MONTHLY EMPLOYMENT REPORT COMPANY NAME FEDERAL TAX ID MONTH ENDING BIDNO PRIME? FINAL REPORT?

The Monthly Employment/Training Report must be completed by the prime contractor and all subcontractors with contracts of $100,000 or more. The prime contractor shall submit a report for its workforce on the project. Each subcontractor shall separately submit a report for its workforce on the project. It is the responsibility of the prime contractor to assure that all subcontractors submit Monthly Employment/Training Reports in a timely manner. Complete the form on the worksheet titled MER (third tab), filling in all categories for each employee working on the project during the reporting period. Email the completed worksheet as an Excel attachment to apack@ci.portland.or.us no later than the 5th of each month for work performed during the previous month. The emailed worksheet must be titled mer.xls. Please do not change the worksheet's layout or contents. Please direct questions about electronic data submission to the same email address.

REVISED 9/19/08

MONTHENDING BIDNO LASTNAME FIRSTNAME ZIP FEDID 953284158 8/31/2002 100758 DOE JANE 97214 953284158 8/31/2002 100758 DOE JOHN 97204

SSN 9874 7489

JOBCLASS LEVEL RACE GENDER HOURS PRIME? 1010 A C F 32 NO 1018 J C M 154 NO

MONTHLY EMPLOYMENT REPORT WORKFORCE TRAINING HIRING PROGRAM FEDID MONTHENDING BIDNO LASTNAME FIRSTNAME ZIP SSN JOBCLASS LEVEL RACE GENDER HOURS

MONTHLY EMPLOYMENT REPORT WORKFORCE TRAINING HIRING PROGRAM

MONTHLY EMPLOYMENT REPORT WORKFORCE TRAINING HIRING PROGRAM

MONTHLY EMPLOYMENT REPORT WORKFORCE TRAINING HIRING PROGRAM

MONTHLY EMPLOYMENT REPORT WORKFORCE TRAINING HIRING PROGRAM

MONTHLY EMPLOYMENT REPORT WORKFORCE TRAINING HIRING PROGRAM

MONTHLY EMPLOYMENT REPORT WORKFORCE TRAINING HIRING PROGRAM

MONTHLY EMPLOYMENT REPORT WORKFORCE TRAINING HIRING PROGRAM

MONTHLY EMPLOYMENT REPORT WORKFORCE TRAINING HIRING PROGRAM PRIME?

MONTHLY EMPLOYMENT REPORT WORKFORCE TRAINING HIRING PROGRAM

MONTHLY EMPLOYMENT REPORT WORKFORCE TRAINING HIRING PROGRAM

MONTHLY EMPLOYMENT REPORT WORKFORCE TRAINING HIRING PROGRAM

MONTHLY EMPLOYMENT REPORT WORKFORCE TRAINING HIRING PROGRAM

MONTHLY EMPLOYMENT REPORT WORKFORCE TRAINING HIRING PROGRAM

MONTHLY EMPLOYMENT REPORT WORKFORCE TRAINING HIRING PROGRAM

MONTHLY EMPLOYMENT REPORT WORKFORCE TRAINING HIRING PROGRAM

CLASS CODE DESCRIPTION

1001 BRICK MASONS, STONE MASONS 1002 CARPENTERS 1003 CARPET INSTALLERS 1004 CONCRETE & TERRAZZO FINISHERS 1005 OTHER CONSTRUCTION TRADES NEC 1006 DRYWALL INSTALLERS 1007 ELECTRICIANS 1008 GLAZIERS, GLASSWORKERS 1009 INSULATION WORKERS 1010 LABORERS 1011 OPERATING ENGINEERS 1012 PAINTERS, TAPERS 1013 PLASTERERS 1014 PLUMBERS, PIPEFITTERS 1015 ROOFERS 1016 SHEET METAL WORKERS 1017 STRUCTURAL METAL WORKERS 1018 SUPERVISORS, CONSTRUCTION 1019 SUPERVISORS, MAT'L MOVEMENT & OPS 1020 SUPERVISORS, MECHS & REPAIRERS 1021 TILE SETTERS 1022 TRUCK DRIVERS 1023 WELDERS, CUTTERS 2012 S. WATERFRONT PRE-APPRENTICE Definition of Ethnicity Codes AA: African American: having origins in any of the black racial groups of Africa A: Asian: having origins in any of the original people of the Far East, Southeast Asia, the Indian subcontinent, or the Pacific Islands C: Caucasian: having origins in any of the white racial groups of Europe or northern and western Asia. H: Hispanic: having Mexican, Puerto Rican, Cuban, Central or South American or other Spanish or Portuguese culture or origins NA: Native American: American Indian or Alaskan Native, having origins in any of the original people of North America.