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) | |||||||||||||||
mm | dd | yyyy | mm | dd | yyyy | mm | dd | yyyy | |||||||||
4. Primary contract firm name & address | 5. Job Site City, State, & FAA Loc ID (if known) | 6. Contract title (description) | |||||||||||||||
7. Contract number | 8. FAA Job Control Number (JCN) | 9. Data Universal Numbering Sys (DUNS) number | |||||||||||||||
10. Prime Contract Employment Data | |||||||||||||||||
PAY PD EMPLOYEES | PAY PD HOURS | CUMULATIVE EMPLOYEES | CUMULATIVE HOURS | ||||||||||||||
CONSTRUCTION | JOBS CREATED | ||||||||||||||||
JOBS RETAINED | |||||||||||||||||
NON-CONSTRUCTION | JOBS CREATED | ||||||||||||||||
JOBS RETAINED | |||||||||||||||||
TOTAL EMPLOYMENT | |||||||||||||||||
TOTAL PAYROLL | |||||||||||||||||
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 | |||||||||||||
JOBS CREATED | |||||||||||||||||
JOBS RETAINED | |||||||||||||||||
JOBS CREATED | |||||||||||||||||
JOBS RETAINED | |||||||||||||||||
JOBS CREATED | |||||||||||||||||
JOBS RETAINED | |||||||||||||||||
12. PREPARED BY CEO or Payroll Official: (Name, Title, and Phone Number) | Date: | ||||||||||||||||
13. REVIEWED BY: (Name, Title, and Phone Number) | Date: | ||||||||||||||||
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: | 3. Data Universal Numbering System (DUNS) number | ||||
2. Prime contractor Name: | |||||
a. OFFICERS NAME | b. TOTAL ANNUAL COMPENSATION | ||||
1. | 1. | ||||
2. | 2. | ||||
3. | 3. | ||||
4. | 4. | ||||
5. | 5. | ||||
B. SUBCONTRACTOR HIGHLY COMPENSATED OFFICERS | |||||
1. Subcontractor A. Name: | 2. Sub A. DUNS: | ||||
a. OFFICERS NAME | b. TOTAL ANNUAL COMPENSATION | ||||
1. | 1. | ||||
2. | 2. | ||||
3. | 3. | ||||
4. | 4. | ||||
5. | 5. | ||||
1. Subcontractor B. Name: | 2. Sub B. DUNS: | ||||
a. OFFICERS NAME | b. TOTAL ANNUAL COMPENSATION | ||||
1. | 1. | ||||
2. | 2. | ||||
3. | 3. | ||||
4. | 4. | ||||
5. | 5. | ||||
1. Subcontractor C. Name: | 2. Sub C. DUNS: | ||||
a. OFFICERS NAME | b. TOTAL ANNUAL COMPENSATION | ||||
1. | 1. | ||||
2. | 2. | ||||
3. | 3. | ||||
4. | 4. | ||||
5. | 5. | ||||
C. CERTIFICATION | |||||
a. PREPARED BY CEO or Payroll Official: (Name, Title, and Phone Number) | Date: | ||||
b. REVIEWED BY: (Name, Title, and Phone Number) | Date: | ||||
FAA Stimulus Document # SUB-00001 | ||||||||||
QUARTERLY REPORT ON SUBCONTRACTS | ||||||||||
AMERICAN RECOVERY AND REINVESTMENT ACT | ||||||||||
A. Subcontracts over $25,000 (excluding subcontracts to individuals) | ||||||||||
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 | |||||||||
C. CERTIFICATION | ||||||||||
1. PREPARED BY CEO or Payroll Official: (Name, Title, and Phone Number) | Date: | |||||||||
2. REVIEWED BY: (Name, Title, and Phone Number) | Date: | |||||||||
File Type | application/vnd.ms-excel |
Author | Air Traffic Organization |
Last Modified By | Taylor CTR Dahl |
File Modified | 2009-03-19 |
File Created | 2009-03-09 |