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0 1 <br />1.16 Annual f"rainank',oalCalctil tlon and PartnershipASre+eirleat <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 />o0 1 31e'�-�,_C:� ,— <br />Step 2: Add the total number of hours from each year and divide by three (3)°: <br />+ 1�331, + �� _3— <br />2016 2017 2018 Average Hours <br />Step 3: Multiply the "Average Hours" by five percent (5%): <br />m <br />1 , N-1 I X OS-3"1_9� <br />Average Hours 2019 Training <br />Goal <br />I hereby agree to all of the terms and conditions contained herein and affirm lender penalty and perjury <br />that the information stated above is true and accurate. <br />FOR CONTRACTOR USE FOR INDOT USE <br />Company Name I Authorized signature Data <br />1/15/19 <br />Authorized signature Date Katie Daniels, OJT Program Lead <br />\'13-1 <br />Please detach Section 1.16 and return to INDOT c% Katie Daniels at <br />irdanie1,Y. s�@t i n do t, in, gov. <br />Please submit your approved OJT training program documentation as well. <br />8 <br />