ࡱ                >  	               I          K          H    3 	                  bjbj΃                  	 8       	      *                                                         l     R      R  R      R                                                   8        &           J     N      N  (   v      v      v      	      	      	      %     '      '      '  O   v  `  +  `  6J  $   kK     M  N   ZJ                           	                      	  "   	      	      	      ZJ      '      R      R      v              v  U  oJ     '      '      '      	     R  8   v            v      %              '                                                      	      %      '  j   '                                                                                   	      v      B     g߈Q  ,        
  X                	     J  0   J           M      
  N  M      	      '                  R      R      R      R          X	Bureau of Highway DesignX	Room 200X	Tel. (603) 271-2171(                                                          )	Fax (603) 271-7025[AUTHORIZATION TO PROCEED WITH FORCE ACCOUNT AGREEMENT WORK]	current dateXXXXXDear X:The Department has received the {Federal Highway Administrations approval|executed copy} (effective __________) of the Force Account|Supplemental|Amended} Agreement covering _______________________ on the above noted State project.  This letter is your authorization to proceed with the work covered by the Agreement.When the work is completed (partial or final) and accepted by our Bureau of Construction, please submit three (3) copies of your billing to Mr. Leonard Russell, Financial Reporting Administrator, Bureau of Finance and Contracts, New Hampshire Department of Transportation, 7 Hazen Drive, PO Box 483, Concord, NH 03302-0483.  Detailed billing should be submitted showing:Our project name and number.Our Organization and Work Class Codes.A brief description of the work covered by the billing.The dates work was started and completed.A detailed breakdown of quantities and costs for labor, equipment, materials and overhead expenses.Whether billing is partial or final.Your bill or invoice number.Date of billing.Be sure to properly complete the enclosed Utility Reports for the work being done daily and submit them weekly to the Contract Administrator as set forth in the Agreement.  The Utility Reports are not the basis for payment, but are needed for verification that the work was performed.Upon receipt of the Bids and determination of the lowest responsible bidder, the <Town|City> will be contacted for concurrence to include the non-participating items in the States contract and provide payment of the estimated <Towns|Citys> costs.By copy of this letter {Bridge/Consultant/Final Design} is requested to revise the project estimate [{authorizing an additional $________ for a total of}$__________ /showing an income of $_______________ ($_______________less $__________________ reimbursement for trench, backfill and book value) from the <Town|City> for ______________________________ relocations/improvements] for the above referenced {Force Account|Supplemental|Amended}Agreement.	Sincerely,	{Lennart D. Suther|Steven J. Swana}, P.E.	Utilities Engineer{LDS|SJS}/____/____Enclosurescc:	Project Manager, Construction, {Bridge/Consultant/Final Design}, Finance & Contracts  Karyn Olson, {{City/Town}of _______,} {Turnpikes,} Utilities PAGE 2 FILENAME \p Document1DRAFT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                0  W    	  $
  %
          2                    	                        Ǽ                                                                                                                                                                               	B*ph   B*CJH ph   CJ mH nH uCJ  j    CJ U0J mH nH u0J  j    0J U\CJ  @CJ  CJ mH nH uCJ  j    UmH nH u#           *  @                            0  1                                                                                                                                                                                                                                                                                                              $`a$     $  a$   $a$   $   a$        $  a$                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        !  K        	  	  $
  %
                     2  3                                                                                                                                                                                                                                                                              
 $$   a$       $  a$   $  a$  $$   $a$ $   $^a$  $
& F a$ 3  G  H  S  T                                                                                                                                                                                                                                                                                                                                                                                           $a$ $h P^`Pa$   $  a$   $a$ 6 
00"P P &P P / =!"#$%  `                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
  i           @  @ @   N o r m a l      5$ 7$ 8$ 9D H$  _HmH	sH	tH	6    6  	 H e a d i n g   1     $$@& a$ CJ 0 @  0  	 H e a d i n g   2     $@& CJ               < A@ <   D e f a u l t   P a r a g r a p h   F o n t             , @  ,   H e a d e r      !   & )@ &   P a g e   N u m b e r     F P@ F   B o d y   T e x t   2      h  ^ ` CJ ,  @ ",   F o o t e r      !   < P@ 2<   B o d y   T e x t   2     $`a$ CJ 0 B@ B0  	 B o d y   T e x t     $a$ CJ        
                                      
                
  	                       *   @                                          0  1          !  K            $  %                   	  2	  3	  G	  H	  S	  T	  	  	  	  	  	  
  
  
  
  
   
