211x Filetype XLSX File size 0.06 MB Source: www.dot.state.mn.us
State of Minnesota-Department of Transportation SUMMARY OF DAILY FORCE ACCOUNT Page of SUPPLEMENTAL AGREEMENT NO: WORK ORDER No. Contractor/Sub S.P. No. Fed. Proj. No. Engineer Contract No. For Period from/to: LABOR MATERIAL EQUIPMENT RENTAL # Of Men Position Title Hours Pay Rate Amount No. Kind of Material Rate Amount No. Description Total Hours Rate Amount Total Regular Time $0.00 SUB-TOTAL Total Overtime Plus 15% SUB-TOTAL (Taxable Wage) $0.00 TOTAL OF MATERIAL PLUS 62% OF Taxable Wage $0.00 1904(7) SPECIALTY CONTRACTOR SUB-TOTAL $0.00 Invoice Cost Specialty Contractor SUB-TOTAL OtherLabor - Related costs chargeable (A) @5% = Plus % to this Supplemental Agreement/Work Order (B) @2% = TOTAL OF EQUPMENT Health and Welfare TOTAL SPECIALTY CONTR. $0.00Computation of Prime Contractor Allowance Pension Fund 1904(4) MISC. COMPENSATION (A)<$50K @10% $0.00 Other Fringe Benefits Type: i.e. dump fees, permits, etc. (B)>$50K @ 2% $0 Travel TOTAL ALLOWANCE (A + B) $0.00 Subsistence Total of page 1 $0.00 TOTAL OF LABOR $0.00 TOTAL MISC. COMP. GRAND TOTAL ALL PAGES $0.00 Send Original and two copies to Central Office with Final Estimate. All copies The above report includes only items chargeable to Supplemental Agreement No. must be signed by the Engineer, and the Contractor or their Authorized Agent. Work Order No. Note: When material is billed on this sheet, receipted invoices must accompany same. See Const. Manual 5-591.484 for instruction in preparation. Engineer: Contractor: Send Original and two copies to Central Office with Final Estimate. All copies must be signed by the Engineer, and the Contractor or their Authorized Agent. Note: When material is billed on this sheet, receipted invoices must accompany same. See Const. Manual 5-591.484 for instruction in preparation. State of Minnesota-Department of Transportation SUMMARY OF DAILY FORCE ACCOUNT By: Page of SUPPLEMENTAL AGREEMENT NO: WORK ORDER No. Contractor/Sub S.P. No. Fed. Proj. No. Engineer Contract No. For Period from/to: LABOR MATERIAL EQUIPMENT RENTAL # Of Men Position Title Hours Pay Rate Amount No. Kind of Material Rate Amount No. Description Total Hours Rate Amount Total Regular Time $0.00 SUB-TOTAL Total Overtime Plus 15% SUB-TOTAL (Taxable Wage) $0.00 TOTAL OF MATERIAL PLUS 62% OF Taxable Wage $0.00 1904(7) SPECIALTY CONTRACTOR SUB-TOTAL $0.00 Invoice Cost Specialty Contractor SUB-TOTAL OtherLabor - Related costs chargeable (A) @5% = Plus % to this Supplemental Agreement/Work Order (B) @2% = TOTAL OF EQUPMENT Health and Welfare TOTAL SPECIALTY CONTR. $0.00Computation of Prime Contractor Allowance Pension Fund 1904(4) MISC. COMPENSATION (A)<$50K @10% $0.00 Other Fringe Benefits Type: i.e. dump fees, permits, etc. (B)>$50K @ 2% $0 Travel TOTAL ALLOWANCE (A + B) $0.00 Subsistence Total of page 2 $0.00 TOTAL OF LABOR $0.00 TOTAL MISC. COMP. Send Original and two copies to Central Office with Final Estimate. All copies The above report includes only items chargeable to Supplemental Agreement No. must be signed by the Engineer, and the Contractor or their Authorized Agent. Work Order No. Note: When material is billed on this sheet, receipted invoices must accompany same. See