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On -The -job Training 7 E3 <br />HOME HELP CONTACT <br />MENU <br />Welcome ALLISON SJINEHART <br />Home / PartnershloAareements <br />Partnership Agreements <br />Firm Name: <br />Selge Construction Co., Inc. <br />Year. <br />2023 <br />Training Program: <br />O.rT Pmnnram & Pannerahro Agreement odf <br />Stop 1: <br />Determine Total Number of Hours worked In High way construction trades on INDOT federal-ffid <br />oontracts(etiher as prime contractor <br />or sub contractor during the past three years. Do not include hours worked on statEi4nded and privets <br />work.) <br />Hours Worked During 2020 Hours 2021 Hours 2022 Hours <br />Total 0 403 12 <br />Step 2: <br />Step 3: <br />Add the total number of hours from each year and divide It by three (3): <br />0 403 12 <br />2020 2021 2022 <br />Murdply the "Average Hours" by five percent (5%): <br />138 5% <br />Average Hours <br />415 /3 138 <br />a <br />Average Hours <br />6 <br />2023 Training Goal <br />Approved Training Program: Labof g.aAmnnz2021 Io 107a.Pd' <br />Reafstered Aprrerdica Stds.gdf <br />Work pFAC&5s kahnre d Rd[ <br />Work Pfom -t oye-atorq <br />Oi here by agree an tyre terms and cond'A;nns rantaimed herein and affirm under penalty and the pre)ury <br />that the Mformatton stated above Is true and accurate. <br />Prepared on 1/11/2023 11:04:33 AM bySWINEHART.ALLISON <br />Approved on ZM2023 835:53 AM by Daniels, Kathryn <br />• Fields with the color background are required <br />Endlana Department of Transportation <br />Version:1.0.0 <br />1/1 <br />