Building & Construction Trades Department

1. Name of Project:
2. Requester Name:
3. Requester Email:
4. Name of Requesting Company:
5. Name of Client:
6. Prime or General Contractor:
7. Award Date:
   Date and time
8. Start Date:
   Date and time
9. Project Dollar Value:
10. Name of Contract Representative:
11. Phone Number:
    () -Second partThird part
12. Fax Number:
    () -Second partThird part

1. City:
2. State:
   Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Description of Project:

Estimated Project Manpower:

1. Work to be Subcontracted:
2. Article 22 Amendements Requested:
3. Contractor will recognize local union rates to be incorporated as Appendix A:
4. Contractor will negotiate wage and fringe rates with local unions:
5. Remarks:
6. Accepted by BCTD:
   No
   Yes
7. Date:
   Date and time