To: Area Director, Office of Federal Contract Compliance Program, U.S. Department of Labor (DOL) (Insert address for your DOL area, from exhibit E, FmHA or its successor agency under Public Law 103-354 Instruction 1901-E)

We submit the following information relative to a construction contract in excess of $10,000:

1. Contractor's name:
Address:
Telephone Number:
Employer's Identification Number:

2. Contract for: __ $_____

Starting Date:
Completion Date:
Contract Number:
City:
DOL Region:

[52 FR 8002, Mar. 13, 1987]


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