View Job Order
Total Page：16
File Type：pdf, Size：1020Kb
OMB Approval: 1205-0466 Expiration Date: 8/31/2022 H-2A Agricultural Clearance Order Form ETA-790A U.S. Department of Labor A. Job Offer Information 1. Job Title * Ag Equipment Operator a. Total b. H-2A Period of Intended Employment 2. Workers Needed * 2 2 3. Begin Date * 9/22/2021 4. End Date *12/20/2021 5. Will this job generally require the worker to be on-call 24 hours a day and 7 days a week? * If “Yes”, proceed to question 8. If “No”, complete questions 6 and 7 below. Yes No 6. Anticipated days and hours of work per week * 7. Hourly work schedule * ✘ AM 50 a. Total Hours 9 c. Monday 9 e. Wednesday 9 g. Friday a. ____7 : _____00 PM AM 0 b. Sunday 9 d. Tuesday 9 f. Thursday 5 h. Saturday b. ____5 : _____00 ✘ PM Temporary Agricultural Services and Wage Offer Information 8a. Job Duties - Description of the specific services or labor to be performed. * (Please begin response on this form and use Addendum C if additional space is needed.) Performs duties like: drive and operate farm machinery to plant, cultivate, harvest and store grain crops. Attach farm implements, such as plow, disc and drill to tractor. Till soil; plant and cultivate grain. Tow harvesting equipment. Drive and operate self-propelled combine. General lubrication, service (check fluids) and mechanical repair to farm machinery. Drive grain trucks to transport crops to elevator or storage area. Repair and maintain farm machinery. Welding. Equipment: Tractor Trailers,Dodge PickUp trcuks, 91 Ford F-350, Grain Augers - various sizes, Case IH 3330 Sprayer, Case IH 400 Steiger, Case IH 435 Quadtrac, Case IH 450 Steiger, Case IH 9380 Quadtrac, Case IH620 Steiger, CAT 938G Loader,CAT D4H Dozer, Dry Fertilizer Spreader, Drago 12 Row Header, Dump Trailer, Many Farmalls (Hs, Ms, 300s, 350s, 400s, 450s, 460s), Ford 555 Backhoe, Grain Cart, Hobart Gas Powered Welder, Hotsy Pressure Washer, Forklifts, International Off-Road Dump Truck, JD 4555 Tractor, JD 620F Header, JD 622F Header, JD, 635FD Header, JD 7600 Tractor, JD 7800 w/loader, JD 7800 w/o loader, JD 792 Excavator, JD S680, Combine, JD 9610 Combine, JD 9610 Combine Dual, JD Balers, JD Corn Planter, 24-row, JD, CX-15 Rotary Mower, JD Field Cultivator, JD Gator 825, JD Hydro 185 Riding Lawn Mower, JD Seed Drill, JD Z-Trak Mower - Z950R, JLG Scissor, Lift, King Cutter Pull-behind mower, K-line speed till, Krause, Tillage: Chisel Plows, Disc, Field Cultivator, NH Bale Truck, NH Baler, Post Hole, Digger, Pro-Till 26, Rock Pickers, Rollers, Seed Tender, Side Dresser, Tile Equipment: plow, carts Crops: Corn, Soy Beans, Wheat 8b. Wage Offer * 8c. Per * 8d. Piece Rate Offer § 8e. Piece Rate Units/Special Pay Information § 14 99 ✘ HOUR $ ______.___ $ ______.___ MONTH 9. Is a completed Addendum A providing additional information on the crops or agricultural Yes No activities and wage offers attached to this job offer? * 10. Frequency of Pay. * ✘ Weekly Biweekly Monthly Other (specify): ______N/A ______________ 11. State all deduction(s) from pay and, if known, the amount(s). * (Please begin response on this form and use Addendum C if additional space is needed.) All deductions as required by law. Form ETA-790A FOR DEPARTMENT OF LABOR USE ONLY Page 1 of 8 H-300-21204-481371 Full Certification 08/16/2021 H-2A Case Number: ____________________ Case Status: __________________ Determination Date: _____________ Validity Period: _____________ to _____________ OMB Approval: 1205-0466 Expiration Date: 8/31/2022 H-2A Agricultural Clearance Order Form ETA-790A U.S. Department of Labor B. Minimum Job Qualifications/Requirements 1. Education: minimum U.S. diploma/degree required. * ✘ None High School/GED Associate’s Bachelor’s Master's or Higher Other degree (JD, MD, etc.) 2. Work Experience: number of months required. * 3 3. Training: number of months required. * 0 4. Basic Job Requirements (check all that apply) * ✘ a. Certification/license requirements g. Exposure to extreme temperatures ✘ ✘ b. Driver requirements h. Extensive pushing or pulling ✘ ✘ c. Criminal background check i. Extensive sitting or walking ✘ ✘ d. Drug screen j. Frequent stooping or bending over ✘ ✘ e. Lifting requirement _____60 ___ lbs. k. Repetitive movements 5a. Supervision: does this position supervise 5b. If “Yes” to question 5a, enter the number Yes No the work of other employees? * of employees worker will supervise. § 6. Additional Information Regarding Job Qualifications/Requirements. (Please begin response on this form and use Addendum C if additional space is needed. If no additional skills or requirements, enter “NONE” below) * See Addendum C C. Place of Employment Information 1.Address/Location * 2380 Scottsville Road 2. City * 3. State * 4. Postal Code * 5. County * Scottsville New York 14546 Monroe 6. Additional Place of Employment Information (If no additional information, enter “NONE” below) * Employer owned work site 7. Is a completed Addendum B providing additional information on the places of employment and/or agricultural businesses who will employ workers, or to whom the employer will be providing workers, Yes No attached to this job order? * D. Housing Information 1. Housing Address/Location * 880 North Road 2. City * 3. State * 4. Postal Code * 5. County * Scottsville New York 14546 Monroe 6. Type of Housing * 7. Total Units * 8. Total Occupancy * House 1 5 9. Housing complies or will comply with the following applicable standards: * ✘ Local ✘ State ✘ Federal 10. Additional Housing Information. (If no additional information, enter “NONE” below) * Employer owned house, 5 bedrooms, 5 beds, accommodates 5 people. 