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FAA Stimulus Document No: PWR-00001 |
| MONTHLY PRIME AND SUBCONTRACTOR EMPLOYMENT REPORT |
| AMERICAN RECOVERY AND REINVESTMENT ACT |
| 1. First day of reporting month (mm/dd/yyyy) |
2. Last day of reporting month (mm/dd/yyy) |
3. Stimulus contract award date (mm/dd/yyyy) |
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| 4. Primary contract firm name & address |
5. Job Site City, State, & FAA Loc ID (if known) |
6. Contract title (description) |
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| 7. Contract number |
8. FAA Job Control Number (JCN) |
9. Data Universal Numbering Sys (DUNS) number |
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| 10. Prime Contract Employment Data |
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PAY PD EMPLOYEES |
PAY PD HOURS |
CUMULATIVE EMPLOYEES |
CUMULATIVE HOURS |
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JOBS CREATED |
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| JOBS RETAINED |
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| NON-CONSTRUCTION |
JOBS CREATED |
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| TOTAL EMPLOYMENT |
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| TOTAL PAYROLL |
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| 11. Prime Contractor Report on Subcontract Employment Data |
| Subcontractor name & address: (All subcontracts providing direct site work) |
PAY PD EMPLOYEES |
PAY PD HOURS |
CUMULATIVE EMPLOYEES |
CUMULATIVE HOURS |
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JOBS CREATED |
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JOBS CREATED |
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JOBS CREATED |
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| 12. PREPARED BY CEO or Payroll Official: (Name, Title, and Phone Number) |
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| 13. REVIEWED BY: (Name, Title, and Phone Number) |
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FAA Stimulus Document # COMP-00001 |
| PRIME AND SUBCONTRACTOR HIGHLY COMPENSATED OFFICERS REPORT |
| AMERICAN RECOVERY AND REINVESTMENT ACT |
| (Form to be completed at initial contract award and updated as changes occur during contract performance period) |
| A. PRIME CONTRACTOR HIGHLY COMPENSATED OFFICERS |
| 1. Contract Number: |
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3. Data Universal Numbering System (DUNS) number |
| 2. Prime contractor Name: |
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| a. OFFICERS NAME |
b. TOTAL ANNUAL COMPENSATION |
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| B. SUBCONTRACTOR HIGHLY COMPENSATED OFFICERS |
| 1. Subcontractor A. Name: |
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2. Sub A. DUNS: |
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| a. OFFICERS NAME |
b. TOTAL ANNUAL COMPENSATION |
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| 1. Subcontractor B. Name: |
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2. Sub B. DUNS: |
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| a. OFFICERS NAME |
b. TOTAL ANNUAL COMPENSATION |
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| 1. Subcontractor C. Name: |
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2. Sub C. DUNS: |
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| a. OFFICERS NAME |
b. TOTAL ANNUAL COMPENSATION |
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| C. CERTIFICATION |
| a. PREPARED BY CEO or Payroll Official: (Name, Title, and Phone Number) |
Date: |
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| b. REVIEWED BY: (Name, Title, and Phone Number) |
Date: |
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FAA Stimulus Document # SUB-00001 |
| QUARTERLY REPORT ON SUBCONTRACTS |
| AMERICAN RECOVERY AND REINVESTMENT ACT |
| A. Subcontracts over $25,000 (excluding subcontracts to individuals) |
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1. Subcontractor Name |
2. Subcontractor Address |
3. Subcontractor DUNS Number |
4. NAICS Number |
5. Subcontract Number |
6. Subcontract description |
7. Subcontract Amount |
8. Congressional District |
9. City of job site |
10. State 0f job site |
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| B. Subcontracts under $25,000 and to individuals |
| 1. Total Number |
2. Total Amount of Subcontracts |
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| C. CERTIFICATION |
| 1. PREPARED BY CEO or Payroll Official: (Name, Title, and Phone Number) |
Date: |
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| 2. REVIEWED BY: (Name, Title, and Phone Number) |
Date: |
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