HomeMy WebLinkAboutBURY AERIAL CABLES E 10TH TO HERB LEWIS CDSR0030-12.0 ::e�s Estimate of Cost and Authority to Work Pae 2 of 2
GF2431 • " a &t Special Construction Charge and Invoice 05/03/2018
AT&T INDIANA
ACTUAL COST BASIS
Customer Request Number : 195665 Date : 05/03/2018
Project Number : A019XP8 Customer ID : 147753
DESCRIPTION OF CUSTOM WORK:
REQUEST TO BURY AERIAL CABLES ON E. 10TH STREET(HWY 62)IN THE AREA BETWEEN VISSING PARK ROAD&HERB LEWIS ROAD,
THIS WORK REQUIRES ADVANCED PAYMENT&SIGNED CONTRACT. QUOTE AUTHORIZED BY BILL DIXON ON 4/3/18.
ESTIMATED COST FOR CUSTOM WORK: $134,429.76
Applicant understands that pursuant to the tariffs on file with the FCC and with the State of Indiana and/or in order to induce AT&T to relinquish or
modify its property right, it is my responsibility to pay these costs incurred by Indiana Bell Telephone Company, Incorporated, d/b/a SBC Indiana, an
Indiana corporation to complete the work requested.
Applicant has asked AT&T to perform the above-described custom work for which Applicant shall pay AT&T the contract price of One Hundred
Thirty-Four Thousand Four Hundred Twenty-Nine Dollars And Seventy-Six Cents/$134,429.76 in advance of the start of any AT&T work.
Applicant shall pay for the work on an "Actual Cost" basis. Upon completion of the work, AT&T will compute the actual cost of the work. Any
difference between the amount of advance payment and the actual cost will be either paid by the Applicant to AT&T or refunded to Applicant by AT&T
as the case may be.Applicant understands that this amount is only an estimate of approximate costs, and that the actual cost incurred by AT&T and
for which the Applicant is responsible may be different.
Charges are calculated in accordance with AT&T's ordinary accounting practices under the Uniform System of Accounts for Class A telephone
companies and include allocated costs for labor, engineering, materials, transportation, motor vehicles, tool and supply expenses and corporate
overhead loadings.
The estimated amount of One Hundred Thirty-Four Thousand Four Hundred Twenty-Nine Dollars And Seventy-Six Cents/$134,429.76 is
valid for only thirty(30)days and is therefore subject to change/cancellation after June 2, 2018 if AT&T has not received an executed copy
of the Application and advance payment by that date.
If Applicant cancels the work prior to completion, Applicant shall pay AT&T for all costs AT&T has incurred before being notified in writing to cease
work.
ACCEPTED FOR APPLICANT: SEND PAYMENT PAYABLE TO:
BY:
w+ MOW
AT&T Midwest-CWO Center
220 Wisconsin Avenue-Floor 2,
Printed Name: j 0Aj .� r /� . Waukesha,WI 53186
Title: '�'� :56 U1ei,-f
Date Signed: 5-30 ._/S
CDSR0030-12.0 ...- Estimate of Cost and Authority to Work Page 1 of 2
GF2431 ct8ct Special Construction Charge and Invoice 05/03/2018
AT&T INDIANA
ACTUAL COST BASIS
Customer Request Number : 195665 Date : 05/03/2018
Project Number : A019XP8 Customer ID : 147753
Billing Information ---
Billing Party's Name : CITY OF JEFFERSONVILLE.
Phone : (812)285-6476
Billing Address : 500 QUARTERMASTER COURT
CITY OF JEFFERSONVILLE
JEFFERSONVILLE, IN 47130
Contact Name : BILL DIXON
Phone : (812) 285-6476
Work Description & REQUEST TO BURY AERIAL CABLES ON E. 10TH STREET(HWY 62)IN THE AREA BETWEEN VISSING PARK
Engineering Remarks : ROAD& HERB LEWIS ROAD, THIS WORK REQUIRES ADVANCED PAYMENT&SIGNED CONTRACT. QUOTE
AUTHORIZED BY BILL DIXON ON 4/3/18.
Expenses Amount
Engineering Labor $ 15,735.19
Material Cost $ 42,214.32
Construction Labor $ 38,488.23
Contractor Cost $ 37,992.02
Misc. Tax
$0.00
Total Estimated Costs $ 134,429.76
OSPE Representative: GENE FERRY
Title: Customer Contracts Specialist
Phone#: (262)970-8404