A00811-614106.pdf
PDF 779 KB Posted
- Attached to
- 614106 DISTRICT 4 Emergency and Scheduled Shielding, Shoring and Cribbing at Various Locations
- Solicitation number
- BD-27-1030-0H100-0H002-131775
- Issued by
- Massachusetts
About this file
This document is a Daily Force Account Report Form (CSD-123) issued by the Massachusetts Department of Transportation Highway Division for Proposal No. 614106-135789, specifically related to Project A00811. The form is designed to track and report labor, equipment, and material costs associated with force account work and subcontractor time and materials activities on the project. The report captures detailed information including worker classifications, hours worked (regular and overtime), equipment descriptions and usage times, material invoices and amounts, and salvage or credit details. The form requires signatures from both MassDOT Highway Division representatives and utility company or subcontractor representatives to acknowledge the labor, materials, and equipment used; however, these signatures do not constitute approval of payment requests or work acceptance.
The form is part of the District 4 Emergency and Scheduled Shielding, Shoring and Cribbing project with an estimated contract value of $1,465,000. All subcontractor work must be tracked individually and separately from utility work on distinct Daily Work Force Reports. The document emphasizes that subcontractors' time and materials activities, as well as utility force account work, must be documented with specific classifications, hours, and itemized costs. The form structure allows for comprehensive cost allocation and accountability, which is essential for reimbursement determinations and project cost management under the force account and time and materials provisions of the contract.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| A00812-614106.pdf | ||
| A00801-614106.pdf | ||
| 614106 Bid Items List.txt | TXT text file | |
| 614106 - Notice to Contractors.pdf | ||
| A00875-614106.pdf | ||
| A00820-614106.pdf | ||
| DISTRICT 4-614106-135789-A-1.pdf | ||
| A00803-614106.pdf | ||
| 614106 - Plan Holders List 8-18-2026.pdf |
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Text version
Massachusetts Department Of Transportation Highway Division Proposal No. 614106-135789
A00811 - 1
DOCUMENT A00811
DAILY FORCE ACCOUNT REPORT
Form CSD-123
Massachusetts Department Of Transportation Highway Division
A00811 - 2
THIS PAGE INTENTIONALLY LEEFT BLANK
UTILITY - Force Account: SUBCONTRACTOR - Time & Materials:
Force Account Agreement #:
Agreement Date:
Eligible for Reimbursement % Yes No
Project Description/Town or City: Project #: Contract #:
General Description of Work Performed, and Location:
NAME CLASSIFICATION TIME WORKED
to to to to to to to to to
DESCRIPTION / MODEL / MAKE / YEAR TIME WORKED
to to to to to to to to
DESCRIPTION INVOICE # $ AMOUNT SALVAGE / CREDIT DESCRIPTION INV. #
NAME CLASSIFICATION TIME WORKED
to to to to to
RECEIVED: SIGNED
TITLE: TITLE:
MassDOT - Highway Division Utility Company Representative (or) Subcontractor
DATE: DATE:
NAME OF UTILITY CO.
DAILY WORK FORCE REPORT
Note: * All Sub-Contractors work force shall be tracked individually and separately from the Utility, on a separate Daily Work Force Report.
LABOR
EQUIPMENT
MATERIAL
DATE OF WORK PERFORMED:
FIRST LAST
No.
REG'R STAND BY
HOURS
REG'R O.T. TOTAL
HOURS
TOTAL
QNTY. / UNIT
POLICE
HOURS
LAST REG'R O.T. TOTAL
Note: The signatures above constitute acknowledgment of labor, materials, and equipment used, and shall not be construed as approval of any request for payment or claim, or acceptance of work.
NAME OF SUB-CONTRACTOR
AND
$ AMOUNT
FIRST
NOTES No.
A00811 - 3
THIS PAGE IS INTENTIONALLY LEFT BLANK
A00811 - 4
| A00811~1 |
| A00811-2 |
File details come from the government source that posted it. Updated .