Monthly Employment Utilization Report

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MONTHLY EMPLOYEE UTILIZATION REPORT

MONTHLY EMPLOYMENT UTILIZATION REPORT


U. S. Department of Labor
Employment Standards Administration
Office of Federal Contract Compliance Program
This report is required by Executive Order 11246, Sec. 203. Failure to report can result in contracts 1. Covered area: 2. Employer's I.D. # OMB No. 1215-0163
being cancelled, terminated or suspended in whole or in part and the contractor may be declared Expires:
ineligible for further Government contracts or federally assisted construction contracts.
3. Current Goals 4. Reporting period Name and Location of Contractor Federal Funding Agency

From:
Minority: To:
28.3%
Project Name and Number
Female: 6.9%
Location of Project

6. TOTAL FEDERAL & NON-FEDERAL CONSTRUCTION WORK HOURS


6a. 6b. 6c. 6d. 6e. 7. 8. 9. 10.
Total Black Hispanic Asian or American Total Number
All Pacific Indian or Total of
Employees By (Not of Islander Alaskan Female Number of Minority
Construction Trade Hispanic Native Percentage Employees Employees
Trade Classification Origin) Minority
M F M F M F M F M F M F M F
Journeyworkers
Percentage
Apprentices
Trainees
Subtotal
Journeyworkers
Apprentices
Trainees
Subtotal
Journeyworkers
Apprentices
Trainees
Subtotal
Journeyworkers
Apprentices
Trainees
Subtotal
Journeyworkers
Apprentices
Trainees
Subtotal
Total Journeyworkers
Total apprentices
Total Trainees
Grand Total
11. Company Official's Signature & Title 12. Area Code & Phone Number 13. Date Signed
Page _____ of ______

LACMTA FORM CC-257 REV. 8/97

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