Day of Week Monda DAILY REPORT OF CONSTRUCTION. Date Contract id Financial Project ID Inspector AP W A8 01 Ron Bach.
|
|
- Hubert White
- 6 years ago
- Views:
Transcription
1 STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION DAILY REPORT OF Page 1 of 3 Date Contract id Financial Project ID Inspector AP W A8 01 Ron Bach Hi h Tem AM Conditions PM Conditions j Low Tem 1 Acci nts o Yes See Accident Re ort Dated Day of Week Monda Contract Day 263 Total Days 270 Contractors and Personnel Name T e Hrs T pe Hrs T e Hrs 1 Prime Supt Foreman l 2 Sub Utility Supt Foreman 3 Sub Utility Supt Foreman 4 Sub Utility Supt Foreman Contractor s E ui ment Active or Idle Contr Sub Equipment ID Descri tion Pieces Used Used
2 Boa oia s Page 2 of 3 Date Contract ID AP W16 Estimated Work Performed Contr Line Item Pay Item lime AM PM Insta lled Sub Code Location Be innin Endin O Units EFFECTS OF WEATHER ON MAJOR WORK ITEMS CHECK CONTROLLING ITEMS No Effect Affected Less Than 50 Affected More Than 50 No Work Major and or Controlling Work Items All Day of Work Day Of Work Day All Day PURSUIT OF THE WORK YES NO CONTRACTOR PAST PERFORMANCE CONFORMANCE WITH CONTRACT DOCUMENTS YES NO TECHNICIAN SIGNATURE AND RATING HOURS AT JOB SITE TOTAL HOURS FROM 7 am TO pm 8 ENGINEER IN CHARGE NAME RANK AND INIT ALS DATE DISTRIBUTION Original Project Engineer Copy Contractor as requested
3 Page 3 of3 Date Contract ID Financial Project ID Inspector AP W A8 01 Ron Bach Attachment Pa e Accidents Day of Week Contract Day Total Days No Yes See Accident Report Dated Monda ContrlSub Contractor s E ui ment Active or Idle Equipment ID Descri tion Pieces Used Used
4 STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION DAILY REPORT OF Page 1 of 3 Date Contract ID Financial Project ID Inspector AP W A8 01 Ron Bach Hi h Tem AM Conditions PM Conditions Low Tem r S S RrG t 4 Acc ents No Yes See Accident Re ort Dated Day of Week Tuesda Contract Day 264 Total Days Prim Name Supt T e Contractors and Personnel 1 Hrs T e Foreman Hrs T e L1 2 2 Sub Utility Supt Foreman J 3 Sub Utility Supt Foreman Hrs 4 Sub Utility Supt Foreman Semi skilled Common Trainee Contractor s E ui ment Active or Idle Contr Sub Equipment ID Descri tion Pieces Used Used r
5 oaoia s Page 2 of 3 Date Contract ID AP W16 Estimated Work Performed Contr Line Item Pay Item Time AM PM Insta lled Sub Code Location Be innin Endin Q Units EFFECTS OF WEATHER ON MAJOR WORK ITEMS CHECK CONTROLLING ITEMS No Effect Affected Less Than 50 Affected More Than 50 No Work Major and orcontrollin Work Items All D ay of Work Day Of Work Day Alf Day dc r I I1 n n PURSUIT OF THE WORK YES NO CONTRACTOR PAST PERFORMANCE CONFORMANCE WITH CONTRACT DOCUMENTS YES NO TECHNICIAN SIGNATURE AND RATING HOURS AT JOB SITE TOTAL HOURS r c aom O Pm 8 ENGINEER IN CHARGE NAME RANK AND INITIALS DISTRIBUTION Original Project Engineer Copy Contractor as requested DATE
6 oaoas Page 3 of 3 Date Contract ID Financial Project ID Inspector AP W A8 01 Ron Bach Attachment Pa e Accidents Day of Week Contract Day Total Days No Yes See Accident Report Dated Tuesda Contractors E ui ment Active or Idle Contr Equipment ID Descri tion Pieces Used Used
7 STATE OF FLORIDA DEPARTMENT OFTRANSPORTATION DAILY REPORT OF Page 1 of 3 Date Contract ID Financial Project ID Inspector AP W A8 01 Ron Bach Hi h Tem AM Conditions PM Conditions Low Tem Acci nts o Yes See Accident Re ort Dated Day of Week Wednesda Contract Day 265 Total Days Prime Name Supt T e Contractors and Personnel Hrs T e Foreman Hrs T e Hrs 2 Sub Utility Supt Foreman 1 3 Sub Utility Supt Foreman 4 Sub Utility Supt Foreman Contractor s E ui ment Active or Idle Contr Equipment ID Descri tion Pieces Used Jt t Used
8 looas Page 2 of 3 Date Contract ID AP W16 Estimated Work Performed Contr Line Item Pay Item Time AM PM Insta lled Sub Code Location Be innin Endin Ot Units EFFECTS OF WEATHER ON MAJOR WORK ITEMS CHECK CONTROLLING ITEMS No Effect Affected Less Than 50 Affected More Than 50 No Work Major and or Controlling Work Items All Day of Work Day Of Work Day All Day SL nl I n n PURSUIT OF THE WORK YES NO CONTRACTOR PAST PERFORMANCE CONFORMANCE WITH CONTRACT DOCUMENTS YES NO TECHNICIAN SIGNATURE AND RATING HOURS AT JOB SITE TOTAL HOURS FROM 7 am TO 4 pm 8 ENGINEER IN CHARGE NAME RANK AND INITIALS DISTRIBUTION Original Project Engineer Copy Contractor as requested DATE
