FigureB-1_Staffing_Declaration.xls

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West Texas Full Facilities Maintenance
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47PH0218R0003
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Figure B-1 Staffing Declaration

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Staffing

Contractor Staffing DeclarationFIGURE B - 1 - CBA
Contractor Staffing Declaration
Contractor Name:
Location:
Contract Number:(Insert Contract Number, or FSS Schedule Number with BPA and Order Number)
Performance Start Date:Information on this
Services Provided:form remains fixed
DOL Wage Determination No.:throughout the life
Custodial Union Name:of the contract. Any changes
Mechanical Union Name:will be authorized by contract
Custodial Workman's Comp Rate:modification.
Mechanical Workman's Comp Rate:
SUTA Rate
SUTA Threshold
Self Insured Unemployment Rate
SCA-DOLIf Position is Covered byNumber ofNumber ofH & W paidPension (If applies)
PostionOccupationCollective Bargaining AgreementRegular Hours perEmployeesdirectly topaid directly to
CodeIdentify Position TitleWeek per Employeewith this ScheduleEmployee?Employee?
(other - for fill in)

&C&F

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