BCTD: Project Labor Approval Request Form

Project Labor Approval Request Form

Name of Project:

Date Submitted:

Now

Name of Requesting Council:

Name of Project Owner:

Location of Project (city & state):

Prime or General Contract:

General Description of Project:

Award Date:

Now

Start Date:

Now

Duration:

Project Dollar Value:

Name of Council Representative:

Telephone Number:

() -

E-Mail Address:

Estimated Project Manpower:

Work to be Subcontracted:

The required articles from the Department's model PLA are included in the submitted PLA:

Local Union wage and fringe rates to be incorporated as Appendix A:

Contractor negotiated wage and fringe rates with Local Unions:

Remarks:

Attach PLA as Microsoft Word formatted or Adobe Acrobat formatted document:

Upload: