T2658 - Appendix F DEP 024 Forms~1.pdf

PDF 57 KB Posted

Attached to
T2658 - Non-Emergency Remedial Action Services (NERAS)
Solicitation number
24DPP00939
Issued by
New Jersey

About this file

This document appears to be forms related to a contract between the New Jersey Department of Environmental Protection (NJDEP) and Clean Venture, Inc. for Non-Emergency Remedial Action Services (NERAS). The contract involves Mercer County and Trenton City in New Jersey. The forms document daily labor, equipment, materials, and services provided by Clean Venture, Inc. for the project, including the employee name, labor classification, hours worked, and associated costs. The contract appears to involve a NJDEP blanket order number and project-specific job numbers.

The pricing terms, set asides, and funding details are not explicitly stated in this set of forms. However, the forms indicate that Clean Venture, Inc. is providing the services and equipment, and applying a 10% markup on supplier or subcontractor costs. The forms require signatures from both the NJDEP representative and the contractor representative, certifying the accuracy of the information provided.

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DWM-024C 2009

NEW JERSEY DEPARTMENT OF ENVIRONMENTAL PROTECTION

DAILY SCHEDULED LABOR REPORT FOR:

Date:

CONTRACT NO.: Page 1 of 1

CONTRACTOR:

PROJECT:

CLEAN VENTURE JOB #:

NJDEP Blanket Order #:

ITEM / CAPACITY / SERVICES

QUANTITY OR

UNITS

CONTRACTOR

COST OR UNITS*

CONTRACTOR

MARK-UP %

SUPPLIER OR

SUBCONTRACTOR*

TOTAL

1 10%

10%

I certify that this is an accurate statement of the equipment and services provided by Clean Venture, Inc. for the date(s) indicated above.

BILLED AS: CHANGE ORDER OR ALLOWANCE

PO# x

Signature of NJDEP Representative Signature of Contractor Representative

024A 2009

DAILY SCHEDULED LABOR REPORT FOR:

Date:

CONTRACT NO.:

CONTRACTOR: Page 1 of 1

JOB #:

EMPLOYEE NAME AND PERSONNEL

CLASSIFICATION

UP # LABOR CLASSIFICATION

LEVEL OF

PROTECTION

STRAIGHT

TIME RATE

Hours*

STRAIGHT TIME

OT RATE

OT

HOURS

OT TOTAL DAILY TOTAL

* or portion thereof TOTALS

I certify that this is an accurate statement of the equipment and services provided for the date(s) indicated above.

DWM-024B 2009

DAILY SCHEDULED EQUIPMENT, MATERIALS AND SERVICES REPORT FOR: Date:

CONTRACT NO.: Page 1 of 1

CONTRACTOR:

CLEAN VENTURE JOB #:

EQUIPMENT, MATERIALS OR SERVICES UP # UNITS

NO. OF

Units

OPERATING

RATE

WEEKLY

OPERATING

RATE

RATE TOTAL(S)

1 TIME MOBILIZATION

DEMOBILIZATION

* or portion thereof TOTAL DAILY TOTAL

I certify that this is an accurate statement of the equipment and services provided for the date(s) indicated above.

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