Form Cc-257 - Monthly Employment Utilization Report
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1
2U.S. Department of Labor
Monthly Employment Utilization Report
Employment Standards Administration
Office of Federal Contract Compliance Programs
This report is required by Executive Order 11246, Sec.203. Failure to report can result in contracts being
1. Covered Area (SMSA or EA)
2. Employer's I.D. No.
Los Angeles County
cancelled, terminated or suspended in whole or in part and the contractor may be declared
ineligible for further Government contracts of federally assisted construction contracts.
OCC NO:
3. Current Goals
4. Reporting Period
Name and Location of Contractor
PROJECT TITLE
Minority
28.30%
From ______________
Female
6.90%
To ________________
TOTAL FEDERAL CONSTRUCTION HOURS
5.
6.
9.
10.
6a.
6b.
6c.
6d.
6e.
7.
8.
Total All
Black
Asian or
American
Total
Total Number
Construction
Classifications
Employees
(Not of Hispanic
Hispanic
Pacific
Indian or
Number of
of Minority
Trade
By Trade
Origin)
Islander
Alaskan Native
Minority
Female
Employees
Employees
M
F
M
F
M
F
M
F
M
F
Percentage Percentage
M
F
M
F
Journey Worker
Apprentice
Trainee
Sub-Total
Journey Worker
Apprentice
Trainee
Sub-Total
Journey Worker
Apprentice
Trainee
Sub-Total
Journey Worker
Apprentice
Trainee
Sub-Total
Total Journey Workers
Total Apprentices
Total Trainees
Grand Total
11. Company Official's Signature and Title
12. Telephone Number (including area code)
13. Date Signed
Page
______ of ______
Form CC-257
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