfionAd.den
Roben
Pedro
M.l. c.u6erri
ii€d3Furhl@ r.frrr. Afia. Af.dd
M`oom
5 0da'Chemim
M●● ●γ JOh0
晰 lans i● ●kH● ●Ⅳ
S、 6∼ 哺
￨
Qr●
・
w*i,g
￨￨ら
Yvete
Mal. Afrl6. Amerra
F.mal. C.larai
F.mal.
C―
eo l“nat,
口‐ st● ●F
Kem¨ J― n
McA● ￨げ RiⅢ
レ mb― nda
B● 。
:け Jむ
C ark jo,h “
F6.t.
Ja∞ bs Kま hy
Fork
Chtiet[dい 0`て
飾 o縫 t St酔 oH
Smth V dol
象h。 ゆ ed O`・ e
C●
nt● ●
'&じ
T。 ●
ve`Ro腱 衣 [
G10● D"」
=
HoosbL Ma`鶉 L
31● ok,
lい
R● nald D
てCloe C枯
M'
`￨し
3“ hm 3arb`鯰
Flnale
Moocte・ Mに ヽュ●IR
Maく ,3 1γ
l
C"´ Hemandet Carぃ
on t
C“ e,,ack e t
飩an`範
￨.●
I.l●
e
Hyde, Dale A
iИ
3濃 nle"RIよ yし
,′ ale
3Ю oks MIい
St●
ol,M
nc R"●
`
`lo
Fema e Ca,ca,an
Fem,e
Ｄ
iИ
Ｄ
`le
AF`i‐
oAぃ o′ ぃo
:
,
ド 一Ｉ
■● ´一
ｉ ｌ ｉ
■ ｌ ● ●Ｉ ０ ８ 〓 ● ︰ １
，
１ ●
,
′
●● Ｉ Ｉ ︰ 一
〓 ＾ ■〓
●１
:
{
￨
ゝ
:
:
挙０ 一
メ●●￥
メ ︶ 卜一
メ 一 一６ 一
i
ド や ヽ一
卜 ０ 一０ ´
メ 一 一Ｆ
メ一〇
〓 〓■ ‘〓 ︶
〓〓∫ ●
ｉ
一︶ ●一
＾︶●●一
一
ｏ●一一０ ●
1
︰
:::
￨・
メ
メ 一一
…
●●,,瘤
メ
メ
F
メ
メ
,:
〔
￨
:.
TrlnSDOrtation Cllmmittee
Citv Carar Month"Rcpo“
…
Ci∼ Wide Vehiclc ExDenSe Totals: $54,96134
И ,62311
Total number of Work Orders: 328
Total n― ber ofWork Order hours:64562
Total Parts Cost:S38,05801
Total Tte Cost:$16,10638
Total Labor Cost Bined to cas&water$79695
0utside Work:$
Citv Wide Cas alld Diesel Totals Price From Fuel Master Onsite:
Unlcaded: $108,76612
Diesel: S23,06416
Totat
ci■
wme cs and Dtscl Total G3uons“ m Fud MNe「
Citvwide Cas a遭 Diescl TotaI Price“ m Flcctonc Offsite:
S131,83028
Unleaded: 36,82341
Diesel: 7,62575
To● 144,44916
Unleaded:S 19,32255
DieseL $13,72173
Totals: $33,04428
Chvwdc Gas and Dtsel To(al Ca‖ ons from Fに etonc Offs“ e
Unleaded: 7,12221
Dicsel: 4,35355
Tolal
EuglEursb56: Unleaded 34,419.00 totsl galloos
Diesel 8,000.00 totrl gallons
Fu€l Averaqe Unleaded: $2.90 p€r gallon (l -27-14 last delivery)
Fuel Averaqe
Diesel $3.03 per gallon (l-27-l4last delivery)
Girage Vehicle Repair Totals: $5.74
Ga.raee Fuel Use Totals: Gallons
REndy Rees€
Garage Manager
tkp
9l.l I
fuel, total cost $269.94
ll,47576
TranspOrta● on
cOmmktee
Ctv Garane Month"RepOrt for Fad‖ tv
,an‐ 14
l
Citv Wide Vehた に Expense Totaに :S
50′ 5フ
066
Requ`niOns turned into Finance Department S
214′
310
Totainumber of Wo「 k Orders:
62192
Totai number of Work Order Hours:
Tota parts cost:S
62311
37,94455
12,62611
Tota T re Cost S
Out● de Worに S
un eadedi s108′
C tv VVide Gas and Diesel Totals Price from FuelMaster Onsite:
DieSeL
TotaL
Citv Wide Cas and DieselTotal Ga‖ onsfrom Fuel Master:
S23,06416
S131,83028
unleaded:
Diesel:
Total:
unleaded:
om Fleetone OfFsite:
Diese:
Tota1
Fuel Purchases:
Unleaded gallons:
34′
Fuel Averaqe Unleaded:
