State of California
Department of Industrial Relations
California Apprenticehip Council
P. O. Box 420603
San Francisco, CA 94142
Please use a separate
form
for each jobsite,
listing the occupations for the jobsite. One
check
payable to the California Apprenticeship Council, may be
submitted for all jobsites and/or occupations. Training
fund contributions are
not accepted
by the California
Apprenticeship Council for federal public works projects,
or for non-apprenticeable occupations such as utility
technicians, teamsters, etc.
CLASSIFICATIONS) OF WORKERS (CARPENTER, PLUMBER, ELECTRICIAN, ETC.) COUNTY WORK PERFORMED IN HOURS AMOUNT
SIGNATURE PLEASE TYPE OR PRINT YOUR NAME DATE
TITLE
CAC 2 (rev. 7/01) Hqtrs.
TRAINING FUND CONTRIBUTIONS
CONTRIBUTION
RATE PER HOUR
TRAINING FUND CONTRIBUTIONS
California Apprenticeship
Council
NAME AND ADDRESS OF CONTRACTOR/SUBCONTRACTOR MAKING CONTRIBUTION
JOBSITE LOCATION (INCLUDE COUNTY) IF APPLICABLE.
GIVE NAME OF SCHOOL, HOSPITAL, BUILDING. ETC.
CONTRACT OR PROJECT NUMBER
CONTRACTOR'S LICENSE NMBER
AREA CODE & TELEPHONE NUMBER
NAME AND ADDRESS OF PUBLIC AGENCY AWARDING CONTRACT
PERIOD COVERED BY CONTRIBUTION (FROM-TO)
0.00
0.00
0.00
0.00
0.00
$0.00
Total