1MIS.CIS.01 CONTRACT TIME STATEMENT CONTRACT 12100132 MGR.NO. 008 PAGE 001 CONT 6213 SEC 98 JOB 001 RES ENGR SELMAN, DAVID PROJ SUP - 621398001 HWY US0075 CNTY GRAYSON DIST 01 CONTRACT PRICE $ 20,000.00 REPORT DATE 03/07/2012 13.49.04 CONTRACTOR LIFENET COMMUNITY BEHAVIORAL EST PERIOD FEB 01,2012 TO FEB 29,2012 EST NO 015 & SM-FIN HEALTHCARE 10823 TIBH INDUSTRIES, INC. 09160 --------------------------------------------------------------------------------------------------------- DATE WORK BEGAN DEC 20, 2010 TIME COMPUTED FROM DEC 27, 2010 SUMMARY INFORMATION 0 DATE WORKING REASONS FOR DAYS CREDITED MONTH/YEAR OR DAYS DAYS /COMMENTS FOR DAYS CHARGED PHASE I DAYS CHARGED CREDITED CONTRACT WORK DAYS = 365 408 408 0 BROUGHT FORWARD ADDL DAYS GRANTED = 50 FEB 12 1 1 TOTAL DAYS ALLOWED = 415 2 1 DATE WORK COMPLETED 02/29/12 3 1 DAYS CHARGED TO DATE = 437 4 1 ASSESSED LIQ DAMAGES = 22 5 1 LIQ DAMAGE RATE $ 0 6 1 7 1 LIQUIDATED DAMAGES 8 1 22 DAYS AT $ 0 PER DAY 9 1 TOTAL = $ .00 10 1 11 1 CERTIFIED AS CORRECT AND 12 1 ONE COPY HAS BEEN GIVEN 13 1 TO THE CONTRACTOR 14 1 15 1 16 1 ---------------------------- 17 1 AREA/PROJECT ENGINEER 18 1 19 1 20 1 21 1 22 1 23 1 24 1 25 1 26 1 27 1 28 1 29 1 - ----- ----- ----- 437 437 0 0 SATURDAY 0 SUNDAY 0 HOLIDAY 1MIS.CIS.03 CONSTRUCTN ESTIMATE BREAKDOWN CONTRACT 12100132 MGR.NO. 008 PAGE 001 CONT 6213 SEC 98 JOB 001 RES ENGR SELMAN, DAVID PROJ SUP - 621398001 HWY US0075 CNTY GRAYSON DIST 01 CONTRACT PRICE $ 20,000.00 REPORT DATE 03/07/2012 13.49.05 CONTRACTOR LIFENET COMMUNITY BEHAVIORAL EST PERIOD FEB 01,2012 TO FEB 29,2012 EST NO 015 & SM-FIN HEALTHCARE 10823 TIBH INDUSTRIES, INC. 09160 DIST. 01 COUNTY GRAYSON CONTROL 6213-98-001 PROJECT SUP - 621398001 HIGHWAY US0075 0LIMITS- GRAYSON COUNTY AREA ENGINEER/ MAINTENANCE COMPLEX 0TYPE OF WORK- JANITORIAL MAINTENANCE 0 0050 JANITORIAL MAINTENANCE NET LENGTH 0.010 MILES 0 LINE ITEM ESTIMATED WORK DONE CONTRACT AMOUNT NO. NO. DESCRIPTION UNIT QUANTITIES ON CONTRACT PRICE($) ($) - 0070 PREPARED BY MSLAGLE 0 0075 7013 JANITORIAL MAINTENANCE MO 12.000 14.250 1,000.000 14,250.00 0075 7013 ADJ EST QUANTITY TO DATE 14.000 0080 7013 STRIPPING & WAXING CYC 3.000 3.000 1,000.000 3,000.00 0085 7017 CARPET CLEANING CYC 3.000 3.000 1,000.000 3,000.00 0090 7016 WINDOW WASHING CY 2.000 2.000 1,000.000 2,000.00 0 SUBTOTAL BID ITEMS $ 22,250.00 0 TOTAL AMOUNT WORK DONE JANITORIAL MAINTENANCE $ 22,250.00 0 TOTAL AMOUNT WORK DONE CONTROL 6213-98-001 $ 22,250.00 1MIS.CIS.04 CONSTRUCTION ESTIMATE COMBINED CONTRACT 12100132 MGR.NO. 008 PAGE 001 CONT 6213 SEC 98 JOB 001 RES ENGR SELMAN, DAVID PROJ SUP - 621398001 HWY US0075 CNTY GRAYSON DIST 01 CONTRACT PRICE $ 20,000.00 REPORT DATE 03/07/2012 13.49.05 CONTRACTOR LIFENET COMMUNITY BEHAVIORAL EST PERIOD FEB 01,2012 TO FEB 29,2012 EST NO 015 & SM-FIN HEALTHCARE 10823 TIBH INDUSTRIES, INC. 09160 0*********************************************************************************************************************************** -LIMITS - GRAYSON COUNTY AREA ENGINEER/ 0 MAINTENANCE COMPLEX DATE WORK BEGAN DEC 20, 2010 WORKING DAYS USED 437 PERCENT COMPLETE 100.00 PERCENT TIME USED 105.30 DATE COMPLETED FEB 29 2012 0 CONTROL PROJECT DISTRICT HIGHWAY COUNTY 0 