Security Job Proposal
Description
Security Job Proposal document sample
Document Sample
A B C D E F
1
2 CIPM.XLS CONSULTANT MANAGER
3 FILE FOR CONSULTANT INSPECTION SERVICES
4 03/31/05
5
6 PLEASE ERASE ALL INSTRUCTIONS BEFORE SUBMITTING DISK
7
8 CONTENTS
9 ---------------- ------------------------------------------------- ----------------
10 Exhibit Description Range
11 ---------------- ------------------------------------------------- ----------------
12 A-2 STAFFING TABLE O1.AS43
13 B-1 DIR. NON-SAL. COST BD1..BL49
14 B-3 STAFFING TABLE (SUB) O62.AS94
15 B-4 DIR. NON-SAL. COST (SUB) BD71.BL111
16 ROSTER DK1..
17 ---------------- ------------------------------------------------- ----------------
18 * PLEASE UPDATE RANGES WHEN NECESSARY
19
20
21 IN ADDITION TO THE STANDARD PROPOSAL EXHIBITS YOU ARE REQUIRED TO
22 PROVIDE INFORMATION NECESSARY TO PROCESS THE AGREEMENT. THIS
23 INCLUDES A QUESTIONAIRE LOCATED IN A SAPARATE FILE "CIINFO.WK1",
24 WHICH CONTAINS QUESTIONS REGARDING THE AGREEMENT. A CERTIFIED
25 SALARY ROSTER MUST ALSO BE PROVIDE UNLESS ONE IS ON FILE WITH THE
26 DOT CONTRACT MANAGEMENT BUREAU.
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A B C D E F
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58 PRINT MACRO A (Exhibits A & B)
59 (DO NOT ERASE)
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61 /ppc~
62 oml10~mr240~mt0~mb0~
63 s\015\027\071~qr
64 za1
65 ~agpr
66 za2
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68 zb1
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90 PRINT MACRO C (Summaries)
91 (DO NOT ERASE)
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A B C D E F
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G H I J K L M N
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9 ASCE
10 OR
11 JOB NICET
12 TITLE GRADE J F M
13 ----------------------------------------- --------------- ------- ------- ------- -------
14 ENTER IV (A) | 168 168 168
15 APPROPRIATE I/II (A) | 90 168 168
16 TITLES I/II (A) |
17 USING IV (N) | 168 90 168
18 ABBREVIATIONS IV (N) |
19 " III (N) | 168 168 90
20 " III (N) |
21 " II (N) | 168
22 " II (N) |
23 " II (N) | 168
24 " II (N) |
25 " I (N) |
26 " I (N) |
27 INSP. TR. NA | 168
28 PARTY CHIEF III (N) |
29 INSTRUMENTPERSON II (N) |
30 RODPERSON I (N) |
31 ----------------------------------------- --------------- ------- ------- ------- -------
32 NOTES:
33 ** Overtime Hours
34 (1) Total Hours (straight time)
35 (2) Total Hours (overtime)
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G H I J K L M N
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68 ASCE
69 OR
70 JOB NICET
71 TITLE GRADE J F M
72 ------------------------------------------------------------------------
---------------------------------------------------------
-------
------------------------------------------------------------------------ ------- -------
73 ENTER IV (N) |
74 APPROPRIATE III (N) | 168 168 90
75 TITLES III (N) |
76 USING II (N) | 168
77 ABBREVIATIONS II (N) |
78 " I (N) | 168
79 " I (N) |
80 Party Chief III (N) |
81 Instrument Person II (N) |
82 Rod Person I (N) |
83 ------------------------------------------------------------------------
---------------------------------------------------------
-------
------------------------------------------------------------------------ ------- -------
84 NOTES:
85 ** Overtime Hours
86 (1) Total Hours (straight time)
87 (2) Total Hours (overtime)
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G H I J K L M N
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O P Q R S T U V W X Y Z AA AB AC AD
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2
3 Exhibit A, Page 2
4 Staffing Table
5 ------- ------- ------- ------- -------
6 NAME OF FIRM
