APPENDIX C_Workforce Participation Report Forms~8.pdf

APPENDIX C – WORKFORCE PARTICIPATION REPORT

FORMS

Name of Contractor

Massachusetts Department of Fish and Game, Division of Fisheries and Wildlife

QUARTERLY PROJECTED WORK FORCE

Address:

Telephone: Fax

Trades to be Utilized

Estimated Total Hours to Complete Work

Total Contract Dollar Value: Name of Project

Quarter: Jan 1 - Mar 31 Apr 1 - Jun 30 Jul 1 - Sep 30 Oct1-Dec31,200

Week Ending Projected Total Hours Projected Total of All of all Personnel Minority Hours

Trades Used this Week

Note : A revised table must be submitted if any changes on projections occur.

Prepared by:

Title:

Date;

01110-2

General Contractor:

Massachusetts Department of Fish and Game, Division of Inland Fisheries and Wildlife

CONTRACTOR'S WEEKLY MANPOWER REPORT

Project No. Contract Amount $

Minority Goal

Name of Contractor Filing Report:

Week Ending: Report No.:

Check Here if this is a Final Report Date Work Began:

Trade(s):

Check Here if you are a non-filed Subcontractor

Date Work Completed

Job Category # Weekly Total #Min Weekly Total Weekly% Total Manhours Total Minority %of Minority Employees Manhours Minority

Mnhours Minority

Manhours to Date Manhours to Manhours to

Date Date

Mail Reports to:

0111b-3

Division of Inland Fisheries and Wildlife 1 Rabbit Hill Road Westborough, MA 01581 Attn: James Burnham

Prepared by:

Title:·

Date: 200