RFP Section J Attachment 4 Apprenticeship Reporting Form.doc

ATTACHEMENT 4

Apprenticeship Reporting Form:

GSA/NCR/PBS LABOR/TRADE APPRENTICESHIP AND TRAINING PROGRAMS QUARTERLY CONTRACTOR REPORT (for the period ending )

Reporting Instructions: Quarterly reports are due under contract ___________________ on the 30th calendar day (or next business day if the 30th calendar day falls on a Saturday or Sunday) following the end of each quarter. Each quarter under this contract will end on March 31, June 30, September 30, and December 31 of each calendar year. Quarterly reports must be submitted to and questions concerning this report should be referred to the GSA Contract Specialist. Only one consolidated response form, from the Prime Contractor, which shall include all of the apprenticeship information requested below (from the Prime Contractor and all subcontractors employing apprentices this reporting period), shall be submitted to the GSA.

The contractor shall furnish the following information:

(1) Contract Number: GS-11P- _______________________

(2) Project Name and Description:

(3) Contract amount to date:_____________________________________________

(4) Name of Contractor: ________________________________________________

(5) Start (NTP) date:____________________________________________________

(6) Project Completion (%):______________________________________________

(7) Description (general) of completed work to date:__________________________

(8) Number of apprentices projected in original proposal:_______________________

(9) Number of apprentices currently employed on this project: __________________

(10) Total number of apprentices employed on this project to date: ________________

(11) Number of verified individual apprentice agreements on file:_________________

(12) Total number of D. C. resident apprentices employed on this project to date:

Total number of MD resident apprentices employed on this project to date:

Total number of VA resident apprentices employed on this project to date:

(13) Name of representative responsible for administering the contractor's apprenticeship program:

Name/Title Telephone Number

(14) The contractor has an approved apprenticeship program that has been registered with a State, the District of Columbia, or with the Department of Labor.

Yes ___________ No___________

If the answer to (5) is no, the contractor must explain why. _________________________________________________________________

(15) Apprenticeship programs used:________________________________________

(16) The contractor shall identify the total number of positions created by craft as a result of the contractor's apprenticeship program:

Trade/Craft Total Number of Positions by Trade/Craft Carpenters

Laborers

Glaziers

Bricklayers

Roofing

Electrical

Steel

Plumbing

Mechanical

HVAC

Elevator

Tile

Plasterer

Insulation

(17) The contractor shall (a) verify his/her implementation of the training plan (including safety), and (b) identify the number of hours and the methods used to provide apprenticeship training (on-the-job training, classroom training, etc.).

(a) An apprenticeship training plan has been implemented Yes____ No____

If the answer to 7(a) is no, explain why.

(b) Provide the number of training hours provided by craft:

Craft Training Hours by Craft

(18) Describe the means used to recruit and employ registered apprentice labor:

(19) Describe the actions taken to promote new registered programs:

(20) Subcontractors:

(21) Total dollars invested in the Labor/Trade Apprenticeship and Training Programs to date:

CONTRACTOR'S CERTIFICATION: I HEREBY CERTIFY THAT THE INFORMATION PROVIDED HEREIN IS ACCURATE AND COMPLETE.

Printed Name Signature

Title Date

Name of Prime Contractor

22.

The contractor must submit written certification to the GSA that all registered apprenticeship programs to be utilized under this contract are registered with the United States Department of Labor or a State Apprenticeship Council under 29 CFR Part 29. Any registered apprenticeship programs utilized after contract award shall also require written certification be submitted to the GSA.

Local State Apprenticeship Councils

District of Columbia Maryland

Louis Brown Sharon Middleton

Office of Apprenticeship Information and Training The Division of Workforce Development

DC Department of Employment Services Maryland Apprenticeship and Training Program

609 H Street, NE 1100 North Eutaw Street, Room 606

Washington, DC 20002 Baltimore, MD 21201

(202) 698-5099

(410) 767-2246 http://www.does.dc.gov/does/cwp/view,a,1232,q,618747.asp http://www.dllr.state.md.us/labor/appr.html Virginia

U.S. Department of Labor Beverley Donati Joe Jenkins or Doug McPherson

Virginia Department of Labor and Industry, Apprenticeship Training Bureau of Apprenticeship & Training

Powers-Taylor Building Francis Perkins Building, Rm. 4647

13 South Thirteenth Street 200 Constitution Avenue, NW.

Richmond, VA 23219 Washington, DC 20210

(804) 786-2382 202-693-3813 http://www.doli.state.va.us/whatwedo/apprenticeship/ http://www.doleta.gov/atels_bat/ apprenticeship_p1.html