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5105.43 xB NEW YORK STATE DEPARTMENT OF TRANSPORTATION BETTERMENT REQUEST (Betterment Worksheet, Design Deposit Estimate) The betterment is to be processed as: XI Items and Laborin the contract C] Fixed Price Lump Sum Design Betterment Deposit Estimate 1. Engineer's Item and Labor Cost Estimate Includes 24 619.01 - wzTc, C] 697.03 - Field Change Payment. $795,090.00 2. Engineer's Labor Cost Estimate for Adjustment of Items (materials) Provided by the Stakeholder. $0.00 NYSDOT costs: XI Actual L1 10% of Item 1 ‘ Note: ~ 3. See item and Labor Cost Estimate by NYSDOT below. Total of Lines land 2 $795,090.00 4. Work Zone Traffic Control Cost, Ttem 619.01 X1$0.00, included in Line 3 or (1 $0.00. the State's cofitractor’s WZIC- $0.00 does not need to be modified to accomplish the betterment work. 5. Field Change Payment, Item 697.03. $39,754.50 LI Actual KX] 5% of Line 3 [1] $0.00, Inciuded in Line 3. ou_ 6. Total of Lines3 to 5 | $834,844.50 7. & NYSDOT Design Engineering Services Cost: L] Actual X] 0% of Line 6 $0.00 [1 $0.00, Stakeholder provided the design. Note: 8. NYSDOT Construction Supervision (12% of Line 6) $100,181.34 9. Mobilization, Item 699.040001 (4% of Line 6) $33,393.78 10. Total of Lines6 to 8 $968,419.62 11. Less amount paid $0.00 initial Betterment Payment Due | $968,419.62 * Include these costs in the betterment share in the Estimator. Page 3 of 6