7
8 PIN
9
10 199 199
11
12 A M J J A S O N D J F M A M J
13 ------- ------- ------- ------- ------- ------- ------- ------- ------- ------- ------- ------- ------- ------- ------- -------
14 168 168 168 168 168 168 168 90 168 | 168 168 168 168 168 168
15 168 168 168 168 168 168 168 168 90 | 168 168 168 168 168 168
16 168 168 168 168 168 168 168 | 168 168 168 168
17 168 168 168 168 168 168 168 168 168 | 90 168 168 168 168 168
18 50 50 50 50 50 50 | 50 50 50
19 168 168 168 168 168 168 168 168 168 | 168 168 90 168 168 168
20 40 40 40 40 40 40 | 40 40 40
21 168 168 168 168 168 168 168 | 168 168 168
22 40 40 40 40 40 40 | 40 40 40
23 168 168 168 168 168 168 168 | 168 168 168
24 40 40 40 40 40 40 | 40 40 40
25 168 168 168 168 | 90 168 168 168 168 168
26 | 40 40 40
27 168 168 168 168 168 |
28 20 20 20 20 20 20 | 20 20 20
29 20 20 20 20 20 20 | 20 20 20
30 20 20 20 20 20 20 | 20 20 20
31 ------- ------- ------- ------- ------- ------- ------- ------- ------- ------- ------- ------- ------- ------- ------- -------
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O P Q R S T U V W X Y Z AA AB AC AD
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62 Exhibit B, Page 3
63 Staffing Table
64 ------- ------- ------- ------- -------
65 NAME OF SUBCONSULTANT
66
67 PIN
68
69 199 199
70
71 A M J J A S O N D J F M A M J
72 ------- ------- ------- ------- ------- -------
------- ------- ------- ------- ------- ------- ------- ------- ------- ------------------------------------------------------------------------
73 168 168 168 168 168 168 168 | 168 168 168 168
74 168 168 168 168 168 168 168 168 168 | 168 168 90 168 168 168
75 40 40 40 40 40 40 | 40 40 40
76 168 168 168 168 168 168 168 | 168 168 168
77 40 40 40 40 40 40 | 40 40 40
78 168 168 168 168 168 168 168 168 168 | 90 168 168 168 168 168
79 40 40 40 40 40 40 | 40 40 40
80 20 20 20 20 20 20 | 20 20 20
81 20 20 20 20 20 20 | 20 20 20
82 20 20 20 20 20 20 | 20 20 20
83 ------- ------- ------- ------- ------- -------
------- ------- ------- ------- ------- ------- ------- ------- ------- ------------------------------------------------------------------------
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O P Q R S T U V W X Y Z AA AB AC AD
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AE AF AG AH AI AJ AK AL AM AN AO AP
1
2
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6 ALL INSTRUCTIONS ARE FOR ILLU
7 ONLY.
8
9 MONTHLY HOURS:
10 ENTER 168 HOURS FOR EVERY
11 MONTH YOU ANTICIPATE
12 J A S O N D (1) (2) AN EMPLOYEE TO WORK
13 ------- ------- ------- ------- ------- ------- --- ---------------- ---------- ENTER PROPOSED OVERTIME HO
14 168 168 168 168 168 168 | 3,954 FOR TITLES ELIGIBLE FOR O.T.
15 168 168 168 168 168 168 | 3,876
16 168 168 | 2,184
17 168 168 168 168 | 3,540
18 50 50 50 | 600
19 168 168 168 | 3,372
20 40 40 40 | 480
21 168 168 168 | 2,352
22 40 40 40 | 480
23 168 168 168 | 2,352
24 40 40 40 | 480
25 168 168 168 | 2,106
26 40 40 40 | 240
27 | 1,008
28 20 20 | 220
29 20 20 | 220
30 20 20 | 220
31 ------- ------- ------- ------- ------- ------- --- ---------------- ----------
32 TOTALS 25,404 2280
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AE AF AG AH AI AJ AK AL AM AN AO AP
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69 ALL INSTRUCTIONS ARE FOR ILLUSTRATIO
70 ONLY.
71 J A S O N D (1) (2)
72 ---------------- ---------- MONTHLY HOURS:
------- ------- ------- ------- ------- ------- ------------------------------------------------------------------------
73 168 168 | 2,184 ENTER 168 HOURS FOR EVERY
74 168 168 168 | 3,372 MONTH YOU ANTICIPATE
75 40 40 40 | 480 AN EMPLOYEE TO WORK
76 168 168 168 | 2,352 ENTER PROPOSED OVERTIME HOURS
77 40 40 40 | 480 FOR TITLES ELIGIBLE FOR O.T.
