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1.16 Annual Train ng:Coal Calculation, and Partnership A reelnent <br />Step 1: Determine the total number of hours worked in the highway construction trades on INDOT <br />federal -aid contracts (either 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 2016 HOURS 2017 HOURS 2018 HOURS <br />TOTAL N ff tom\ ��.�a 31---,Z, r� <br />Step 2: Add the total number of hours from each year and divide by three (3): <br />W w <br />+ +1��,� -3= <br />2016 2017 2018 Avenge Hours <br />Step 3: Multiply the "Average Hours" by five percent (5%): <br />X <br />Average Hours 2019 Training <br />Goal <br />I 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 CONTRACTOR USE <br />Company Name <br />\-134_1 <br />S1 %� i c 1 rwc . r, rA .L <br />FOR INDOT USE <br />authorized Signature Date <br />1/15/19 <br />Katie Daniels, OJT Program Lead <br />o I - <br />Please detach Section 1.16 and return to INDOT c% Katie Daniels at <br />kdanieW QzLin dot.in. gp v. <br />Please submit your approved OJT training program documentation as well. <br />8 <br />