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Mn/DOT 21860 EE0-6 <br />MINNESOTA DEPARTMENT OF TRANSPORTATION <br />OFFICE OF CIVIL RIGHTS <br />CERTIFICATION OF ON-THE-JOB TRAINING HOURS <br />FEDERAL -AID -PROJECTS <br />Contractor: submit original and one copy monthly to the project engineer <br />CONTRACTOR <br />ADDRESS <br />TRAINEE <br />AMOUNT OF CLAIM <br />REPORTING PERIOD: <br />S.P. NO. (LOW): <br />F.P. NO.: <br />HOURS WORKED HOURS WORKED TOTAL HOURS <br />PREVIOUSLY THIS PERIOD TO DATE <br />Progress of Trainee(s) ❑Excellent <br />HOURS @ PER HOUR = $ <br />Very Good ❑Good ❑Below Good <br />COMMENTS (Please detail any supplementary training offered): <br />CONTRACTOR: <br />The undersigned contractor hereby certifies that the listed employees are bonafide trainees as required by the On - <br />the -Job Training Special Provision and that they have worked the hours as reported above. <br />Contractor Signature/Title Date <br />PROJECT ENGINEER: <br />I hereby certify that the On -the -Job training hours reported above have been reviewed and found correct. <br />Engineer Signature/Title Date <br />EEO Page 24 <br />