Work Sites & Employees

What is the total number of establishments and work sites to be covered by this certificate?

Work Site(s)

Work Site Name: {{ Name }}

Number of Workers: {{ Employees.Count }}

What type of establishment / work site is this?

Name of establishment / work Site

Address of establishment / work Site

Is Service Contract Act (SCA)-covered work performed at this establishment / work site?

Is work performed at this establishment / work site pursuant to a Federal contract for services or concessions that was entered into on or after January 1, 2015, which indicates that the contract may be subject to Executive Order 13658 (Establishing a Minimum Wage for Contractors)?

Total number of employees who were employed at this establishment / work site at any time during the most recently completed fiscal quarter and received subminimum wages:

Employee(s)

Name of worker	Type of work performed (for employees working more than one job, use job employee worked most hours at subminimum wage)	Primary disability that affects productivity for job described above. Pick only one.	How many jobs did this worker perform at this work site?	Average # of hours worked per week on all jobs at this work site?	Average earnings per hour for all jobs at this work site	Prevailing wage rate for job described above	Productivity measure/rating for job described above	Commensurate wage rate/average earnings per hour for job described above	Total hours worked for job described above	Does worker perform work for this employer at any other work site?
{{ Name }}	{{ WorkType }}	{{ PrimaryDisability.Display }}	{{ NumJobs }}	{{ AvgWeeklyHours }}	{{ AvgHourlyEarnings }}	{{ PrevailingWage }}	{{ ProductivityMeasure }}	{{ CommensurateWageRate }}	{{ TotalHours }}	{{ boolOrString WorkAtOtherSite }}