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Mn/DOT 1 9 (1 -93) <br /> STATE OF MINNESOTA - D... ARTMENT OF TRANSPORTATION <br /> SUMMARY OF DAILY FORCE ACCOUNT <br /> WORK ORDER No. 1 Sheet 1 of 1 <br /> S.P. No. 02- 090-01 Fed Proj No. Contract No. 2010 -0601 Contractor / Sub. Veit Construction <br /> For Period from 5/29 /2011 to 6/4/2011 Location CRT Segment E (7216 Mill Rd) Engineer Stantec Consulting Inc. <br /> LABOR MATERIAL EQUIPMENT RENTAL <br /> # of Men Position Title Hrs _ OT/Hr Pay Rate Amount No. Kind of Material Rate Amount No. Description Total Hrs Rate Amount <br /> 1 Foreman 1 0 $ 32.27 $ 32.27 4 1 1/2" Rock $ 20.90 $ 83.60 <br /> 1 Laborer 1 0 $ 28.32 $ 28.32 <br /> N <br /> SALES TAX $ 5.96 <br /> SUB -TOTAL $ 8 9.56 <br /> Total Overtime PLUS 15% $ 13,43 <br /> SUB TOTAL (Taxable Wages) $ 60.59 TOTAL OF MATERIAL $ 102.99 <br /> PLUS 62% of Taxable Wage $ 37.57 1904 (7) SPECIALTY CONTRACTOR <br /> SUB -TOTAL $ 98.16 Invoice Cost Specialty Contractor $ - SUB -TOTAL $ _ <br /> Other Labor - related cost chargeable (A) $ - @5% = $ - PLUS a% $ - <br /> to This Supplemental Agreement / Work Order (B) $ - @2% = $ - TOTAL OF EQUIPMENT $ ' <br /> Health and Welfare $ 14.25 TOTAL SPECIALTY CONTR. $ - COMPUTATION OF PRIME CONTRACTOR <br /> Pension Fund $ 13.52 1904(4) MISC COMPENSATION ALLOWANCE <br /> J <br /> Other Fringe Benefits $ 1.76 ype: i.e. dump fees, permits, etc. (A) - No Sub @ .M.Ta = $ _ <br /> Travel (B) No Sub @ 2 = $ _ <br /> Subsistence TOTAL ALLOWANCE (A +B) $ <br /> TOTAL OF LABOR $ 127.69 TOTAL MISC. COMP. $ <br /> GRAND TOTAL 1 $ ; i" i ' <br /> Send original and two copies to Central Office with Final Estimate The above report includes only items chargeable to Work Order No. 1 <br /> All coppies must be signed by the engineer, and the Contractor <br /> or their Authorized Agent. <br /> Note: When material is billed on this sheet, receipted Engineer St. tec C. sultin • Inc. Contractor �� Q <br /> invoices must accompany same. <br /> See Const. Manual 5- 591.484 for instructions in preperation. By IP/ 4 <br />