78 168 168 168 | 3,114
79 40 40 40 | 480
80 20 20 20 | 240
81 20 20 20 | 240
82 20 20 20 | 240
83 ---------------- ----------
------- ------- ------- ------- ------- ------- ------------------------------------------------------------------------
84 TOTALS 11,742 1440
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AE AF AG AH AI AJ AK AL AM AN AO AP
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AQ AR AS AT AU AV AW
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ALL INSTRUCTIONS ARE FOR ILLUSTRATION
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8
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MONTHLY HOURS:
10
ENTER 168 HOURS FOR EVERY
11
MONTH YOU ANTICIPATE
12
AN EMPLOYEE TO WORK
13
ENTER PROPOSED OVERTIME HOURS
14
FOR TITLES ELIGIBLE FOR O.T.
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AQ AR AS AT AU AV AW
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ALL INSTRUCTIONS ARE FOR ILLUSTRATION
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MONTHLY HOURS:72
73
ENTER 168 HOURS FOR EVERY
74
MONTH YOU ANTICIPATE
75
AN EMPLOYEE TO WORK
76
ENTER PROPOSED OVERTIME HOURS
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FOR TITLES ELIGIBLE FOR O.T.
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AQ AR AS AT AU AV AW
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AX AY AZ BA BB BC BD
1
2
3 Exhibit B, Page 1
4 Estimate of Direct Non-Salary Cost
5 --------------- --------------- --------------- ----------------
6 NAME OF FIRM
7
8 PIN
9
10
11 1. TRAVEL
12
13 a) On-Job Travel -
14 7 inspectors x 21 da/mo. x 16 mos. x
15 6 mi/da. = 14,112 mi.;
16 Total On-Job Travel- 14,112 mi. x $0.32 /mi.
17
18
19 TOTAL TRAVEL
20
21 2. FILM & DEVELOPING
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23 a) Project Photographs 50 rolls X $10.00 /roll
24
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26 TOTAL FILM & DEVELOPING
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28 3. OWNER'S PROTECTIVE INSURANCE (Estimated)
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30 4. EXPENDABLE EQUIPMENT
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32 Cloth Tapes & Thermometers
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35 TOTAL EQUIPMENT
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37 5. SURVEY PERSONNEL COSTS
38 * See Instructions (BI25)
39
40
41 TOTAL DIRECT NON-SALARY COST
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AX AY AZ BA BB BC BD
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72 Exhibit B, Page 4
73 Estimate of Direct Non-Salary Cost
74 --------------- --------------- --------------- ----------------
75 NAME OF SUBCONSULTANT
76
77 PIN
78
79
80 1. TRAVEL
81
82 a) On-Job Travel -
83 4 inspectors x 21 da/mo. x 16 mos. x
84 6 mi/da. = 8,064 mi.;
85 Total On-Job Travel- 8,064 mi. x $0.32 /mi.
86
87
88 TOTAL TRAVEL
89
90 2. OWNER'S PROTECTIVE INSURANCE (Estimated)
91
92 3. EXPENDABLE EQUIPMENT
93
94 Cloth Tapes & Thermometers
95
96
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98 TOTAL EQUIPMENT
99
100 4. SURVEY PERSONNEL COSTS
101 *See Instructions (BI94)
102
AX AY AZ BA BB BC BD
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106 TOTAL DIRECT NON-SALARY COST
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BE BF BG BH BI BJ BK
1
2
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4
5
6 ALL INSTRUCTIONS ARE FOR ILLUSTRATION ONLY.
7
8 IN EXHIBIT B-1 LIST THE ITEMS OF DIRECT NON-SALARY CO
9 EXPECTED IN THIS AGREEMENT. PLEASE NOTE THAT ONLY
10 COST WHICH ARE NORMALLY RECOVERABLE BY YOUR FIR
11 SYSTEM WILL BE ALLOWED. IF THE PRE-AWARD AUDIT EV
12 DETERMINES THAT CERTAIN COSTS ARE NOT RECOVERAB
13 THEY WILL BE REMOVED FROM THE AGREEMENT, AND/OR
14 IN FINAL AUDIT.
15
16 $4,515.84 TO THE LEFT ARE EXAMPLES OF BREAKDOWNS OF
17 VARIOUS TYPES OF COMMON DIRECT NON-SALARY COSTS
18 -------------------- INSPECTION AGREEMENTS.
