### DTS85S.4 (08/99)

**[SAMPLE LETTER-REQUEST FOR]{.underline}**

# EQUAL EMPLOYMENT OPPORTUNITY PREAWARD CLEARANCE

## INSTRUCTIONS

-   ***Per FAR 22.805, preaward clearance is required to be requested
    prior to award of contracts or contract modifications valued at \$10
    million or more if the proposed contractor is either:***

***(1) Not listed in OFCCP's National Preaward Registry which can be
found at*** [http://www.dol-
esa.gov/preaward/](http://www.dol-esa.gov/preaward/) ***(See
ADNet/Related Links);***

***or***

\(2\) If listed, the projected award date isn't within 24 months of the
proposed contractor's Notice of

Compliance completion date in the Registry.

-   ***This Sample Letter is required to be used when requesting
    Preaward Clearance from OFCCP. The Sample Letter incorporates FAR
    22.805 and TAM 1222.805 requirements. \[Reminder: Per TAM
    1201.304(a), the FAR takes precedence over any conflict with the
    TAM.\]***

-   ***The first paragraph of the sample letter is primarily for full
    and open competition acquisitions. The paragraph may be deleted or
    modified when requesting a preaward clearance for other than full
    and open competition acquisitions.***

-   ***Complete the information required under each heading cited in the
    Sample Letter. Insert "N/A" if any of the headings are not
    applicable.***

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-   ***Send by FAX all requests for preaward clearance to the Regional
    Office that has jurisdiction for the contractor.***

\(1\) The Region contacted should be the one where the work will be
performed.

***(2) If several clearances involving more than one region are required
on a single request, indicate on the***

***request that all appropriate regions have been contacted, and include
copies to each appropriate region***

***involved.***

***(3) A listing of OFCCP Regional Offices is available via the Internet
at***

<http://www.dol.gov/dol/esa/public/contacts/ofccp/ofcpkeyp.htm> ***.
Contact the appropriate Regional Office***

***for the name, address and fax number of the OFCCP Preaward Monitor,
as well as to confirm the***

***jurisdiction for the firm in question. OFCCP no longer makes
available a listing of Preaward Monitors.***

***Also, jurisdiction may change as OFCCP continues to consolidate its
regional offices.***

Via FAX: (\_\_\_) \_\_\_-\_\_\_\_

Department of Labor\
Office of Federal Contract Compliance Program\
***{Insert the address and the name of the OFCCP Preaward Monitor of the
appropriate Regional Office}\
***

Subject: EEO Preaward Clearance Request; Contract No. ***[{Insert
proposed contract number}]{.underline}***

Dear ***{Insert name of the OFCCP Preaward Monitor}***:

*\
*This letter, or portions thereof, contains [PROPRIETARY OR SOURCE
SELECTION INFORMATION]{.underline} related to the conduct of a Federal
agency procurement, the disclosure of which is restricted by Section 27
of the Office of Federal Procurement Policy Act (41 U.S.C. 423). The
unauthorized disclosure of such information may subject both the
discloser and recipient of the information to contractual, civil and/or
criminal penalties as provided by law.\
\
In accordance with (FAR) 48 CFR 22.805, an Equal Employment Opportunity
preaward clearance is requested on: ***[{Insert the name of the
company]{.underline}}.***

The following applicable information, required by FAR 22.805(a)(5), is
provided to facilitate your processing this request:

1\. [Prospective Contractor]{.underline}: ***Insert the full name,
address, and telephone number of the prospective contractor and of any
corporate affiliate at which work is to be performed.***

2\. [Proposed First-Tier Subcontractor(s)]{.underline}: ***Insert the
full name, address, and telephone number of each proposed first-tier
subcontractor with a proposed subcontract estimated at \$10 million or
more.***

3\. [Anticipated Award Date]{.underline}: ***Insert the anticipated date
of award.***

4\. [Previously Held Contracts]{.underline}: ***Information as to
whether the contractor and first-tier subcontractors have previously
held any Government contracts or subcontracts**.*

5\. [Place(s) of Performance]{.underline}: ***Identify the place or
places of performance of the prime contract and the first-tier
subcontracts estimated at \$10 million or more, if known**.*

6\. [Estimated Dollar Amount]{.underline}: ***Per TAM 1222/Appendix D,
the amount of the proposed contract(s) and subcontract(s), if any,
[shall not]{.underline} be disclosed. In lieu thereof, insert \"\$10
million or more\" as the estimated amount of the prime contract and
first-tier subcontract(s).***

7\. [Note Regarding Multiple Clearances]{.underline}***: Insert the
following text and attach a copy of each preaward request when several
clearances involving more than one region are required on a single
request -*** All appropriate regions have been contacted as evidenced by
the enclosed copy of each preaward clearance request***.***

*\
*It is requested that verbal clearance and a written confirmation be
provided as soon as possible to ***{insert the name, title, telephone
number, and fax number of the point of contact in the contracting
office}*.\
**

Sincerely,\
***{Insert name, title, and\
signature of the\
contracting officer}\
***

***\_\_\_***Enclosure(s) {***Insert number of enclosures, if
applicable}**\
\
*