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1.16 Annual Training Coal Calculation and Partnership ,Agreement <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 I 2016 HOURS 2017 HOURS 2018 HOURS <br />TOTAL <br />Step 2: Add the total number of hours from each year and divide by three (3): <br />+ r`t+ 3��s.Sc� _ 1��c� —3— �31 <br />2016 2017 2018 Avenge Horns <br />Step 3: Multiply the "Average Hours" by five percent (5%): <br />1 3�3 1 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 />Naine <br />Audtorizcd Signature Datc <br />r°rauci4 cann ar ,mic ` <br />Tc CV11uoc Nwue&r &olioi rAddfcss, <br />S't Y i i �i a' wr CN r, V• . �1­ �, .. ra C v� - w <br />FOR INDOT USE <br />4uthorized Signoture Date <br />1/15/19 <br />Katie Daniels. OJT Program Lead <br />L< <^r r V <br />C <br />Please detach Section 1.16 and return to INDOT c% Katie Daniels at <br />kelaniels i)in ot. in. ov. <br />Please submit your approved OJT training program documentation as well. <br />8 <br />