19 $4,515.84
20 PURCHASE OR LEASING OF VEHICLES IS NOT ALLOWED.
21 THE AUTHORIZED USE OF PRIVATELY OWNED VEHICLES (O
22 WILL BE REIMBURSED AT THE CURRENT STATE COMPTRO
23 $500.00 FIRMS RATE, WHICHEVER IS LESS.
24
25 ------------------------------------------ THE DIFFERENCE BETWEEN THE REQUIRED PREVAILING W
26 500.00 * NORMAL HOURLY RATE, IF THE NORMAL RATE IS LOWER
27 BETWEEN THE REQUIRED SUPPLEMENTAL BENEFIT AMOU
28 600.00 MADE THROUGH EXISTING SUPPLEMENTAL BENEFIT PLAN
29 DIRECT COSTS. THESE DIRECT COSTS WILL BE INCLUDED
30 THE CONTRACT MANAGEMENT BUREAU.
31
32 $100.00
33
34 ------------------------------------------
35 100.00
36
37
38
39
40 ---------------------
41 $5,715.84
42 ============
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BE BF BG BH BI BJ BK
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75 ALL INSTRUCTIONS ARE FOR ILLUSTRATION ONLY.
76
77 IN EXHIBIT B-1 LIST THE ITEMS OF DIRECT NON-SALARY CO
78 EXPECTED IN THIS AGREEMENT. PLEASE NOTE THAT ONLY
79 COST WHICH ARE NORMALLY RECOVERABLE BY YOUR FIR
80 SYSTEM WILL BE ALLOWED. IF THE PRE-AWARD AUDIT EV
81 DETERMINES THAT CERTAIN COSTS ARE NOT RECOVERAB
82 THEY WILL BE REMOVED FROM THE AGREEMENT, AND/OR
83 IN FINAL AUDIT.
84
85 $2,580.48 TO THE LEFT ARE EXAMPLES OF BREAKDOWNS OF
86 VARIOUS TYPES OF COMMON DIRECT NON-SALARY COSTS
87 -------------------- INSPECTION AGREEMENTS.
88 $2,580.48
89 PURCHASE OR LEASING OF VEHICLES IS NOT ALLOWED.
90 300.00 THE AUTHORIZED USE OF PRIVATELY OWNED VEHICLES (O
91 WILL BE REIMBURSED AT THE CURRENT STATE COMPTRO
92 FIRMS RATE, WHICHEVER IS LESS.
93
94 $50.00 THE DIFFERENCE BETWEEN THE REQUIRED PREVAILING W
95 * NORMAL HOURLY RATE, IF THE NORMAL RATE IS LOWER
96 BETWEEN THE REQUIRED SUPPLEMENTAL BENEFIT AMOU
97 ------------------------------------------ MADE THROUGH EXISTING SUPPLEMENTAL BENEFIT PLAN
98 50.00 DIRECT COSTS. THESE DIRECT COSTS WILL BE INCLUDED
99 THE CONTRACT MANAGEMENT BUREAU.
100
101
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BE BF BG BH BI BJ BK
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104 ---------------------
105
106 $2,930.48
107 ============
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BL BM BN BO BP BQ BR
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IONS ARE FOR ILLUSTRATION ONLY.
7
8
LIST THE ITEMS OF DIRECT NON-SALARY COSTS
9
THIS AGREEMENT. PLEASE NOTE THAT ONLY DIRECT
10
ARE NORMALLY RECOVERABLE BY YOUR FIRM'S ACCOUNTING
11
BE ALLOWED. IF THE PRE-AWARD AUDIT EVALUATION
12
THAT CERTAIN COSTS ARE NOT RECOVERABLE AS DIRECT CHARGES,
13
REMOVED FROM THE AGREEMENT, AND/OR DISSALLOWED
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15
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ARE EXAMPLES OF BREAKDOWNS OF
17
ES OF COMMON DIRECT NON-SALARY COSTS, FOR CONSTRUCTION
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19
20
R LEASING OF VEHICLES IS NOT ALLOWED.
21
ZED USE OF PRIVATELY OWNED VEHICLES (ON THE PROJECT)
22
BURSED AT THE CURRENT STATE COMPTROLLERS RATE, OR YOUR
23
WHICHEVER IS LESS.
