| FEDERAL-AID HIGHWAY CONSTRUCTION CONTRACTORS ANNUAL EEO REPORT | 
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		| 1.  MARK APPROPRIATE BLOCK | 2. COMPANY NAME, CITY, STATE: | 3. PROJECT NUMBER: | 4. DOLLAR AMOUNT OF CONTRACT: | 5.   PROJECT LOCATION:  (County and State) | 
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		| □ Contractor | 
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		| □ Subcontractor | 
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		| 
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		| 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, 2010. | 
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		| 6. WORKFORCE ON FEDERAL-AID AND CONSTRUCTION SITE(S) DURING LAST FULL PAY PERIOD ENDING IN JULY 20___  (INSERT YEAR) | 
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		| TABLE A | TABLE B | 
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		| JOB CATEGORIES | TOTAL EMPLOYED | TOTAL RACIAL/ ETHNIC MINORITY | BLACK or AFRICAN AMERICAN | HISPANIC OR LATINO | AMERICAN INDIAN OR ALASKA NATIVE | ASIAN | NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER | TWO OR MORE RACES | WHITE | APPRENTICES | ON THE JOB TRAINEES | 
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		| 
 | M | F | M | F | M | F | M | F | M | F | M | F | M | F | M | F | M | F | M | F | M | F | 
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		| OFFICIALS | 0 | 0 | 0 | 0 | 
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		| SUPERVISORS | 0 | 0 | 0 | 0 | 
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		| FOREMEN/WOMEN | 0 | 0 | 0 | 0 | 
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		| CLERICAL | 0 | 0 | 0 | 0 | 
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		| EQUIPMENT OPERATORS | 0 | 0 | 0 | 0 | 
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		| MECHANICS | 0 | 0 | 0 | 0 | 
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		| TRUCK DRIVERS | 0 | 0 | 0 | 0 | 
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		| IRONWORKERS | 0 | 0 | 0 | 0 | 
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		| CARPENTERS | 0 | 0 | 0 | 0 | 
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		| CEMENT MASONS | 0 | 0 | 0 | 0 | 
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		| ELECTRICIANS | 0 | 0 | 0 | 0 | 
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		| PIPEFITTER/PLUMBERS | 0 | 0 | 0 | 0 | 
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		| PAINTERS | 0 | 0 | 0 | 0 | 
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		| LABORERS-SEMI SKILLED | 0 | 0 | 0 | 0 | 
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		| LABORERS-UNSKILLED | 0 | 0 | 0 | 0 | 
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		| TOTAL | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 
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		| TABLE C (Table B data by racial status) | 
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		| APPRENTICES | 0 | 0 | 
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		| OJT TRAINEES | 0 | 0 | 
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		| 8. PREPARED BY: | 9. DATE | 10. REVIEWED BY: | 
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 | 11. DATE | 
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		| (Signature and Title of Contractors Representative) | 
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 | (Signature and Title of State Highway Official) | 
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		| ______________________________________________________________________ | 
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		| ____________ | ______________________________________________________________________________________________ | 
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 | ________________ | 
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		| Form FHWA- 1391 (Rev. 03-10) | 
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 | PREVIOUS EDITIONS ARE OBSOLETE | 
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		| FEDERAL-AID HIGHWAY CONSTRUCTION CONTRACTORS ANNUAL EEO REPORT | 
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		| 1.  STATE: | 2. NUMBER OF PROJECTS: | 3. TOTAL DOLLAR VALUE: | 4. TOTAL WORKFORCE: | 1392 | 
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		| 
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		| 
 | 
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		| 
 | 
 | 
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 | 
 | 
 | 
	
		| 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, 2010. | 
 | 
	
		| 7. WORKFORCE ON FEDERAL-AID AND CONSTRUCTION SITE(S) DURING LAST FULL PAY PERIOD ENDING IN JULY 20___ (INSERT YEAR) | 
 | 
	
		| TABLE A | TABLE B | 
 | 
	
		| JOB CATEGORIES | TOTAL EMPLOYED | TOTAL RACIAL / ETHNIC MINORITY | BLACK or AFRICAN AMERICAN | HISPANIC OR LATINO | AMERICAN INDIAN OR ALASKA NATIVE | ASIAN | NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER | TWO OR MORE RACES | WHITE | APPRENTICES | ON THE JOB TRAINEES | 
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		| 
 | M | F | M | F | M | F | M | F | M | F | M | F | M | F | M | F | M | F | M | F | M | F | 
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		| OFFICIALS | 0 | 0 | 0 | 0 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| SUPERVISORS | 0 | 0 | 0 | 0 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
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		| FOREMEN/WOMEN | 0 | 0 | 0 | 0 | 
 | 
 | 
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		| CLERICAL | 0 | 0 | 0 | 0 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
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		| EQUIPMENT OPERATORS | 0 | 0 | 0 | 0 | 
 | 
 | 
 | 
 | 
 | 
 | 
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 | 
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		| MECHANICS | 0 | 0 | 0 | 0 | 
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 | 
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		| TRUCK DRIVERS | 0 | 0 | 0 | 0 | 
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 | 
 | 
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		| IRONWORKERS | 0 | 0 | 0 | 0 | 
 | 
 | 
 | 
 | 
 | 
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		| CARPENTERS | 0 | 0 | 0 | 0 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
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 | 
 | 
 | 
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		| CEMENT MASONS | 0 | 0 | 0 | 0 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| ELECTRICIANS | 0 | 0 | 0 | 0 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| PIPEFITTER/PLUMBERS | 0 | 0 | 0 | 0 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| PAINTERS | 0 | 0 | 0 | 0 | 
 | 
 | 
 | 
 | 
 | 
 | 
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 | 
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		| LABORERS-SEMI SKILLED | 0 | 0 | 0 | 0 | 
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 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
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		| LABORERS-UNSKILLED | 0 | 0 | 0 | 0 | 
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		| TOTAL | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 
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		| TABLE C (Table B data by racial status) | 
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		| 
 | 
	
		| APPRENTICES | 0 | 0 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| OJT TRAINEES | 0 | 0 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
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		| 8. PREPARED BY: (Signature and Title of Contractors Representative) | 9. DATE | 10. REVIEWED BY: | 
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 | (SIGNATURE and TITLE OF STATE HIGHWAY OFFICIAL) | 
 | 
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 | 11. DATE | 
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		| ______________________________________________________________________ | 
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 | _________________________________ | 
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		| _____________ | 
 | ____________________________________________________________ | 
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		| 
 | 
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 | 
 | 
	
		| Form FHWA- 1392 (Rev. 03-10) | 
 | 
 | 
 | 
 | 
 | 
 | 
 | PREVIOUS EDITIONS ARE OBSOLETE |