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PREPARED BY Signature and Title of Contractors Representative Form FHWA-1391 Rev 09-13 9. DATE 10. REVIEWED BY Signature and Title of State Highway Official PREVIOUS EDITIONS ARE OBSOLETE 11. FEDERAL-AID HIGHWAY CONSTRUCTION CONTRACTORS ANNUAL EEO REPORT 2. NAME STREET ADDRESS PHONE OF COMPANY 1. MARK APPROPRIATE BLOCK Prime Contractor FEDERAL ID NUMBER OF COMPANY FEIN 3. FEDERAL-AID PROJECT NO. 4. DOLLAR AMOUNT OF CONTRACT SC FILE NO. PROJECT LOCATION COUNTY STATE 5. TYPE OF CONSTRUCTION Subcontractor 6. LAST FULL PAY PERIOD IN JULY 2013 July 20 - 26 2014 This collection of information is required by law and regulation 23 U*S*C. 140a and 23 CFR Part 230. The OMB control number for this collection is 2125-0019 expiring in March 2016. 7. WORKFORCE ON FEDERAL-AID CONSTRUCTION SITE S DURING LAST FULL PAY PERIOD ENDING IN JULY 2014 Table A JOB CATEGORIES TOTAL EMPLOYED RACIAL/ ETHNIC MINORITY BLACK or AFRICAN AMERICAN M F HISPANIC or LATINO INDIAN or ALASKAN NATIVE HAWAIIAN TWO OR MORE OR OTHER RACES PACIFIC ISLANDER ASIAN WHITE APPRENTICES ON THE JOB TRAINEES OFFICIALS Managers SUPERVISORS FOREMEN/WOMEN CLERICAL EQUIPMENT OPERATORS MECHANICS TRUCK DRIVERS IRONWORKERS CARPENTERS CEMENT MASONS ELECTRICIANS PIPEFITTERS/PLUMBERS PAINTERS LABORERS-SEMI SKILLED LABORERS-UNSKILLED Table C Table B data by racial status ON THE JOB TRAINEES 8. FEDERAL-AID HIGHWAY CONSTRUCTION CONTRACTORS ANNUAL EEO REPORT 2. NAME STREET ADDRESS PHONE OF COMPANY 1. MARK APPROPRIATE BLOCK Prime Contractor FEDERAL ID NUMBER OF COMPANY FEIN 3. FEDERAL-AID PROJECT NO. MARK APPROPRIATE BLOCK Prime Contractor FEDERAL ID NUMBER OF COMPANY FEIN 3. FEDERAL-AID PROJECT NO. 4. DOLLAR AMOUNT OF CONTRACT SC FILE NO. PROJECT LOCATION COUNTY STATE 5. TYPE OF CONSTRUCTION Subcontractor 6. 4. DOLLAR AMOUNT OF CONTRACT SC FILE NO. PROJECT LOCATION COUNTY STATE 5. TYPE OF CONSTRUCTION Subcontractor 6. LAST FULL PAY PERIOD IN JULY 2013 July 20 - 26 2014 This collection of information is required by law and regulation 23 U*S*C. LAST FULL PAY PERIOD IN JULY 2013 July 20 - 26 2014 This collection of information is required by law and regulation 23 U*S*C. 140a and 23 CFR Part 230. The OMB control number for this collection is 2125-0019 expiring in March 2016. 140a and 23 CFR Part 230. The OMB control number for this collection is 2125-0019 expiring in March 2016. 7. WORKFORCE ON FEDERAL-AID CONSTRUCTION SITE S DURING LAST FULL PAY PERIOD ENDING IN JULY 2014 Table A JOB CATEGORIES TOTAL EMPLOYED RACIAL/ ETHNIC MINORITY BLACK or AFRICAN AMERICAN M F HISPANIC or LATINO INDIAN or ALASKAN NATIVE HAWAIIAN TWO OR MORE OR OTHER RACES PACIFIC ISLANDER ASIAN WHITE APPRENTICES ON THE JOB TRAINEES OFFICIALS Managers SUPERVISORS FOREMEN/WOMEN CLERICAL EQUIPMENT OPERATORS MECHANICS TRUCK DRIVERS IRONWORKERS CARPENTERS CEMENT MASONS ELECTRICIANS PIPEFITTERS/PLUMBERS PAINTERS LABORERS-SEMI SKILLED LABORERS-UNSKILLED Table C Table B data by racial status ON THE JOB TRAINEES 8. FEDERAL-AID HIGHWAY CONSTRUCTION CONTRACTORS ANNUAL EEO REPORT 2. NAME STREET ADDRESS PHONE OF COMPANY 1. MARK APPROPRIATE BLOCK Prime Contractor FEDERAL ID NUMBER OF COMPANY FEIN 3. FEDERAL-AID PROJECT NO. 4. DOLLAR AMOUNT OF CONTRACT SC FILE NO. PROJECT LOCATION COUNTY STATE 5. TYPE OF CONSTRUCTION Subcontractor 6. .

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