24
25
NCE BETWEEN THE REQUIRED PREVAILING WAGE RATE AND THE
26
URLY RATE, IF THE NORMAL RATE IS LOWER, AND THE DIFFERENCE
27
E REQUIRED SUPPLEMENTAL BENEFIT AMOUNTS AND DEDUCTIONS
28
GH EXISTING SUPPLEMENTAL BENEFIT PLANS ARE CONSIDERED
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S. THESE DIRECT COSTS WILL BE INCLUDED IN NEGOTIATIONS WITH
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T MANAGEMENT BUREAU.
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IONS ARE FOR ILLUSTRATION ONLY.
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OF
LIST THE ITEMS77 DIRECT NON-SALARY COSTS
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THIS AGREEMENT. PLEASE NOTE THAT ONLY DIRECT
79
ARE NORMALLY RECOVERABLE BY YOUR FIRM'S ACCOUNTING
80
BE ALLOWED. IF THE PRE-AWARD AUDIT EVALUATION
81
THAT CERTAIN COSTS ARE NOT RECOVERABLE AS DIRECT CHARGES,
82
REMOVED FROM THE AGREEMENT, AND/OR DISSALLOWED
83
84
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ARE EXAMPLES OF BREAKDOWNS OF
86
ES OF COMMON DIRECT NON-SALARY COSTS, FOR CONSTRUCTION
87
88
89
R LEASING OF VEHICLES IS NOT ALLOWED.
90
ZED USE OF PRIVATELY OWNED VEHICLES (ON THE PROJECT)
91
BURSED AT THE CURRENT STATE COMPTROLLERS RATE, OR YOUR
92
WHICHEVER IS LESS.
93
94
NCE BETWEEN THE REQUIRED PREVAILING WAGE RATE AND THE
95
URLY RATE, IF THE NORMAL RATE IS LOWER, AND THE DIFFERENCE
96
E REQUIRED SUPPLEMENTAL BENEFIT AMOUNTS AND DEDUCTIONS
97
GH EXISTING SUPPLEMENTAL BENEFIT PLANS ARE CONSIDERED
98
S. THESE DIRECT COSTS WILL BE INCLUDED IN NEGOTIATIONS WITH
99
T MANAGEMENT BUREAU.
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BL BM BN BO BP BQ BR
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BS BT BU BV BW BX BY
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BS BT BU BV BW BX BY
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BZ CA CB CC CD CE CF
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BZ CA CB CC CD CE CF
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BZ CA CB CC CD CE CF
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CG CH CI CJ CK CL CM CN
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CG CH CI CJ CK CL CM CN
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CG CH CI CJ CK CL CM CN
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CO CP CQ CR CS CT CU
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43
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45
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CO CP CQ CR CS CT CU
52
53
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64
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69
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CO CP CQ CR CS CT CU
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
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128
CV CW CX CY CZ DA
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
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34
35
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CV CW CX CY CZ DA
52
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63
64
65
66
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69
70
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CV CW CX CY CZ DA
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
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128
DB DC DD DE
1
2
3
4
5
6
7
8
9
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18
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20
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DB DC DD DE
52
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64
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DB DC DD DE
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
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128
DF DG DH DI DJ
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
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51
DF DG DH DI DJ
52
53
54
55
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57
58
59
60
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63
64
65
66
67
68
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70
71
72
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83
84
85
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91
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93
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95
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97
98
99
100
101
102
DF DG DH DI DJ
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
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124
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126
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128
DK
1
2 PRIME-CONSULTANT ROSTER & INSTRUCTIONS:
3
4 1. Roster information should be shown for ALL Construction Inspection
5 personnel in the office from which they are assigned.
6
7 2. Please indicate when general raises, increments, etc. are given.
8 Example: Jan. 1st; Jan. 1st & Jul. 1st; employee anniversary date.
9
10 3. Name :
11 Enter the names of ALL employees whose job classification are
12 appropriate for the ASCE/NICET Grade listed.
13
14 4. Job Title :
15 Enter the appropriate firm title that corresponds to each
16 employee listed.
17
18 5. Social Security # :
19 Enter the employees' Social Security #
20
21 6. We have provided blank listings for additional titles
22 begining at cell GD1.
23
24 7. For confidentiality purposes it is not necessary to produce a hard
25 copy of this information.
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
DK
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
DK
103
104
105 SUB-CONSULTANT ROSTER & INSTRUCTIONS:
106
107 1. Roster information should be shown for ALL Construction Inspection
108 personnel in the office from which they are assigned.
