OMB No. 2900-0208 Estimated Burden: 12 minutes
DAILY LOG - FORMAL CONTRACT
The Paperwork Reduction Act of 1995 requires us to notify you that this information collection is in accordance with the clearance requirements of section 3507 of the Paperwork Reduction Act of 1995. We may not conduct or sponsor, and you are not required to respond to, a collection of information unless it displays a valid OMB number. We anticipate that the time expended by all individuals who must complete this form will average 12 minutes. This includes the time it will take to read instructions, gather the necessary facts and fill out the form. If your firm does not already have a similar form, this is used to record the data necessary to assure the contractor provides sufficient labor and materials to accomplish the contract work. This form or a similar document is required to guarantee the performance of the work necessary to complete the project.
NAME OF CONTRACTOR
DATE (mm /dd/yyyy) DAY BRANCH OF WORK
CONTRACT NO. 8 A.M. NOON 4 P.M. PROJECT NO.
SKILLED WORKERS AND HELPERS
LOCATION AND DESCRIPTION OF WORK
EQUIPMENT SATISFACTORY USATISFACTORY REMARKS FORCE PROGRESS DELIVERY OF MATERIALS
SIGNATUREOF RESIDENT ENGINEER VA FORM OCT 2005
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