+----------------------------+-----+-----------------------------------+
| # SE                       | *   |                                   |
| MI-ANNUAL LABOR COMPLIANCE | [Da |                                   |
|                            | vis |                                   |
|                            | -Ba |                                   |
|                            | con |                                   |
|                            | Act |                                   |
|                            | reg |                                   |
|                            | ula |                                   |
|                            | tio |                                   |
|                            | ns, |                                   |
|                            | 29  |                                   |
|                            | CFR |                                   |
|                            | 5.7 |                                   |
|                            | (b) |                                   |
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|                            | ]{. |                                   |
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|                            | *[  |                                   |
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|                            | rd. |                                   |
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|                            | his |                                   |
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|                            | ons |                                   |
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|                            | by  |                                   |
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|                            | ]{. |                                   |
|                            | mar |                                   |
|                            | k}* |                                   |
|                            |     |                                   |
|                            | *   |                                   |
|                            | [co |                                   |
|                            | ntr |                                   |
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|                            | ing |                                   |
|                            | of  |                                   |
|                            | fic |                                   |
|                            | es. |                                   |
|                            | ]{. |                                   |
|                            | mar |                                   |
|                            | k}* |                                   |
+----------------------------+-----+-----------------------------------+
| REGION/CENTER & OFFICE     |     | ***SEND TO:***                    |
| SYMBOL                     |     |                                   |
|                            |     | ***Federal Aviation               |
|                            |     | Administration***                 |
|                            |     |                                   |
|                            |     | ***800 Independence Ave SW***     |
|                            |     |                                   |
|                            |     | ***ATTN: ASU-110, Procurement     |
|                            |     | Info & Svc***                     |
|                            |     |                                   |
|                            |     | ***Rm 437, Ms. Aileen C.          |
|                            |     | Stafford***                       |
|                            |     |                                   |
|                            |     | ***Washington, DC 20591***        |
|                            |     |                                   |
|                            |     | ***Email:                         |
|                            |     | [aileen.c.stafford@faa.gov](      |
|                            |     | mailto:aileen.bronner@faa.gov)*** |
|                            |     |                                   |
|                            |     | ***Office: 202-267-9674 Fax:      |
|                            |     | 202-267-8401***                   |
+----------------------------+-----+-----------------------------------+
| NAME & TITLE OF REPORTING  |     |                                   |
| OFFICIAL                   |     |                                   |
+----------------------------+-----+-----------------------------------+
| OFFICE PHONE \#            |     |                                   |
+----------------------------+-----+-----------------------------------+
| FISCAL YEAR                |     |                                   |
+----------------------------+-----+-----------------------------------+
| **SEMI-ANNUAL REPORTING    |     |                                   |
| PERIOD COVERED:            |     |                                   |
| \_\_\_\_\_\_\_\_\_\_       |     |                                   |
| \_\_\_\_\_\_\_\_\_\_\_\_** |     |                                   |
|                            |     |                                   |
| ###                        |     |                                   |
+----------------------------+-----+-----------------------------------+
| 1)  Number of Prime        |     |                                   |
|     Contacts awarded:      |     |                                   |
|                            |     |                                   |
| 2)  Total dollar amount of |     |                                   |
|     prime contracts        |     |                                   |
|     awarded:               |     |                                   |
|                            |     |                                   |
| 3)  Number of contractors  |     |                                   |
|     against whom           |     |                                   |
|     complaints were        |     |                                   |
|     received:              |     |                                   |
|                            |     |                                   |
| 4)  Number of              |     |                                   |
|     Investigations         |     |                                   |
|     completed:             |     |                                   |
|                            |     |                                   |
| 5)  Number of contractors  |     |                                   |
|     found in violation:    |     |                                   |
|                            |     |                                   |
| 6)  Amount of back wages   |     |                                   |
|     found due:             |     |                                   |
|                            |     |                                   |
| 7)  Amount of back wages   |     |                                   |
|     paid:                  |     |                                   |
|                            |     |                                   |
| > a\) Davis-Bacon Act:     |     |                                   |
| > (prevailing wage         |     |                                   |
| > violations)              |     |                                   |
| >                          |     |                                   |
| > b\) CWHSSA: (Overtime    |     |                                   |
| > violations)              |     |                                   |
|                            |     |                                   |
| 8)  Total number of        |     |                                   |
|     employees paid wage    |     |                                   |
|     restitution under the  |     |                                   |
|     Davis-Bacon and        |     |                                   |
|     related Acts and/or    |     |                                   |
|     Contract Work Hours    |     |                                   |
|     and Safety Standards   |     |                                   |
|     Act:                   |     |                                   |
|                            |     |                                   |
|     a.  Davis-Bacon Act:   |     |                                   |
|                            |     |                                   |
|     b.  CWHSSA:            |     |                                   |
|                            |     |                                   |
| 9)  Amount of liquidated   |     |                                   |
|     damages assessed under |     |                                   |
|     CWHSSA:                |     |                                   |
|                            |     |                                   |
| OMB Control No. 2120-0595  |     |                                   |
| DOL Interagency Report     |     |                                   |
+----------------------------+-----+-----------------------------------+