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STATE OF FLORIDA DEPARTMENT OF TRANSPORATION Form 275-010- 12 <br /> CONTRACTOR' S PROJECT EEO REPORT Equal Oppo01109 <br /> 1 . Check One 2 Name and Address 3 . FEID # or FDOT Vendor # <br /> FIPrime Contractor <br /> Subcontractor <br /> 5 Financial Project No. <br /> 4 . County <br /> Contractor' s Beginning Work Date on Project 7 . FDOT Contract Number 8 . This report is based on Pay Period Ending (M/D/Y) <br /> 9 . PROJECT EMPLOYMENT REPORT <br /> TABLE A TABLE B <br /> BLACK AMERICAN ASIAN or <br /> TOTAL TOTAL INDIAN or PACIFIC WI On- The-Job <br /> of of Hispanic HISPANIC His <br /> of of Hispanic <br /> JOB CATEGORIES EMPLOYEES MINORITIES Origin) ALASKAN ISLANDER Origin) Trainees (OJT) <br /> NATIVE <br /> M F M F M F M F M F M F M F M F <br /> Officials <br /> (Mana ers) <br /> Supervisors <br /> Foremen/Women <br /> Clerical <br /> Equipment <br /> Operators <br /> Mechanics <br /> Truck Drivers <br /> Ironworkers <br /> Carpenters <br /> Cement Masons <br /> Electricians <br /> Pipefitters, <br /> Plumbers <br /> Painters <br /> Laborers, Semi <br /> Skilled <br /> Laborers, Unskilled <br /> TOTALS <br /> TABLE C OJT TOTALS <br /> M F <br /> n-The-Job Trainees <br /> 10. If any employees reported in ` Table A ' are apprentices, state the name of the program, the job category, race and sex. <br /> 11 . Summarize all hires for the entire active month by job category, race, sex (use additional sheet if needed) . <br /> 12. Preparer First, Last Name and Title Area Code and Phone Number Date Prepared <br /> 13 . Reviewer <br /> First., last Name and Title Area Code and Phone Number Date Reviewed <br />