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Subcontractor Disclaimer

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					Subcontractor & Tiered
Subcontractor Daily Report
981 Iowa Avenue, Suite A
Riverside, CA 92507
Phone 951-781-8055 Fax 951-781-1077
www.caconstruction.net                                                                          Daily Report Page 1 of 2
GENERAL INFORMATION
Foreman                                                   Date                       Time                      Time
                                                                                     Start                     Stop
Company                                                   A.M. Weather

Address                                                   A.M. Temperature

City, State, Zip                                          P.M. Weather

Project Name                                              P.M. Temperature




AREA AND DESCRIPTION OF WORK PERFORMED TODAY

                   Work Location and Description                        Employee                       Classification        Hours




                                                                                             Total hours worked today

                                                              Cumulative total work hours from previous report

                                                                      Total work hours from start of construction



SAFETY

Was a job site safety meeting held today?          Yes   No      If yes, attach a copy of the meeting minutes.

Were there any lost time accidents today?          Yes   No      If yes, attach a copy of the completed OSHA reports.

Were all safety requirements met?                  Yes   No      If applicable, attach a statement or checklist of inspection(s).

Were there any problems or incidents on the job?   Yes   No      If yes, provide complete details, including names and witnesses.
Subcontractor & Tiered
Subcontractor Daily Report
981 Iowa Avenue, Suite A
Riverside, CA 92507
Phone 951-781-8055 Fax 951-781-1077
www.caconstruction.net                                                                   Daily Report Page 2 of 2

PRODUCTION

                      Construction Equipment On Site Today                          Time of Day Used         Hours Used




                       Equipment/Material Received Today                                         Delivery Time




COMMENTS




DISCLAIMER AND SIGNATURE

I certify that my answers are true and complete to the best of my knowledge.




Print Name                                                                               Title




Foreman/Authorized Signature                                                             Date

Complete Subcontractor Daily Reports every day before leaving the job site. Submit ALL originals daily to the CA
Construction superintendent. Reports must then be submitted by the Subcontractor daily via fax to 951-781-1077 or
emailed to cac@caconstruction.net as a PFD attachment to the attention of Accounting and Project Management. Hours
reported must match Certified Payroll Reports. It is recommended that a copy of each Subcontractor Daily Report be
submitted to your company's payroll department as well.

				
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