Form 580 6/14 - Equipment Rental Rate Determination Request
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1COLORADO DEPARTMENT OF TRANSPORTATION
Project No.:
Project Code (PCN):
EQUIPMENT RENTAL RATE
Contractor:
DETERMINATION REQUEST
F/A, CMO, MCR No.:
Equipment Description:
Year:
Make:
Model:
☐ EROPS
☐ ROPS
Series:
Serial No.
HP:
GVW
(Loaded
:
☐ None
weight)
Trucks: Wheel Combination:
Fuel Type:
Trailers:
☐ Gas
☐ Diesel
# Axles: _____ ☐ Tilt Deck ☐ Non-Tilt Deck
Length: _____ft.
☐ 4x2 ☐ 4x4 ☐ 4x6 ☐ Other
☐ Other:
Hitch type: ☐ Gooseneck
☐ Folding Gooseneck
☐ Other
Cab Type:
Dump Trucks & Dump Trailers:
Capacity
(cubic yards, gallons, PSI, lift height,
☐ Conventional
☐ Rear Dump
☐ Single axle
extension, # lights on tower, etc)
☐ Crew
☐ Bottom Dump
☐ Double axle
☐ Side Dump
☐ Triple axle
Equipment Owner Name:
Owner Phone No.
Owner Equipment ID (if available):
Remarks:
(any additional information that should considered?)
Submitted By:
Region No.:
Date:
RATE DETERMINATION
Equipment No. (Assigned by CDOT and may be used on CDOT Form 10 – Inspector’s Report for Force Account Work):
Volume:
Section:
Page:
Date (Blue Book Section):
BLUE BOOK REFERENCE
SHIFT RATE PER HOUR
Bare Rate (Federal Participating):
$___________________
Operating Cost (Federal Participating):
$___________________
TOTAL
$___________________
STANDBY RATE PER HOUR
Adjusted Bare Rate (Federal Participating):
$___________________
TOTAL
$___________________
These rates will apply to the above entire F/A, CMO or MCR Line situation. If used on any other force account
situation, new rates will be needed to determine if rates have changed per Blue Book Revisions.
The Colorado Department of Transportation maintains procedures for determining equipment rental costs which are
reimbursable to contractors performing force account work on CDOT construction projects. These rates do not include
profit or operator’s wages or fringe benefits. These rates have no legal status beyond CDOT contracts.
Signed:
Title:
Date:
Distribution: Project Engineer (copy)
Previous editions are obsolete and should not be used
CDOT Form 580 6/14
Contractor (copy)
Finals Administrator File (original)
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