      0          @   0          @   0          @  0          @   0          @   0          @   0          @   0          @   0          @   0          @   0          @   0          @   0          @   0          @   0          @   0          @   0          @   0          @   0          @  0          @   0          @   0          @   0             0             0            0            0            0            0            0            0         @   0          @  0          @   0          @  0          @  0             0          @   0          @   0          @   0          @   0          @   0          @  0          @  0          @   0          @   0          @   0          @   0          @   0             0          @  0          @  0          @   0          @  0          @  0          @   0          
    0                0          @   0          
    0                                                        )   ,                3                            	         &   ,   !  8                         @                              (    	                    
          r    
      
   6                                 8c  ?                             B    
        S              	   ?              
    %      t         3  D  o    w    	        S  \       	  	  4	  ;	  	  	  	  
  
   
                              @   |               	  	  	  	  
  
   
   3  3  3  3  3           2  ;  <  I  K  K  i  i                  B  C      M    $  -  %                   T	  W	  g	  x	  	  	  	  	  	  	  	  	  	  	  	  	  	  	  	  
   
                                                             n 3 4 e l r * S : \ A D M I N \ T E M P L A T E S \ U t i l i t i e s \ 2 a g r a u t h p . d o t  -b_     @             h     ^`   .    -                          	  
   
            @\\hzndotprnt1\B34_HPLJ5200_1 Ne02: winspool HP Universal Printing PCL 6 (v5.0) \\hzndotprnt1\B34_HPLJ5200_1      C  
od  X  X  Letter                                                                       DINU" 	f                            @                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   SMTJ     H P   U n i v e r s a l   P r i n t i n g   P C L   6   ( v 5 . 0 )   InputBin FORMSOURCE RESDLL UniresDLL HPDocUISUI True ESPRITSupported True FastRes 1bpp Resolution 600dpi PrintQualityGroup PQGroup_2 HPColorSmart Automatic HPColorSmart_ColorOptions_EdgeControl Normal HPColorSmart_ColorOptions_Halftone Detail HPColorSmart_Text_NeutralGrays BlackOnly HPColorSmart_Text_Halftone Detail HPColorSmart_Graphics_NeutralGrays BlackOnly HPColorSmart_Graphics_Halftone Detail HPColorSmart_Photo_NeutralGrays 4-Color HPColorSmart_Photo_Halftone Detail Orientation PORTRAIT HPOrientRotate180 False Duplex VERTICAL HPPrintOnBothSidesManually False PaperSize LETTER HPConsumerCustomPaper True MediaType PLAIN Collate ON HPNUseDiffFirstPageChoice TRUE HPPageExceptionsFile HPCPE091 HPPageExceptionsInterface ShowPageExceptions HPPageExceptionsLowEnd HPPageExceptionsLowEndVer HPPageExceptions CoverInsertion HPOutputBinOrientation FACEDOWN Stapling None HPStaplingOpposed False Economode False TextAsBlack False AlternateLetterHead False HPSmartHub Inet_SID_263_BID_514_HID_265 OutputBin Auto HPDocPropResourceData hpchl091.cab HPLpiSelection None JPEGEnable Auto HPEasyColor On HPMHDLLName HPFIE091 HP_DIBStitch_TintTest Disabled HPMediaTypeTreeviewPopup True HPColorMode COLOR_MODE ColorMode 24bpp TTAsBitmapsSetting TTModeOutline HPPDLType PDL_PCL6 HPPJLEncoding UTF8 HPJobAccounting HPJOBACCT_JOBACNT_GROUPNAME HPBornOnDate HPBOD HPColorPlane HPCP HPJobByJobOverride JBJO HPJobAccWoPin True HPXMLFileUsed hpcu0916.xml HPSmartDuplexSinglePageJob True HPDuplicateJobNameOverride SWFW HPEnableRAWSpooling True RGBColor Default-sRGB JRConstraints JRCHDFull JRHDInstalled JRHDOff JRHDNotInstalled JRHDOff HPBestGloss Default PSAlignmentFile HPCLS091                                                                                                                                                                                                        IUPH  xn@gr$J\FUA
nR*QvPԴAN*O /#w"US7X
I:?k;㱽x׻cDt. E.'BK<*O]>сlHizJԆ,O7bTS+0P8a=^/VPCWvd>I*B%r{㙡d1j_Sm@"Z\֍b ;XHi?~51"Iq/i
G/18rnѬnaxadPS5E'\U/Jf0z`t =Z(@W5eQ#ǃGeth3Fh\?-zB߀.6u~^k=)W'RNB}s,Mb19DӴ}=@_Fn7;vTlhǙi_EP$idjO1ٲ,bc.zr10.Lcln/=KS\~Wܕo3dѡSwӅ_g~sģaaa ~IG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             \\hzndotprnt1\B34_HPLJ5200_1      C  
