R L Alia Company 5/4/2017 - Laserfiche WebLink

9. If additional compensation is sought, the exact amount sought and a breakdown , of that amount into the following categories: a. Labor b. Materials c. Direct Equipment. The actual cost for each piece of equipment for which a Contract Claim is made or in the absence of actual cost, the rates established by the AGC/WSDOT Equipment Rental Agreement that was in effect when the Work was performed. In no case shall the amounts sought or paid for each piece of equipment exceed the rates established by the Equipment Rental Agreement even if the actual cost for such equipment is higher. The City may audit the Contractor's cost records to determine actual equipment cost. The following information shall be provided for each piece of equipment: I i. Detailed description (e.g., Motor Grader Diesel Powered Caterpillar 12 "G,"Tractor Crawler ROPS and Dozer Included Diesel, etc.); ii. The hours of use or standby; and iii. The specific day and dates of use or standby; iv. Job overhead; v. Overhead(general and administrative); vi. Subcontractor's Contract Claims (in the same level of detail as specified herein is required for any subcontractor's Contract Claims); and vii. Other categories as specified by the Contractor or the City. 10. A notarized statement shall be submitted to the City's Representative containing the following language: Under the penalty of law for perjury or falsification,the undersigned, I I(name) (title) of (company) I hereby certifies that the Contract Claim for extra compensation and extension of Contract Time, if any, made herein for Work on this Contract is a true and complete statement of the factual basis of the Contract Claim and all actual costs incurred and time sought, and is fully documented and supported under the Contract between the parties. Date /s/ Subscribed and sworn before me this day of ' Notary Public My Commission Expires: HAYES STREET REGULATOR February,2017 AND CSO CONTROLS (SRO1, SRO2,AND SRO3) WO No—UP3398-31 SP- 125