1908 MCDOUGALL AVE 2022-05-03 - Laserfiche WebLink

BACKWATER PREVENTION PROGRAM OLr INVOICE COST BREAKDOWN 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 fo!lowing 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 Rebate were 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. r-�T _ +� �5�36�� - Business Name: o cce 2 r C a Sr 2 License Number: __ Business Mailing Address: WE iinnnswc4�ryl��l��c.,.. ------ - -- Catego Administration Description Administration / management Units Hours Quanti Rate Total Labor CCTV Inspection Hours BM Install Hours Pipe replacement Hours _ Surface restoration Hours Site cleanup Hours Downspouts / drainage imp. Hours Materials Backwater valve Per Unit / Grinder pump Per Unit Side sewer pipe (up to 8 feet) ' Imported Backfill Yards __(Lop Surface Resloration Materials soil rass seed, concrete, etc. Cover (irrigation box or load b*,n9ni:1 cover Lump sum 1 ep oZ Rentals Specify equipment O Disposal fees by itemDelivery fees if not covered b Eligible Total $ Other Costs Costs not associated with BWD, and not eligible for rebate detail below) —I Tt V Ineligible Total !* � Total Revised 9/0012014 -9-K