9 oo ai s Page 3 of 3 AlldGl1ff16f1I F8 Date Contract ID Financial Project ID Inspector AP W A8 01 Ron Bach Accidents Day of Week Contract Day Total Days No Yes See Accident Report Dated Wednesda Contractors E ui ment Active or Idle Contr Sub Equipment ID Descri tion Pieces Used Used
10 STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION DAILY REPORT OF Page 1 of 3 Date Contract ID Financial Project ID Inspector AP W A8 01 Ron Bach Hi h Tem 4 AM Co lit ons PM Co itions Low Tem u Acc ents o Yes See Accident Re ort Dated Day of Week Thursda Contract Day 266 Total Days Contractors and Personnel Name T e Hrs T e Hrs T e Hrs 1 Prime Supt Foreman 2 Sub Utility Supt Foreman 3 Sub Utility Supt Foreman 4 Sub Utility Supt Foreman Contractors E ui ment Active or Idle Contr Sub Equipment ID Descri tion Pieces Used Used
11 oaoia s Page 2 of3 Date Contract ID AP W16 Estimated Work Performed Contr Line Item Pay Item Time AM PM Insta lled Sub Code Location Be innin Endin O Units EFFECTS OF WEATHER ON MAJOR WORK ITEMS CHECK CONTROLLING ITEMS No Effect Affected Less Than 50 Affected More Than 50 No Work Major and or Controlling Work Items All Day of Work Da Of Work Day All Day PURSUIT OF THE WORK YES NO CONTRACTOR PAST PERFORMANCE CONFORMANCE WITH CONTRACT DOCUMENTS YES NO TECHNICIAN SIGNATURE AND RATING HOURS AT JOB SITE TOTAL HOURS FROM 7 am TO 4 pm 8 ENGINEER IN CHARGE NAME RANK AND INITIALS DISTRIBUTION Original Project Engineer Copy Contractor as requested DATE
12 I I goo oio is Page 3 of 3 Date Contract ID Financial Project ID Inspector AP W A8 01 Ron Bach Attachment Pa e Accidents Day of Week Contract Day Total Days No Yes See Accident Report Dated Thursda Contr Sub Equipment ID s Equipment or Idle Description Pieces Used Used
13 STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION DAILY REPORT OF loo Otat3 Page t of 3 Date Contract ID Financial Project ID Inspector AP W A8 01 Ron Bach Hi h Tem 2 G AM Conditions P Conditions Low Tem o Acci nts o Yes See Accident Re ort Dated Day Frida of Week Contract Day 267 Total Days 270 Contractors and Personnel Name T e Hrs T e Hrs T e Hrs 1 Prime Supt Foreman t Semiskilled Common Trainee 2 Sub Utility Supt Foreman 1 J 3 Sub Utility Supt Foreman 4 Sub Utility Supt Foreman Contractors E ui ment Active or Idle Contr Sub Equipment ID Descri tion Pieces Used Used J ul
14 oo oi as Page 2 of 3 Date Contract ID AP W16 Estimated Work Performed Contr Line Item Pay Item Time AM PM Insta lled Sub Code Location Be innin Endin Ot Units EFFECTS OF WEATHER ON MAJOR WORK ITEMS CHECK CONTROLLING ITEMS No Effect Affected Less Than 50 Affected More Than 50 No Work Major and or Controlling Work Items All Day of Work Day Of Work Day All Day f PURSUIT OF THE WORK YES NO CONTRACTOR PAST PERFORMANCE CONFORMANCE WITH CONTRACT DOCUMENTS YES NO TECHNICIAN SIGNATURE AND RATING HOURS AT JOB SITE TOTAL HOURS 7Cf FROM lam TO 4pm 8 ENGINEER IN CHARGE NAME RANK AND INITIALS DATE DISTRIBUTION Original Project Engineer Copy Contractor as requested
15 oao ais Page 3 of 3 Date Contract ID Financial Project ID Inspector ua iniicnlrd C AP W A8 01 Ron Bach Accidents Day of Week Contract Day Total Days No Yes See Accident Report Dated Frida Contractors E ui ment Active or Idle Contr Sub Equipment ID Descri tion Pieces Used Used
FAQs. Regarding PARS and Retirement What is the PARS Supplemental Early Retirement Incentive?
FAQs Regarding PARS and Retirement 2013 1. What is the PARS Supplemental Early Retirement Incentive? The PARS Supplemental Early Retirement Incentive offers fifty percent (50%) of Final Pay for eligible
More informationF Group Exemption Application pending tions s 7 ^9 i`'
Form 9^ ^^ Short Form Return of Organization Exempt From Income Tax Under section 501 (c), 527, or 4947 (a)( 1) of the Internal Revenue Code (except black lung benefit trust or private foundation) ^ Sponsoring
More informationPolice Agency: (Ex.: SSM Police Service, OPP, etc.)
