Attestatlon by Employers Usin Allen
W
US. Department of Labor
Crewmembers for Longs hore ctivlties
Employment and Training Administration
In US. Ports
US. Employment Service
3. Telephone (Area Code and Number)
I
8. EMPLOYER ATESTATION
OMB Approval No. 1205-0309
Expires: 109/30/2007 -
1. Full Legal Name of Company
7. Telephone (Area Code and Number)
4. Name of Chief Executive Officer
There is no collective bargaining agreement in effect in the port covering at least 30 percent of the longshore workers.
5. Name of U.S. Agent
Fax (Area Code and Number)
(If accompanying documentation supporting each one of the following three attestation elements (8(a), 8(b), and 8(c))
is not attached, attestation will be deemed incomplete and will be returned without action.)
2. Headquarters Address
(No., St., City, Town, State, ZIP Code, Country)
Alien crewmembers will be used beginning
to perform the following activities of longshore work at the port
Month/Day/Year
of
, and it is the prevailing practice to use alien crewmembers for each of the following
Name of Port, City, and State
6. US. Business Address of Agent
(No., St., City, State, ZIP Code)
activities to be performed at this port, i.e., those marked "Yes" (a "Yes" or "No" box must be checked for each activity):
Yes
No
(i)
Loading cargo
0
[7
(ii)
Unloading cargo
(iii) Operation of cargo-related equipment
[7
(iv) Handling of mooring lines
(v) Check this box if claiming an unanticipated emergency (include documentation to support claim).
On the date this attestation is signed and submitted, there is not a strike or lockout in the course of a labor dispute at this port and,
during the period of this attestation's validity, I will not use alien crewmembers in my employ to perform any longshore activity during
a strike or lockout; and the employment of such aliens is not intended or designed to influence an election for a bargaining
representative for longshore workers at the port.
As of this date, notice of this attestation has bee