2012-03-14 CC Packet (2) - Laserfiche WebLink

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Mn/DOT TP -21659 (1.93) STATE OF MINNESOTA - DEPARTMENT OF TRANSPORTATION SUMMARY OF DAILY FORCE ACCOUNT WORK ORDER No. 1 Sheet 1 of 1 S.P. No. 02- 090-01 Fed Proj No. Contract No. 2010 -0601 Contractor / Sub. Veit Construction For Period from 8/21/2011 to 8/27/2011 Location CRT Main Park Install PVC Sleeve (EWA 24498) Engineer Stantec Consulting Inc. LABOR MATERIAL EQUIPMENT RENTAL # of Men Position Title Hrs OT/Hr Pay Rate Amount No. Kind of Material Rate Amount No. Description otal H ; Rate Amount 1 Laborer 2.5 0 $ 30.97 $ 77.43 60 LF4" PVC $ 1.10 $ 66.00 1 Cat 247B Skid Loader 1.50 $ 29.76 $ 44.64 1 Foreman 0.5 0 $ 30.97 $ 15.49 1 Cat 305 CR Mini Hoe 2.00 $ 27.30 $ 54.60 N N SALES TAX $ 4.70 SUB -TOTAL $ 70.70 Total Overtime PLUS 15% $ 10.61 SUB TOTAL (Taxable Wares) $ 92.91 'TOTAL OF MATERIAL $ 8131 PLUS of Taxable Wale $ 57.60 1904 (7) SPECIALTY CONTRACTOR SUB -TOTAL $ 150.51 jInvoice Cost S I - ialty Contractor $ - SUB -TOTAL 5 99.24 Other Labor - related cost chargeable (A) $ - @5% = $ - ;PLUS Q°d¢ $ - to This Supplemental Agreement / Work Order (B) $ - @2% = $ - OTAL OF EQUIPMENT $ 99.24 Health and Welfare $ 19.95 TOTAL SPECIALTY CONTR. $ - COMPUTATION OF PRIME CONTRACTOR Pension Fund $ 18.96 , 1904(4) MISC COMPENSATION ALLOWANCE Other Fringe Benefits $ 0.78 ' ype: i.e. dump fees, permits, etc. (A) No Sub @ 14 - $ _ Travel (B) No Sub @ 2Ya = $ 1 Subsistence TOTAL ALLOWANCE (A +B) $ TOTAL OF LABOR $ 190.20 TOTAL MISC. COMP. $ - GRAND TOTAL I $ 370 Send original and two copies to Central Office with Final Estimate The above report includes only items chargeable to Work Order No. 1 All coppies must be signed by the engineer, and the Contractor or their Authorized Agent. Note: When material is billed on this sheet, receipted Engineer Stantec Consulting Inc. Contractor invoices must accompany same. �f See Const. Manual 5- 591.484 for instructions in preperation. By ,[4 _____2_,I