USAGE FACTOR CHART AND ESTIMATE OF QUANTITIES FORM UFC
FUEL USAGE FACTOR (GALLONS PER UNIT) 0.25 0.36 0.23 0.16 0.11 0.79 0.10 2.98 2.98 ESTIMATE OF QUANTITIES
DESCRIPTION OF WORK
UNIT
203- ANY ROAD AND DRAINAGE EXCAVATION 203- ANY BORROW EXCAVATION (ROCK) 203- ANY BORROW EXCAVATION (OTHER THAN SOLID ROCK) 203- ANY BORROW EXCAVATION (ROCK) 203- ANY BORROW EXCAVATION (OTHER THAN SOLID ROCK) 303, 309, 312 – ANY AGGREGATE BASE 313, 501 TREATED PERMEABLE BASE OR LEAN CONCRETE BASE 307- ANY BITUMINOUS PLANT MIX BASE (HM) 411- ANY BITUMINOUS CONCRETE SURFACE (HM) 501- ANY PORTLAND CEMENT CONCRETE PAVEMENT (≤10 IN. THICKNESS) 501- ANY PORTLAND CEMENT CONCRETE PAVEMENT (>10 IN. THICKNESS)
CY CY CY Tons Tons Tons SY Tons Tons
0.25
SY
0.30
SY
No payment adjustments for fuel shall be made on any item of work not listed above.
TDOT DESIGN-BUILD PROGRAM
PAGE 1
FORM UFC
ADJUSTMENT DESCRIPTION BITUMINOUS FUEL (PRICE INDEX (IB))
CONTRACT ADJUSTMENT FACTOR $__________ $__________
ESTIMATED AMOUNT ADDED TO FORM SI $___________________ $___________________
The above quantities represent a reasonable estimate of the total quantities anticipated, for each item, as pertaining to fuel and bituminous price adjustments, and are representative of the design proposed in the Technical Proposal submitted under separate cover. OR The Design-Builder elects not to pursue reimbursement for fuel or bituminous price adjustments on this Project.
Signature
Title
Print Name
Date
(Submit this sheet in a separately sealed package with the outer wrapping clearly marked “Fuel and Bituminous Price Adjustments” and deliver with the Proposal Package.)
TDOT DESIGN-BUILD PROGRAM
PAGE 2
FORM UFC