Spreadsheet: 15ef6f42-65a1-4bec-8134-a5ba9dcfe875
Sheet: Sheet1

Contract No. | Unnamed: 1 | Unnamed: 2 | Unnamed: 3 | Unnamed: 4 | Unnamed: 5 | Unnamed: 6 | Unnamed: 7 | Unnamed: 8 | Unnamed: 9 | Unnamed: 10 | Unnamed: 11 | Unnamed: 12 | Unnamed: 13 | Unnamed: 14 | Unnamed: 15 | Unnamed: 16 | Unnamed: 17 | Unnamed: 18 | STATE OF NEVADA | Unnamed: 20 | Unnamed: 21 | Unnamed: 22 | Unnamed: 23 | Unnamed: 24 | Unnamed: 25 | Unnamed: 26 | Unnamed: 27 | Unnamed: 28 | Unnamed: 29 | Unnamed: 30 | Unnamed: 31 | Unnamed: 32 | Unnamed: 33 | Unnamed: 34 | Unnamed: 35 | Unnamed: 36 | Unnamed: 37 | Unnamed: 38 | Unnamed: 39 | Unnamed: 40 | Date Performed | Unnamed: 42 | Unnamed: 43 | Unnamed: 44 | Unnamed: 45 | Unnamed: 46 | Unnamed: 47 | Unnamed: 48 | Unnamed: 49 | Unnamed: 50
DEPARTMENT OF TRANSPORTATION
Change Order No. |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Report No. |  |  |  |  |  |  |  |  | of
DAILY COSTS OF FORCE ACCOUNT
Description of Work:
Agreement Estimate Breakout No. |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Item No.
(LABOR) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Classification |  |  |  |  |  |  |  |  |  | Hour |  |  |  |  | Rate |  |  |  |  | Vacation |  |  |  |  | Remote |  |  |  |  | Total
Name |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Area Pay
Rates verified against payroll no. |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Total Payroll
for contractor: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Labor Surcharge (see special provisions) @ |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 22.75 |  |  | %
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | ( |  |  |  |  |  |  |  | ) | other fringe benefits @ |  |  |  |  |  |  |  |  |  |  |  |  | /hr. for |  |  |  |  |  | hrs.
for week ending: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | ( |  |  |  |  |  |  |  | ) | other fringe benefits @ |  |  |  |  |  |  |  |  |  |  |  |  | /hr. for |  |  |  |  |  | hrs.
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | ( |  |  |  |  |  |  |  | ) | other fringe benefits @ |  |  |  |  |  |  |  |  |  |  |  |  | /hr. for |  |  |  |  |  | hrs.
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | ( |  |  |  |  |  |  |  | ) | other fringe benefits @ |  |  |  |  |  |  |  |  |  |  |  |  | /hr. for |  |  |  |  |  | hrs.
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | ( |  |  |  |  |  |  |  | ) | other fringe benefits @ |  |  |  |  |  |  |  |  |  |  |  |  | /hr. for |  |  |  |  |  | hrs.
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Subsistence and/or travel
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Subtotal……..…….…..…..…..………..
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | + | 25 |  |  | % on labor costs…….........
Verified by: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Total cost of labor…..….……..………. |  |  |  |  |  |  |  |  |  |  |  |  |  |  | (A)
(EQUIPMENT)                               Description |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Year |  |  | Page No. |  |  |  | Hours |  |  | Rate
Rental rates obtained from: |  |  |  |  |  |  |  |  |  |  |  |  | Bluebook |  |  |  |  |  | Other (explain) |  |  |  |  |  |  |  |  |  |  |  |  | Subtotal……..………..…...…..………..
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | + | 20 |  |  | % on equipment costs........
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Total cost of equipment.……..….……. |  |  |  |  |  |  |  |  |  |  |  |  |  |  | (B)
(MATERIALS) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Invoice No.
Approved: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Subtotal……..………..…...…..………..
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | + | 10 |  |  | % on material costs...........
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Sales tax (if paid) |  |  |  |  |  |  |  | 8.25 |  |  | %..........
State's Representative |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Title |  |  |  |  |  |  |  |  |  |  |  |  | Total cost of materials…….…....…..… |  |  |  |  |  |  |  |  |  |  |  |  |  |  | (C)
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Total (A)+(B)+(C)…...……......…….…
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Rates and extensions by
Contractor's Representative |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Title |  |  |  |  |  |  |  |  |  |  |  |  | Checked by
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Payment no.