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MNDOT 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 EQUIPMENT _ <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 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 Hoe 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 Li% $ - <br /> SUB TOTAL (Taxable Wages) $ 612.62 TOTAL OF MATERIAL <br /> PLUS 62% of Taxable Wage $ 379.82 1904 (7) SPECIALTY CONTRACTOR <br /> SUB -TOTAL $ 992.44, Invoice Cost Specialty Contractor $ - SUB -TOTAL $ 649.26 <br /> Other Labor - related cost chargeable (A) $ - @5% = $ - PLUS Q% $ _ <br /> to This Supplemental Agreement / Work Order (B) $ - @2% = $ - TOTAL OF EQUIPMENT $ <br /> Health and Welfare $ 1 47.08 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 @ 152 = I $ _ <br /> Travel (B) No Sub @ 252 } $ _ <br /> Subsistence TOTAL ALLOWANCE (A +B) $ - <br /> TOTAL OF LABOR $ 1,283.09 TOTAL MISC. COMP. $ - <br /> 1GRAND TOTAL 1 $ j . "{ <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 it- [:)31 ____Zii., <br />