Contract Compliance Form January 1999 Page 5
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5VI.
Indicate whether your firm is:
1. A Certified Local Small Disadvantaged Business: YES
NO
If yes, certification number:
2. A non-certified Local Small Disadvantaged Business:
YES
NO
VII.
Do you have a registered Apprenticeship program with the D.C. Apprenticeship Council?
YES
NO
If yes, D.C. Apprenticeship Council Registration Number:
VIII.
Subcontractor
Indicate whether your firm is a subcontractor on this project:
YES
NO
If yes, specify Prime Contractor:
IX.
Comments:
Describe any problems you have experienced in meeting your job creation projections in implementing
the First Source Employment Agreement.
Signature
Date
Rev (1/99)
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