A00814-616470.pdf

PDF 1 MB Posted

Attached to
616470 DISTRICT 2 Scheduled and Emergency Facility Repairs and Improvements at Various Locations
Solicitation number
BD-27-1030-0H100-0H002-134397
Issued by
Massachusetts

About this file

This is a Daily Force Account Report (Form CSD-123) issued by the Massachusetts Department of Transportation Highway Division for Proposal No. 616470-137024, Document A00814. The form is used to track and document labor, equipment, materials, and salvage activities associated with construction projects under force account operations. The report includes sections for recording labor classifications with hours worked, equipment descriptions with hours of operation, materials with quantities and units, and salvage items. The form requires documentation of whether materials are used temporarily or remain permanently in the work, along with notation of item quality (new, fit, or scrap). Certification by an employee in charge of force account operations is required to verify the accuracy of labor employed, equipment operated, and materials used or salvaged on the referenced project.

The instructions specify that all material chargeable to the project must be noted regarding its disposition, with checkmarks indicating whether items are permanent work, temporary work, or old items removed. The form requires signatures from both the preparer and receiver, with dates of work completion. As part of Proposal No. 616470 for scheduled and emergency facility repairs and improvements in MassDOT District 2, this daily reporting mechanism ensures accurate cost accounting and project documentation in compliance with Massachusetts Department of Transportation standards and procedures.

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Other files

File Type Posted
616470 - Notice to Contractors.pdf PDF
DISTRICT 2-616470-137024-A-1.pdf PDF
A00820-616470.pdf PDF
A00801-616470.pdf PDF
616470 - Plan Holders List 10-20-2026.pdf PDF
616470 Bid Items List.txt TXT text file
A00875-616470.pdf PDF

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Text version

Massachusetts Department Of Transportation Highway Division Proposal No. 616470-137024

DOCUMENT A00814

Daily Force Account Report (Form CSD-123)

A00814 - 1

Contractor/Utility: Project:

Contract No: Agreement No: FAP No: N/A Contract Date: Agreement Date: Prime: Sub:

Date of Work: Work Item and Description:

LABOR

Classification No. Time Worked No. Hours Line Total to to to to to to to to

EQUIPMENT

Description No. Hours of Op. No. Hours Line Total to to to to to to to to

MATERIALS

Description Quantity Unit

SALVAGE

Description Quantity Unit

Location and Description of Work:

Received: Signed:

(Title) (Title) massDOT - Highway Division Date:

CSD-123

A00814 - 2

M A

T E

R

IA

L U

SE

D

, S A

L V

E D

, E T

C

C ha rg ed

In

C ha rg ed

O ut

Q ua nt ity

Q ua nt ity

N ew

Fi t

D at e Q ua n

R at e A m nt

Fi t

Sc ra p D at e

Q ua n R at e

A m nt

Permanent Work

Temporary Work

Old Items Removed

IN

ST

R U

C T

IO

N

S 1.

N ot e w he th er a ll m at er ia l c ha rg ea bl e to th e pr oj ec t i t i s u se d te m po ra ril y or re m ai ns p er m an en tly in th e w or k 2.

U se th e th re e co lu m ns o n th e rig ht to in di ca te th e di sp os iti on o f t he it em

, u si ng a c he ck m ar k

(a ) i n th e pr op er c ol um n op po si te th e re fe re nc ed ite m

3.

U se th e la st c ol um n to d es ig na te th os e ite m s w hi ch a re a lre ad y in u se a nd w er e in st al le d pr io r t o an y el im in at io n w or k bu t w hi ch m us t b e re m ov ed d ue to th is w or k.

D o no t r ef er to su ch it em s u nd er th e co lu m n “C ha rg ed In bu t d o sh ow a sa lv ag e al lo w an ce

4.

In di ca te th e qu al ity o f t he it em w ith a c he ck m ar k (a

) a s “

N ew

Fi t” o r “

Sc ra p, in th e ap pr op ria te c ol um n.

I, do h er eb y ce rti fy th at

I am th e em pl oy ee o f in c ha rg e of fo rc e ac co un t op er at io ns in c on ne ct io n w ith th e co ns tru ct io n of

P ro je ct

/A gr ee m en t N o:

l oc at ed a t an d th at I am in a p os iti on to h av e fu ll kn ow le dg e th at th e ac co un ts h er ei n sh ow n ar e a su bs ta nt ia lly a cc ur at e st at em en t o f l ab or e m pl oy ed

, e qu ip m en t o pe ra te d, an d m at er ia l u se d an d/ or sa lv ag ed o n th e pr oj ec t o n th e

D ay o f

R ec ei ve d:

Si gn ed

(T itl e)

(T itl e) m as sD O

T

- H ig hw ay D iv is io n

D at e:

D at e:

C

SD

-1

A00814 - 3

THIS PAGE IS LEFT BLANK INTENTIONALLY

A00814 - 4

A00814-1-614064- Daily Report Form CSD-123
A00814-2-614064-Daily Report Form CSD-123
A00810 CSD-123 Daily Force Act Rpt pg3.pdf
DAILY FORCE ACCOUNT REPORT (Form CSD-123)
LABOR
EQUIPMENT
MATERIALS
SALVAGE
massDOT - Highway Division
Text1:
Text2:

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