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					State of California - Department of Transportation EXTRA WORK BILL (SHORT FORM) Date Performed :d: 03/23/07 WORK PERFORMED BY : Elijah Electric Date of Report : 04/06/07 Cont. Job No.: Contract No. Cont. RPT NO. EE1469 CCO NO.

DESCRIPTION OF WORK: locate broken conduit, repair and back fill EQUIPMENT Equip No. TK-07 tk-10 EQUIPMENT CLASS/MAKE truck truck Code Hours/ Units 8 8 Hrly/Dly Rate $20.94 $20.94 Delay Factor Extended Amount $167.52 $167.52 P.R. No. LAB ISMAEL AVILA labr JOSE MORENO LABOR

LABORERS, FOREMANS, etc. Hours Reg 8 8 O.T. Hourly Rate Reg $44.00 $41.00 O.T. Extended Amount $352.00 $328.00

Equipment Sub-Total
MATERIAL and/or WORK done by specialists Description PHOENIX EQUIPTMENT RENTALS Units INVOICE Unt Cst 856

$335.04
Labor Surcharge Total Subsistence Reg. 13%

Sub-Total
O.T. 12%

$680.00
$88.40

$856.00

Travel Expense Other Total Cost of Labor Total Cost of Equipment Total Cost of Material Markup on Labor Cost (22%) Markup on Equipment (15%) $768.40 $335.04 $856.00 $169.05 $50.26 $128.40

Material & Specialist Sub-Total

$856.00

Markup on Material (15%)

Total This Report

$2,307.14

d53cf6ba-ac44-4440-8842-0ea35cf0830b.xlsForce Account Analysis

9/5/20082:03 PM

Sheet1

DATE LAB DRILLER HELPER LABORER DRIL. RIG. TRUCK TRUCK WATER TANK PIPE $35.95 $30.83 $30.83 $100.00 $6.67 $11.61 $2.82 $0.75

10/18/1996 10/21/1996 10/22/1996 10/23/1996 10/24/1996 10/25/1996 10/26/1996 11/2/1996 11/5/1996 11/6/1996 11/7/1996 11/12/1996 10 11 3 3 3 3 3 3 0 8 8 8 8 8 8 6 6 6 6 3 3 3 3 3 3 300 7 7 9.5 9.5 6.5 6.5 10 10

TOTAL 85 86 6 85 11 85 67 6000

EQUIPMENT

10 11 10

8 8

8 8 8 0

8 8 8 0

6 6 6 450

6 6 6 1500

7 7 7 600

9.5 9.5 9.5 0

6.5 6.5 6.5 600

10 10 10 1800

MATERIAL

250

500

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