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North BergenGreen Risk

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Initial Project Workforce Report Construction (Form AA-201)

BID #: N/A

ISSUED: 11/11/2011

DUE: TBD

VALUE: TBD

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Executive Summary

The document is a New Jersey Department of Labor & Workforce Development form (AA-201) titled "Initial Project Workforce Report Construction." It requires prime contractors on public projects to provide details on their workforce, including projected total and minority employees by trade or craft, phase-in date, and completion date. The form also requires the name and address of both the public agency awarding the contract and the project itself, as well as the contract number, award date, and dollar amount of the award.

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Document Text

--- Document: Initial Project Workforce Report Construction (Form AA-201) Document ---
       Official Use Only
                             STATE OF NEW JERSEY
Assignment
 DEPARTMENT OF LABOR & WORKFORCE DEVELOPMENT 
CONSTRUCTION EEO COMPLIANCE MONITORING PROGRAM                  
Code
FORM AA-201
Revised 11/11                              
INITIAL PROJECT WORKFORCE REPORT CONSTRUCTION
For instructions on completing the form, go to: http://www.state.nj.us/treasury/contract_compliance/pdf/aa201ins.pdf 
1. FID NUMBER         
2. CONTRACTOR ID NUMBER
  5. NAME AND ADDRESS OF PUBLIC AGENCY AWARDING CONTRACT
3. NAME AND ADDRESS OF PRIME CONTRACTOR
                                              (Name)
 CONTRACT NUMBER       DATE OF AWARD         DOLLAR AMOUNT OF AWARD          
                                       (Street Address)
  6. NAME AND ADDRESS OF PROJECT          
7. PROJECT NUMBER
  (City)                                    (State)                            (Zip Code)
 COUNTY
 8. IS THIS PROJECT COVERED BY A PROJEC
4. IS THIS COMPANY MINORITY OWNED [  ]  OR WOMAN OWNED  [  ]
LABOR AGREEMENT (PLA)?  YES       N 
O
9.       TRADE OR CRAFT 
PROJECTED TOTAL EMPLOYEES                  PROJECTED MINORITY EMPLOYEES
PROJECTED 
PROJECTED 
 MALE                             FEMALE         
MALE                              FEMALE         
PHASE - IN
COMPLETION
DATE
DATE
1.  ASBESTOS WORKER 
2.  BRICKLAYER OR MASON 
3.  CARPENTER
4.  ELECTRICIAN
5.  GLAZIER
6.  HVAC MECHANIC 
7.  IRONWORKER
8.  OPERATING ENGINEER 
9.  PAINTER
10. PLUMBER
11. ROOFER
12. SHEET METAL WORKER 
13. SPRINKLER FITTER
14. STEAMFITTER
15. SURVEYOR
16. TILER
17. TRUCK DRIVER
18. LABORER
19. OTHER
20. OTHER
I hereby certify that the foregoing statements made by me are true.  I am aware that if any of the foregoing statements are 
willfully     
false, I am subject to punishment.
                                   (Signature)
10.               (Please Print Your Name)
(Title)
(Area Code)                 (Telephone Number)
(Ext.)
(Date)
                          
J             AP                 J 
AP
     J       
   AP               J
AP
Name:
Address: 
Address: 
Name: