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ICA EXTRA WORK AGREEMENT <br />CONTRACT: 116-001 PROJECT' DivisionB Two-way Streets <br />FORCE ACCOUNT/EXTRA WORK FOR: EWA 026 Paver Band Concrete Stain <br />LABOR 109.04 (a) <br />WEEKENDING: November 29, 2016 <br />EMPLOYEE <br />Regular <br />Oveaime <br />DOUbletime <br />TOTAL <br />RATE <br />EXTENSION <br />0.00 <br />$35.00 <br />$0.00 <br />CRAFT FOREMAN ELKHARTIST JOE <br />82.00 <br />82.00 <br />$32.17 <br />$2,637.94 <br />, CRAFT FOREMAN LAPORTE <br />0.00 <br />$0.00 <br />JOURNEYMAN ELKHART/ST JOE <br />FFINISHER, <br />0.00 <br />$29.92 <br />$0.00 <br />JOURNEYMAN LAPORTE <br />0.00 <br />$0.00 <br />. ELKHART/ ST JOSEPH <br />0.00 <br />$24.15 <br />$0.00 <br />, ESOP <br />0.00 <br />$40,00 <br />$0.00 <br />, FINISHER, ELKHART/ST. JOSEPH <br />0.00 <br />$32.82 <br />$0.00 <br />FOREMAN, FINISHER. LAPORTE <br />0.00 <br />$0.00 <br />FOREMAN, LAPORTE <br />0.00 <br />$0.00 <br />LABORER, ELKHARTI ST. JOSEPH <br />74.00 <br />74.00 <br />$22.62 <br />$1,673.88 <br />LABORER, LAPORTE <br />0.00 <br />$23.62 <br />$0.00 <br />MECHANIC <br />0.00 <br />$35.60 <br />$0.00 <br />OPERATOR ELKHART <br />0.00 <br />$29.15 <br />$0.00 <br />OPERATOR LAPORTE I ST. JOSEPH <br />0.00 <br />$39.85 <br />$0.00 <br />CIA TECH <br />0.00 <br />$30.00 <br />$0.00 <br />PROJECT SUPERINTENDENT <br />0.00 <br />$50.00 <br />$0.00 <br />TEAMSTER <br />0.00 <br />$27.91 <br />$0.00 <br />TOTAL LABOR $4,311.82 (1) <br />FICA 7.65 % X LINE (1) $329.85 (2) <br />FRINGES <br />EMPLOYEE <br />HOURS RATE <br />EXTENSION <br />ENGINEER <br />_ 0_DO _% 1 $12.50 <br />_ 82AD X_� $1344 <br />000 X _ $1344 <br />So x j_ $1344� <br />990 X 1 $1344 <br />0,00 X �_ $1700 <br />__ 0.00 X _ $15.00. <br />0.00 X $13.44 <br />000 % $13.441 <br />_ Boo X I $1700 <br />_000 X$12 961= <br />_ 0.00 ._x �$13.9�-t_27 <br />0.Do X $16.68 <br />� <br />__ <br />_ <br />= <br />=-}IF <br />! _ $0.00 <br />;$1,102.0_8 <br />$0.00 <br />$0.00 <br />__ ___ <br />HER, CRAFT FOREMAN ELKHART _ <br />HER CRAFTFOREMAN LAPORTE _ <br />FINISHER._JOURNEYMANELKHART _ _ _ <br />HER JOURNEYMAN LAPORTE __ <br />MAN ELKHARTIFJJOSEPH _ <br />MAN_ESOP _ <br />-. <br />$0_0_0 <br />IIL $0.0_0 <br />$0.0_0 <br />$0.00 <br />i$0.00MAN <br />I $0.00 <br />$0.00 <br />__ _ <br />MAN. FINISHER, ELKHART I ST. JOSEPH <br />MAN, FINISHER, LAPORTE __ <br />LAPORTE <br />RER ELKH_AR_TI ST. JOSEPH <br />LAPORTE__. <br />_1 <br />= <br />_ <br />$_0.00 <br />$0.00 <br />$0.00 <br />MECHANIC <br />-Iy <br />J <br />-_._.__ <br />OPERATOR ELKHART <br />___ <br />0.00 %_�_$22 <br />71 <br />OPERATORLAPORTEIa_T.JOSEPH_ <br />0.00 X <br />�_ $28151 <br />$000 <br />GATECH <br />vim <br />$000 <br />PROJECTSUPERINTENDENT _ <br />0.00 - %--$125D <br />_ <br />$000 <br />TEAMSTER <br />ODO % j <br />$13.44 <br />- 1 <br />$0.00 <br />TOTALFRINGES $1,102.08 (3) <br />WORKERS COMPENSATION <br />19.60 <br />% <br />Y <br />LINE (1) <br />$845.12 (4) <br />BODILY INJURY INSURANCE <br />2.10 <br />% <br />x <br />LINE (1) <br />$90.55 (5) <br />PROPERTY DAMAGE INSURANCE <br />0.00 <br />% <br />% <br />LINE (1) <br />$0.00 (6) <br />STATE UNEMPLOYMENT <br />4.30 <br />% <br />X <br />LINE (1) <br />$185.41 (7) <br />FEDERAL UNEMPLOYMENT <br />0.80 <br />% <br />% <br />LINE (1) <br />$34.49 (8) <br />TRAVEL ALLOWANCE OR SUBSISTENCE(NOTE 43) <br />$0.00 (9) <br />TOTAL LINES 1. 2, 3,4, 5, 5,7, 889 <br />$6,899.32 (10) <br />20 %x LINE (10) <br />$1,379.86 (11) <br />GRANDTOTAL LABORLINES(10) f(11) <br />$8,279.19 (12) <br />Page 1 of 3 <br />