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["（別紙５）　　　　　　　　　　積　算　内　訳　書",null,null,null,"（単位：千円）"]
["名　　　　　称","単位","数量","積算（入札）金額","市町内業者等\n予定下請金額"]
["土木工事"]
["　敷地造成工事",null,null,0,0]
["　　　１　土工","式",1]
["　　　２　地盤改良工","式",1]
["　　　３　法面工","式",1]
["　　　４　擁壁工","式",1]
["　　　５　排水構造物工","式",1]
["　　　６　集水桝工","式",1]
["　　　７　調整池工","式",1]
["　　　８　仮設防災工","式",1]
["　　　９　植栽工","式",1]
[]
["　進入道路工事",null,null,0,0]
["　　　１　道路土工","式",1]
["　　　２　法面工","式",1]
["　　　３　擁壁工","式",1]
["　　　４　石・ブロック積（張）工","式",1]
["　　　５　カルバート工","式",1]
["　　　６　排水構造物工","式",1]
["　　　７　落石防止工","式",1]
["　　　８　防護柵工","式",1]
["　　　９　舗装工","式",1]
["      10  構造物撤去工","式",1]
["　　　11　植栽工","式",1]
[]
["　仮設道路工事　",null,null,0,0]
["　　　１　道路土工","式",1]
["　　　２　法面工","式",1]
["　　　３　擁壁工","式",1]
["　　　４　排水構造物工","式",1]
["　　　５　仮設工","式",1]
["　　　６　舗装工","式",1]
["　　　７　構造物撤去工","式",1]
["　　　８　植栽工","式",1]
["　　　９　河川土工","式",1]
["　　　10　法覆護岸工","式",1]
[]
["直接工事費　計",null,null,0,0]
[]
["共通仮設費","式",1]
["現場管理費","式",1]
["一般管理費","式",1]
["端数処理(※端数処理がある場合のみ記入)"]
["合 計(工事価格)※入札金額と一致すること",null,null,0,0]
[]
["　進入道路・敷地造成工事における入札額の内訳等を上記のとおり提出します。"]
[]
["　　　　　　・　　・　　・　　特別共同企業体"]
["　　　（代表構成員）　住　　　　所"]
["　　　　　　　　　　　商号又は名称"]
["　　　　　　　　　　　代表者職氏名　　　　　　　　　　　　　　　　　　　　　　㊞"]
[]
["　　　　　　　　　　　（代 理 人）　　　　　　　　　　　　　　　　　　　　　　㊞"]