"Section 3 Utilization Report" - Maine

Section 3 Utilization Report is a legal document that was released by the Maine Department of Economic & Community Development - a government authority operating within Maine.

Form Details:

  • Released on October 7, 2020;
  • The latest edition currently provided by the Maine Department of Economic & Community Development;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Maine Department of Economic & Community Development.

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Download "Section 3 Utilization Report" - Maine

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DEPARTMENT OF ECONOMIC & COMMUNITY DEVELOPMENT
COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM
SECTION 3 UTILIZATION REPORT
(To be Completed by contractors and subs for all Projects at or Exceeding $200,000)
A.
SECTION 3 EMPLOYEE LABOR INFORMATION
Name of CDBG Grantee: ________________________________________________
Name of Project: _______________________________________________________
CDBG Project Number: _________________ Wage Decision Number: ___________
Total number of Labor Hours on the project_________
Total number of Section 3 Labor Hours on the project_________ = ______% of total
labor hours.
Number of Section 3 Employees Utilized on Project by Prime Contractor: _______
Number of Section 3 Employees Utilized on Project by Subcontractors: ________
Total Number of Section 3 Employees Utilized on Project: ___________________
B.
CERTIFICATION OF PRIME CONTRACTOR
As officer and representative of: __________________________________________
Name of Prime Contractor
Address: __________________________________________
__________________________________________
__________________________________________
Telephone Number: __________________________________
On behalf of the Company, I hereby certify that the above information is true and accurate and is reported
fully as required by the Section 3 Affirmative Action Plan as part of the contract for this CDBG assisted construction
project. It is further understood that final payment from the State of Maine CDBG Program for this project cannot be
made until this Report is submitted to the CDBG Grantee or authorized designee.
______________________________________________________________________
Name and Title of Authorized Representative
(print or type)
______________________________________________________________________
Signature of Authorized Representative
Date
REV10/7/20
DEPARTMENT OF ECONOMIC & COMMUNITY DEVELOPMENT
COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM
SECTION 3 UTILIZATION REPORT
(To be Completed by contractors and subs for all Projects at or Exceeding $200,000)
A.
SECTION 3 EMPLOYEE LABOR INFORMATION
Name of CDBG Grantee: ________________________________________________
Name of Project: _______________________________________________________
CDBG Project Number: _________________ Wage Decision Number: ___________
Total number of Labor Hours on the project_________
Total number of Section 3 Labor Hours on the project_________ = ______% of total
labor hours.
Number of Section 3 Employees Utilized on Project by Prime Contractor: _______
Number of Section 3 Employees Utilized on Project by Subcontractors: ________
Total Number of Section 3 Employees Utilized on Project: ___________________
B.
CERTIFICATION OF PRIME CONTRACTOR
As officer and representative of: __________________________________________
Name of Prime Contractor
Address: __________________________________________
__________________________________________
__________________________________________
Telephone Number: __________________________________
On behalf of the Company, I hereby certify that the above information is true and accurate and is reported
fully as required by the Section 3 Affirmative Action Plan as part of the contract for this CDBG assisted construction
project. It is further understood that final payment from the State of Maine CDBG Program for this project cannot be
made until this Report is submitted to the CDBG Grantee or authorized designee.
______________________________________________________________________
Name and Title of Authorized Representative
(print or type)
______________________________________________________________________
Signature of Authorized Representative
Date
REV10/7/20