Day of Week Monda DAILY REPORT OF CONSTRUCTION. Date Contract id Financial Project ID Inspector AP W A8 01 Ron Bach.

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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

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