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ICA EXTRA WORK AGREEMENT <br />CONTRACT: 116-001 PROJECT: Division A, Two -Way Streets <br />FORCE ACCOUNT/EXTRA WORK FOR: EWA 013 Palmer Sewer Tie -In <br />LABOR 109.04 (a) <br />WEEKENDING: November 162016 <br />MPLOYEE <br />Regular <br />TOTAL <br />RATE <br />EXTENSION <br />INEER <br />0.00 <br />$35.00 <br />$0.00 <br />SHER, CRAFT FOREMAN ELKHARTIST JOE0.00 <br />$32.17 <br />$0.00 <br />SHER, CRAFT FOREMAN LAPORTE <br />0.00 <br />$0.00 <br />HER, JOURNEYMAN ELKHARTIST JOE <br />0.00 <br />$29.92 <br />$0.00 <br />SHER, JOURNEYMAN LAPORTE <br />0.00 <br />$0.00 <br />EMAN, ELKHARTI ST. JOSEPH <br />8.00 <br />12.50 <br />$24.15 <br />$356.21 <br />EMAN, ESOP <br />0.00 <br />$40.00 <br />$0.00 <br />EMAN, FINISHER, ELKHART/ST. JOSEPH <br />0.00 <br />$32.82 <br />EMAN, FINISHER, LAPORTE <br />FrEAMSTER <br />IDoublelme <br />0.00 <br />$0.00 <br />EMAN, LAPORTE <br />0.00 <br />$0.00 <br />RER, ELKHART/ST. JOSEPH <br />8.00 <br />12.50 <br />$22.62 <br />$333.65RER, <br />LAPORTE <br />0.00 <br />$23.62 <br />$000 <br />HANIC <br />0.00 <br />$35.60 <br />$0.00 <br />RATOR ELKHART <br />000 <br />$2915 <br />$0.00 <br />RATOR LAPORTE I ST. JOSEPH <br />moo <br />12.50 <br />$39.85 <br />$587.79 <br />ECH <br />0.00 <br />$30.00 <br />$0.00 <br />ECT SUPERINTENDENT <br />0.00 <br />$50.00 <br />$0.00 <br />STER <br />0.00 1 <br />$27.911 <br />$0.00 <br />TOTAL LABOR $1,277.65 (1) <br />FICA 7.65 %x LINE (1) $97.74 (2) <br />FRINGES <br />EMPLOYEE <br />HOURS <br />I RATE <br />I <br />EXTENSION <br />ENGINEER _ <br />FINISHER CRAFT FOREMAN ELKHART <br />0.00 x <br />_ $12.50 <br />1 $1344 <br />$1344� <br />IF- $13441 <br />_$1344� <br />$1700T-.$212.50 <br />$15.00� <br />$13.441 <br />__ $13.44t <br />I $1700 <br />= <br />$0.00 <br />0,00 x <br />000 %� <br />000 X <br />0.00 % <br />12,60 x <br />0,00 x <br />0,00 X <br />x <br />_ <br />$0.00 <br />FINISHER CRAFT FOREMAN LAPORTE <br />$0.00 <br />FINISHER JOl1RNEYMANELKHART <br />$0.00 <br />FINISHER JOURNEYMAN LAPORTE <br />$D.Og <br />FOREMAN ELKHARTI ST. JOSEPH <br />FOREMAN ESOP _ <br />FOREMAN FINISHER ELKHARTIST JOSEPH <br />__- <br />_ <br />FOREMAN LAPORTE <br />FOREMAN LAPORTE _ _ <br />_. _ <br />LABORER, ELKHART/ST. JOSEPH <br />_ <br />= <br />= <br />$0.00 <br />$0.00 <br />I $0.00 <br />11 $0.00 <br />$0.00 <br />_0__00 <br />0.00 <br />0.00 X <br />0.00_ X$1296 <br />_ <br />LABORER, LAPORTE <br />0.00 _ X I <br />$13_96 <br />___ <br />= <br />_ <br />MECHANIC <br />0.00 x <br />$16.68 <br />= <br />_$0.00 <br />$0.00 <br />OPERATOR ELKHART <br />0.00 x <br />$22_71 <br />= <br />$0.00 <br />OPERATOR LAPORTE I ST. JOSEPH <br />_ _i <br />12.50_ x <br />$2_8.15 <br />- <br />$351.88 <br />_ <br />OA TECH <br />0.00 �X <br />^$12.50 <br />= <br />$0.00 <br />__ <br />PROJECT SUPERINTENDENT <br />0.00-__x-$12.50 <br />- <br />$0.00 <br />TEAMSTER <br />0.00 x <br />$13.44 <br />- <br />$0.00 <br />TOTAL FRINGES _ $564.38 (3) <br />WORKERS COMPENSATION <br />19.60 <br />% <br />x <br />LINE 11) <br />$250.42 (4) <br />BODILY INJURY INSURANCE <br />2.10 <br />% <br />x <br />LINE (1) <br />$26.83 (5) <br />PROPERTY DAMAGE INSURANCE <br />0.00 <br />% <br />x <br />LINE (1) <br />$0.00 (6) <br />STATE UNEMPLOYMENT <br />4.30 <br />% <br />x <br />LINE 0) <br />$54.94 (➢) <br />FEDERAL UNEMPLOYMENT <br />0.80 <br />% <br />x <br />LINE (1) <br />$10.22 (6) <br />TRAVEL ALLOWANCE <br />OR SUBSISTENCE(NOTE M3) <br />$0.00 <br />(9) <br />TOTAL LINES 1, 2, 3, 4, <br />5, 6, ], 8 8 9 <br />$2,282.17 <br />(10) <br />20%x LINE(10) <br />$456.43 <br />(11) <br />GRAND TOTAL LABOR <br />LINES (10) ♦ (11) <br />$2,738.60 <br />(12) <br />Page 1 of 3 <br />