109
110 2. Please indicate when general raises, increments, etc. are given.
111 Example: Jan. 1st; Jan. 1st & Jul. 1st; employee anniversary date.
112
113 3. Name :
114 Enter the names of ALL employees whose job classification are
115 appropriate for the ASCE/NICET Grade listed.
116
117 4. Job Title :
118 Enter the appropriate firm title that corresponds to each
119 employee listed.
120
121 5. Social Security # :
122 Enter the employees' Social Security #
123
124 6. We have provided blank listings for additional titles
125 begining at cell GD1.
126
127 7. For confidentiality purposes it is not necessary to produce a hard
128 copy of this information.
DL DM DN
1 DATE ASCE GRADE IV
2 OF FIRMWIDE
3 SALARY
4 INCREASES NAME: JOB TITLE:
5 ----------------------------------------- -----------------------------------------
6 PRIMES XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
7 1. XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
8 2.
9
10
11 NORMAL WORK WEEK
12 40 HOURS
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
DL DM DN
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
DL DM DN
103
104 DATE ASCE GRADE IV
105 OF FIRMWIDE
106 SALARY
107 INCREASES NAME: JOB TITLE:
108 ----------------------------------------- -----------------------------------------
109 SUBS XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
110 1. XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
111 2.
112
113
114 NORMAL WORK WEEK
115 40 HOURS
116
117
118
119
120
121
122
123
124
125
126
127
128
DO DP DQ DR
1 ASCE GRADE III
2
3 SOCIAL
4 SECURITY # NAME JOB TITLE
5 -------------------- ----------------------------------------- -----------------------------------------
6 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
7 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31 ---------------------
32
33
34 -------------------------------------
35
36
37
38
39
40 -------------------------------------
41
42======================
43
44
45
46
47
48
49
50
51
DO DP DQ DR
52
53
54
55
56
57
58
59
60
61
62
63
64 ---------------------
65
66
67
68
69
70
71
72
73
74 ---------------------
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
DO DP DQ DR
103
104 ASCE GRADE III
105
106 SOCIAL
107 SECURITY # NAME JOB TITLE
108 -------------------- ----------------------------------------- -----------------------------------------
109 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
110 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
DS DT DU DV
1 ASCE GRADE I/II
2
3 SOCIAL
4 SECURITY # NAME: JOB TITLE
5 -------------------- ----------------------------------------- -----------------------------------------
6 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
7 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31 ---------------------
32
33
34 ---------------------
35
36
37
38
39
40 ---------------------
41
42============
43
44
45
46
47
48
49
50
51
DS DT DU DV
52
53
54
55
56
57
58
59
60
61
62
63
64 ---------------------
65
66
67
68
69
70
71
72
73
74 ---------------------
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
DS DT DU DV
103
104 ASCE GRADE I/II
105
106 SOCIAL
107 SECURITY # NAME: JOB TITLE
108 -------------------- ----------------------------------------- -----------------------------------------
109 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
110 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
DW DX DY DZ
1 NICET GRADE IV
2
3 SOCIAL
4 SECURITY # NAME: JOB TITLE
5 -------------------- ----------------------------------------- -----------------------------------------
6 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
7 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31 ---------------------
32
33
34 ---------------------
35
36
37
38
39
40 ---------------------
41
42============
43
44
45
46
47
48
49
50
51
DW DX DY DZ
52
53
54
55
56
57
58
59
60
61
62
63
64 ---------------------
65
66
67
68
69
70
71
72
73
74 ---------------------
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
DW DX DY DZ
103
104 NICET GRADE IV
105
106 SOCIAL
107 SECURITY # NAME: JOB TITLE
108 -------------------- ----------------------------------------- -----------------------------------------
109 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
110 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
EA EB EC ED
1 NICET GRADE III
2
3 SOCIAL
4 SECURITY # NAME: JOB TITLE
5 -------------------- ----------------------------------------- -----------------------------------------
6 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
7 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31 ---------------------
32
33
34 ---------------------
35
36
37
38
39
40 ---------------------
41
42============
43
44
45
46
47
48
49
50
51
EA EB EC ED
52
53
54
55
56
57
58
59
60
61
62
63
64 ---------------------
65
66
67
68
69
70
71
72
73
74 ---------------------
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
EA EB EC ED
103
104 NICET GRADE III
105
106 SOCIAL
107 SECURITY # NAME: JOB TITLE
108 -------------------- ----------------------------------------- -----------------------------------------
109 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
110 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
EE EF EG EH
1 NICET GRADE II
2
3 SOCIAL
4 SECURITY # NAME: JOB TITLE
5 -------------------- ----------------------------------------- -----------------------------------------
