FIGURE_B-1_for_SCA_DOL_O&M_contracts.xlsx
XLSX spreadsheet 13 KB Posted
- Attached to
- FORT WORTH, TEXAS O&M SERVICES
- Solicitation number
- 47PH0219R0025
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B-1 Contractor Staffing Declaration
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Staffing Contractor Staffing Declaration - O&M FIGURE B - 1 Contractor Staffing Declaration - O&M
Contractor Name: _______________________________________ Current Date: _____________________
| Location: | |
| Contract Number: | |
| Performance Start Date: | |
| Services Provided: | Operations and 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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