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Mn/DOT TP- (1 -93) <br /> STATE OF MINNESOTA - DEPARTMENT 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 8/21 /2011 to 8/27/2011 Location CRT Sgmnt E Regrade 7228 Mill (EWA 24494) 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 Laborer 4.5 0 $ 30.97 $ 139.37 1 Cat 247E Skid Loader 4.00 $ 26.34 $ 105.36 <br /> 1 Foreman 2.5 0 $ 30.97 S 77.43 1 Cat 950F Loader 2.00 $63.36 $ 126.72 <br /> N <br /> W <br /> SALES TAX S <br /> SUB -TOTAL $ <br /> Total Overtime PLUS 15% $ <br /> SUB TOTAL (Taxable Wages) $ 216.79 TOTAL OF MATERIAL $ - <br /> PLUS 62% of Taxable Wage $ 134.4] 1904 (7) SPECIALTY CONTRACTOR <br /> SUB -TOTAL $ 351.20 Invoice Cost S ialty Contractor $ - SUB -TOTAL $ 232.08 <br /> Other Labor - related cost chargeable - @5% = $ - PLUS 0.7a $ - <br /> to This Supplemental Agreement / Work Order (B) $ - @2% = $ - !TOTAL OF EQUIPMENT $ .QS <br /> Health and Welfare $ 46.55 TOTAL SPECIALTY CONTR. S - COMPUTATION OF PRIME CONTRACTOR <br /> Pension Fund $ 44.24 1904(4) MISC COMPENSATION ALLOWANCE <br /> Other Fringe Benefits $ 1.82 ype: i.e. dump fees, permits, etc. (A) No Sub @ 14.2 _ I $ - <br /> Travel (B) , No Sub @ 2% _ $ - <br /> Subsistence TOTAL ALLOWANCE (A +B) $ -. -....k <br /> TOTAL OF LABOR $ 44181 TOTAL MISC. COMP. $ - <br /> GRAND TOTAL J $ 67$.10 <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 Stantec Consulting Inc. Contractor °' <br /> invoices must accompany same. /l1,2 � �� See Const. Manual 5- 591484 for instructions in preperation. By <br />