FIGURE B-1 Contractor Staffing Declaration for Union and Non Union Contracts.xlsx
XLSX spreadsheet 15 KB Posted
- Solicitation number
- 47PH0218R0001
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SECTION J ATTACHMENTS OF EAST TX FULL MAINTENANCE SERVICES
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Staffing Contractor Staffing Declaration
Contractor Name: _______________________________________________________________ Current Date: ___________________
| Location: |
| Contract Number: |
| Performance Start Date: |
| Services Provided: |
| DOL Wage Determination Number: |
| Custodial Union Name: |
| Mechanical Union Name: |
| Custodial Workman's Comp Rate: |
| Mechanical Workman's Comp Rate: |
| SUTA Thresholds: |
| SUTA % Rate: |
| Is H & W | Is Pension | |||||
| SCA-DOL | No. of | Date of | Paid | Paid | ||
| Staff Members | Position Title | Occu | Work Hrs | First | Directly to | Directly to |
| First and Last Names | Code | Per Week | Employment | Employee? | Employee? |
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