LCP-AR2 LABOR COMPLIANCE PROGRAM …

1 LCP-AR2 LABORCOMPLIANCEPROGRAMANNUALREPORTF ormatforAwardingBodythatenforcesitsownLa borComplianceProgramforallprojects( LABOR Code (a :~YesIfYes,proceedtoitem6 onthenextpagerNoIfNo,completetheinformat ionbelow,signtheformandsubmittoDIR,Offic eoftheDirector,Attn:LCPS pecialAssistant,455 GoldenGateAvenue,10thFloor,SanFranciscoC A94102 WhatsuggestionsdoyouhavefortheDepartment ofIndustrialRelationstobetterassistyouwi thyourprograminthecomingyear?(attachaddi tionalsheetsifnecessary)I I/f//:I!;///1 SUBMITTED1,1':/'!////If'//:5/f/~~( {~ ,.LCPANNUALREPORT8 CCR 16431 . (provideallinfonnationrequested,attachin gasmanysheetsasnecessary). ;1011107 Seeattachedlist,highlightedinyellow$26,9 08,291 Total.)))}

2 //i/..>.,.. (a), CCR 16431-- ..'..'rx.< r .. \..,.~,. ,.::.0:' J I (whodirectlyemployedtheAssessedRecovered RequestedfromDescriptionofViolationworke r)LaborCommissioner?N/A,YesINo,Yes,No,Ye sINoIYes,No,YesINoIYesINo,Yes, forwhichapprovalofforfeiturenotrequested fromtheLaborCommissioner, CCR forwhichapprovalofforfeiturewasrequested fromtheLaborCommissioner,pleaseprovideth efollowing:ProjectAmountAssessedAmountRe coveredNameLC I776(g)LC I775LC 1813 WagesTotalLC 1776(g)LC 1775LC 1813 # :rYestrNoIfyes,identifYaffectedcontracto r(s)orsubcontractor(s)anddate(s) (DAS)?Pleasecheckme:rYes~NoIfyes,identif Yaffectedcontractor(s)orsubcontractor(s) anddate(s)ofreferral:LCPANNUALREPORT8 CCR 16431--ABallprojects2008 Project:LVHSP hase1- Phase1 Printed:8/10/20i'o/\ ~qThisreportis a ;!

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