Const. Manual 5-591.484 for instruction in preparation. Engineer: Contractor: Send Original and two copies to Central Office with Final Estimate. All copies must be signed by the Engineer, and the Contractor or their Authorized Agent. Note: When material is billed on this sheet, receipted invoices must accompany same. See Const. Manual 5-591.484 for instruction in preparation. State of Minnesota-Department of Transportation SUMMARY OF DAILY FORCE ACCOUNT By: Page of SUPPLEMENTAL AGREEMENT NO: WORK ORDER No. Contractor/Sub S.P. No. Fed. Proj. No. Engineer Contract No. For Period from/to: LABOR MATERIAL EQUIPMENT RENTAL # Of Men Position Title Hours Pay Rate Amount No. Kind of Material Rate Amount No. Description Total Hours Rate Amount Total Regular Time $0.00 SUB-TOTAL Total Overtime Plus 15% SUB-TOTAL (Taxable Wage) $0.00 TOTAL OF MATERIAL PLUS 62% OF Taxable Wage $0.00 1904(7) SPECIALTY CONTRACTOR SUB-TOTAL $0.00 Invoice Cost Specialty Contractor SUB-TOTAL OtherLabor - Related costs chargeable (A) @5% = Plus % to this Supplemental Agreement/Work Order (B) @2% = TOTAL OF EQUPMENT Health and Welfare TOTAL SPECIALTY CONTR. $0.00Computation of Prime Contractor Allowance Pension Fund 1904(4) MISC. COMPENSATION (A)<$50K @10% $0.00 Other Fringe Benefits Type: i.e. dump fees, permits, etc. (B)>$50K @ 2% $0 Travel TOTAL ALLOWANCE (A + B) $0.00 Subsistence Total of page 3 $0.00 TOTAL OF LABOR $0.00 TOTAL MISC. COMP. Send Original and two copies to Central Office with Final Estimate. All copies The above report includes only items chargeable to Supplemental Agreement No. must be signed by the Engineer, and the Contractor or their Authorized Agent. Work Order No. Note: When material is billed on this sheet, receipted invoices must accompany same. See Const. Manual 5-591.484 for instruction in preparation. Send Original and two copies to Central Office with Final Estimate. All copies must be signed by the Engineer, and the Contractor or their Authorized Agent. Note: When material is billed on this sheet, receipted invoices must State of Minnesota-Department of Transportation accompany same. SUMMARY OF DAILY FORCE ACCOUNT See Const. Manual 5-591.484 for instruction in preparation. Engineer: Contractor: By: Page of SUPPLEMENTAL AGREEMENT NO: WORK ORDER No. Contractor/Sub S.P. No. Fed. Proj. No. Engineer Contract No. For Period from/to: LABOR MATERIAL EQUIPMENT RENTAL # Of Men Position Title Hours Pay Rate Amount No. Kind of Material Rate Amount No. Description Total Hours Rate Amount Total Regular Time $0.00 SUB-TOTAL Total Overtime Plus 15% SUB-TOTAL (Taxable Wage) $0.00 TOTAL OF MATERIAL PLUS 62% OF Taxable Wage $0.00 1904(7) SPECIALTY CONTRACTOR SUB-TOTAL $0.00 Invoice Cost Specialty Contractor SUB-TOTAL OtherLabor - Related costs chargeable (A) @5% = Plus % to this Supplemental Agreement/Work Order (B) @2% = TOTAL OF EQUPMENT Health and Welfare TOTAL SPECIALTY CONTR. $0.00Computation of Prime Contractor Allowance Pension Fund 1904(4) MISC. COMPENSATION (A)<$50K @10% $0.00 Other Fringe Benefits Type: i.e. dump fees, permits, etc. (B)>$50K @ 2% $0 Travel TOTAL ALLOWANCE (A + B) $0.00 Subsistence Total of page 4 $0.00 TOTAL OF LABOR $0.00 TOTAL MISC. COMP.
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