Attachment_04_-_Subcontractor_Reporting_Form.pdf

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Middle Blacks Fork Crushing Project
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AG-84N8-S-14-0166
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Attachment 04 - Subcontractor Reporting Form

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ATTACHMENT 04 – SUBCONTRACTOR REPORTING FORM

FAR CLAUSE 52.219-14, LIMITATIONS ON SUBCONTRACTING

SUBCONTRACTING PERCENTAGE WORKSHEET

PRIME CONTRACTOR:

SUBCONTRACTOR:

Total Contract Award __________________________________________________

PRIME CONTRACTOR SUBCONTRACTOR

Direct Labor $ $

Fringe Benefits* $ $

SUBTOTAL $ $

TOTAL LABOR COSTS $ $

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