CLAIM NO. MOTOR VEHICLE DAMAGE CLAIM (PLEASE PRINT) Your claim cannot be considered by the City until this form is fully completed. Once completed, please submit this form to the City Clerk s Department,
More informationREQUEST FOR PROPOSAL. Sheriff's Office Detention Facility Uninterruptible Power System Maintenance Services LIEBERT UPS
REQUEST FOR PROPOSAL Sheriff's Office Detention Facility Uninterruptible Power System Maintenance Services LIEBERT UPS EL Paso County Detention Facility 601 East Overland El Paso, Texas 79901 The contractor
More informationTDS & TCS Recent Updates & Amendments.
TDS & TCS Recent Updates & Amendments. By. CA. Tarun Jain. B.com, FCA. Synopsis of Discussion Amendments in Finance act 2016. Amendment to Section 206AA New provisions relating to TCS Other Miscellaneous
More informationDRAFT FROMS I.R.O DRAFT RULES FOR CHAPTER XII OF THE COMPANIES ACT, 2013
DRAFT FROMS I.R.O DRAFT RULES FOR CHAPTER XII OF THE COMPANIES ACT, 2013 FORM No. 12.1 Notice by direct [Pursuant to section 184 (1) & rule 12.7(1)] To The Board Directs..Limited Dear Sir(s) I,..., son/daughter/spouse.,
More informationH. R. ll IN THE HOUSE OF REPRESENTATIVES A BILL
G:\P\\H\CMS\MEDCR\WMR\HOMEINFUSION_0.XML TH CONGRESS ST SESSION... (Original Signature of Member) H. R. ll To amend title XVIII of the Social Security Act to provide for a home infusion therapy services
More informationCity of Titusville Gateway to Nature and Space
City of Titusville Gateway to Nature and Space 555 SOUTH WASHINGTON AVENUE CUSTOMER SERVICE DIVISION TITUSVILLE, FLORIDA 32796-3584 (321)-383-5791 POST OFFICE BOX 2807 (32781-2807) Fax (321)-383-5848 Dear
More informationShort Form. Return of Organization Exempt From Income Tax
l efile GRAPHIC p rint - DO NOT PROCESS I As Filed Data - I DLN: 93492011002038 Form 990 -EZ Short Form OMB 1545-1150 Return of Organization Exempt From Income Tax Ij Under section 501 (c), 527, or 4947(
More informationTOWN OF BRIGHTON 2008 BLIDGET PART-TIME PERMANENT AND SEASONAL EMPLOYEES
2008 BLIDGET SALARY /WAGE SCHEDULES page no. ELECTED OFFICIALS FLAT SALARIED EMPLOYEES DEPARTMENT HEADS NON-REPRESENTED EMPLOYEES PART-TIME PERMANENT AND SEASONAL EMPLOYEES POLICE DEPARTMENT OFFICERS TEAMSTERS
More informationAMERICAN HERITAGE LIFE INSURANCE COMPANY (AHL) 1776 AMERICAN HERITAGE LIFE DRIVE JACKSONVILLE, FLORIDA 32224
AMERICAN HERITAGE LIFE INSURANCE COMPANY (AHL) 1776 AMERICAN HERITAGE LIFE DRIVE JACKSONVILLE, FLORIDA 32224 Remarks: ENROLLMENT FORM c New Certificate c Change/Increase Certificate # This box for AHL
More informationCITY OF UMATILLA AGENDA ITEM STAFF REPORT
CITY OF UMATILLA AGENDA ITEM STAFF REPORT MEETING DATE: January 6, 2015 SUBJECT: ISSUE: Consultant s Competitive Negotiation Act [CCNA] Proceeding with Selection of an Engineering Firm for Water Distribution
More informationAPPLICATION FOR MECHANICAL PERMIT Fill in all information completely
APPLICATION FOR MECHANICAL PERMIT Fill in all information completely Location: Property Owner Name & Address Phone Number - Applicant Name & Address _ Phone Number - Estimated Cost,. Type of Proposed Work
More informationHere s how to use the Auto Accident kit documents. For each vehicle, please: Form Print out Use of form
Here s how to use the Auto Accident kit docuents. For each vehicle, please: For Print out Use of for University DOUBLE Front cover Evidence of Coverage SIDED to show to police Auto Accident For Use for
More informationMunicipality of Anchorage
Municipality of Anchorage Completing Form 10-031 Form 10-031 is for Prime Contractors to report the monthly payments made to its respective DBE subcontractors, in accordance with 49 CFR 26.29 to the DBE
More informationAMERICAN HERITAGE LIFE INSURANCE COMPANY (AHL) 1776 AMERICAN HERITAGE LIFE DRIVE JACKSONVILLE, FLORIDA 32224
AMERICAN HERITAGE LIFE INSURANCE COMPANY (AHL) 1776 AMERICAN HERITAGE LIFE DRIVE JACKSONVILLE, FLORIDA 32224 Remarks: ENROLLMENT FORM c New Certificate c Change/Increase Certificate # This box for AHL
More informationEmplo yment Age ncies (Temporary Clerical or Retail) Application
Emplo yment Age ncies (Temporary Clerical or Retail) Application Applicant s Name: Age ncy Name: Age nt: Mailing Address: Address: Location Address: Web site Address: E-mail: Phone: PROPOSED EFFECTIVE
More informationPublic Transportation
Municipal Manager Marketing & Customer Service Program Planning Transit Planning Para Transit Services Transit Operations & Maintenance Transit Operations Vehicle Maintenance Non-Vehicle Maintenance PT
More informationICAN MID DIET LIVE CLASS FOR MAY DIET 2015 PERFORMANCE MANAGEMENT
ICAN MID DIET LIVE CLASS FOR MAY DIET 2015 PERFORMANCE MANAGEMENT PERFORMANCE MEASUREMENT NON- FINANCIAL MEASUREMENT PERFOMANCE MEASUREMENT OF A NON- PROFIT ORGANISATION DIVISIONAL PERFORMANCE MEASURE
More informationSubmittal Guidelines RFQ# Master Site Plan
Submittal Guidelines RFQ# 18-006 Master Site Plan Instructions: Please provide six (6) hard copies and one electronic version. Architectural/Professional Services Number each page consecutively, including
More informationISA Employee Application Form - Execution Only
ISA Employee Application Form - Execution Only This form is for investing in a Stocks and Shares ISA with Standard Life Investments (Mutual Funds) Limited. Before you sign this form you must read an up-to-date
More informationNET METERING CUSTOMER SITED RENEWABLE GENERATION FACILITIES POLICY
A CUSTOMER OWNED UTILITY Serving Our Community Since 1894 NET METERING CUSTOMER SITED RENEWABLE GENERATION FACILITIES POLICY APPROVED BY THE BOARD OF ELECTRIC COMMISSIONERS: June 28 th, 2016 Previously
More informationIf you are a reseller of products, you must also include a copy of your state tax ID form.
Dear Customer: Thank you for interest in a trade account with TrucknTow. It is our goal to process your application as quickly as possible. In order to process your application in the most efficient manner,
More information14 Mill Park Court Newark, DE Office: Fax: Time:
FIRST REPORT OF INCIDENT PERSONAL INJURY WC PROJECT DATA PERSONAL DATA Date of Incident: Date of Report: Project Manager: 14 Mill Park Court Time: or PM AM Day of Week Time of Report: or PM Project No.:
More informationExhibit 1 Proposed 2017 FDIC Operating Budget By Major Expense Category and Budget Component FDIC Summary... ~
Exhibit 1 By Major Expense Category and Budget Component FDIC Summary... ~ _From Estimate From Bud et Major Expense Category Budget Spending Budget $ % $ Salaries & Com ensation $1,223,739,655 $1,209,715,625
More informationSUWANNEE RIVER WATER MANAGEMENT DISTRICT REQUEST FOR PROPOSALS NO. 09/ LAM APPROVED REAL ESTATE BROKERS. Table of Contents
SUWANNEE RIVER WATER MANAGEMENT DISTRICT REQUEST FOR PROPOSALS NO. 09/10-035 LAM APPROVED REAL ESTATE BROKERS Table of Contents Section Description Page 1 Introduction 1 2 Proposed Schedule 2 3 Instruction
More information990 -EZ G,-A. 53, , 016. b C. ,,,,, c 0, Other revenue (describeiiii. ) 8
r_ 0 Form 990 -EZ Department of the Treasury Internal Revenue Service Short Form Return of Organization Exempt From Income Tax Under section 501 (c), 527, or 4947( a)(1) of the Internal Revenue Code (except
More informationCity of Grass Valley City Council and Redevelopment Agency Agenda Action Sheet
City of Grass Valley City Council and Redevelopment Agency Agenda Action Sheet Council Meeting Date: February 19, 2014 Date Prepared: February 19, 2014 Prepared by: Mark Buttron, Interim Fire Chief Title:
More informationAnnexure to Public Notice No.13/ , Dated 27 th May 2016 ANF -3A. Application Form for Merchandise Exports from India Scheme (MEIS)
Annexure to Public Notice No.13/201520, Dated 27 th May 2016 ANF 3A Application Form for Merchandise Exports from India Scheme (MEIS) (Kindly read Paras 3.03 to 3.06 of FTP and Para 3.01 to 3.03 of HBP
More informationPlease read carefully!
