LCP-AR~

LABOR COMPLIANCE PROGRAM ANNUAL REPORT

Formatfor Awarding Body that enforces its own Labor Compliance Program for all projects (Labor Code §1771.5(a»

(mmJddlyyyy)

1. Name of Labor C!:omp1iance Program (LCP) :

Rocklin Unified School District

Report for the reporting period 2/1/2009 ~ 1/31/2010; I;CI/... " .. ,\

2. LCP J.D. Numbt (assigned by DIR):

2004.00391

3. Date of Initial Approval:

February 10, 2004

4. Contact person qnclude name, title, address, telephone, fax, and e-mail, ifa.vailable):Linda Tayl~r . Ph: 916 630 3188Admin. Assfstant . '. Fax: 916 624 7246Rocklin Untfied School Distirct Email: ltaylor@rocklin.kI2.ca.us2615 Sierra'Meadows Drive . i.

I .Rocklin, C~ 95677

5. Did LCP perfonjn any LC § 1771.5 enforcement activities during the 12 months in the reporting period?

Please check onti: Xfr Yes

rNo

If Yes, proceed to item 6 on the next page

If No, complete the information below, sign the form and submit to DIR, Office of the Director, Attn: LCP Special Assistant,

455 Golden Gate Avenue, 10th Floor, San Francisco CA 94102

What suggestions ~o you have for the Department of Industrial Relations to better assist you with your program in the coming year? (attach additional sheets ifnecessary)

SU~M~TED B~:

~Ad~J

~.-Signature {j

Linda Taylor, Admin. Asst., Facilities

Name and Title

May 5, 2010

Date

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LCP-AR26. LC § 1771.5 en orcement activities (provide all information requested, attaching as many sheets as necessary).

A. List projects ha dIed by LCP within the past 12 months.

Project Name Bid Advertisement Date Prime Contractor Contract Amount

Sunset Rand Elementary April 27. 2007 Roebbelen Construction InC' $'1) ~L..q nnn nn....'.

~:.,.;.'o~.:'ft.;...:;:.<;,.:;{< ;:~.'"Total

B. List any proiect subiect to the limited exemotion clause ofLC § 1771.5(a), if applicable.

Project Name Description of Project Contract Amount

I

Total ~_t.I~~lif4~i~~tii;i;~~~l\t~ifI~_~~;;:~~~~~~~i.i

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C. Summary of all wages and penalties assessed and/or recovered.Approval of

Affected ContractorAmount Amount

ForfeitureProject Narne (who directly employed the

Assessed RecoveredRequested from Description of Violation

worker) LaborCommissioner?

CYes rNo

CYes rNo

QYes rNa

CYes rNa

lJ Yes rNa

rYes rNo

r:J Yes rNa

DYes rNa

Total ~~_t(~lrllltgJ~f:j~tt.m _ft~~~ti~~~$f~~~l~~_~~llii~~t&i~~

D. For any amount i~entified in item C for which approval of forfeiture not requested from the Labor Commissioner, please explain below.

Project Name Amount AssessedAmount

ExplanationRecovered

Total

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E. For any amount i ientified in item C for which approval of forfeiture was requested from the Labor Commissioner, please provide the following:

Project Amount Assessed Amount RecoveredName LC §1776(g) LC § 1775 LC § 1813 Wages Total LC § 1776(g) LC § 1775 LC § 1813 Wages Total

Total

F. Identify cases tha are or were the subject ofLC § 1742 proceedings.

Project Name Contractor Nature ofViolation ODL Case # Current Status

G. Did you refer an' contractor to the Labor Commissioner for debarment per LC § 1777.1?

Please check one: rYes xIiC No..

Ifyes, identify a !rected contractor(s) or subcontractor(s) and date(s) of referral:

H. Did you refer am apprenticeship violation to the Division of Apprenticeship Standards (DAS)?

Please check one: rYes xIX No

If yes, identify a "'ected contractor(s) or subcontractor(s) and date(s) of referral:

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