Example Letters, Notices, and Forms March 2014

Form 10 – Inspector’s Report for Force Account Work

Completion Instructions

The documentation requirements presented in Section 120 of this Manual should be

reviewed before using Form 10. Complete Form 10 as follows:

1. Project No., Project Code (SA#), and CMO or F/A No. Enter the project number,
project code, and CMO or F/A number.

2. Contractor’s Name, Subcontractor’s Name, and Description of Work. Enter the

Contractor and subcontractor names, and provide a description of the work.

3. Date. Enter the dates when the force account work was performed. The dates
need not be consecutive.

4. Employee Name, Occupation, and Hours. Enter the employee name, occupation,
and number of hours worked. The Project Inspector must check the payrolls
against the billing and Form 10 data and then sign and date the Form 10.

5. Equipment Code No. and Rate. Equipment code numbers and rental rates shall
be as listed on Form 580 – Equipment Rental Rate Determination Request.
Completion instructions for Form 580 are included in Appendix B.

The Contractor must submit a certified invoice for rental equipment.

If the rental equipment was used for bid item work as well as force account work,
the portion of the rental cost that will be paid for on force account shall be
determined by prorating the total number of hours the equipment was operated to
the number of hours it was operated on the force account work.

If the rental agreement does not include operating costs, hourly operating costs
shall be calculated in accordance with the Rental Rate Blue Book for
Construction Equipment. The Blue Book hourly operating costs will be paid for
the actual hours that the equipment was used on the force account work. The
hourly operating cost calculation can be shown on the rental invoice.

. B-13