4912 COLBY AVE 2022-04-14 - Laserfiche WebLink

BACKWATER PREVENTION PROGRAM OOLT INVOICE COST BREAKLIOWN Please use this Invoice Cost Breakdown as a template for invoices submitted as part of the Backwater Prevention Device rebate program. Either this form or your own invoice form with_the following line items can be submitted. This allows you to invoice your client according to your existing billing template while allowing city staff to identify how costs eligible for the Backwater Prevention Device Rebatemere accrued. Only labor and materials directly related to the installation and function of a backwater prevention device are eligible for City rebate and therefore should be included on the upper half of this form. Additional costs may be added to bottom of the form. C. St''Gu'Ci L>L /, c7 Business NameAmentnl-t 6r `C_ 40 License Number: Business Mailing Address: Cato o Descri Lion Units Quanti Rate Total Administration Administration 'Imanagement Hours Labor CCTV Inspection . Hours Bwv Install Hours Pipe replacement Surface restotalion Hours Hours a a Site cleanup Heurs Dotanspouls I drainage imp. Hours Materials Backwater valve Per Unit Grinder pump Pet Unit Feet ! it Slde sewer pipe up to 8 feet Imported Backfill Yards ' - Surface Restoration Materials to soil, grass seed concrete etc. Lump sum , Cover (irrigation box or load bearing cover Per Unit - Rentals Specify -equipment Hour Fees oisriosdl fees by item Y6ids pellyery,fees if not covered by labor Eli ihle Total other costs Costs not associated with BWD, and not eligible for rebate detail below — --- -- y IneligibleTotal. Total'. - $ 1/k li $� a. Revised 91012614