11. Is a completed Addendum B providing additional information on housing that will be provided to workers attached to this job order? * Yes No Form ETA-790A FOR DEPARTMENT OF LABOR USE ONLY Page 2 of 8 H-300-21204-481371 Full Certification 08/16/2021 H-2A Case Number: ____________________ Case Status: __________________ Determination Date: _____________ Validity Period: _____________ to _____________ OMB Approval: 1205-0466 Expiration Date: 8/31/2022 H-2A Agricultural Clearance Order Form ETA-790A U.S. Department of Labor E. Provision of Meals 1. Describe how the employer will provide each worker with 3 meals a day or furnish free and convenient cooking and kitchen facilities. * (Please begin response on this form and use Addendum C if additional space is needed.) Workers will purchase food and prepare meals in a fully equipped kitchen, provided by the employer. Employer will make sure workers have access to a grocery store at least once per week. ✘ WILL NOT charge workers for such meals. 2. If meals are provided, the employer: * WILL charge workers for such meals at $ ______ . _____ per day per worker. F. Transportation and Daily Subsistence 1. Describe the terms and arrangement for daily transportation the employer will provide to workers. * (Please begin response on this form and use Addendum C if additional space is needed.) For the entire duration of the work contract, transportation from the housing location to the work site and back each day will be provided at no cost to the worker. 2. Describe the terms and arrangements for providing workers with transportation (a) to the place of employment (i.e., inbound) and (b) from the place of employment (i.e., outbound). * (Please begin response on this form and use Addendum C if additional space is needed.) The employer will permit workers to select any means of transportation they choose and provide reimbursement upon arrival at the farm for all inbound and outbound transportation at no less than the most economical and reasonable common carrier transportation charge for the distance involved. This may include plane, train, bus and automobile. a. no less than 13 17 per day * 3. During the travel described in Item 2, the employer will pay for $ ______ . _____ or reimburse daily meals by providing each worker * b. no more than $ ______55 . _____00 per day with receipts Form ETA-790A FOR DEPARTMENT OF LABOR USE ONLY Page 3 of 8 H-300-21204-481371 Full Certification 08/16/2021 H-2A Case Number: ____________________ Case Status: __________________ Determination Date: _____________ Validity Period: _____________ to _____________ OMB Approval: 1205-0466 Expiration Date: 8/31/2022 H-2A Agricultural Clearance Order Form ETA-790A U.S. Department of Labor G. Referral and Hiring Instructions 1. Explain how prospective applicants may be considered for employment under this job order, including verifiable contact information for the employer, or the employer’s authorized hiring representative, methods of contact, and the days and hours applicants will be considered for the job opportunity. * (Please begin response on this form and use Addendum C if additional space is needed.) Referrals accepted from local Job Service, Word-of-mouth, gate hires etc. Order holding office to refer applicants. Office hrs 8-5pm CT time, Mon-Fri, at 585-571-9090. The actual employment offer is at the sole discretion of the employer. Referrals will be accepted from the State Workforce Agencies (SWAs) by calling (877) 466-9757, directly from applicants, walk-ins, gate hires, and from other sources. SWAs should thoroughly familiarize each applicant with the job specifications and terms and conditions of employment before a referral is made. Workers must meet all of the following criteria: 1. Are available and indicate willingness to work the entire season. 2. Have transportation to job site at start of season. Transportation costs will be reimbursed. 3. Have been fully apprised by the local employment office of the terms, conditions, and nature of employment. 4. Are legally entitled to work in the U.S. 5. Are able, willing and qualified to perform the work. Worker must possess documentation required to enable employer to comply with the employment verification requirements of IRCA. Accurate completion of Form I-9 will be required of each worker within (3) days of employment pursuant to U.S.