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I.16 Araaaitaa�I "1"i1^ai>raiirag+da��at 'la:talatroat aiattt 1'z�i°`�ner�Faa�i A��temaatnt . <br />Step 1: Determine the total number of hours worked in the highway couastl`taction trades on INDOT <br />federaat-aid, contracts (cither as a prime contractor or subcontractor) during the past three years, <br />Do not include hours worked on state -funded and private work, <br />HOURS WORKED DURING 2015 HOURS <br />_. 2016HOURS 2017 HOURS <br />TOTAL `"\�. -. 4� \%4 31. o0 <br />Step 2: Add the total number of hours from each year and divide by three (3): <br />1�.Sc3 + "`-4,� + 3= <br />2015 2016 2017 Average Hours <br />Step 3: Multiply the "Average Hours" by five percent (5%): <br />X 1 .05 <br />Average Hours <br />2018 Training <br />Goal <br />I hereby agree to all of the terns and conditions contained herein and affirm under penalty and perjury <br />that the information stated above is true and accurate. <br />FOR CONTRACTOR USE <br />FOR INDOT USE <br />n\A �.,k, o— <br />C <br />Please detach Section 1.16 and return to INDOT clo Katie DaWels at lydcrnielamkrloa:in. near <br />7 <br />ILI <br />