Form 700-050-58 "Daily Record of Extra Work Site Source Record" - Florida

What Is Form 700-050-58?

This is a legal form that was released by the Florida Department of Transportation - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 1, 2017;
  • The latest edition provided by the Florida Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 700-050-58 by clicking the link below or browse more documents and templates provided by the Florida Department of Transportation.

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Download Form 700-050-58 "Daily Record of Extra Work Site Source Record" - Florida

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700-050-58
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
CONSTRUCTION
09/17
DAILY RECORD OF EXTRA WORK
SITE SOURCE RECORD
Date
Financial Project ID No.
Road No.
Work Order No.
NOTE:
Report Prime, Sub, and Subordinate Sub work effort on separate sheets.
Prime
Subcontractor
Subordinate Subcontractor
Description of Work Done this Date:
LABOR
NO.
POSITION
TOTAL HOURS
RATE
EQUIPMENT
NO. UNITS
KIND
TOTAL HOURS
RATE
MATERIAL USED
QUANTITY
KIND
RATE
Inspector__________________________________________ Signature ________________________________________
Foreman __________________________________________ Signature ________________________________________
NOTE: This record to be made in duplicate, one copy to be retained by the Contractor and one copy attached to the Cost
Estimate for Increase, Decrease or Alterration in the Work (Form 700-050-59) for each Work Order.
700-050-58
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
CONSTRUCTION
09/17
DAILY RECORD OF EXTRA WORK
SITE SOURCE RECORD
Date
Financial Project ID No.
Road No.
Work Order No.
NOTE:
Report Prime, Sub, and Subordinate Sub work effort on separate sheets.
Prime
Subcontractor
Subordinate Subcontractor
Description of Work Done this Date:
LABOR
NO.
POSITION
TOTAL HOURS
RATE
EQUIPMENT
NO. UNITS
KIND
TOTAL HOURS
RATE
MATERIAL USED
QUANTITY
KIND
RATE
Inspector__________________________________________ Signature ________________________________________
Foreman __________________________________________ Signature ________________________________________
NOTE: This record to be made in duplicate, one copy to be retained by the Contractor and one copy attached to the Cost
Estimate for Increase, Decrease or Alterration in the Work (Form 700-050-59) for each Work Order.