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CHAPTER 2 APPENDIX |
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Appendix 2-1 |
Definitions |
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Appendix 2-2 |
Reserved for Future Use |
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Appendix 2-3 |
"Registration of Minor, Nonrecurring Use of Water" (DNR Form 20) |
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Appendix 2-4 |
Subcontractor Authorization and EEO Poster Notice |
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Appendix 2-5 |
A EEO is the Law English with Supplement |
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B EEO is the Law Spanish with Supplement |
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Appendix 2-6 |
Notice Concerning False Statement and Records (Form FHWA 1022) |
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Appendix 2-7 |
A Employee Rights Under the Davis Bacon Act (WH 1321) English |
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B Employee Rights Under the Davis Bacon Act (WH 1321) Spanish |
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Appendix 2-8 |
A Job Safety and Health (IOSH 70-8025) |
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B Family and Medical Leave Act (WHD-1420) |
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C Employee Polygraph Protection Act (WHD-1462) |
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Appendix 2-9 |
Reserved for Future Use |
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Appendix 2-10 |
Project Engineers EEO Project Site Inspection/Wage Rate Report (Form 650170) |
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Appendix 2-11 |
Reserved for Future Use |
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Appendix 2-12 |
Reserved for Future Use |
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Appendix 2-13 |
Reserved for Future Use |
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Appendix 2-14 |
Certified Transcript of Labor Payroll/Statement of Compliance (Form 830176) and Completed Samples |
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Appendix 2-15 |
Traffic Control Non-Compliance Flow Chart |
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Appendix 2-16 |
Subcontract Request (Form 830231) |
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Appendix 2-17 |
Statement of DBE Commitments (Form 102115) |
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Appendix 2-18 |
Reserved for Future Use |
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Appendix 2-19 |
Certification of DBE Accomplishment (Form 102116) |
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Appendix 2-20 |
Request to Lease Excess Land |
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Appendix 2-21 |
Contract Quantity Agreement (Form 830230) |
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Appendix 2-22 |
Request to Release Retained Funds |
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Appendix 2-23 |
Certification of Subcontractor Payments (Form 518002) |
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Appendix 2-24 |
Reserved for Future Use |
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Appendix 2-25 |
Reserved for Future Use |
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Appendix 2-26 |
Reserved for Future Use |
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Appendix 2-27 |
Charging of Contract Time |
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Appendix 2-28 |
Weekly Report of Working Days for Incentive/Disincentive Clause |
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(Form 830241) |
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Appendix 2-29 |
Reserved for Future Use |
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Appendix 2-30 |
Reserved for Future Use |
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Appendix 2-31 |
Change Order Authorization Matrix |
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Appendix 2-32 |
Interest Payment Information Primary & Interstate Projects |
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(Form 830235) |
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Appendix 2-33 |
Noncomplying Tests or Measurements of Material Incorporated into the Project |
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Appendix 2-34 |
Price Adjustment Schedules |
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A - Aggregate Gradation Test Deviation |
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B - Concrete Slump |
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C - Concrete Air Content, Water Cement Ratio, Vibrator Frequency, Certified Plant Inspection, & Late Curing Application |
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D - Bridge Floor Resurfacing and Overlay Projects |
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E - Out-of-Tolerance Tining |
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F - Liquid Asphalt Noncomplying Viscosity or Penetration |
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G - Asphalt Residue Deficiency |
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H - Asphalt Binder (Noncomplying Dynamic Shear Rheometer) |
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I - Asphalt Binder (Noncomplying Bending Beam Rheometer) |
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J - Deviation in Asphalt Binder Content |
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K - Segregation |
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L - Steel H-Pile Weight Deficiency |
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M - Reserved for Future Use |
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N - PCC Pavement Edge Damage |
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Appendix 2-35 |
Sample Fuel Adjustment Worksheet English |
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Appendix 2-36 |
Reserve for Future Use |
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Appendix 2-37 |
As-Built Adhesive Backed Standard Format Samples: |
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Certification Block (Form 520003) |
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Extra Work Order Log (Form 520004) |
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Estimated Project Quantities (100-0) (Form 520007) |
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Estimated Project Quantities (100-1) (Form 520008) |
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Check List for As-Built Plan Preparation |