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Free Employment Contract Example - Excel

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					INSTRUCTIONS FOR COMPLETING WVDOH PORTION OF THE FHWA-1589 FORM (CONTRACTOR
MONTHLY EMPLOYMENT)

  1. Percent Complete – The status of the project reported without the % sign, i.e. 25% Complete =
     25.0.

  2. Number of Change Orders – The number of APPROVED Change Orders to date.

  3. Amount ($) Of Change Orders – The Dollar Amount of APPROVED Change Orders to date.

  4. DBE Goal – the percentage (%) listed in the contract.

  5. DBE Plan – the percentage (%) approved in the Contractor’s DBE Plan (could be lower or higher –
     lower only if WVDOH approved a Good Faith Effort by the Contractor.

  6. DBE Utilization - the number (percentage) of actual utilization job to date, (Job to Date DBE
     payments/Original Contract Amount) X 100 = DBE Utilization %. (This will be calculated
     automatically if Contract $ Amount and DBE Job To Date $ Amounts are input.)

  7. DBE Amount Paid - Actual dollars paid to DBE contractors for labor, materials, equipment, etc.
     Input the amount paid each month along with the cumulative (total payments to date) which should
     include all previous payments.

  8. Date – Date that the form was completed by WVDOH.

  9. 100% Complete - is defined as “end of work,” or "substantially complete", which means that traffic is
     flowing freely and the contractor is free to pull away from the site and does not have to return.
     Basically, we do not expect to see a lot of labor hours charged against a project once it is shown as
     100% complete, especially labor by a contractor. We do understand that there might occasionally be
     a few labor hours charged by DOH employees as they continue to advance the project towards final
     closure.

10. Please make sure that the contractor submits a final 1589 Report reflecting the 100%
    complete status for his final month of work.

11. Submittal Date Requirement - Completed reports are to be submitted via email to Gerry Endres
    (gerard.g.endres@wv.gov) by the 10th of each month.




C:\Docstoc\Working\pdf\11a4af52-03c5-435e-92af-ff4215816401.xls
                                                      Monthly Employment Report
                                                 American Recovery and Reinvestment Act
1. First day of reporting period: (mm/dd/yyyy)                                     2. Report Month: (mm/yyyy)        3. Contracting Agency

2/1/2010                                                                           02/2010                           WVDOH
4. Federal Aid Project                                                             5. State Project Number of ID     6. Project Location: State, County or
                                                                                   Number                            Federal Region
ERP-0109 (099)                                                                     X331-109-0.00                     Monongalia
7. Contractor Name and Address
Name:                    Doe Construction Company, Inc
Address:                 PO Box 999

City:                    Nowheresville                                             State:                   WV
Zip:             99999-0999
8. Contractor/Subcontractor DUNS Number:                                           99-999-9999
                                                                  9. Employment Data
                                                                                       Employees                   Hours                 Payroll
Prime Contractor Direct, On-Project Jobs (see guidance for definitions)                            28.0               669.5              21,345.68
Subcontractor Direct, On-Project Jobs
Subcontractor Name
ABC Engineering                                                                                      2.0                36.0                  676.78




                                                 Prime and Subcontractor Totals                    30.0               705.5              22,022.46
10. Prepared by CEO or Payroll Official:                                                                             Date:                   3/5/2010
                         Name:             Jane Doe
                         Title:            EEO Coordinator

                                                    This Box To Be Filled Out By WVDOH

                  Percent Complete
                   (25.3% = 25.30)
                                                                   25.30                      DBE Goal                            4.00%

      Original Contract Award Amount                         1,234,567.89                     DBE Plan                            4.00%

           Number of Change Orders                                  1
                                                                                          DBE Utilization                         2.05%
        Amount ($) of Change Orders                             55,566.33
                                   This Month                    Job to Date
DBE Amt. Paid                                                                                    Date                        3/25/2010
                                   2,568.23                     25,368.00

C:\Docstoc\Working\pdf\11a4af52-03c5-435e-92af-ff4215816401.xls
                                                      Monthly Employment Report
                                                 American Recovery and Reinvestment Act
1. First day of reporting period: (mm/dd/yyyy)                                     2. Report Month: (mm/yyyy)        3. Contracting Agency



4. Federal Aid Project                                                             5. State Project Number of ID     6. Project Location: State, County or
                                                                                   Number                            Federal Region



7. Contractor Name and Address
Name:
Address:


City:                                                                              State:
Zip:
8. Contractor/Subcontractor DUNS Number:

                                                                  9. Employment Data
                                                                                        Employees                  Hours                   Payroll
Prime Contractor Direct, On-Project Jobs (see guidance for definitions)
Subcontractor Direct, On-Project Jobs
Subcontractor Name




                                                 Prime and Subcontractor Totals                     -                      -                         -
10. Prepared by CEO or Payroll Official:
                         Name:
                         Title:

                                                    This Box To Be Filled Out By WVDOH

                  Percent Complete
                                                                                              DBE Goal
                   (25.3% = 25.30)

      Original Contract Award Amount                                                          DBE Plan

           Number of Change Orders                                                     DBE Utilization (Job
                                                                                            To Date)
                                                                                                                                       -
        Amount ($) of Change Orders

                                   This Month                    Job to Date
DBE Amt. Paid                                                                                    Date

				
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