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ICA EXTRA WORK AGREEMENT <br />CONTRACT: 116.001 PROJECT' Division B Two -Way Streets <br />FORCE ACCOUNT/EXTRA WORK FOR: EWA 025 Traffic Signal Cabinet Rewire <br />LABOR 109.04 (a) <br />WEEKENDING: September6 2016 <br />EMPLOYEE <br />Regular <br />Overtime <br />Double0me <br />I TOTAL <br />I RATE <br />I EXTENSION <br />ENGINEER <br />0.00 <br />$35,00 <br />$0.00 <br />FINISHER, CRAFT FOREMAN ELKHARTIST JOE <br />0.00 <br />$32.17 <br />$10.00 <br />FINISHER, CRAFT FOREMAN LAPORTE <br />0.00 <br />$0.00 <br />FINISHER, JOURNEYMAN ELKHARTIST JOE <br />0.00 <br />$29.92 <br />$0.00 <br />FINISHER, JOURNEYMAN LAPORTE <br />0.00 <br />$0.00 <br />FOREMAN, ELKHART/ ST. JOSEPH <br />0,00 <br />$24.15 <br />$0.00 <br />FOREMAN, ESOP <br />0.00 <br />1 $40.001 <br />$0.00 <br />FOREMAN, FINISHER, ELKHART I ST. JOSEPH <br />0.00 <br />$32.821 <br />$0.00 <br />FOREMAN, FINISHER, LAPORTE <br />0.00 <br />1 $0.00 <br />FOREMAN, LAPORTE <br />0.00 <br />$0.00 <br />LABORER, ELKHART/ ST. JOSEPH <br />4.00 <br />4.00 1 <br />$22.62 <br />$90.48 <br />LABORER, LAPORTE <br />1 <br />0.00 1 <br />$23.62 <br />$0.00 <br />MECHANIC <br />0.00:$27.91 <br />.60 <br />$0.00 <br />OPERATOR ELKHART <br />0.00.15 <br />$0.00 <br />OPERATOR LAPORTE I ST. JOSEPH <br />0.00 <br />$0.00 <br />OA TECH <br />0.00.00 <br />$0.00 <br />PROJECTSUPERINTENENT <br />4.00 <br />4.00.00 <br />$200.00 <br />TEAMSTER <br />0.00 <br />$0.00 <br />TOTAL LABOR $290.48 (1) <br />FICA 7.65 % x LINE(1) $22.22 (2) <br />FRINGES <br />EMPLOYEE <br />HOURS <br />RATE <br />EXTENSION <br />INEER_ <br />000 <br />_ 000 <br />000 <br />_ 000 <br />000 <br />% <br />% <br />X <br />% <br />X <br />= <br />$0.00 <br />_ <br />SHER, CRAFT FOREMAN ELKHART <br />_$_12.50 <br />$13.44 <br />$13.44 <br />$13.44 <br />=_ <br />_ <br />= <br />$0.00 <br />$0.00 <br />$0_00 <br />SHER, CRAFT FOREMAN LAPORTE <br />SHER JOURNEYMAN ELKHART <br />_ _ <br />SHER JOURNEYMAN LAPORTE <br />$1344 <br />$0.00 <br />_ _ <br />EMAN EL101ARTl ST. JOSEPH <br />_ <br />_ <br />$17.00 <br />1 <br />$0.00 <br />EMAN, ESOP <br />0.00 <br />x <br />$15.00 <br />= <br />_ _ <br />EMAN, FINISHER, ELKHARTII ST. JOSEPH <br />0.00_TX <br />t <br />1344 <br />1 <br />_$0.00 <br />$0.00 <br />ANyFINISHER_LAPORTE <br />fNH <br />0.00 <br />% <br />$13.44 <br />$0.0EMAN, <br />LAPORTE _ _ <br />ODD <br />�$770�0 <br />$0.00 <br />RER, ELKHARTI ST_JO6EPH <br />p 00 <br />000 <br />% <br />$12_961 <br />$13.96 = <br />$0.00 <br />$0.00 <br />RER, LAPORTE <br />HANIC <br />0.00 <br />% <br />$16.68 _ <br />$0.00 <br />RATOR ELKHART <br />000 <br />% : <br />$22 71 J <br />$0.00 <br />RATOR LAPORTE I ST. JO6EPH <br />000 <br />X f <br />$28 151 = <br />$0.00 <br />ECH <br />ODO <br />X� <br />$12 50 = <br />$0.00 <br />_ <br />JECT SUPERINTENDENT <br />--_I <br />4.00 <br />X I <br />$12.50 = <br />$so.69 <br />STER <br />0.00 <br />X <br />$13.441 = <br />$0.00 <br />TOTAL FRINGES $50.00 (3) <br />WORKERS COMPENSATION <br />19_60 <br />% X <br />LINE (1) <br />$56.93 <br />(4) <br />BODILY INJURY INSURANCE <br />2.10 <br />% X <br />LINE (1) <br />$6.10 <br />(5) <br />PROPERTY DAMAGE INSURANCE <br />0.00 <br />% % <br />LINE (1) <br />$0.00 <br />(6) <br />STATE UNEMPLOYMENT <br />4.30 <br />% % <br />LINE (1) <br />$12.49 <br />IT) <br />FEDERAL UNEMPLOYMENT <br />0.80 <br />% % <br />LINE (1) <br />$2.32 <br />(8) <br />TRAVEL ALLOWANCE OR SUBSISTENCE(NOTE <br />M3) <br />$0.00 <br />(9) <br />TOTAL LINES 1, 2, 3, <br />4, 5, 6, 7, <br />B 8 9 <br />$440.55 <br />(10) <br />20%xUNE(10) <br />$88.11 <br />(11) <br />GRAND TOTAL LABOR LINES <br />(10)+ (11) <br />$528.66 <br />(12) <br />Page 1 of 3 <br />