od  X  X  Letter                                                                       DINU" 	f                            @                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   SMTJ     H P   U n i v e r s a l   P r i n t i n g   P C L   6   ( v 5 . 0 )   InputBin FORMSOURCE RESDLL UniresDLL HPDocUISUI True ESPRITSupported True FastRes 1bpp Resolution 600dpi PrintQualityGroup PQGroup_2 HPColorSmart Automatic HPColorSmart_ColorOptions_EdgeControl Normal HPColorSmart_ColorOptions_Halftone Detail HPColorSmart_Text_NeutralGrays BlackOnly HPColorSmart_Text_Halftone Detail HPColorSmart_Graphics_NeutralGrays BlackOnly HPColorSmart_Graphics_Halftone Detail HPColorSmart_Photo_NeutralGrays 4-Color HPColorSmart_Photo_Halftone Detail Orientation PORTRAIT HPOrientRotate180 False Duplex VERTICAL HPPrintOnBothSidesManually False PaperSize LETTER HPConsumerCustomPaper True MediaType PLAIN Collate ON HPNUseDiffFirstPageChoice TRUE HPPageExceptionsFile HPCPE091 HPPageExceptionsInterface ShowPageExceptions HPPageExceptionsLowEnd HPPageExceptionsLowEndVer HPPageExceptions CoverInsertion HPOutputBinOrientation FACEDOWN Stapling None HPStaplingOpposed False Economode False TextAsBlack False AlternateLetterHead False HPSmartHub Inet_SID_263_BID_514_HID_265 OutputBin Auto HPDocPropResourceData hpchl091.cab HPLpiSelection None JPEGEnable Auto HPEasyColor On HPMHDLLName HPFIE091 HP_DIBStitch_TintTest Disabled HPMediaTypeTreeviewPopup True HPColorMode COLOR_MODE ColorMode 24bpp TTAsBitmapsSetting TTModeOutline HPPDLType PDL_PCL6 HPPJLEncoding UTF8 HPJobAccounting HPJOBACCT_JOBACNT_GROUPNAME HPBornOnDate HPBOD HPColorPlane HPCP HPJobByJobOverride JBJO HPJobAccWoPin True HPXMLFileUsed hpcu0916.xml HPSmartDuplexSinglePageJob True HPDuplicateJobNameOverride SWFW HPEnableRAWSpooling True RGBColor Default-sRGB JRConstraints JRCHDFull JRHDInstalled JRHDOff JRHDNotInstalled JRHDOff HPBestGloss Default PSAlignmentFile HPCLS091                                                                                                                                                                                                        IUPH  xn@gr$J\FUA
nR*QvPԴAN*O /#w"US7X
I:?k;㱽x׻cDt. E.'BK<*O]>сlHizJԆ,O7bTS+0P8a=^/VPCWvd>I*B%r{㙡d1j_Sm@"Z\֍b ;XHi?~51"Iq/i
G/18rnѬnaxadPS5E'\U/Jf0z`t =Z(@W5eQ#ǃGeth3Fh\?-zB߀.6u~^k=)W'RNB}s,Mb19DӴ}=@_Fn7;vTlhǙi_EP$idjO1ٲ,bc.zr10.Lcln/=KS\~Wܕo3dѡSwӅ_g~sģaaa ~IG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ^E                     
     @      U n k n o w n                                   G  z                  T i m e s   N e w   R o m a n   5                       S y m b o l   3&  z                  A r i a l   "  A     h    9	A	Ӵ    o  .                             !                                                                                                                                                                                                                                                                                                                          x x 20              
                                                                         2Q                                        C e n t e r        n 3 4 e l r  n 3 4 e l r                                                                                  Oh +'0                                                        	          
   4     @     L     X     d     l     t     |             Center                  n34elr                            2agrauthp.dot         n34elr        1         Microsoft Word 9.0  @        @    ,G9@    `P@    mQ         o     .                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           ՜. +,0            h      p                                                                          NHDOT                  
     #	                                     Center            Title                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              	   
                                                                   !   "   #   $   %   &   '   (   )   *   +   ,   -   .   /   0   1   2   3   4   5   6   7   9   :   ;   <   =   >   ?   A   B   C   D   E   F   G   J   R o o t   E n t r y                                                 	           F            QL          1 T a b l e                                                                                              M      W o r d D o c u m e n t                                                                                     8        S u m m a r y I n f o r m a t i o n                           (                                           8           D o c u m e n t S u m m a r y I n f o r m a t i o n           8                                     @           C o m p O b j                                                                                                j       O b j e c t P o o l                                                                   QQ                                                                                                                                    
  	           F   Microsoft Word Document 
   MSWordDoc    Word.Document.8 9q                                                                                                                                                                                                                                                                                                                                                                                                                                  