FIGURE B-1 for SCA DOL Custodial Contracts TSA El Paso Airport.xls

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Amend 03 Custodial Services El Paso Texas Questions/Answers - Preproposal Power Point Presentation
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47PH0221Q0007
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Staffing

Contractor Staffing DeclarationFIGURE B - 1Contractor Staffing Declaration
Contractor Name: _______________________________________Current Date: _____________________
Location:TSA El Paso International Airport, 6701 Convair, El Paso, TX
Contract Number:
Performance Start Date:
Services Provided:Custodial and Related Services
DOL Wage Determination No.:
Workman's Comp Rate - Janitorial:
SUTA Thresholds:
SUTA %:
NOTE: Use as many lines as necessary to describe your coverage.
PostionsPostionsSCA-DOLNumber ofIs the H & W
Last Name, First Name (required)(These are Examples -OccupationRegular Work Hrspaid directly
Tailor this to your contract)CodeScheduled Per WeekDate of Employmentto Employees?
Jones, MikeJanitor11150
Smith, JohnLaborer, Grounds Maintenance11210

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