DATE8/11/26
DAY OF WEEKTUESDAY
Ground Bearing Pressure
Needed to support Crane:
| 30-40T: | 46,500 lbs |
| 70T: | 76,840 lbs |
| 110-113T: | 96,120 lbs |
| 275T: | 198,650 lbs |
| : | lbs |
SUMMIT LIFT & RIGGING INC.
2180 Foundry Road
Pine Hollow, CA 95970
(916) 555-0100
CRANE RENTAL SERVICE AGREEMENT
CRANE110T
TRUCK(1) CWT LOAD
PO #GPB-6630
DIR PROJ #
CUSTOMER’S NAMEGranite Peak Builders
ADDRESS2650 Overlook Drive, Millbrook, CA 95910
JOB NAME / LOCATION2650 Overlook Drive — Medical Office Bldg B, Millbrook, CA
TYPE OF WORK PERFORMEDSET STRUCTURAL STEEL — (11) BEAMS HEAVIEST 8,700 LBS 110' RADIUS SOUTH SIDE
BOOM/JIB LENGTH138' main / 80' jib
ADDITIONAL EQUIP. GEAR PROVIDED(4) 30' Oranges or Blues, (4) 25T shackles, 12'-39' Slide Collar Bar, Radios
COMMENTS:
CONTRACT EXECUTION – START WORK AUTHORIZATION
THE PERSON SIGNING THIS AGREEMENT IS AUTHORIZED TO DO SO. THE TERMS AND CONDITIONS ON THIS PAGE AND ON THE REVERSE SIDE ARE UNDERSTOOD AND ACCEPTED BY ALL PARTIES. THIS AGREEMENT REMAINS IN EFFECT UNTIL THE PROJECT IS COMPLETE AND DOES NOT NEED TO BE RE-SIGNED EACH DAY TO REMAIN BINDING. THE CUSTOMER/SUBCONTRACTOR ACKNOWLEDGES THAT ALL RIGGERS AND SIGNAL PERSONS MUST BE QUALIFIED BEFORE ANY OPERATIONS BEGIN, PER OSHA 29 CFR 1926.1425 & 1428. THE CRANE COMPANY IS NOT RESPONSIBLE FOR DAMAGE TO SURFACES OR UNDERGROUND IMPROVEMENTS OF ANY KIND.
CUSTOMER(Print name)DATEBYSignature of Customer’s Authorized Representative
SUBCONTRACTOR(Print name)DATEBYSignature of Subcontractor /Subcontractor’s Authorized Representative
CRANE COMPANY(Print name)DATEBYSignature of Crane Company’s Authorized Representative
| Lunch/Out30 min | Start | Finish | Straight Time | Over Time | Double Time | Total Hrs |
|---|
| Crane | 7:00AM
PM | 5:30AM
PM | 8 | 2 | | 10 |
| Operator | 5:30AM
PM | 7:00AM
PM | 8 | 4 | 1 | 13 |
| Rigger | 5:30AM
PM | 7:00AM
PM | 8 | 4 | 1 | 13 |
| Trucking | 5:30AM
PM | 7:00AM
PM | 8 | 4 | 1 | 13 |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
| TOTAL | 49 |
SIGNED AT END OF THE DAY
THE WORK ABOVE IS VERIFIED AS CORRECT. CUSTOMER AND/OR SUBCONTRACTOR CERTIFIES THAT NO ACCIDENTS HAVE OCCURRED INVOLVING ANY OF THE LEASED EQUIPMENT:
CUSTOMER(Print name)DATEBYSignature of Customer’s Authorized Representative
SUBCONTRACTOR(Print name)DATEBYSignature of Subcontractor /Subcontractor’s Authorized Representative
CRANE COMPANY(Print name)DATEBYSignature of Crane Company’s Authorized Representative