FuelAveraRe
Diesel:
S
S
Garaqe Vehicle RepairTotals: S
Garaqe Fuel Use Totals:
Randy Reese
Garage Manager
tkp
41900
8,00000
Dieselgallons:
2 90 perga‖ on
1/27/2014 ast de‖ very
3 03 perga‖ on
1/27/2014 ast de‖ verv
574
Gallons:
91 1l Total Cost
36′
82341
7.62575
44,44916
unleaded: s19,32255
DieseL
S13′ 72173
Tota「
S33,04428
C tv Wide Cas and Diesel Total Price frOm Fleetone Orsite:
C tv Wide Cas and DieSelTotal Galion f「
76612
S269 94
フ′
12221
4′
11′
35355
47576
TRANSPORTAT10N COMMITTEE
C TY GARAGE MONTHLY REPORT
FOR GAS AND WATER FAC 2
ヽ
Vork
order hours:
2170
Total work o「 dersi
Parts Cost S
T re Cost:S
17
Sll1 46
S2′
Totalし abor Costi S
Total Cost Work Orders:S
14613
S796 95
TRANSPORTAT10N COMMllTEE
C TY GARAGE MONTHLY REPORT
FOR FIRE DEPARTMENT
,an-14
Work order hours:
2 CXl
Totalwork orders:
1
Parts Cost:
S200
S
Sl,33414
Tire Cost:S
Total Labor Cost:
S
Tota Cost Work Ordeは S
Sl′
33614
1′
31′
MONTHLY AVERAGE OF MECHANiCS WORKED HOURS
2013
1‐ 」an‐
NORMAL
sHOP WORKING HOuRS
SiCЮ VAC
TOTAL
OVERTIME
13
ACruAL
HOuRS WORKED
1565
13975
ACTuAL HOURS
CHG OUT
512
12
TOTAL CH0
HOURS
1445
12775
INDIRECT
LABOR
AVERACE
35%
59%
59%
39%
33%
168
COMP
l15
2325
168
0
0
168
15
453
168
325
0
15975
15
1“ 75
168
114
0
54
6
48
168
0
￨
1646
1675
1545
15
168
35
0S
135
12
1495
1525
4425
168
24
0
1“
9
135
909
6592
159
562
1249
787
969
TOTAL
1542
2035
13085
111
11975
64562
54%
TOTAL OVER ALL
1512
2035
13085
111
41975
64562
54%
NAME
BILL BROMLEY
PATRICK SMITH
LANDON HOCuE
BRANDON TROTTER
JuSTEN FERRELL
HERSHEL HOGAN
WAYNE TUE
ALBERT DENNlS
DAVID VINSON
168
168
O
0
0
12
15
75
33・/.
02%
65%
72%
Trans● ortation Comlnl"cc
Citv Cange Monthlv RcDOrt
For thc Mtlnth Febnlarv 2014
Ci″ Wide Vchicle ExDenSe Totals: $53,14170
Rcquisitions tu ned into Finance DeDannent: S195,75246
Total numbcr OF WOrk Orders: 310
TotainumberoFWOlkOlderhows:69700
Total Pms Cost:S37,62675
T。 ●l
Tire Cost S14,76420
Total Labor Cost Blled to Cas&Watcri s750 75
い もide Work:S
Citv Wide Cas and Di壁 l Totaヽ
PHce“ ■l
Fuel Master Ondic
Unleaded: $99,84520
Diesel$23,22399
Total S123,06919
Civ Wide Cas and Dtse1 l otal CouOns frOm Fuel Master
Unleadcd: 33,70946
Dicscl: 7,37499
Total:41,08445
C“ vwide CJas and Diesel Total Price“ m Flcetone OrFsitc
Unleaded: $18,07922
Dlesel$H,74144
Totals: $29,82066
Cilywidc Gas and DieselTotsl Callons fiom Fleeione Offsitc
Unleaded:6● 6073
Diesel: 3,53040
Tota1 9,99113
Fuel Purchas€s: Unlerded 34,377.00 tohl gallons
Dies€l 4025.00 total gallotrs
Fu€l Averaqe UnLrded: $3.04 per gallon (2-24-14 last delivery)
Fuel Averae!
Diesel $3.23 per galon (2-lGl4last delivery)
Garae€ Vehicle Relair Totals: $527.77
Ganqe Fuel Use Totals: callons I16.65 fuel. tot l cost $345.72
Randy Re€se
Garage Maoager
lkp
TranspOrta● on
comm"tee
Citv Garane Monthiv Reoortfor Fac“ 崚vl
Feb‐
14
Citv Wide Vehicle Exllense Totals1
Citv Wide Cas and Diesel Tota s Ga‖
95797
46′
total:
ons for Fuel Master:
Unleaded:
Diesel:
Fleetone Gas and DieselTotals:
total:
unteaded:
Diesel:
Total cost of tuel from Fuel-Master:
Fleetone:
Totalcost offuelfrom
Work order
Total work
hours:
oders:
37,60'1-69
Cost:
S
9,350.28
S
Fuel Purchases:
0
unleaded ga‖ ons:
Diesel ga‖ ons:
Fuel Averaqe Unleaded: S
FuelAveraee
Diesel:
S
Garaqe Vehicle RepairTotals: S
Garape Gas
Totals:
82066
293
S
Total Labor Cost:
29′
S
671.50
Parts Cost:
Tire
123,06919
S
Gallons fuel:
34,3フ フ00
402500
3 04 oast de‖ very)
3239{last de‖ very)
Garage Manager
tkp
2/10/2014
52777
116 65 total cost iS
ReouisitionsturnedintoFinanceDepartment:S
Randy Reese
2/24/2014
195,752.46
S345 72
41,08445
33′
70946
フ′
37499
9′
99113
6,46073
3.53040
TRANSPORTATION COMMITTEE
CIW GARAGE MONTHLY REPORT
FOR GAS ANO WATER FAC 2
Feb-14
work order
hours:
19.50
Totalworkorders:
14.00
S
513.06
Parts cost:
Total Labor Cost:
S
Total Cost Work Orders:
5750.75
S
52,972.Os
TRANSPORTAT10N COM MITTEE
Cllγ GARAGE MONTHLY REPORT
FOR FIRE DEPARTMENT
Feb-14
Work order hours1
6 00
Total work orders:
300
Parts Cost:S
Tire CostiS
Total Labor Cost:S
S6 00
S3,20568
S0 00
TOta cOst work Orders S
S3′ 21168
MONTHLY AVERACE OF MECHANICS WORKED HOuRS
223′ 2014
1‐ Feb‐
NAME
B!LL BROMLEY
PATRICK SMITH
LANDON HOCuE
BRANDON TROπ ER
」uSTEN FERREに L
HERSHEL HOGAN
WAYNE TUE
ALBERT DENNIS
DAV10 ViNSON
TOTAL
NORMAL
SHOP WORKING HOuRS
TOTAL
OVERT!ME
152
SICK7VAC
COMP
l15
25
325
152
21 5
￨
152
16
0
152
24
0
152
225
0
152
0
0
152
16
0
1368
12225
152
152
0
0
0
14
ACTUAL
HOURS WORKED
1405
1495
14375
1305
ACTuAL HOuRS
CHG OUT
741
1356
662
9
TOTAL CHG
HOuRS
1315
1375
13175
4245
70
99%
50%
58%
136
12
124
550
45・/.
128
12
116
32
12
1175
452
12
140
152
12
140
559
696
877
7`%
48%
50%
63%
115975
697
60%
`295
1261 75
INOIRECT
LABOR
9
12
12
AVERACE
56・/.
