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On -The -job Training <br />PAriJD Hof& HELP CONTACT <br />W,_,ka;ne AU V OJN SWIN HART <br />Home / Partnership --Agreements <br />Partnership Agreements <br />Firm Name: Selge Construction Co., Inc. <br />Year: 2022 <br />Training Program: OJT Program & Partnership-6greement.pd <br />Step 1: Determine Total Number of Hours worked in High way construction trades on INDOT federal -aid <br />contracts(either 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 2019 Hours 2020 Hours 2021 Hours <br />Total 4 0 403 <br />Step 2: <br />Step 3: <br />Add the total number of hours from each year and divide it by three (3): <br />4 0 403 <br />2019 2020 2021 <br />Multiply the "Average Hours" by five percent (5%): <br />135 5 <br />Average Hours <br />407 /3 135 <br />Average Hours <br />6 <br />2022 Training Goal <br />Approved Training Program: CIA Labor Agreement 2021-2024.pd <br />aegisteredAporentice Stds.pd <br />Work Proou5s13harQr_s.pdf <br />Work Process Ogerators.gd <br />j./ 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 1/27/2022 3:10:32 PM by SWINEHART, ALLISON <br />Approved on 2/15/2022 11:34:15 AM 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 />