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A99 <br />On-The-job Training <br />I:a tr m <br />� <br />�.uktE _. <br />Homo 1 Partner.&&-Agreemonis <br />Partnership Agreements <br />Firm Name: Selge Construction Co., Inc. <br />Year. 2022 <br />Training Program: 9JT Program d aannershi0 Aareeh+ento� <br />Step 1: Determine Total Number of Hours worked in High way construction trades on INDOT federal -aid <br />contrects(either as prime contractor <br />or sub contractor during the past three years. Do not include hours worked an state -funded and private <br />work.) <br />Hours Worked During 2018 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 13 135 <br />Average Hours <br />6 <br />2022 Training Goal <br />Approved Training Program: CLA L rjgrtQrncnt2021.2024.odf <br />BS r i1f <br />yyo4 L W <br />RGf <br />I here by agree all the terms and conditions contained herein and affirm under penalty and the pre)ury <br />that the information stated above is true and accurate. <br />Prepared on 1127/2022 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 />1l1 <br />