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On -The -job Training e7 e <br />MEND HUi1P N@L� �OiVTRC; <br />lhdcome ALUSClN 1 JMN5NAR7 <br />Home / Partnership reaments <br />4". <br />Firm Name: Selge Construction Co., Inc. <br />Year: 2021 <br />Training Program: 2021 OJT Program & Partnerslnlp Agreement_pdf <br />Step 1: Determine Total Number of Hours worked in High way construction trades on INDOT federal -aid <br />contracts(eilher as prime contractor <br />or sub contractor during the past three years. Do not include hours worked on state -funded and private <br />work.) <br />Hours Worked During 2018 Hours 2019 Hours 2020 Hours <br />Total 3596 4 0 <br />Step 2: <br />Step 3: <br />Approved Training Program: <br />Add the total number of hours from each year and divide it by three (3): <br />3596 4 0 <br />2016 2019 2020 <br />Multiply the "Average Hours" by five percent (5%): <br />1200 5% <br />Average Hours <br />3600 /3 1200 <br />Average Hours <br />60 <br />2021 Training Goal <br />I here by agree all the terms and conditions contained herein and affirm under penalty and the prejury <br />that the information stated above is true and accurate. <br />Prepared on 04/20/2021 04:04:40 by SWINEHART, ALLISON <br />Approved on 04/22/2021 06:04:57 by Daniels, Kathryn <br />" Fields with this color background are required <br />Indiana Department of Transportation <br />Version: 1.0.0 <br />1/1 <br />