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Mn/DOT TP -21659 (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 8/7 /2011 to 8/13/2011 Location CRT Sgmnt curbstop (EWA 24492) Engineer Stantec Consulting Inc. <br /> LABOR MATERIAL EQUIPMENT RENTAL <br /> W of Men Position Title I Hrs OT/Hr Pay Rate , Amount No. Kind of Material Rate Amount No. Description Total Hrs Rate Amount <br /> 1 Laborer 3.5 0 $ 30.97 $ 108.40 1 Tractor Trailer Mobe 2.00 $ 150.00 $ 300.00 <br /> 1 Laborer 3.5 0 $ 26.82 $ 93.87 1 304 Mini Hoc 5.50 $22.98 $ 126.39 <br /> 1 Foreman 4.5 0 $ 30.97 $ 139.37 1 Cat 247B Skid Loader 1.50 $ 26.34 $ 39.51 <br /> 1 Truck Driver 2 0 $ 27.10 $ 54.20 1 Cat 950F Loader 1.00 $ 63.36 $ 63.36 <br /> 1 Operator 7 0 $ 30.97 $ 216.79 1 Veit 5 -Axle Dump 2.00 $ 60.00 $ 120.00 <br /> N <br /> SALES TAX $ - <br /> SUB -TOTAL $ - <br /> Total Overtime PLUS 1552 $ - <br /> SUB TOTAL (Taxable Wages) $ 612.62 TOTAL OF MATERIAL $ - <br /> PLUS 62% of Taxable Wage $ 379.82 11904 (7) SPECIALTY CONTRACTOR <br /> SUB -TOTAL $ 992.44 Invoice Cost Specialty Contractor $ - SUB -TOTAL $ 649.26 <br /> Other Labor- related cost chargeable (A) $ - @596 = $ - PLUS 0% $ - <br /> to This Supplemental Agreement / Work Order (B) $ - @2% _ . $ - TOTAL OF EQUIPMENT $ 649.26 <br /> Health and Welfare $ 147.08 TOTAL SPECIALTY CONTR. $ - COMPUTATION OF PRIME CONTRACTOR <br /> Pension Fund $ 134.58 1904(4) MISC COMPENSATION ALLOWANCE <br /> Other Fringe Benefits $ 13.99 Type: i.e. dump fees, permits, etc. (A) No Sub @ 10% _ $ - <br /> Travel (B) No Sub @ ?_7a _ $ _ <br /> Subsistence TOTAL ALLOWANCE (A +B) $ - <br /> TOTAL OF LABOR $ 1,288.09 'TOTAL MISC. COMP. $ <br /> (GRAND TOTAL 1 $ 1 7,,,' +$ <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. <br /> See Const. Manual 5- 591.484 for instructions in preperation. By lV/ ,_211, <br />