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On -The -job Training <br />HOME HELP CONTACT <br />MEM <br />N21mme ALLISON SWINEHART <br />tj= / PartnershlraAgreeements <br />Partnership Agreements <br />Firm Nams: <br />Selge Constriction Co., Inc. <br />Yser: <br />2024 <br />Training Program: <br />4,IiP[29ram 8 Fartnerstrlp A m emeI <br />Slap 1: <br />Determine Total Number of Hours worked in High way construction trades on <br />INDOT fedemkild oontrects(elther as prime contractor <br />or sub contractor during the past three years. Do not Include hours worked on <br />smte4unded and private work) <br />Hours Worked During 2021 Hours 2022 Hours 2023 Hours <br />Total 403 12 12 <br />Slap 2: <br />Add the total number of hours from each year and divide It by three (3): <br />403 12 12 427 142 <br />+ + a /3 = <br />2021 2022 2023 Average Hours <br />Step 3: <br />Multiply the Average Hours' by five percent (5%): <br />142 5% 7 <br />a <br />2024 Training <br />Average Hours Goal <br />Approved Training Program: <br />ill 1 here by agree all the terms and corndits contained nemin and affirm <br />J under penalty and do prejury that the intrmatlon sna!ad above Is true <br />and accurate. <br />Prepared an 111MO2411:28:43 AM by SWINEHART, ALLISON <br />Approved on 1/31/2024 9:15:52 AM by Daniels, Kathryn <br />• Fields with this color background are required <br />Indiane Department of Trmsportatlon <br />Varslonr 1.0.0 <br />1/1 <br />