National Construction Agreement Request Form

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Project

Name of Project *

Requester Name *

Full Name

Email *

Name of Requesting Company

Name of Client *

Award Date

Start Date

Project Dollar Value

Estimated Project Hours

Name of Contract Representative

Phone Number

Project Location

City *

State *

Project Description

Description of Project

Manpower

Estimated Project Manpower

Asbestos Workers %

Glazers %

Painters %

Boilermaker %

Iron Worker %

Pipefitter %

Bricklayer %

Laborer %

Roofer %

Carpenter %

Millwright %

Sheet Metal Worker %

Cement Mason %

Operating Engineer %

Teamster %

Electrician %

Work to be Subcontracted

Article 22 Amendements Requested

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Contractor will recognize local union rates to be incorporated as Appendix A

Contractor will negotiate wage and fringe rates with local unions

Remarks

Estimated hours

If 500,000 or less - payment is.........$12,500.00

500,000-1,000,000 ...........$25,000.00

1,000,000-2,000,000 ............$40,000.00

2,000,000-4,000,000 .............$75,000.00

4,000,000 or more ............$75,000.00

Date

Payment options are as follows: Choose one

Full payment due 60 days from commencement of work, with a "true up" based on actual hours due 60 days after the project is commissioned or on the 3rd anniversary after commencement of work, whichever date comes first.

Or

Checkboxes

Initial payment equal to 1/2 of the contribution amount, due 60 days from commencement of work. Then remainder will be due in equal payments, due annually on the anniversary date of the initial payment until project completion or the 3rd anniversary of the commencement of work, whichever comes first. Each annual payment must include a "true tip" based on actual hours.

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