HOMEOWNERS ASSOCIATION APPLICATION FOR EXTERIOR MODIFICATION TO HOMES Please read carefully! During the springtime the ACC Committee will be processing modifications weekly. All applications must be presented
More informationTHE HONG KONG POLYTECHNIC UNIVERSITY HONG KONG COMMUNITY COLLEGE
THE HONG KONG POLYTECHNIC UNIVERSITY HONG KONG COMMUNITY COLLEGE Subject Title : Cost Accounting Subject Code : CCN2111 Session : Semester Two, 2017/18 Numerical answers Question B1 (a) The company's DL
More information1. OBSERVATIONS A) REGISTERS OF EMPLOYED PERSONS B) MUSTER ROLL CUM WAGE REGISTER C) ANNUAL RETURN
REPORT OF THE WORKING GROUP CONSTITUTED BY THE MINISTRY OF LABOUR TO CONSIDER SIMPLIFICATION OF EXISTING FORMS FOR RETURNS AND REGISTERS PRESCRIBED UNDER THE EXISTING LABOUR LAWS On the recommendation
More informationD.R. Horton, Inc. Vendor Insurance Requirements ALL STATES EXCEPT CA, WA, OR, ID, UT, AND HI
D.R. Horton, Inc. Vendor Insurance Requirements ALL STATES EXCEPT CA, WA, OR, ID, UT, AND HI For NEW VENDORS, your certificate should be returned to the division with your subcontractor agreement. For
More informationPART- I INVITATION TO TENDER. Tender for Operating Staff Canteen of Central Tool Room & Training Centre, Kolkata
MSME TOOL ROOM, KOLKATA (Central Tool Room & Training Centre) Kolkata- 700108. Tender No. CTTC/20/Admn./Canteen/TE-31 Date: 01.11.17 Due On. 24.11.17 at 14.00 hours. From: The General Manager, Central
More informationInformation required for Tax Audit for the year (AY )
1 of 6 Information required for Tax Audit for the year -16 (AY 2016-17) 1. Name of Unit with Location Code : 2. Postal Address : 3. (A) TAN (Income Tax) : (B) Registration Number for: - (i) Excise Duty
More informationShort Form. Return of Organization Exempt From Income Tax
l efile GRAPHIC p rint - DO NOT PROCESS I As Filed Data - I DLN: 93492319085697 Form 990 -EZ Short Form OMB 1545-1150 Return of Organization Exempt From Income Tax Under section 501 (c), 527, or 4947 (a)(1)
More informationSubmittal Guidelines RFQ# Daytona State Beer & Wine Institute
Submittal Guidelines RFQ# 16-016 Daytona State Beer & Wine Institute Instructions: Please provide six (6) hard copies and one electronic version. Number each page consecutively, including the letter of
More informationPhysical Therapy Facility Application
Physical Therapy Facility Application 1. Name and Mailing Address of Facility: 2. Agent: Contact Person: Phone: Fax: E-Mail: Website: 3. Tax ID: 4. License No. 5. Type of Coverage: Claims-Made Occurrence
More informationPROPOSALS DUE NO LATER THAN 11:00 A.M., SEPTEMBER 23, 2015 (6 COPIES) TO THE ATTENTION OF KRAIG BOYNTON, PURCHASING AGENT.
REQUEST FOR PROPOSAL (RFP) FOR ARCHITECTURAL/ENGINEERING SERVICES FOR BUILDING ANALYSIS OF THE CITY- OWNED BUILDING LOCATED AT 149 NORTH BROAD STREET (FORMER ILLINOIS NATIONAL GUARD ARMORY) Kraig Boynton,
More informationProfessional Entity Application Instructions and Eligibility Requirements
MLMIC Insurance Company Professional Entity Application Instructions and Eligibility Requirements PLE A S E READ CAREFULLY. Your policy will not provide separate limits of coverage to your entity for professional
More informationTDHCA Tutorial Davis Bacon Compliance: DBRA Certified Payroll Form (WH 347)
TDHCA Tutorial Davis Bacon Compliance: DBRA Certified Payroll Form (WH 347) Presented by: Carmen A. Roldan, TDHCA Labor Standards Specialist Based on: Payroll certification tool required by TDHCA and published
More informationShort Form. Return of Organization Exempt From Income Tax
l efile GRAPHIC p rint - DO NOT PROCESS I As Filed Data - I DLN: 93492242008677 Form 990 -EZ Short Form OMB 1545-1150 Return of Organization Exempt From Income Tax Under section 501 (c), 527, or 4947(
More informationOSMANIA UNIVERSITY HYDERABAD , INDIA
HYDERABAD 500007, INDIA No. 1134/COE/OU/BID/18 Date 01-02-2019 TENDER NOTIFICATION Sealed tenders are invited from Registered Security printers approved by the Reserve Bank of India for supply of Pre-printed
More informationShort Form Return of Organization Exempt From Income Tax Form. ^9n Open to Public Inspection. (630) Group Exemption nl mhe r
^9n Short Form Return of Organization Exempt From Income Tax Form Under section 501 (c), 527, or 4947 (al) of the Internal Revenue Code (except black lung benefit trust or private foundation) Sponsoring
More informationMETAL TREATING INSTITUTE, INC. Labor Wage Scale
Labor Wage Scale How to read the following table: The figures presented are hourly pay rates (in dollars and cents) for a particular position. For each position, members were asked to report the minimum,
More informationProject Name: Resolution #: Amendment #: Department: City Representative: Phone: Date:
FOR CITY USE ONLY: To be completed by City Representative Project Name: Resolution #: Amendment #: Department: City Representative: Phone: Date: Business Name Phone ( ) Email: Address City State Zip Federal
More informationPEST CONTROL SERVICES GENERAL LIABILITY APPLICATION
PEST CONTROL SERVICES GENERAL LIABILITY APPLICATION Named Insured: Mailing address: Location address: Telephone number: Contact for Inspection / Audit: E-mail address: Website Address: FEIN: 1. Desired
More informationName & Address of the Contractor/ Establishment. The Indian Hume Pipe Co. Ltd., B2/82, Mohan Cooperative
