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MONTHLY EMPLOYMENT UTILIZATION REPORT FORM chro cc 257 2. EMPLOYERS FEIN NO. FROM FEMALE GENERAL CONTRACTOR PROJECT NAME CONTRACT NUMBER NAME AND LOCATION OF CONTRACTOR submitting report STATE AWARDING AGENCY 6. Commission on Human Rights and Opportunities Contract Compliance Unit 21 Grand Street Hartford CT 06106 1. WORK HOURS OF TRADE WORKERS EMPLOYED ON PROJECT CONSTRUCTION TRADE 6b. 6a* CLASSIFICATION please identify TOTAL HOURS M F 4. REPORTING PERIOD 3. PROJECT AAP GOALS MINORITY PROJECT AREA MSA BLACK Not of Hispanic Origin 6c* HISPANIC 6d. ASIAN OR PACIFIC ISLANDERS 6e. AMERICAN INDIAN OR ALASKAN NATIVE MINORITY PERCENT FEMALE NUMBER OF EMPLOYEES Journey Worker Apprentice Trainee SUB-TOTAL TOTAL JOURNEY WORKERS TOTAL APPRENTICES TOTAL TRAINEES GRAND TOTAL 11. COMPANY OFFICIALS SIGNATURE PRINTED NAME AND PRINTED TITLE 12. TELEPHONE NUMBER Including area code 13. DATE SIGNED PAGE Did not perform work on this project for this month Please place an X in the box if your company did not perform work on this project for this month only. WORK HOURS OF TRADE WORKERS EMPLOYED ON PROJECT CONSTRUCTION TRADE 6b. 6a* CLASSIFICATION please identify TOTAL HOURS M F 4. REPORTING PERIOD 3. PROJECT AAP GOALS MINORITY PROJECT AREA MSA BLACK Not of Hispanic Origin 6c* HISPANIC 6d. REPORTING PERIOD 3. PROJECT AAP GOALS MINORITY PROJECT AREA MSA BLACK Not of Hispanic Origin 6c* HISPANIC 6d. ASIAN OR PACIFIC ISLANDERS 6e. AMERICAN INDIAN OR ALASKAN NATIVE MINORITY PERCENT FEMALE NUMBER OF EMPLOYEES Journey Worker Apprentice Trainee SUB-TOTAL TOTAL JOURNEY WORKERS TOTAL APPRENTICES TOTAL TRAINEES GRAND TOTAL 11. ASIAN OR PACIFIC ISLANDERS 6e. AMERICAN INDIAN OR ALASKAN NATIVE MINORITY PERCENT FEMALE NUMBER OF EMPLOYEES Journey Worker Apprentice Trainee SUB-TOTAL TOTAL JOURNEY WORKERS TOTAL APPRENTICES TOTAL TRAINEES GRAND TOTAL 11. COMPANY OFFICIALS SIGNATURE PRINTED NAME AND PRINTED TITLE 12. TELEPHONE NUMBER Including area code 13. COMPANY OFFICIALS SIGNATURE PRINTED NAME AND PRINTED TITLE 12. TELEPHONE NUMBER Including area code 13. DATE SIGNED PAGE Did not perform work on this project for this month Please place an X in the box if your company did not perform work on this project for this month only. WORK HOURS OF TRADE WORKERS EMPLOYED ON PROJECT CONSTRUCTION TRADE 6b. 6a* CLASSIFICATION please identify TOTAL HOURS M F 4. REPORTING PERIOD 3. PROJECT AAP GOALS MINORITY PROJECT AREA MSA BLACK Not of Hispanic Origin 6c* HISPANIC 6d. ASIAN OR PACIFIC ISLANDERS 6e. AMERICAN INDIAN OR ALASKAN NATIVE MINORITY PERCENT FEMALE NUMBER OF EMPLOYEES Journey Worker Apprentice Trainee SUB-TOTAL TOTAL JOURNEY WORKERS TOTAL APPRENTICES TOTAL TRAINEES GRAND TOTAL 11. REPORTING PERIOD 3. PROJECT AAP GOALS MINORITY PROJECT AREA MSA BLACK Not of Hispanic Origin 6c* HISPANIC 6d. ASIAN OR PACIFIC ISLANDERS 6e. AMERICAN INDIAN OR ALASKAN NATIVE MINORITY PERCENT FEMALE NUMBER OF EMPLOYEES Journey Worker Apprentice Trainee SUB-TOTAL TOTAL JOURNEY WORKERS TOTAL APPRENTICES TOTAL TRAINEES GRAND TOTAL 11. COMPANY OFFICIALS SIGNATURE PRINTED NAME AND PRINTED TITLE 12. TELEPHONE NUMBER Including area code 13. .

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