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Local Public Agency Count Section Number _ <br /> City of Decatur Macon 20-00022-00-BR <br /> Exhibit G <br /> Direct Costs Check Sheet <br /> List ALL direct costs required for this project.Those not listed on the form will not be eligible for reimbursement by the LPA on this project. <br /> Item Allowable Quantity Contract Rate Total <br /> Lodging Actual cost <br /> ❑(per GOVERNOR'S TRAVEL CONTROL BOARD) (Up to state rate maximum) <br /> ❑Lodging Taxes and Fees Actual Cost <br /> (per GOVERNOR'S TRAVEL CONTROL BOARD) <br /> ❑Air Fare Coach rate,actual cost,requires minimum two weeks' <br /> notice,with prior IDOT approval <br /> ®Vehicle Mileage Up to state rate maximum 200 $0.56 $112.00 <br /> (per GOVERNOR'S TRAVEL CONTROL BOARD) <br /> ❑Vehicle Owned or Leased $32.50/half day(4 hours or less)or$651full day <br /> ❑Vehicle Rental Actual cost(Up to$55/day) <br /> ❑Tolls Actual cost <br /> ❑Parking Actual cost <br /> ❑Overtime Premium portion(Submit supporting documentation) <br /> ❑Shift Differential Actual cost(Based on firm's policy) <br /> ®Ovemight Delivery/Postage/Courier Service Actual cost(Submit supporting documentation) 1 $15.00 $15.00 <br /> ZI Copies of Deliverables/Mylars(In-house) Actual cost(Submit supporting documentation) 40 1 $0.10 $4.00 <br /> ❑Copies of Deliverables/Mylars(Outside) Actual cost(Submit supporting documentation) <br /> ❑Project Specific Insurance Actual Cost <br /> ❑Monuments(Permanent) Actual Cost <br /> ❑Photo Processing Actual Cost <br /> ❑2-Way Radio(Survey or Phase III Only) Actual Cost <br /> ❑Telephone Usage(Traffic System Monitoring Only) Actual Cost <br /> ❑CADD Actual cost(Max$15/hour) <br /> ❑Web Site Actual cost(Submit supporting documentation) <br /> ❑Advertisements Actual cost(Submit supporting documentation) <br /> ❑Public Meeting Facility Rental Actual cost(Submit supporting documentation) <br /> ❑ <br /> Public Meeting Exhibits/Renderings&Equipment Actual cost(Submit supporting documentation) <br /> ❑Recording Fees Actual Cost <br /> ❑Transcriptions(specific to project) Actual Cost <br /> ❑Courthouse Fees Actual Cost <br /> ❑Storm Sewer Cleaning and Televising Actual cost(Requires 2-3 quotes with IDOT approval) <br /> ❑Traffic Control and Protection Actual cost(Requires 2-3 quotes with IDOT approval) <br /> ❑Aerial Photography and Mapping Actual cost(Requires 2-3 quotes with IDOT approval) <br /> ❑Utility Exploratory Trenching Actual cost(Requires 2-3 quotes with IDOT approval) <br /> ❑Testing of Soil Samples Actual Cost <br /> ❑Lab Services Actual Cost(Provide breakdown of each cost) <br /> ❑Equipment and/or specialized Equipment Rental Actual Cost(Requires 2-3 quotes with IDOT approval) <br /> ®Meals(Day of Inspection) CONUS Rate(Lunch-$15) 2 $15.00 $30.00 <br /> El <br /> Total Direct Costs $161.00 <br /> Completed 01/11/22 Page 9 of 10 BLR 05530(Rev.08/05/21) <br />