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Step Y: Deterilline the total number of hours Worked in the highurtyconstruction.tradeson INUOT <br />federal -aid contracts (either as a prinle contractor or subcontractor) during the past threeyrars. <br />Do not include hours worked on state -funded and private <br />HOURS WORKED DURING 20I5 HOURS 2016 HOURS 20I7 HOURS <br />TOTAL \ 1 <br />Step 2: Add the total number of hours from each year and divide by three (3): <br />2015 2016 2017 <br />AetotcRonrs <br />Step 3: Multiply the "Average Hours' by five percent (5%): <br />Averip Hours 2015'1Yarnins <br />Goal <br />1 hereby agree to all of the terms and conditions contained herein and affirm under penalty and perjury <br />that the information stated above is true and accurate. <br />FOR Off' NTfi"ACTOR USE; <br />l� <br />Ak % <br />FOR INDOT USE _ <br />Pletrse rletae6 Seclioll L7b and rehrrn to 1NDOT clo Katie Draiieis at Ml�� <br />7 <br />