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2012-03-14 CC Packet
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2012-03-14 CC Packet
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Mn/DOT TP -21659 (1 -93) <br /> STATE OF MINNESOTA - DEPARTMENT OF TRANSPORTATION <br /> SUMMARY OF DAILY FORCE ACCOUNT <br /> SUPPLEMENTAL AGREEMENT 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 7/3/2011 to 7/9/2011 Location CRT EC Maintenance during Shutdown Engineer Stantec <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 8 0 $ 30.97 $ 247.76 1 Cat 247B Skid Loader 0.50 $ 26.34 $ 13.17 <br /> 1 Superintendant 3 0 $ 33.97 $ 101.91 1 3/4 ton Pickup 3.00 $11.00 $ 33.00 <br /> • <br /> co <br /> SALES TAX $ - <br /> SUB -TOTAL $ - <br /> Total Overtime PLUS 15% $ - <br /> SUB TOTAL (Taxable Wages) $ 349.67 TOTAL OF MATERIAL $ - <br /> PLUS 62% of Taxable Wage 6:1 1904 (7) SPECIALTY CONTRACTOR <br /> SUB-TOTAL .. Invoice Cost Specialty Contractor $ - , SUB -TOTAL $ 46.17 <br /> Other Labor - related cost chargeable ? (A) $ - @5% = $ - PLUS 012 $ - <br /> to This Supplemental Agreement / Work Order (B) $ - @2% = $ - TOTAL OF EQUIPMENT $ 46.17 <br /> Health and Welfare $ 76.90 TOTAL SPECIALTY CONTR. _ $ - ' COMPUTATION OF PRIME CONTRACTOR <br /> Pension Fund $ 72.16 j 1904(4) MISC COMPENSATION I ALLOWANCE <br /> Other Fringe Benefits $ 6.58 `Type: i.e, dump fees, permits, etc. (A) No Sub @ 10 = $ _ <br /> Travel (B) No Sub ^ @ 2.% _ $ - <br /> Subsistence TOTAL ALLOWANCE (A +B) $ - <br /> TOTAL OF LABOR $ 722.11 (TOTAL MISC. COMP. $ - <br /> GRAND TOTAL 1 $ 768.2$ <br /> Send original and two copies to Central Office with Final Estimate The above report includes only items chargeable to Supplemental Agreement 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 Contractor <br /> invoices must accompany same. <br /> See Const. Manual 5- 591.484 for instructions in preperation. By _____AO g/ <br />
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