Name & Address of the Principal Employer/ Establishment Name, Designation & Address of the Contact Person for Principal Employer Name & Address of the Contractor/ Establishment Name, Designation & Address
More informationRequest for Qualifications RFQ # Continuing Services Contracts for Professional Surveying Services
Request for Qualifications RFQ #18-001 Continuing Services Contracts for Professional Surveying Services City of Winter Garden 300 West Plant Street Winter Garden, FL 34787 (407) 656-4111 LEGAL ADVERTISEMENT
More informationCARA VOLUNTARY ACCIDENT INSURANCE PLAN brought to you by AIS
Chubb Group of Insurance Companies Warren, NJ 07059 www.chubb.com CARA VOLUNTARY ACCIDENT INSURANCE PLAN brought to you by AIS Policy No. 9906-81-82 It doesn't ALWAYS HAPPEN to "someone else" No one w
More informationFlorida A & M University Special Purpose Investment Account Procedures
Special Purpose Investment Account Procedures TABLE OF CONTENTS 1.0 Overview...1 2.0 Definitions...1 3.0 Responsibilities...1 4.0 General Procedures...2 2 June 2013 1.0 Overview The Cash Management Department
More informationPayments to Foreign Nationals. March 9, 2015
Payments to Foreign Nationals March 9, 2015 Workshop Presenters Kelly Sellers University Payroll and Benefits Assistant Payroll Manager Kami Van Bellehem University Payroll and Benefits Payroll Specialist
More informationReturn of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
420739 03/ 17/2016 11 32 AM Form 990 Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) l:epartment of the
More information2018 New Construction Rebate Application
BUSINESS 2018 New Construction Rebate Application Save money on qualified construction projects Read about rebates for your home and business at mid.org/rebates REV01.2018 PURPOSE The MPower Business:
More information11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE PAGE OF PAGES 2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO. (If applicable) 0007
More informationRevision exercise E2 (page 30) Stage 8. Revision exercise A2 (page 32) Answers to revision exercises STAGE
A cm cm cm R B = to d.p. a),,,,,, c),,, d),,, e),,, 9 f),,, a) n + n c) n + d) n e) n a) + + + c) a a d) b b + e) + f) p g) + + h) a) cm cm cm a) mm Answers to revision eercises mm R is the required region.
More information2017 ORPA Outstanding Asset Management Award Nomination
#2 COMPLETE 2017 ORPA Outstanding Asset Management Award Nomination Collector: Web Link 1 (Web Link) Started: Wednesday, August 23, 2017 9:56:48 AM Last Modified: Wednesday, August 23, 2017 3:45:16 PM
More informationApplication received by: Signature:
Application for Employment City of Converse ( the City ) An Equal Opportunity Employer The City is an equal opportunity employer and does not discriminate on the basis of race, color, national origin,
More informationUTICA FIRST INSURANCE COMPANY. Application For Convenience Stores or Automobile Service or Repair Stations
See below and check one: Convenience Store with gasoline (or related product) with Full or Self service pump sales and including car washes in connection therewith. Not including automobile service stations
More informationPAPER 3: COST ACCOUNTING AND FINANCIAL MANAGEMENT PART-I: COST ACCOUNTING QUESTIONS
Material PAPER 3: COST ACCOUNTING AND FINANCIAL MANAGEMENT PART-I: COST ACCOUNTING QUESTIONS 1. Ananya Ltd. produces a product Exe using a raw material Dee. To produce one unit of Exe, 2 kg of Dee is required.
More informationREQUEST FOR QUOTE AFFORDABLE HOUSING LOW RENT UTILTIY ALLOWANCE STUDY
REQUEST FOR QUOTE AFFORDABLE HOUSING LOW RENT UTILTIY ALLOWANCE STUDY The Housing Authority of the City of Daytona Beach ( HACDB is hereby issuing this Request for Price Quotation in accordance with its
More informationCITY OF GALESBURG. PURCHASING 55 West Tompkins Street Galesburg, IL Phone: 309/ INVITATION FOR BIDS
CITY OF GALESBURG PURCHASING 55 West Tompkins Street Galesburg, IL 61401 Phone: 309/345-3678 INVITATION FOR BIDS For the removal of wood waste for the Forestry Division Instructions to Bidders 1. An advertisement
More informationDISSOLUTION COMMITTEE FOR THE FORMER BOARD OF DALLAS COUNTY SCHOOLS TRUSTEES
DISSOLUTION COMMITTEE FOR THE FORMER BOARD OF DALLAS COUNTY SCHOOLS TRUSTEES Dissolution Committee Meeting Tuesday, August 21, 2018 10:10 AM Agenda of Dissolution Committee Meeting For the Former Board
More informationINVITATION FOR BID. Furnish: Outdoor Sign for Bowen Branch Library
INVITATION FOR BID Furnish: Outdoor Sign for Bowen Branch Library Company: IFB No. IFB-CL-1904 Date of Issue: July 13, 2018 Bid Due Date: August 1,2018 at 2:00p.m. IFB-CL-1904 The Detroit Public Library
More informationAPPLICATION FOR FARM LABOUR CONTRACTOR LICENCE
OFFICE USE ONLY ER No. Assign. No. Officer Employment Standards Act APPLICATION FOR FARM LABOUR CONTRACTOR LICENCE NOTE: Once licensed, your name, address, phone number and number of bonded employees will
More informationAgent Instruction for Submitting New Application
Gerber Life Accident Protection Insurance Agent Instruction for Submitting New Application In addition to the insurance application, the following forms may be required at time of application. All applicable
More informationQuestions and Answers. Fund Accounting and Support Services RFP
Questions and Answers Fund Accounting and Support Services RFP Date Question OPERS Response 4/11 Page 13 of the RFP requests flexibility to provide minimum services with or without custody of the assets.
