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...Sheet bdc emergency contractor expense and fee summary project no name fed id date address submission period to telephone fax section a work for ogs use only total labor from material equipment e b subcontractor excluding travel expenses l amp m sub lump sum c cost plus percentage complete line fixed contract times applies contracts amount requested or d s certification i certify compliance with all provisions that has been performed supplied as included in this further the rates prices insurance enumerations fringe benefit rental are correct accordance actual true costs incurred sworn before me day signature of print authorized title notary public by director representative best my knowledge belief represented on attached is inspected andor duly assistants requirements documents pc rev item employee regular time premium when directed hours rate paid carry forward comments worksheet number county breakdown fields required entries separate each trade subcategory social security gross pa...