3520 OAKES AVE 2022-05-04 - Laserfiche WebLink

BACKWATER PREVENTION PROGRAM INVOICE COST BREAKDOWN Please use this Invoice Cost Breakdown as a template for invoices submitted as part of the Backwater Prevention Devine rebate program. Either this form or your own invoice folio 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 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. /1 Business Name:AyPo Cc�n �rj C. ' -,5JP SLicense Number. Businessk^ailing Address:oP%ZAu t�Zr"JzLg t_tU'—• I Ig-rcrr tfur_r City State Zip Email: i flc(Crw car n Category Description units Cluanti Rate Totai Administration Administration / management Hours Labor CCTV Inspection Hours BWV Install Hours Pipe replariment Hours _ surface restoration Hours Site cleanup Hours Materials Downspouts / drainage imp. Backwater valve Hours Per UM Grinder pump Per Unit Side sewer pipe (up to 8 feet) Feel rt rr Imported Backfdl Yards Surface Restoration Materials (top soil, grass seed, concrete etc. Lump sum Cover (irrigation box or load bearing cover Per Unit I� Rentals Specify equipment Hour Fees Disposal fees by item Yards Delivery fees if not covered by labor 5 Eli ible Total Other Costs Costs not associated with BWD, and not eligible for rebate detail below _ 0 M jeaq�enMncfL/ wu w ,og11 1 Ineligible Total Revised 9103,12014