6213-98-001 SUP - 621398001 01 US0075 GRAYSON - ITEM DESCRIPTION UNIT ESTIMATED WORK DONE CONTRACT AMOUNT NO. QUANTITIES ON CONTRACT PRICE($) ($) -7013 JANITORIAL MAINTENANCE MO 12.000 14.250 1,000.000 14,250.00 7013 ADJ EST QUANTITY TO DATE 14.000 7013 STRIPPING & WAXING CYC 3.000 3.000 1,000.000 3,000.00 7016 WINDOW WASHING CY 2.000 2.000 1,000.000 2,000.00 7017 CARPET CLEANING CYC 3.000 3.000 1,000.000 3,000.00 0 SUBTOTAL BID ITEMS $ 22,250.00 0 CONTRACT TOTAL ALL ITEMS $ 22,250.00 1MIS.CIS.05 CONSTR ESTIMATE DISTRIBUTION CONTRACT 12100132 MGR.NO. 008 PAGE 001 CONT 6213 SEC 98 JOB 001 RES ENGR SELMAN, DAVID PROJ SUP - 621398001 HWY US0075 CNTY GRAYSON DIST 01 CONTRACT PRICE $ 20,000.00 REPORT DATE 03/07/2012 13.49.05 CONTRACTOR LIFENET COMMUNITY BEHAVIORAL EST PERIOD FEB 01,2012 TO FEB 29,2012 EST NO 015 & SM-FIN HEALTHCARE 10823 TIBH INDUSTRIES, INC. 09160 ********************************************************************************************************************************** CO NO PROJECT CONT SEC JOB LINE NO TOTAL AMOUNT .00 % DIFFERENCE LESS TOTAL LESS LIQ DIFFERENCE LESS PREV AMOUNT DUE WORK DONE RETAINAGE SPL DEDUCTS DAMAGE PAYMENTS THIS EST ********************************************************************************************************************************** 92 SUP - 621398001 6213-98-001 22,250.00 .00 22,250.00 .00 .00 22,250.00 21,250.00 1,000.00 ---------------------------------------------------------------------------------------------------------------------------------- 0********************************** TOTALS ***************************************************************************** TOTAL AMOUNT .00 % DIFFERENCE LESS TOTAL LESS LIQ DIFFERENCE LESS PREV AMOUNT DUE WORK DONE RETAINAGE SPL DEDUCTS DAMAGE PAYMENTS THIS EST ********************************************************************************************************************************** 22,250.00 .00 22,250.00 .00 .00 22,250.00 21,250.00 1,000.00 ---------------------------------------------------------------------------------------------------------------------------------- 0INPUT PROOF READ BY- SUPPORTING PAPERS OK ------------------------------ ---------------------------- 0 APPROVED DATE --------------------------------- ----------------- 1MIS.CIS.07 WORK PERFORMED THIS PERIOD CONTRACT 12100132 MGR.NO. 008 PAGE 001 CONT 6213 SEC 98 JOB 001 RES ENGR SELMAN, DAVID PROJ SUP - 621398001 HWY US0075 CNTY GRAYSON DIST 01 CONTRACT PRICE $ 20,000.00 REPORT DATE 03/07/2012 13.49.05 CONTRACTOR LIFENET COMMUNITY BEHAVIORAL EST PERIOD FEB 01,2012 TO FEB 29,2012 EST NO 015 & SM-FIN HEALTHCARE 10823 TIBH INDUSTRIES, INC. 09160 ********************************************************************************************************************* - CONTROL PROJECT DISTRICT HIGHWAY COUNTY 6213-98-001 SUP - 621398001 01 US0075 GRAYSON -LIMITS - GRAYSON COUNTY AREA ENGINEER/ MAINTENANCE COMPLEX LINE ITEM ESTIMATED WORK DONE CONTRACT AMOUNT NO. NO. DESCRIPTION UNIT QUANTITIES THIS ESTIMATE PRICE($) ($) 0 75 7013 JANITORIAL MAINTENANCE MO 12.000 1.000 1,000.000 1,000.00 --------------- - TOTAL BID ITEMS DONE THIS ESTIMATE - $ 1,000.00 0 TOTAL AMOUNT WORK DONE TO DATE - $ 22,250.00