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0 Washington State REPAIR COST ESTIMATE <br /> Department of Transportation JA <br /> Location of Damaged Property: Description of Damage: Code: <br /> SR---@--.-----ts Signal(052) -17th and Q Ave. P.S.E. Dropped Service feeders across signal pole major <br /> damage <br /> Maint.Area Location: I SR: I MP: I County: Date Observed: Accident Rpt. No. Unit Org.Code: Cont.Section: <br /> I Skagit 24-Nov-15 <br /> Name and Address of Owner: Name and Address of Driver <br /> Puget Sound Energy Line Crew <br /> Year, Make,Type of Vehicle: License Police Div: Badge No.: <br /> Labor Description Reg. Hours OT hours Amount <br /> Transportation Engneer ] 0 10.00 $820 <br /> Transportation Systems Tech C 15.00 9.00 $1,494 <br /> Transportation Systems Tech D _ 2.00 J_ __ $117 <br /> Total Labor Estimate $2,432 <br /> Equipment Type Hrs Amount <br /> 1-1 Mid-Sized Sedan I 10.00 $27 <br /> 167-2 Truck,Manlift;Single Axle 54' 16.00 $228 <br /> 5-30 3/4 Ton;Regular Cab;4x2 i 11.00 $60 <br /> 7-4 Truck,Manlift,40' 1.00 $12 <br /> Total Equipment Estimate $327 <br /> Material Type Commodity Qty Amount <br /> GREEN ARROW LED 12 IN 2855337356 L 2.00 $253 <br /> AMBER ARROW LED 12 IN 2855337340 L_ 2.00 $170 <br /> AMBER BALL LED 12 IN 2855337341 L _ 4.00 $422 <br /> LAMP 200W HPS MOGUL BASE 2855087149 1.00 $22 <br /> DETECTOR RENO 2 CHANNEL C1103 5509136710 8.00 $3,277 <br /> ISOLATOR 242 DC 2854440050 2.00[ $93 <br /> GREEN BALL LED 12 IN 2855337359 4.00 $327 <br /> PEDESTRIAN MODULE COUNTDOWN 5508876325 8.00 $1,731 <br /> LUMINAIRE FIXTURE(HEAD)400W/MULTI 2857650065 1.00 $326 <br /> COO COO PEEP PEEP TWEETER SPEAKER FOR BLIND 5508876020 8 00 $3,371 <br /> DETECTOR OPTICOM 721 2 CHANNELS-1 DIRECTION 5509136250 L_ 4.00' $2,341 i <br /> RED BALL LED 12 IN 2855337374 L 4.00 $236 <br /> DETECTOR OPTICOM 762 5509155143 r _ 1.00;. $2,125 <br /> 2070 CONTROLLER FOR SIGNAL CABINET 5508128020 1.00� $2,698 <br /> CONFLICT MONITOR 2010 ECL 5508136200 L_ _ 1.00 $645 <br /> Submitted By Date: Title: <br /> McAdams, Michael 12/01/2015 T.S.T. <br /> Approved By: Date: Title: <br /> Completed: 11/27/2015 <br /> SIMMS Estimate revised 05/11. Page 1 of 2 Date Printed 12/31/2015 <br />