A00814-614073.pdf
PDF 1 MB Posted
- Attached to
- 614073 DISTRICT 6 Scheduled and Emergency Mechanical and Millwright Services at Various Locations
- Solicitation number
- BD-27-1030-0H100-0H002-133660
- Issued by
- Massachusetts
About this file
This is a Daily Work Force Report form (Document A00814) issued by the Massachusetts Department of Transportation Highway Division for Proposal No. 614073-136793, used to track labor, equipment, and materials for utility force account and contractor time & materials work. The form is designed to document work performed on scheduled and emergency mechanical and millwright services at various locations in District 6. 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 descriptions. The form requires signatures from both a MassDOT Highway Division representative and the utility company representative or contractor to acknowledge labor, materials, and equipment used, though these signatures do not constitute approval of payment requests or claims.
The form includes fields for reporting date, project identification, contract number, and work location details, with separate tracking sections for labor (showing time entries from 7:30 AM to 4:00 PM), equipment (with description, model, make, and year), and materials (with invoice numbers and amounts). Prime contractors and sub-contractors must track their work forces individually and separately. The document template shows all monetary amounts and hours as zero, indicating this is a blank reporting form. The related contract opportunity totals $1.823 million and requires contractors to hold current Massachusetts Division of Capital Asset Management and Maintenance certification in the Mechanical Systems category, with proposals due October 14, 2026, and work subject to prevailing wage rates as determined by the Massachusetts Department of Labor and Workforce Development.
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Text version
Massachusetts Department Of Transportation Highway Division Proposal No. 614073-136793
A00814 - 1
DOCUMENT A00814
DAILY WORK FORCE REPORT
Massachusetts Department Of Transportation Highway Division
A00814 - 2
*** THIS PAGE INTENTIONALLY LEFT BLANK ***
CSD-123 (rev 4-SEP-13)
REPORT DATE:
UTILITY - Force Account: CONTRACTOR - Time & Materials: * Check one only
Force Account Agreement #:
Agreement with:
Agreement Date:
Eligible for Reimbursement Yes No
Project Description/Town City: Project #: Contract #:
Description of Work Performed (including Location / Area):
NAME CLASSIFICATION TIME WORKED
to to to to to to to to to to to to
DESCRIPTION / MODEL / MAKE / YEAR TIME WORKED
to to to to to to to to to
DESCRIPTION INVOICE # $ AMOUNT SALVAGE / CREDIT DESCRIPTION INV. #
RECEIVED: SIGNED
TITLE: TITLE:
MassDOT - Highway Division Utility Company Representative (or) Contractor
DATE: DATE:
NAME OF UTILITY CO.
DAILY WORK FORCE REPORT
23-Jul-26
LABOR
EQUIPMENT
MATERIAL
23-Jul-26 DATE OF WORK PERFORMED:
FIRST LAST
No.
TOTAL
7:30 AM 4:00 PM 0 0 0
HOURS
REG'R O.T. TOTAL
HOURS
7:30 AM 4:00 PM
No.
REG'R STAND BY
NOTES
QNTY. / UNIT
$0
00 0
$0
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.
NAME OF PRIME CONTRACTOR CO.
NAME OF SUB-CONTRACTOR
Note: * All Sub-Contractors work force shall be tracked individually and separately from the Prime Contractor.
(or)
0 0 0
$ AMOUNT
$0
A00814 - 3
*** THIS PAGE IS INTENTIONALLY LEFT BLANK ***
A00814 - 4
| A00814-1_Daily Force Account Report |
| A00814-2_CSD-123 |
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