Attachment 6

 

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

Progress as of: October, 1997
Month, Year

Community/Agency: Rouge Watershed Community

Project Name: Example Watershed Community Project

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 $ 92,000

92 %

  $ 50,000

91 %

  MBE/WBE Cost $ 8,000

8 %

  $ 5,000

9 %

  TOTALS $ 100,000

100 %

  $ 55,000

100 %

B.

LISTING OF MBE/WBE COSTS          
  XYZ Co. (MBE) $ 6,000     $ 3,000  
  ABC Co. (WBE) $ 2,000     $ 2,000  
    $     $  
    $     $  
    $     $  
    $     $  
    $     $  
  TOTALS $ 8,000     $ 5,000  

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

 


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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.