Common use of Reporting Date Clause in Contracts

Reporting Date. Reporting Time: Project Name: Project Location: Reporting To: On Site Phone: Special Instructions: Project: Harbor UCLA ATTACHMENT C Los Angeles County Major Capital Projects Craft Request Form U N I O N U S E O N L Y Please complete the “Union Use Only” section and fax or email both pages to the requesting Contractor and Project Labor Coordinator. Date Dispatch Received: Dispatch Received by: Date Worker(s) Dispatched: Name: Helmets to Hardhats JM or App Tier 1 Worker? 🞸 Tier 2 Worker? 🞸 Zip Code Targeted Worker? Targeted Category🞸🞸 ☐ Yes ☐ No ☐ JM ☐ APP ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ JM ☐ APP ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ JM ☐ APP ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ JM ☐ APP ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ JM ☐ APP ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ JM ☐ APP ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No

Reporting Date. Reporting Time: Project Name: Project Location: Reporting To: On Site Phone: Special Instructions: Project: Harbor UCLA ATTACHMENT C Los Angeles County Major Capital Projects Craft Request Form Project: Xxxxxx Xxxxxx Xxxx Xx. Medical Campus U N I O N U S E O N L Y Please complete the “Union Use Only” section and fax or email both pages to the requesting Contractor and Project Labor Coordinator. Date Dispatch Received: Dispatch Received by: Date Worker(s) Dispatched: Name: Helmets to Hardhats JM or App Tier 1 Worker? 🞸 Tier 2 Worker? 🞸 Zip Code Targeted Worker? Targeted Category🞸🞸 ☐ Yes ☐ No ☐ JM ☐ APP ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ JM ☐ APP ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ JM ☐ APP ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ JM ☐ APP ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ JM ☐ APP ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ JM ☐ APP ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No

Reporting Date. Reporting Time: Project Name: Project Location: Reporting To: On Site Phone: Special Instructions: Project: Harbor UCLA ATTACHMENT C Los Angeles County Major Capital Projects Craft Request Form U N I O N U S E O N L Y Please complete the “Union Use Only” section and fax or email both pages to the requesting Contractor and Project Labor Coordinator. Date Dispatch Received: Dispatch Received by: Date Worker(s) Dispatched: Name: Helmets to Hardhats JM or App Tier 1 Worker? 🞸 Tier 2 Worker? � � Zip Code Targeted Worker? Targeted Category�Category �🞸 ☐ Yes ☐ No ☐ JM ☐ APP ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ JM ☐ APP ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ JM ☐ APP ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ JM ☐ APP ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ JM ☐ APP ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ JM ☐ APP ☐ Yes ☐ No ☐ Yes ☐ No ☐ YeNo  PLEASE NOTE: By marking the "s " box for either the "Tier 1 Available" or "Tier 2 Available" categories you are certifying, on behalf of the Union, that the Union has exhausted all reasonable efforts to locate and dispatch such Tier 1 or Tier 2 worker.  Please indicate number of the Targeted Worker category (1 through 14, as shown below). You may indicate multiple categories per worker. Tier 1: 90061 90220 90221 90247 90501 90731 90744 90806 90810 90813 Tier 2: 90001 90002 90003 90004 90005 90006 90007 90008 90010 90011 90012 90013 90014 90015 90016 90017 90018 90019 90020 90021 90022 90023 90026 90028 90029 90031 90032 90033 90034 90035 90036 90037 90038 90040 90042 90043 90044 90047 90057 90058 90059 90062 90063 90065 90071 90201 90222 90242 90255 90262 90270 90280 90301 90302 90303 90304 90601 90602 90630 90640 90660 90706 90715 90716 90723 90802 90804 90805 91001 91103 91204 91205 91303 91306 91321 91324 91331 91340 91342 91343 91352 91401 91402 91405 91406 91411 91502 91601 91605 91606 91702 91706 91731 91732 91733 91755 91766 91767 91768 91770 91776 93534 93535 93550 93591 A Targeted Worker is an individual who is both a County resident and who faces one or more of the following barriers to employment:☐ No

Reporting Date. Reporting Time: Project Name: Project Location: Reporting To: On Site Phone: Special Instructions: Project: Harbor UCLA ATTACHMENT C Los Angeles County Major Capital Projects Craft Request Form Project: Xxxx Xxxx Women’s Detention Center U N I O N U S E O N L Y Please complete the “Union Use Only” section and fax or email both pages to the requesting Contractor and Project Labor Coordinator. Date Dispatch Received: Dispatch Received by: Date Worker(s) Dispatched: Name: Helmets to Hardhats JM or App Tier 1 Worker? 🞸 Tier 2 Worker? 🞸 Zip Code Targeted Worker? Targeted Category🞸🞸 ☐ Yes ☐ No ☐ JM ☐ APP ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ JM ☐ APP ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ JM ☐ APP ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ JM ☐ APP ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ JM ☐ APP ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ JM ☐ APP ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No

Reporting Date. Reporting Time: Project Name: Project Location: Reporting To: On Site Phone: Special Instructions: Project: Harbor UCLA ATTACHMENT C Los Angeles County Major Capital Projects Craft Request Form Project: Rancho Los Amigos South Campus U N I O N U S E O N L Y Please complete the “Union Use Only” section and fax or email both pages to the requesting Contractor and Project Labor Coordinator. Date Dispatch Received: Dispatch Received by: Date Worker(s) Dispatched: Name: Helmets to Hardhats JM or App Tier 1 Worker? 🞸 Tier 2 Worker? 🞸 Zip Code Targeted Worker? Targeted Category🞸🞸 ☐ Yes ☐ No ☐ JM ☐ APP ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ JM ☐ APP ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ JM ☐ APP ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ JM ☐ APP ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ JM ☐ APP ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ JM ☐ APP ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No

Reporting Date. Reporting Time: Project Name: Project Location: Reporting To: On Site Phone: Special Instructions: Project: Harbor UCLA ATTACHMENT C Los Angeles County Major Capital Projects Craft Request Form Project: Mental Health Treatment Center U N I O N U S E O N L Y Please complete the “Union Use Only” section and fax or email both pages to the requesting Contractor and Project Labor Coordinator. Date Dispatch Received: Dispatch Received by: Date Worker(s) Dispatched: Name: Helmets to Hardhats JM or App Tier 1 Worker? 🞸 Tier 2 Worker? 🞸 Zip Code Targeted Worker? Targeted Category🞸🞸 ☐ Yes ☐ No ☐ JM ☐ APP ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ JM ☐ APP ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ JM ☐ APP ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ JM ☐ APP ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ JM ☐ APP ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ JM ☐ APP ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No