Contract No.
                                                                                               Workforce Contact                                           
                                                                                                Inspection Report                                     Route
                                                                                                                                                           
                                                                                                                                                      Section
                                                                                                                                                           
                 Prime Contractor                      Subcontractor                Name of Firm                                                      Federal-Aid Project Number
                                                                                                                                                           
                 Follow-up Required                                                 County                                       Goals:          Female - 6.9%                Percent Complete
                                                                                                                                                 Minority -                        
          Dollar Amount of Contract                               Beginning Const. Date                        Estimated Peak Employment                                Estimated Completion Date
                                                                                                       Month and Year            No. Of Employees                   
                                                                                                                                      
                                                                                                Employment Data
                                                                                                         Table A
                                                                                                                                      American 
                                                      Total               Total                                                         Indian/                                  Appren-                 On
          Job Categories                         Employees             Minorities              Black                Asian              Alaskan              Hispanic               tices              the Job
          Employees                                                                                                                     Native                                                       Trainees
                                                  M          F         M          F         M          F         M          F         M          F         M          F         M         F          M         F
          Officials (Managers)                                                                                                                                                                                  
          Supervisors                                                                                                                                                                                           
          Foremen                                                                                                                                                                                               
          Clerical                                                                                                                                                                                              
          Equipment Operators                                                                                                                                                                                   
          Mechanics                                                                                                                                                                                             
          Truck Drivers                                                                                                                                                                                         
          Ironworkers                                                                                                                                                                                           
          Carpenters                                                                                                                                                                                            
          Cement Masons                                                                                                                                                                                         
          Electricians                                                                                                                                                                                          
          Pipefitters,  Plumbers                                                                                                                                                                                
          Painters                                                                                                                                                                                              
          Laborers                                                                                                                                                                                              
                                                                                                                                                                                                                
                                                                                                                                                                                                                
          TOTAL                                                                                                                                                                                                  
                                                                                                         Table B
          Apprentices                                                                                                                                                 
          On The Job Trainees                                                                                                                                         
                                                                                                    Deficiencies
          1.        Underutilization of Minorities as:               Operators             Teamsters             Carpenters             Cement Masons                Iron Workers              Laborers
          2.        Underutilization of Females as:                  Operators             Teamsters             Carpenters             Cement Masons                Iron Workers              Laborers
          3.        Training          No. Required                                         No Minorities/Females                   Too few Minorities/Females                            Insufficient Training
          4 .       Bulletin Board             O.K.          Not Posted              EEO Posters              Wage-Rates               Name of EEO Officer &                   List of Subcontractors &
                                                                                                                                       Company EEO Policy                      EEO Officers
          5.        Other Deficiencies (describe)
          6.        Recommendations & Comments
               
                                                                                                         
                               Company Official’s Signature                                                  Date                        Illinois Department of Transportation Official’s Signature
          IL 494-0429                                                                                                                                                                  SBE 750 (Rev. 10/97)