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:

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