Business Section 3 Report

BUSINESS SECTION 3 REPORT

Report Identification

Report Number:    Date of Report:

Parties

Reporting Business:

Contracting Entity:

WHEREAS Recitals

WHEREAS, Reporting Business and Contracting Entity have agreed that Reporting Business will perform or has performed certain work and shall report activities undertaken that relate to Section 3 participation goals established for the Project named in this Report;

WHEREAS, the parties agree to document subcontract awards, hiring of local residents, and other business participation measures to enable ongoing compliance monitoring, evaluation of goals, and transparent recordkeeping;

WHEREAS, this Business Section 3 Report sets forth the activities, payments, and certifications required by the parties to demonstrate good-faith efforts and outcomes during the reporting period.

Business Information

Corporation    LLC    Partnership    Sole Proprietor    Other

Project / Contract Information

Project Name:    Contract Number:

Fiscal Year:    Contract Amount: $

Reporting Period: From to

Scope of Work

Describe the specific work, services, or goods provided under the contract and the activities relevant to Section 3 participation. Include milestones, deliverables, and location of performance.

Payment Terms

Contract Price: $

Late Payment Fee: (applies to overdue balances after stated payment due date)

Term and Termination

Term Commencement:    Term Expiration:

Either party may terminate this agreement for material breach upon written notice and a cure period of days. Termination for convenience requires prior written notice of days.

Confidentiality

The parties acknowledge that performance of the contract may require disclosure of confidential or proprietary information. Each party shall maintain the confidentiality of information clearly identified as confidential and shall not disclose such information except to employees, agents, subcontractors, or advisors who have a need to know and who are bound to confidentiality obligations at least as protective as those set forth herein. Confidential information shall not include information that is publicly known, independently developed without use of confidential information, or required to be disclosed by law with prior notice to the disclosing party.

Governing Law; Entire Agreement

This Report and any agreement it accompanies shall be governed by the laws of the jurisdiction specified by the parties: , without regard to its choice-of-law rules.

This Report, together with any incorporated agreements or schedules, constitutes the entire agreement between the parties with respect to the subject matter herein and supersedes all prior negotiations, understandings, and agreements, whether written or oral.

Section 3 Activity Reporting

Total Number of Subcontracts Awarded During Period:

Total Dollar Amount of Subcontracts Awarded: $

Number of New Hires During Period:    Number of Hires Meeting Section 3 Criteria:

Supporting documents attached: Subcontract listings    Payroll records    Candidate resumes    Other

Certification

I hereby certify, under penalty of perjury and to the best of my knowledge, that the information contained in this Business Section 3 Report is true, complete, and accurate. The Reporting Business affirms that documented hiring, subcontracting, and outreach efforts described herein were conducted in good faith and in compliance with applicable contractual obligations. I further acknowledge that falsification of information may result in contract sanctions, withholding of payments, or other remedies available to the Contracting Entity.

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