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CONTR-kCTOR/SUBCONTR-ACTOR PEPORTING PE1,10D
UTILIZATION REPORT Month: YeaT:
MONTHLY KANPOWER Goal s and Timetables as committed
-o be submitted to t-he city's Project in Contractor's Affirmative
Engineer during the ist week of following T %
montn while contract is in progress. Prime Action Plan
Contrac-tor is responsible for obtaining and or per City's Plan 9.1
submitting all Subcontractor Reports.
To: (Neapp and location of compliance Agency Dept.)
From: (ma,ae and IoC*tio� Of ont—.t—)
This report is required by xecutive Order Ilf-46, Section 203� Failure to report can
result in sanctions which include suspension, termination, cancellations or debarment of
C tract. 4. 5 6.
3. in T�tal rotal
be,
W.,k H, of E.pi.y..nt (Sea f--tncte) rit n.m —ber
y of of
c. /h of m,—r�ty mp3DY-
cn:! His- Amer. A.i—/ otal total Employ
ft ,
pa,�,c lndi— Pv�lflc e- ees
C..paM,. N"a (I. D.) Trade one r. Ilar d
C
A
Tr
AV
Tr
AD
Tr
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Tr A
k
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company orfioial�& Siz Ture �d TItIe
Da Sign�d
9. Telephon� Lumber
(include Area Code)
11/77 (*Kale:t&je�ies, **M�norities & Non-minorxties)
7/80 (.ubmi a Requirements r. City-s Coals/Timet&bles)
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