CONTRACTOR CONTRACT NO. REPORTING MONTH YEAR Completed By: CONTRACT NAME NAME 1. APPROVED ABORIGINAL PARTICIPATION PLAN Date Approved: Rev No. 2A. ABORIGINAL EMPLOYMENT (TOTAL WORK HOURS) ANTICIPATED PERCENTAGE OF FINAL WORK No. of Work Hours worked by Aboriginal TOTAL WORK HOURS AT END Persons on the Contract CUMULATIVE HOURS OF CONTRACT THIS MONTH TO DATE (CUMULATIVE) (PROJECTED) Local % Non Local % Total Work Hours (Aboriginal Persons) % Total Work Hours 2B. ABORIGINAL EMPLOYMENT (PERSONS EMPLOYED) NET CHANGE CUMULATIVE NEXT MONTH No. of Aboriginal Persons employed on the Contract THIS MONTH TO DATE (PROJECTED) Local Non Local Total 3. ABORIGINAL TRAINEES NET CHANGE CUMULATIVE NEXT MONTH No. of Aboriginal Trainees employed on the Contract THIS MONTH TO DATE (PROJECTED) Local Non Local Total 4. ABORIGINAL BUSINESS PROCUREMENT PERCENTAGE ANTICIPATED OF TOTAL FINAL SPEND AT Total value of procurement from Aboriginal CONTRACT END OF Businesses (excluding GST) CUMULATIVE SPEND CONTRACT THIS MONTH TO DATE (CUMULATIVE) (PROJECTED) Local $ $ % $ Non Local $ $ % $ Total Value (Aboriginal Business) $ $ % $ Total Contract Spend $ $ $ Declaration: I hereby declare that the answers in this report describe our Company’s current performance in respect of Aboriginal Participation for the Contract. I acknowledge the right of Main Roads to further verify our stated performance by audit. Name Signature NOTES ON COMPLETING THIS FORM:
CONTRACTOR CONTRACT NO. REPORTING MONTH YEAR Completed By: CONTRACT NAME NAME 1. APPROVED ABORIGINAL PARTICIPATION PLAN Date Approved: Rev No. 2A. ABORIGINAL EMPLOYMENT (TOTAL WORK HOURS) No. of Work Hours worked by Aboriginal Persons on the Contract THIS MONTH CUMULATIVE TO DATE PERCENTAGE OF TOTAL WORK HOURS (CUMULATIVE) ANTICIPATED FINAL WORK HOURS AT END OF CONTRACT (PROJECTED) Local % Non Local % Total Work Hours (Aboriginal Persons) % Total Work Hours 2B. ABORIGINAL EMPLOYMENT (PERSONS EMPLOYED) No. of Aboriginal Persons employed on the Contract NET CHANGE THIS MONTH CUMULATIVE TO DATE NEXT MONTH (PROJECTED) Local Non Local Total 3. ABORIGINAL TRAINEES No. of Aboriginal Trainees employed on the Contract NET CHANGE THIS MONTH CUMULATIVE TO DATE NEXT MONTH (PROJECTED) Local Non Local Total 4. ABORIGINAL BUSINESS PROCUREMENT Total value of procurement from Aboriginal Businesses (excluding GST) THIS MONTH CUMULATIVE TO DATE PERCENTAGE OF TOTAL CONTRACT SPEND (CUMULATIVE) ANTICIPATED FINAL SPEND AT END OF CONTRACT (PROJECTED) Local $ $ % $ Non Local $ $ % $ Total Value (Aboriginal Business) $ $ % $ Total Contract Spend $ $ $ Declaration: I hereby declare that the answers in this report describe our Company’s current performance in respect of Aboriginal Participation for the Contract. I acknowledge the right of Main Roads to further verify our stated performance by audit. Name Signature NOTES ON COMPLETING THIS FORM:
Contractor%20Monthly%20Aboriginal%20Participation%20Report.RCN-D18^23115062.DOCX