FIGURE B-1 for SCA DOL Custodial Contracts TSA George Bush Airport.xls

XLS spreadsheet 55 KB Posted

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Houston (TSA) airport Custodial Services
Solicitation number
47PH0222R0013
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Staffing

Contractor Staffing DeclarationFIGURE B - 1Contractor Staffing Declaration
Contractor Name: _______________________________________Current Date: _____________________
Location:TSA George Bush International Airport, 16930 John F Kennedy Blvd, Houston, 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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