6 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
7 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31 ---------------------
32
33
34 ---------------------
35
36
37
38
39
40 ---------------------
41
42 ============
43
44
45
46
47
48
49
50
51
EE EF EG EH
52
53
54
55
56
57
58
59
60
61
62
63
64 ---------------------
65
66
67
68
69
70
71
72
73
74 ---------------------
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
EE EF EG EH
103
104 NICET GRADE II
105
106 SOCIAL
107 SECURITY # NAME: JOB TITLE
108 -------------------- ----------------------------------------- -----------------------------------------
109 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
110 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
EI EJ EK EL
1 NICET GRADE I
2
3 SOCIAL
4 SECURITY # NAME: JOB TITLE
5 -------------------- ----------------------------------------- -----------------------------------------
6 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
7 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31 --------------------
32
33
34 ---------------------
35
36
37
38
39
40 ---------------------
41
42 ============
43
44
45
46
47
48
49
50
51
EI EJ EK EL
52
53
54
55
56
57
58
59
60
61
62
63
64 ---------------------
65
66
67
68
69
70
71
72
73
74 ---------------------
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
EI EJ EK EL
103
104 NICET GRADE I
105
106 SOCIAL
107 SECURITY # NAME: JOB TITLE
108 -------------------- ----------------------------------------- -----------------------------------------
109 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
110 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
EM EN EO EP
1 NICET GRADE III PARTY CHIEF
2
3 SOCIAL
4 SECURITY # NAME:
5 -------------------- ----------------------------------------- -----------------------------------------
6 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
7 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31 ---------------------
32
33
34 ---------------------
35
36
37
38
39
40 --------------------
41
42 ============
43
44
45
46
47
48
49
50
51
EM EN EO EP
52
53
54
55
56
57
58
59
60
61
62
63
64 ---------------------
65
66
67
68
69
70
71
72
73
74 ---------------------
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
EM EN EO EP
103
104 NICET GRADE III PARTY CHIEF
105
106 SOCIAL
107 SECURITY # NAME:
108 -------------------- ----------------------------------------- -----------------------------------------
109 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
110 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
EQ ER ES ET
1 NICET GRADE II INSTRUMENT PERSON
2
3 SOCIAL
4 SECURITY # NAME:
5 -------------------- ----------------------------------------- -----------------------------------------
6 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
7 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31 ---------------------
32
33
34 ---------------------
35
36
37
38
39
40 ---------------------
41
42 ============
43
44
45
46
47
48
49
50
51
EQ ER ES ET
52
53
54
55
56
57
58
59
60
61
62
63
64 ---------------------
65
66
67
68
69
70
71
72
73
74 ---------------------
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
EQ ER ES ET
103
104 NICET GRADE II INSTRUMENT PERSON
105
106 SOCIAL
107 SECURITY # NAME:
108 -------------------- ----------------------------------------- -----------------------------------------
109 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
110 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
EU EV EW EX
1 NICET GRADE I ROD PERSON
2
3 SOCIAL
4 SECURITY # NAME:
5 -------------------- ----------------------------------------- -----------------------------------------
6 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
7 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31 ---------------------
32
33
34 ---------------------
35
36
37
38
39
40 ---------------------
41
42 ============
43
44
45
46
47
48
49
50
51
EU EV EW EX
52
53
54
55
56
57
58
59
60
61
62
63
64 ---------------------
65
66
67
68
69
70
71
72
73
74 ---------------------
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
EU EV EW EX
103
104 NICET GRADE I ROD PERSON
105
106 SOCIAL
107 SECURITY # NAME:
108 -------------------- ----------------------------------------- -----------------------------------------
109 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
110 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
EY EZ FA FB
1 GRADE / NA TRAINEE
2
3 SOCIAL
4 SECURITY # NAME: JOB TITLE
5 -------------------- ----------------------------------------- -----------------------------------------
6 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
7 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31 ---------------------
32
33
34 ---------------------
35
36
37
38
39
40 ---------------------
41
42 ============
43
44
45
46
47
48
49
50
51
EY EZ FA FB
52
53
54
55
56
57
58
59
60
61
62
63
64 ---------------------
65
66
67
68
69
70
71
72
73
74 ---------------------
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
EY EZ FA FB
103
104 GRADE / NA TRAINEE
105
106 SOCIAL
107 SECURITY # NAME: JOB TITLE
108 -------------------- ----------------------------------------- -----------------------------------------
109 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
110 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
FC FD FE FF
1
2
3 SOCIAL
4 SECURITY # NAME:
