Attachment 5

 

Rouge River National Wet Weather Demonstration Project
Community Watershed Project Monthly Progress Form
(Due to RPO by 20th of following month)

Progress as of: ____________
Month, Year

Community / Agency: _________________________________________________________________

Project Name: _________________________________________________________________

Minority/Women Business Enterprises (MBE/WBE) Summary

A.

CONTRACTS AWARDED Contract

Dollar

Amount

% of

Total

Contracts

  Total

Costs

Incurred

% of

Total

Costs

Reported

  Non-MBE/WBE Cost $

%

  $

%

  MBE/WBE Cost $

%

  $

%

  TOTALS $

%

  $

%

B.

LISTING OF MBE/WBE COSTS          
    $     $  
    $     $  
    $     $  
    $     $  
    $     $  
    $     $  
    $     $  
  TOTALS $     $  

Certification: I certify that to the best of my knowledge and belief, the data in this report is correct and that all outlays were made in accordance with the grant conditions or other agreements, and that payment is due and has not been previously requested. Also, having reviewed the certified payrolls submitted by the contractor, I find them to be in compliance with the requirements of the "Davis-Bacon Act".

 

______________________________________ _______________
Authorized Community/Agency Representative Signature Date

 

______________________________________ _______________
Name of Representative Title

 


Please address all comments and suggestions about the contents of this Web page to rougeweb@co.wayne.mi.us.

The Rouge River National Wet Weather Demonstration Project is funded, in part, by the United States Environmental Protection Agency (EPA) Grants #XP995743-01, -02, -03, -04, -05, -06, -08 and C-264000-01.