Apprenticeship Project

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April 06, 2016

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PUBLIC WORKS CONTRACT AWARD INFORMATION

Contract award information must be sent to your Apprenticeship Committee if you are approved to train. If you are not approved to train, you must send the Information (which may be this form) to ALL applicable Apprenticeship Committees In your craft or trade In the area of the site of the public work. Go to: http://www.dlr.ca.gov/das/PubllcWorksForms.htm for Information about programs In your area and trade. You may also consult your local Division of Apprenticeship Standards (DAS) office whose telephone number may be found In your local directory under California, State of, Industrial Relations, Division of Apprenticeship Standards.

Do not send this form to the Division of Apprenticeship Standards.

NAME OF YOUR COMPANY

Inland Building Construction Companies, Inc.

CONTRACTOR'S STATE LICENSE NO

405281

MIIUNG ADDRESS. NUMBER & STREET,CITY, ZIP CODE

323 S. Sierra Way, San Bernardino, CA 92408

AREA CODE & TELEPHONE NO.

909-***-****

NAME &ADDRESS OF PUBUO WORKS PROJECT

Jefferson MS Mod - Specialties

21717 Talisman Street

Torrance, CA 90503

DATE YOUR CONTRACT EXECUTED

9/2/15

DATE OF EXPECTED OR ACTUAL START OF PROJECT

9/2015

NAME & ADDRESS OF PUBUC AGENCY AWARDING CONTRACT

Torrance Unified School District

2335 Plaza Del Amo

Torrance, CA 90501

ESTIW.TED NUIJBER OF JOURNEYMEN HOUR

268

OCCUPATION OF APPRENTICE

Carpenter

THIS FORM IS BEING SENT TO:(NAME & ADDRESS OF APPRENTICESHIP PROORAM(S))

ESTIMATED NUM

APPROXIW.T

9/2

BER OF APPRENTICE HOURS

Carpenters Apprenticeship Committee

533 South Freemonth Avenue, Suite 104

Los Angeles, CA. 90071

Fax 213-***-****

E DATES TO Be EMPLOYED

015-8/2016

This is not a request for dispatch of apprentices.

Contractors must make a separate request for actual dispatch, in accordance with Seal/on 230.1(a) California Code of Regulations

1. IK 'l

Check One Of The Boxes Below

We are already approved to train apprentices by the Southwest Regional Council of Carpenters

Apprenticeship Committee. We will employ and train under their Standards. Enter name of the Committee

2. D We will comply with the standards of

Apprenticeship Committee for the duration of this job only. Enter name of the Committee

3.o We will employ and train apprentices in accordance with the California Apprenticeship Council regulations, Including § 230.1 (c) which requires that apprentices employed on public projects can only be assigned to

perform work of the craft or trade to which the apprentice is registered and that the apprentices must at all times work with or under the direct supervision of journeyman/men.

Signature

Typed Name Nicole Campos

Date 9/3/15

Tille Labor Compliance Coordinator

DAS 140 (REV.1Al4)

State of California - Department of IndustrialRelations DIVISION OF APPRENTICESHIP STANDARDS

TRA JSMISSION VERIFICATIOl REPORT

TIME NAME FAX TEL SER.#

09/03/2015 12:32

INLAND BUILDI JG CO

909-***-****

BROD7J535422