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ROBERT A <br />BOTH MAN GENERAL ENGINEERING AND BUILDING CON'T'RACTORS <br />CONSTRUCTION � 2690 Scott Boulevard, Santa Clara, CA 95050. Phone: 408.279.2277 • Fax: 408.279.9045 • wwwbothman.com <br />California License 440332 • Nevada License 0027271 <br />Arizona license 1$11057 • Hawaii License AC -026294 <br />DAILY EXTRA WORK REPORT <br />Job Name: <br />Work Performed Fore <br />Description of Work: <br />Report # <br />Job # Zk�/� <br />Date Performed: S <br />Date of Report: <br />LABOR HOURS HOURLY( EXTENDED <br />RATE AMOUNTS <br />J��'�/'-- <br />0.1 II F <br />(REG <br />0J. <br />REG. <br />- —_ <br />O.T. <br />REG. <br />OT-- <br />REG, <br />--.. --- -- - _ _ 0 <br />(REG. <br />O.T __— <br />REG.___ — — --i - <br />O.T. <br />OT — <br />(REG. ___-- -----�i - <br />-- _— — _ - 1 O.T.- <br />i- <br />SUB-TOTAL <br />LABOR SURCHARGE: - - io <br />OTHER: I <br />TOTAL COST OF LABOR A <br />Bl I <br />* % MARKUP ON LABOR (A) <br />+ % MARKUP ON EQUIPMENT (B) <br />MATERIALS, SUB -CONTRACTOR _ <br />TOTAL THIS REPORT <br />-- -.--------— DATE: <br />Owner's Representative <br />WHITE • Agency (Executed) YELLOW - Accounting PINK - Project Manager GOLD - Agency(Field) <br />EQUIPMENT <br />HOURS <br />I HOURLY I EXTENDED <br />RATE AMOUNTS <br />TOTAL EQUIPMENT <br />MATERIAL AND/OR SUB -CONTRACT WORK <br />DESCRIPTION <br />NO. UNIT (UNIT <br />COST <br />EXTENSION <br />-_..---T- <br />TOTAL MATERIALS, SUB <br />-CONTRACTOR <br />TOTAL EQUIPMENT, MATERIALS, SUBS. <br />Date: <br />_ <br />Robert A. Bothman, Inc. <br />ACCEPTANCE FOR PROGRESS PAYMENT <br />Report # <br />Job # Zk�/� <br />Date Performed: S <br />Date of Report: <br />LABOR HOURS HOURLY( EXTENDED <br />RATE AMOUNTS <br />J��'�/'-- <br />0.1 II F <br />(REG <br />0J. <br />REG. <br />- —_ <br />O.T. <br />REG. <br />OT-- <br />REG, <br />--.. --- -- - _ _ 0 <br />(REG. <br />O.T __— <br />REG.___ — — --i - <br />O.T. <br />OT — <br />(REG. ___-- -----�i - <br />-- _— — _ - 1 O.T.- <br />i- <br />SUB-TOTAL <br />LABOR SURCHARGE: - - io <br />OTHER: I <br />TOTAL COST OF LABOR A <br />Bl I <br />* % MARKUP ON LABOR (A) <br />+ % MARKUP ON EQUIPMENT (B) <br />MATERIALS, SUB -CONTRACTOR _ <br />TOTAL THIS REPORT <br />-- -.--------— DATE: <br />Owner's Representative <br />WHITE • Agency (Executed) YELLOW - Accounting PINK - Project Manager GOLD - Agency(Field) <br />