Quarterly Report

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DBE/MBE/WBE/VBE Subcontractor Inclusion

Goal: 15%

Quarterly Construction Report

Date *

Desc. of Work *

Description of Work – HVAC, Plumbing, Electrical, Etc… Example: Barclay Flooring

Pr. Con. *

Prime Contractor

TAmt PTD *

Total Amount Paid to Prime Contractor to Date

Name of D/M/V/W *

DBE/MBE/VBE/WBE Subcontractor

Cert. * — DBE MBE VBE WBE

Type Certification

D/M/V/W Amt. *

DBE/MBE/VBE/WBE Subcontract Amount

D/M/V/W PTD *

DBE/MBE/VBE/WBE Paid To Date

D/M/V/W % PTD

DBE/MBE/VBE/WBE Paid % To Date

D/M/V/W % PT

Projected Total % DBE/MBE/VBE/WBE

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