More informationHousing Partnership of Chester County 41 W. Lancaster Ave, Downingtown, PA
Housing Partnership of Chester County 41 W. Lancaster Ave, Downingtown, PA 19335 610-518-1522 HOME MAINTENANCE PROGRAM The Home Maintenance Program provides basic home repairs and modifications for residents
More informationTime Report Training 9/6/2017. Today s Objectives. Review Time/Leave Processes. Discuss Department Responsibility for Time/Leave Reporting
Time Report Training Presented by: Human Resource Services Revised September 2017 Today s Objectives Review Time/Leave Processes Discuss Department Responsibility for Time/Leave Reporting HRS has increased
More informationBANGLADESH [NAME OF PROJECT] PROCUREMENT PLAN Version: X [UNDER THE MINISTRY] [MONTH - YEAR]
losure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized BANGLADESH [NAME OF PROJECT] PROCUREMENT PLAN Version: X [Name of Implementing Agency] [UNDER THE
More informationFE ?7. 9. Request Initiated: Commissioner Department
Lee County Board Of County Commissioners Blue Sheet No. 20070164 Agenda Item Summary 1. ACTION REQUESTED/PURPOSE: Award Addendum (phase 2) to the Construction Manager (CM) Agreement (Contract #3525) for
More informationFORMAT FOR MASTER DATA Dated: December 23, 2014
FORMAT FOR MASTER DATA Dated: December 23, 2014 Dated: December 23, 2014 Sr. No. Field Name Type Width (Characters) Start End Position Position Mandatory(M)/ Optional(O) Remarks 1. CPPC Code C 7 1 7 M
More informationEmployer injury claim form
Employer injury claim form Workers Compensation Act 1987 Claimant name Date of Injury Claim number If you are a licensed self-insurer, where you read workers compensation insurer and Agent also read self-insurer
More informationSUBCONTRACTOR PRE-QUALIFICATION APPLICATION Please submit by to:
I. General Information SUBCONTRACTOR PRE-QUALIFICATION APPLICATION Please submit by email to: ChristinaL@Citnalta.com A. Name and address of your business: This Company and address is the: Main Office
More informationREQUEST FOR QUOTE Housing Choice Voucher Technical Assistance
REQUEST FOR QUOTE Housing Choice Voucher Technical Assistance The Housing Authority of the City of Daytona Beach ( HACDB is hereby issuing this Request for Price Quotation in accordance with its small
More informationReview of Duke Energy Florida, LLC Project Management Internal Controls for Levy Nuclear Project
Review of Duke Energy Florida, LLC Project Management Internal Controls for Levy Nuclear Project May 2018 B Y A U T H O R I T Y O F The Florida Public Service Commission Office of Auditing and Performance
More informationApplication for Florida Enterprise Zone Jobs Credit for Sales Tax Effective January 1, 2003
Application for Florida Enterprise Zone Jobs Credit for Sales Tax Effective January 1, 2003 1. Business Name 2. Owner Name 3. Mailing Address City State ZIP 4. Business Location City State ZIP 5. Business
More informationSuspected Fraud Referrals
Suspected Fraud Referrals CASE TYPE FY 10/11 FY 11/12 FY 12/13 % increase/ decrease Personal Injury Protection 6699 7748 7346-5% Workers Compensation 1495 1388 1733 25% Vehicle 1008 1167 1390 19% Application
More informationInterconnection Request Application Form for Interconnecting a Certified Inverter-Based Generating Facility No Larger than 20 kw
Attachment 6 Interconnection Request Application Form for Interconnecting a Certified Inverter-Based Generating Facility No Larger than 20 kw This Interconnection Request Application Form is considered
More informationSECTION A: INDIRECT CLAIMANT INFORMATION
Submit completed form to: APG Asbestos Trust c/o MFR Claims Processing, Inc. 115 Pheasant Run Suite 112 Newtown, PA 18940 For purposes of this form, the Indirect Claimant is the entity seeking contribution,
More informationMULTIPLE-CHOICE QUESTIONS Circle the correct answers on this test paper and record them on the computer answer sheet.
#18: /10 #19: /9 Total: /19 VERSION 1 M I M E 3 1 0 E N G I N E E R I N G E C O N O M Y Class Test #2 Wednesday, 12 November, 2008 90 minutes PRINT your family name / initial and record your student ID
More informationCFX CONSTRUCTION PROJECT ADMINISTRATION MANUAL (CFX-CPAM)
Effective: January 2016 CFX Construction Project Administration Manual Revised: December 2015 This document may not contain the most current version of every section. It is provided as a convenience only.
