APU No. 26-01 - Attachment 2 - Fillable.pdf

PDF 203 KB Posted

Attached to
CRAC Vault 9 Main Treasury Federal contract opportunity
Solicitation number
2032H326R00017
Issued by
Department of the Treasury Departmental Offices

About this file

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This is a Monthly Workforce Report template that serves as a post-award contract deliverable for federal contractors. Contractors must submit one aggregated report per contract/order as an attachment to their monthly invoice, combining data across all subcontractors. The report is classified as "CUI//SP-PRVCY" (Controlled Unclassified Information – Special Privacy).

The template requires contractors to provide an authorized company officer's certification affirming that the small business prime and similarly situated subcontractors collectively performed at least 51 percent of total contract personnel costs during the reporting period (15 percent for construction contracts; 25 percent for special trade contracts). Required identifying information includes the contractor's Unique Entity Identification (UEI) number, company name, and contract number (PIID). The report table captures detailed workforce information for each employee across 12 columns: billing period dates, employer company, labor category, labor type (technical/non-technical), employee name, PIV number (unique ID), work status (full-time/part-time), hours worked, work location (on/offsite), contract start/end dates, employee work email, employee work phone, and complete work address with zip code. The instructions explicitly prohibit inclusion of Social Security Numbers. This deliverable enables the Contracting Officer to verify small business compliance throughout contract performance.

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Attachment 2 – Monthly Workforce Report (Post‑Award Contract Deliverable)

Contractors shall submit one report as an attachment to the monthly invoice per contract/order, aggregated across all subcontractors. “CUI//SP-PRVCY.”

Instructions: Contractors shall include with each monthly workforce report a certification signed by an authorized company officer affirming that, based on current performance data, the small business prime and its similarly situated subcontractors collectively performed at least 51 percent of the total contract cost for personnel during the reporting period; for construction contracts the percentage is 15 percent; and for special trade contracts the percentage is 25%. This information shall be used by the CO to verify compliance throughout performance

Required Contractor Unique Entity Identification (UEI) Number: ____________ Company Name _______________________________ Required Contract number (PIID): ___________ ____________________________________________

Required: Signature of Authorized Company Official

Line

Billing Period Start and End Dates

Employer Company

Labor Category

Labor Type (Technical

/ Non- Technical)

Employee Name (Last name, first name)

PIV No.

(Unique

ID)

Work Status

(F/T, P/T)

Hours Worked (Billing Period)

Work Location

(On/Offsite)

Start/End Date on Contract

Employee Work Email Address

Employee Work Phone

Number

Employee Complete Work Address with Zip code

DO NOT PROVIDE SSN

UEI Number:
Company Name:
PIID:
Billing Period Start and End Dates1:
Employer Company1_2:
Labor Category1_2:
Labor Type Technical Non Technical1:
Employee Name Last name first name1:
PIV No Unique ID1:
Work Status FT PT1:
Hours Worked Billing Period1:
Work Location OnOffsite1:
StartEnd Date on Contract1:
Employee Work Email Address1_2:
Employee Work Phone Number1_2:
Employee Complete Work Address with Zip code1_2:
Billing Period Start and End Dates2:
Employer Company2_2:
Labor Category2_2:
Labor Type Technical Non Technical2:
Employee Name Last name first name2:
PIV No Unique ID2:
Work Status FT PT2:
Hours Worked Billing Period2:
Work Location OnOffsite2:
StartEnd Date on Contract2:
Employee Work Email Address2_2:
Employee Work Phone Number2_2:
Employee Complete Work Address with Zip code2_2:
Billing Period Start and End Dates3:
Employer Company3_2:
Labor Category3_2:
Labor Type Technical Non Technical3:
Employee Name Last name first name3:
PIV No Unique ID3:
Work Status FT PT3:
Hours Worked Billing Period3:
Work Location OnOffsite3:
StartEnd Date on Contract3:
Employee Work Email Address3_2:
Employee Work Phone Number3_2:
Employee Complete Work Address with Zip code3_2:
Billing Period Start and End Dates4:
Employer Company4_2:
Labor Category4_2:
Labor Type Technical Non Technical4:
Employee Name Last name first name4:
PIV No Unique ID4:
Work Status FT PT4:
Hours Worked Billing Period4:
Work Location OnOffsite4:
StartEnd Date on Contract4:
Employee Work Email Address4_2:
Employee Work Phone Number4_2:
Employee Complete Work Address with Zip code4_2:
Billing Period Start and End Dates5:
Employer Company5_2:
Labor Category5_2:
Labor Type Technical Non Technical5:
Employee Name Last name first name5:
PIV No Unique ID5:
Work Status FT PT5:
Hours Worked Billing Period5:
Work Location OnOffsite5:
StartEnd Date on Contract5:
Employee Work Email Address5_2:
Employee Work Phone Number5_2:
Employee Complete Work Address with Zip code5_2:
Billing Period Start and End Dates6:
Employer Company6_2:
Labor Category6_2:
Labor Type Technical Non Technical6:
Employee Name Last name first name6:
PIV No Unique ID6:
Work Status FT PT6:
Hours Worked Billing Period6:
Work Location OnOffsite6:
StartEnd Date on Contract6:
Employee Work Email Address6_2:
Employee Work Phone Number6_2:
Employee Complete Work Address with Zip code6_2:
Billing Period Start and End Dates7:
Employer Company7_2:
Labor Category7_2:
Labor Type Technical Non Technical7:
Employee Name Last name first name7:
PIV No Unique ID7:
Work Status FT PT7:
Hours Worked Billing Period7:
Work Location OnOffsite7:
StartEnd Date on Contract7:
Employee Work Email Address7_2:
Employee Work Phone Number7_2:
Employee Complete Work Address with Zip code7_2:
Billing Period Start and End Dates8:
Employer Company8_2:
Labor Category8_2:
Labor Type Technical Non Technical8:
Employee Name Last name first name8:
PIV No Unique ID8:
Work Status FT PT8:
Hours Worked Billing Period8:
Work Location OnOffsite8:
StartEnd Date on Contract8:
Employee Work Email Address8_2:
Employee Work Phone Number8_2:
Employee Complete Work Address with Zip code8_2:
Billing Period Start and End Dates9:
Employer Company9_2:
Labor Category9_2:
Labor Type Technical Non Technical9:
Employee Name Last name first name9:
PIV No Unique ID9:
Work Status FT PT9:
Hours Worked Billing Period9:
Work Location OnOffsite9:
StartEnd Date on Contract9:
Employee Work Email Address9_2:
Employee Work Phone Number9_2:
Employee Complete Work Address with Zip code9_2:
Billing Period Start and End Dates10:
Employer Company10_2:
Labor Category10_2:
Labor Type Technical Non Technical10:
Employee Name Last name first name10:
PIV No Unique ID10:
Work Status FT PT10:
Hours Worked Billing Period10:
Work Location OnOffsite10:
StartEnd Date on Contract10:
Employee Work Email Address10_2:
Employee Work Phone Number10_2:
Employee Complete Work Address with Zip code10_2:

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