15-Sample Monthly Employment Utilization Report.pdf
PDF 176 KB Posted
- Solicitation number
- 2027-17
- Issued by
- Multnomah County, Oregon
About this file
This is a Sample Monthly Employment Utilization Report form for the 181st Ave Safety Upgrades project in Oregon, administered by ODOT (Oregon Department of Transportation). The report serves as a mandatory monthly compliance document due no later than the 20th of each month throughout the contract term. The project involves sidewalk construction, paving, storm drainage, street lighting, interconnect work, and utility undergrounding along 181st Avenue from SE Stark Street to E Burnside Street. Contractors and subcontractors are required to submit detailed employment data for each reporting period, with the form designed to capture information only when work has been actively performed during the month; if no work occurs, only basic administrative items require completion.
The Monthly Employment Utilization Report requires contractors to document employee information including names, Social Security numbers, work classifications, construction trades, hours worked, and base rates for all personnel engaged on the project. The form necessitates certification by an authorized company representative who must electronically sign and submit the report via password-protected email, with the digital signature carrying the same legal weight as a manual signature. This reporting mechanism ensures compliance with project labor standards and workforce tracking requirements, with contractors responsible for maintaining accurate records of all workers employed during each reporting period. The form is part of the Federal Project Bid Book (Revision 6/2026) and constitutes a standard contractual obligation for all parties involved in the project delivery.
View the file
Other files
Show all 22
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
CONTRACT NO._____________________ Fed Project Bid Book (REV. 6/2026) PROJECT: 181st Ave Safety Upgrades: SE Stark St to E Burnside St
PAGE: 58
(L) Sample Monthly Employment Utilization Report
THE MONTHLY EMPLOYMENT UTILIZATION REPORT IS DUE NO LATER THAN
THE 20TH OF EVERY MONTH.
1-
(1 2/
Pa ge o f 1
Th is re po rt is d ue m on th ly
. R ef er to th e pr oj ec t c on tra ct fo r t he re cu rri ng m on th ly d ue d at e.
M O
N
TH
LY
E
M
PL
O
YM
EN
T
U
TI
LI
ZA
TI
O
N R
EP
O
R T
Pl ea se re ad in st ru ct io ns b ef or e co m pl et in g th is fo rm . I f n o w or k w as p er fo rm ed d ur in g th e re po rti ng p er io d, c om pl et e on ly it em s
1-a nd
9-
. I f w or k w as p er fo rm ed du rin g th e re po rti ng p er io d, c om pl et e ite m s
-2 as w el l.
1.
C O
N
TR
AC
TO
R N
AM
E
2.
S
U
BC
O N
TR
AC
TO
R
T O
3.
O
D O
T C
O N
TR
AC
T N
O
4.
S
U
BC
O N
TR
AC
T
ID
5.
R
EP
O
R T
FO
R
M O
N
TH
YE
AR
6.
N
EW
R
EV
IS
ED
FI
N
AL
7.
A
D D
R
ES
S 8.
P H
O N
E 9.
C O
U N
TY
IN
W H
IC
H
W O
R K
W
AS
P
ER
FO
R
M
ED
. C
IT
Y
. S
TA
TE
. Z
IP
. E -M
AI
L
. N o w or k pe rfo rm ed th is m on th
LA
ST
N
A M
E
FI
R
ST
N A
M E
M .I.
SS
N
LA
ST
C
IT
Y
ZI
P
ET
H N
IC
IT
Y
G
EN
D
ER
C
O N
ST
R
U C
TI
O
N T
R A
D E
C
LA
SS
IF
IC
A
TI
O
N
H O
U R
S T
O
TA
L
B A
SE
R
A
TE
X
By e nt er in g m y na m e in th e si gn at ur e bl oc k be lo w , I c er tif y th at th e in fo rm at io n co nt ai ne d in th is re po rt is tr ue a nd a cc ur at e to th e be st o f m y kn ow le dg e, a nd th at
I am au th or iz ed to s ub m it th is r ep or t o n be ha lf of th is fi rm
. I fu rth er a gr ee th at ty pi ng m y na m e in th e si gn at ur e bl oc k an d su bm itt in g th is r ep or t u si ng a p as sw or d-pr ot ec te d e-m ai l a cc ou nt is th e eq ui va le nt o f a m an ua l s ig na tu re fo r t he p ur po se s of th is re po rt.
. S
IG
N
AT
U R
E
. P R
IN
T
TI
TL
E
. D
AT
E
. P
R
IN
T
FO
R M
. S
U
BM
IT
B
Y E-
M
AI
L
File details come from the government source that posted it. Updated .