Grantee:__________________ CDBG Contract No



2603510096500FORM LS-6Pre-construction conference reportRecipient: FORMTEXT ?????Contract No: FORMTEXT ?????Activity Name: FORMTEXT ?????This report is to be completed during or immediately after the pre-construction conference. Attach detailed notes or minutes of the conference and a sign-in sheet, if possible.a. Conference Date: FORMTEXT ?????b. Location: FORMTEXT ?????Prime Contractor:Name: FORMTEXT ?????Address: FORMTEXT ?????Phone: FORMTEXT ?????Prime Contract Amount: FORMTEXT ?????Sub-contractors, if any are known:NAMEADDRESSPHONE FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Participants (or attach a sign in list):NAMETITLEENTITY REPRESENTED FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????6. Items Covered: I.Labor Standards Issues FORMCHECKBOX a.Payment of Davis Bacon Wages FORMCHECKBOX b.Overtime pay and when applicable FORMCHECKBOX c.Fringe benefits (cash or approved plan) FORMCHECKBOX d.If fringe benefit plan, need information and approval FORMCHECKBOX e.Allowable deductions and documentation FORMCHECKBOX f.Use of apprentices, trainees, etc. and documentation FORMCHECKBOX g.Exempt employees FORMCHECKBOX h.Timely submission of LS-4/5s (by contractor and subcontractors) FORMCHECKBOX i.Review LS-4/5 and questions answered FORMCHECKBOX j.Anti-kickback provisions FORMCHECKBOX k.Posting WD, Notice to Employees, EEO posters FORMCHECKBOX l.Employee interviews FORMCHECKBOX m.Labor standards provisions in all subcontracts at all tiers FORMCHECKBOX n.Timely submission of LS-3s for all new subcontractors FORMCHECKBOX o.Responsibility for subcontractors FORMCHECKBOX p.Definition of “actual time records” FORMCHECKBOX q.Restitution and liquidated damages (includes subcontractors) FORMCHECKBOX r.Sanctions and withholding payments FORMCHECKBOX s.Debarment FORMCHECKBOX t.Confidentiality of complaints and prohibition on retaliation against employees FORMCHECKBOX u.The 4010 FORMCHECKBOX II.Retention and access to all actual time records for five (5) years FORMCHECKBOX III.Civil rights compliance (non-discrimination and Section 3) FORMCHECKBOX IV.Recipient’s role and responsibilities FORMCHECKBOX V.Contractor’s role and responsibilities FORMCHECKBOX VI.A Contractor’s Guide to Prevailing Wage Requirements for Federally-Assisted Construction Projects provided to the contractor FORMCHECKBOX VII.Other: FORMCHECKBOX 7.Report Prepared By: Name: FORMTEXT ?????Title: FORMTEXT ?????1390649184785Signature (in ink): Date: FORMTEXT ????? ................
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