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City of San Leandro <br /> CIA No. D43CIASAL0001 <br />Page 7 of 11 <br /> <br /> <br />i. AGENCY (municipality) labor costs <br />ii. Sub-Vendor labor costs (consultant) <br />iii. Sub-vendor direct costs (materials, equipment, miscellaneous itemized <br />costs) <br />iv. Other direct costs <br />j. Discounts (if applicable) <br />k. Remittance information including name and address [MUST match Payee Data <br />Record Declaration of Business Location (Form FA-204) submitted at contract <br />execution or on file] <br />l. AGENCY Contract Manager’s name, address and phone number <br />m. AGENCY Contract Manager’s signature and signature block <br />n. CALTRANS Contract Manager’s name and address <br />o. CALTRANS Contract Manager’s signature block. <br />2) Invoice and Supports <br />All invoice charges must match the rates on the contract cost proposal and personnel <br />request. (Changes in billing rates must be approved before billing.) The CALTRANS’ <br />Contract Manager must be provided with invoices or other documentation with sufficient <br />detail to verify the charges are allowable under this AGREEMENT with sufficient <br />support to allow them to verify charges. Supporting documentation, such as receipts, is <br />required for all costs included on the invoice that are not for hourly or sub-contract <br />labor. <br />AGENCY labor charges need to show person’s name, hours worked, billing rate and <br />brief description of work performed. Supporting documents (timesheet or payroll report) <br />need to be provided. These documents need to include: <br />a. Name (first and last) <br />b. Hours charged <br />c. Brief description -- identify the work is for the project funded by the Cooperative <br />Implementation Agreement <br />d. Month, day and year of the charges (must be within the billing period) <br />e. Worker and supervisor’s signatures (Exceptions can be made for electronic <br />timesheets.) All overtime must be approved in advance by the CALTRANS <br />Contract Manager. <br />Direct costs (such as material costs, vehicle rental) are reimbursable. These costs need <br />to be verified, therefore, a copy of the receipt, paid purchase order or other <br />documentation that shows the items and cost needs to be attached to the invoice. <br />AGENCY personnel travel costs may be reimbursed according to the Consultant and <br />Contractor travel guidelines located on the CALTRANS’ website at: <br />www.dot.ca.gov/hq/asc/travel/ch12/1consultant.htm. The Travel Expense Claim (TEC) <br />form is available at: www.dot.ca.gov/hq/asc/travel/ch5/1tec.htm. <br />Subcontractor costs are reimbursed after providing a copy of the paid invoice. This <br />invoice needs to show that the AGENCY contract manager reviewed and approved the