FIGURE_B-1_Staffing_Declaration.xlsx
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- 47PH0219R0023
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FIGURE B-1
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Staffing Contractor Staffing Declaration - O&M Full Maintenance FIGURE B - 1 Contractor Staffing Declaration - O&M
Contractor Name: _______________________________________ Current Date: _____________________
| Location: | Brownsville Courthouse, Los Tomates LPOE, Los Indios LPOE, Gateway LPOE, B&M LPOE |
| Contract Number: | |
| Performance Start Date: | |
| Services Provided: | Operations and Full Maintenance |
| DOL Wage Determination No.: | |
| Workman's Comp Rate - Mechnical: | |
| SUTA Thresholds: | |
| SUTA %: |
| NOTE: Use as many lines as necessary to describe your coverage. | ||||
| Postions | SCA-DOL | Number of | Number of | Is the H & W |
| (These are Examples - | Occupation | Regular Work Hrs | Employees | paid directly |
| Tailor this to your contract requirements) | Code | Scheduled Per Week | with this schedule | to Employees? |
| General Clerk II | 01116 | |||
| Heating,Ventilation,and AirConditioning Mechanic | 23410 |
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