5 -------------------- ----------------------------------------- -----------------------------------------
6 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
7 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31 ---------------------
32
33
34 ---------------------
35
36
37
38
39
40 ---------------------
41
42 ============
43
44
45
46
47
48
49
50
51
FC FD FE FF
52
53
54
55
56
57
58
59
60
61
62
63
64 ---------------------
65
66
67
68
69
70
71
72
73
74 ---------------------
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
FC FD FE FF
103
104
105
106 SOCIAL
107 SECURITY # NAME:
108 -------------------- ----------------------------------------- -----------------------------------------
109 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
110 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
FG FH FI FJ
1
2
3 SOCIAL
4 SECURITY # NAME:
5 -------------------- ----------------------------------------- -----------------------------------------
6 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
7 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31 ---------------------
32
33
34 ---------------------
35
36
37
38
39
40 ---------------------
41
42 ============
43
44
45
46
47
48
49
50
51
FG FH FI FJ
52
53
54
55
56
57
58
59
60
61
62
63
64 ---------------------
65
66
67
68
69
70
71
72
73
74 ---------------------
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
FG FH FI FJ
103
104
105
106 SOCIAL
107 SECURITY # NAME:
108 -------------------- ----------------------------------------- -----------------------------------------
109 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
110 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
FK FL FM FN
1
2
3 SOCIAL
4 SECURITY # NAME:
5 -------------------- ----------------------------------------- -----------------------------------------
6 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
7 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31 ---------------------
32
33
34 ---------------------
35
36
37
38
39
40 ---------------------
41
42 ============
43
44
45
46
47
48
49
50
51
FK FL FM FN
52
53
54
55
56
57
58
59
60
61
62
63
64 ---------------------
65
66
67
68
69
70
71
72
73
74 ---------------------
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
FK FL FM FN
103
104
105
106 SOCIAL
107 SECURITY # NAME:
108 -------------------- ----------------------------------------- -----------------------------------------
109 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
110 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
FO FP FQ FR
1
2
3 SOCIAL
4 SECURITY # NAME:
5 -------------------- ----------------------------------------- -----------------------------------------
6 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
7 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31 ---------------------
32
33
34 ---------------------
35
36
37
38
39
40 ---------------------
41
42 ============
43
44
45
46
47
48
49
50
51
FO FP FQ FR
52
53
54
55
56
57
58
59
60
61
62
63
64 ---------------------
65
66
67
68
69
70
71
72
73
74 ---------------------
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
FO FP FQ FR
103
104
105
106 SOCIAL
107 SECURITY # NAME:
108 -------------------- ----------------------------------------- -----------------------------------------
109 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
110 999-99-999 XXXXXXXXXXXXXXXXXXXXXXX YYYYYYYYYYYYYYYY
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
FS FT FU FV
1
2
3 SOCIAL
4 SECURITY #
5 --------------------
6 999-99-999
7 999-99-999
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31 ---------------------
32
33
34 ---------------------
35
36
37
38
39
40 ---------------------
41
42 ============
43
44
45
46
47
48
49
50
51
FS FT FU FV
52
53
54
55
56
57
58
59
60
61
62
63
64 ---------------------
65
66
67
68
69
70
71
72
73
74 ---------------------
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
FS FT FU FV
103
104
105
106 SOCIAL
107 SECURITY #
108 --------------------
109 999-99-999
110 999-99-999
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
FW FX FY FZ GA
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
FW FX FY FZ GA
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
FW FX FY FZ GA
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
GB GC GD GE GF
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
GB GC GD GE GF
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
GB GC GD GE GF
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
GG GH GI GJ
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
GG GH GI GJ
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
GG GH GI GJ
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
GK GL GM GN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
GK GL GM GN
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
GK GL GM GN
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
GO GP GQ GR
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
GO GP GQ GR
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
GO GP GQ GR
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
GS GT GU GV
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
GS GT GU GV
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
GS GT GU GV
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
GW GX GY
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
GW GX GY
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
