DOT4-006
(HWY-Cr12/97)

STATE OF HAWAII DEPARTMENT OF TRANSPORTATION

DAILY FORCE ACCOUNT REPORT


DESCRIPTION QTY UNIT RATE ($) COST ($) TOTAL ($)
A.1 Labor
Labor Subtotal $0.00
A.2 Fringe Benefits (Workers and hours auto-sync with A.1)
Fringe Subtotal $0.00
Contractor's Operating Expense, Overhead & Profit: 20% $0.00 $0.00
B. INSURANCE & TAX * ON LABOR % $0.00 $0.00
OH - Insurance & Tax: 6% $0.00 $0.00
C. MATERIALS
Materials Subtotal $0.00
Contractor's Operating Expense, Overhead & Profit: 20% $0.00 $0.00
D. EQUIPMENT
Equipment Subtotal $0.00
E. SUBCONTRACTOR
Subcontractor Subtotal $0.00
Contractor's Operating Expense, Overhead & Profit: 10% $0.00 $0.00
SUBTOTAL: $0.00
BOND FEE: % $0.00 $0.00
SUM OF TOTAL COLUMN (SUBTOTAL + BOND): $0.00
STATE EXCISE TAX: % $0.00 $0.00
GRAND TOTAL - THIS REPORT: $0.00
Work Accomplished for the day under above force account:

The above is a true statement of all force account work for this date:

HDOT Representative
DATE
CONTRACTOR'S REPRESENTATIVE
DATE