Fillable Form AA201: CONTRACTOR & WORKFORCE COMPLIANCE (New Jersey Schools Development Authority)

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Form AA201: CONTRACTOR & WORKFORCE COMPLIANCE (New Jersey Schools Development Authority)

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Completed Form AA201 must be returned with Form AA201a within seven (7) business days of NTP.
CONTRACTOR & WORKFORCE COMPLIANCE
INITIAL PROJECT WORK FORCE FORM AA201 - CONSTRUCTION
Fein #:
Prime Contractor Name:
Address:
City:
State:
Zip:
Phone #:
NJSDA Contract #:
NTP Date:
Award Amt:
School:
CM Firm:
Project Labor Agreement (PLA):
Yes
No
Trade/Craft F J AP F J AP F J AP
Projected Phase - In
Date
Projected Completion
Date
Asbestos Worker
Bricklayer/Mason
Carpenter
Electrician
Glazier
HVAC Mechanic
Ironworker
Operating Engineer
Painter
Plumber
Roofer
Sheet Metal Worker
Sprinkler Fitter
Steamfitter
Surveyor
Tiler
Truck Driver
Laborer
Other (Specify):
Other (Specify):
Projected Total # of
Employees
Projected Employees
Minority
Projected Employees
Female
Print Name
Title
Date Submitted
E-mail Address
NOTE: Numbers should represent the total of the Prime Contractor’s workforce, plus work forces of all subcontractors.
Form AA201
Revised 11/2019
INITIAL PROJECT WORK FORCE FORM AA201
INSTRUCTIONS
FEIN #
The Federal Employer Identification Number assigned by the US Internal Revenue Service. If an FEIN Number
is not received or not required for your business, enter the Social Security Number for the owner, or for one
partner if the business is a partnership.
NJSDA CONTRACT #
The Contract Number assigned by the NJ Schools Development Authority
NTP DATE
The date the contract was awarded to the Prime Contractor
AWARD AMT
The amount for which the contract was awarded
PROJECT LABOR AGREEMENT
Is there a PLA in place?
CONSTRUCTION MANAGEMENT FIRM
Full name of CM Firm
PROJECTED TOTAL # OF EMPLOYEES
For each trade/craft listed, enter the number of employees and their level of expertise. Numbers should
represent the total of the Prime Contractor's workforce, plus work forces of all sub-contractors.
PROJECTED EMPLOYEES
For each trade/craft listed, enter the total minority and female employees, and their level of expertise.
NOTE: Minority employees include Black, Hispanic, American Indian, Asian
NOTE: F = Foreman, J = Journeyman, AP = Apprentice
The form should be completed by the Prime Contractor's representative responsible for providing the
NJSDA with the projected workforce breakdown.
Return completed form to the Risk Management Unit or via e-mail to cbrooks@njsda.gov within seven
(7) business days of NTP. Please retain a copy for your records.
CONTRACTOR & WORKFORCE COMPLIANCE
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Form AA201: CONTRACTOR & WORKFORCE COMPLIANCE (New Jersey Schools Development Authority)

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Completed 28 January 2021

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