TranspOrtation Commitec
Chv Garage Monthlv Reoorl
Forthe Month March 2014
C■ Widc
Vehicle ExDenSe Tcltals: $66,04847
Reqlllsitions tumed into Finance DeDamlent $269,85258
Totalnumber of WOrk Orders 405
Total number Of WOrk Order hous:81210
Total Parts Cost:S 53,73493
Total Tire COsti S il,68214
Total Labor Cost Bined to cas&water: S63140
0uも ide Wolk$
Citv Wide Cas and Dtsel Totaヽ
Pnce“ m
Fud Master On“
t●
Unlcaded: $111,00157
Diesel$34,88188
Total: $145,88345
Ci、 Wide Cas and Dに se!Total Callo■ s lrom Fuel Ma● eL
Unleadedi 35,56296
Diesel: 10,58020
Total: 46,143 16
Citvwide Gas and Diesel Total Pric€
fro
lleetone Offsit€:
Unlcaded: $17,01773
DieseL$11,84513
Totals:28,86286
Civw de Cas alJ l,csel Total Ca‖ olls llonl l cetone Offs“ c
Unlcadedi 5,92872
Diesel: 3,51405
Tota1 9,44277
Fuel Plrchases:Unteaded 42,686 00 1otal ga1lons
Diese1 12,635 00 total ga‖ ons
Fua Average unに aded s3 294 per gal10n(331141も t deh髯 rv)
Fud Average Dtsd:$3 215 per gal10n(324■ 4は st dd市 e″ )
$。
CarlE Fuel Use TOtals:CallKlns 50 85 FueL total cost S159 75
―Ran"Rcese
Crarage Manager
tkp
Transoortation Committee
Citv 6araqe Monthlv Report for Faciliw
Mar-14
Citv Wide Vehicle Expense
1
Totals:
62,239.44
total:
Citv Wide Gas and Diesel Totals Gallons for Fuel-Master:
45,143.16
Unleaded: 35,562.96
10,580.20
Diesel:
Fleetone Gas and Diesel Total Gallons:
Unleaded:
Diesel:
S
145,883.45
Fleetone: S
2a,a62.86
TotalcostoffuelfromFuel-Master:
Totalcost offuelfrom
Work order
hours:
794.2
Total work
orders:
397
cost:
s
Cost:
S
Parts
Tire
Total Labor cost:
Fuel
53,349.79
8,889.65
S
Purchases:
gallonsi
Dieselgallons:
Unleaded
S
S
FuelAveraqe Unleaded:
FuelAverape Diesel:
Garaqe Vehicle Reoair Totals: 5
Garaqe Gas
Totals:
Gallons fuel:
42,686
12,635.00
3.294 (last
3.215 (last
delivery)
delivery)
0.00
50.85 totalcost
ReauisitionsturnedintoFinanceDeoartment:S
Randy Reese
Garage Manager
tkp
3137/2014
3/24/2014
:S
269,852.58
5159.75
5,92a.72
3,514.05
TRANSPORTATION COMMITTEE
CITY GARAGE MONTHLY REPORT
FOR GAS AND WATER FAC 2
Mar-14
Work order
hours:
76.40
Totalwork
orders:
5
Parts Cost:
S
S381.14
Tire Cost:S
Total Laborcost:
$2,792.49
S
Total Cost Work Orders:
5531.40
S
s3,80s.03
TRANSPORTATION COMMITTEE
CITY GARAGE MONTHLY REPORT
FOR FIRE DEPARTMENT
MaL14
work order
hours:
1.50
Totalwork
orders:
2
Parts Cost:
S
54.00
Tire Cost:S
Total Labor Cost:
S
Total Cost work orders:
S
54.oo
2014
3′
`′
NAME
BILL BROMLEY
PATRiCK SMITH
LANDON HOGUE
BRANDON TROTTER
」uSTEN FERRELL
HERSHEL HOCAN
WAYNE TUE
ALBERT OENNIS
OAMD VINSON
NORMAL
SHOP WORKlNG HOuRS
MONTHLY AVERACE OF MECHANICS WORKED HOURS
1‐ Mar14
SICЮ VAC
TOTAL
ACTUAL
!NOIRECT
COMP
OVERTIME HOURS WORKED
LABOR
TOTAL CHG
HOURS
160
24
0
136
0
127
ACTUAL HOuRS
CHC OuT
AVERAGE
573
45%
72%
1006
160
875
O
15125
12
13925
460
0
O
160
12
148
173
168
28
O
140
12
128
608
168
1225
1725
35
O
15575
15075
1645
12
14375
43875
1525
468
4
0
167
42
155
168
275
0
1405
9
1315
TOTAL
1488
12225
136575
TOTAL OVER ALL
1488
12225
136575
,68
168
0
0
12
12
`26375
`02
126375
909
972
675
788
120%
48%
56%
66%
64%
44%
60%
3121
64%
842`
64%
8`