More informationContractor s Statement of Qualifications for (Insert Project Name) (Insert Owners Name Here) (Insert Owners City and State Here)
Contractor s Statement of Qualifications for (Insert Project Name) (Insert Owners Name Here) (Insert Owners City and State Here) This form must be returned to (Insert Architect s Name and Address here)
More informationApplication Instructions
Application Instructions ELIGIBILITY REQUIREMENTS 1. Florida Keys resident for at least 6 months 2. Meet income level restrictions (see Gross Income Eligibility Criteria) 3. No health insurance of any
More informationNEW CASTLE COUNTY Purchasing Division New Castle County Government Center 87 Read s Way New Castle, DE (302)
Sealed proposals for:, Bid #17SA-319 Interested parties must submit a priced proposal, in writing with one (1) original and three (3) copies to the,,, New Castle, DE 19720 (302/395-5250) by 2:00 p.m. Wednesday,
More informationMobile Food Vending at The Porch Request for Proposals
University City District is issuing this request to secure mobile food vendors that provide unique, high-quality and sustainable food options that fit the highly mobile and urban environment of The Porch.
More informationADDENDUM NO. 1 ASPHALT PAVING REPAIR PROJECTS PROJECT NUMBER TU-1849
ADDENDUM NO. 1 ASPHALT PAVING REPAIR PROJECTS PROJECT NUMBER TU-1849 2/19/18 Ladies and Gentlemen: The purpose of this addendum is to clarify certain portions of the above-referenced project with all prospective
More informationIncident and Accident Reporting and Investigation. September 29, 2014
Incident and Accident Reporting and Investigation September 29, 2014 Outline Purpose Definitions General Reporting Guidance Electronic Submission of Forms Specific Reporting Requirements Summary Purpose
More informationCLARIFICATIONS TO PRE-BID QUERIES
TENDER NAME: - TENDER FOR PROVIDING INTEGRATED FACILITY MANAGEMENT SERVICES FOR STATE BANK OF INDIA TOP EXECUTIVE RESIDENTIAL BUILDINGS AT MADHUBAN AND HARBOUR HEIGHTS APARTMENTS, LOCATED IN MUMBAI. PRE-BID
More informationCONTRACTOR SURETY QUESTIONNAIRE
CONTRACTOR SURETY QUESTIONNAIRE Federal Tax ID #: Date: Name Phone Address Fax Email I. ORGANIZATION AND BACKGROUND C-Corporation S-Corporation Partnership Limited Partnership Proprietorship A. Date business
More informationShort Form Return of Organization Exempt From Income Tax
Form 99-EZ Department of the Treasury Internal Revenue Service Short Form Return of Organization Exempt From Income Tax Under section 51(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private
More informationAgent Instruction for Submitting New Application
Gerber Life Guaranteed Life Insurance Agent Instruction for Submitting New Application Guaranteed Life In addition to the insurance application, the following forms may be required at time of application
More informationRequest for Qualifications Consultant Services for Hazardous Materials Management Services Design and Construction Management UC Davis
Request for Qualifications Consultant Services for Hazardous Materials Management Services Design and Construction Management UC Davis October 2018 Request for Qualifications Consultant Services for Hazardous
More informationAPPLICATION FOR RIGHT-OF-WAY CONSTRUCTION PERMIT
PERMIT NUMBER INSPECTOR: Phone # APPLICATION FOR RIGHT-OF-WAY CONSTRUCTION PERMIT Registration form must be completed and approved prior to submitting a ROW permit application. Please refer to the ROW
More informationSUGGESTED SOLUTION INTERMEDIATE N 2018 EXAM
SUGGESTED SOLUTION INTERMEDIATE N 2018 EXAM SUBJECT- COSTING Test Code CIN 5013 Date: 02.09.2018 Head Office : Shraddha, 3 rd Floor, Near Chinai College, Andheri (E), Mumbai 69. Tel : (022) 26836666 ANSWER-1
More informationThere is also guidance on understanding the FP34 Schedule of Payment on the NHSBSA website at:
How to reconcile your Report to the Schedule of Payments The Report is a data report containing item level payment information only. The following tables will help you reconcile values on your FP34 Schedule
More informationBusiness Accounts Fee Schedule
CHECKING ACCOUNTS Simple Business Checking Banking Transactions Per Statement Cycle Monthly Maintenance Fee Cost per Item Cash Deposit Fee 5 or more $0 $0.50 over 50 $.50 per $000 over $000 4 or less $5
More informationBUSINESS INFORMATION OFFICER INFORMATION
BUSINESS INFORMATION Name of Firm: E-mail Address: Firm Address: Web Site: http:// State of Incorporation: Year Started: Tax ID: Is your firm union? Yes No Contracting Specialty: Geographic Area(s) of
More informationApplication for pre-qualification of Civil Contractors
Application for pre-qualification of Civil Contractors Renovation and re-furbishing of Flats at Strawberry Hills & Timber House, Shimla 1 IDBI Bank Limited Pre-qualification of Civil Contractors for renovation
More informationNotice to Building Official of Use of Private Provider Effective April 1 st, Project Name: Parcel Tax ID:
Notice to Building Official of Project Name: Parcel Tax ID: Services to be provided: Plans Review and/or Inspections Note: If the notice applies to either private plan review or private inspection services
More information