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I <br /> CITY OF EVERETT SPECIAL PROVISIONS <br /> Ic. The specific provisions of the Contract Documents under which <br /> it is sought. <br /> I 9. If additional compensation is sought, the exact amount sought and a <br /> breakdown of that amount into the following categories: <br /> a. Labor <br /> I b. Materials <br /> c. Direct Equipment. The actual cost for each piece of equipment <br /> for which a Contract Claim is made or in the absence of actual <br /> I cost, the rates established by the AGC/WSDOT Equipment <br /> Rental Agreement that was in effect when the Work was <br /> performed. In no case shall the amounts sought or paid for <br /> I each piece of equipment exceed the rates established by the <br /> Equipment Rental Agreement even if the actual cost for such <br /> equipment is higher. The City may audit the Contractor's cost <br /> records to determine actual equipment cost. The following <br /> Iinformation shall be provided for each piece of equipment: <br /> i. Detailed description (e.g., Motor Grader Diesel <br /> a Powered Caterpillar 12 "G", Tractor Crawler ROPS & <br /> 11 Dozer Included Diesel, etc.) <br /> ii. The hours of use or standby; and <br /> I iii. The specific day and dates of use or standby; <br /> iv. Job overhead. <br /> v. Overhead (general and administrative). <br /> I vi. Subcontractor's Contract Claims (in the same level of <br /> detail as specified herein is required for any <br /> subcontractor's Contract Claims); and <br /> I vii. Other categories as specified by the Contractor or the <br /> City. <br /> 10. A notarized statement shall be submitted to the City's Representative <br /> I containing the following language: <br /> Under the penalty of law for perjury or falsification, the undersigned, <br /> 111 <br /> (name) (title) <br /> of <br /> (company) <br /> I hereby certifies that the Contract Claim for extra compensation and <br /> extension of Contract Time, if any, made herein for Work on this <br /> Contract is a true and complete statement of the factual basis of the <br /> I Contract Claim and all actual costs incurred and time sought, and is <br /> fully documented and supported under the Contract between the <br /> parties. <br /> Date /s/ <br /> ISubscribed and sworn before me this day of <br /> INotary Public <br /> Watermain Replacement"T" Division 1 —GENERAL REQUIREMENTS October 10, 2018 <br /> WO No—UP3684 SP—121 <br />