ACPAM

 

7.0 Forms

The following forms are suggested for use on the Authority Projects.  A CEI can use another form if it serves the same purpose and has prior approval by the Authority.  Additional forms are available on the FDOT website at http://www2.dot.state.fl.us/proceduraldocuments/.  

 

7.1 Logs, Permits and Reports

 

CG-L02 Outstanding Items List.doc

Sublet Authorization Log Sheet.xls

CG-L06 Request for Information Log.doc

CG-L07 Shop Drawing Log.doc

CG-P04 Request for Authorization to Sublet Work

CG-P05 Request for Authorization to Sublet Work Checklist.doc

Sublet Log (Example)

CG-P06 Surety Form Letter.doc

CG-P07 Notice of Rental Agreement.doc

CG-P08 Certification of Subcontract Amount to DBE Contractor.doc

CG-P09 MWBE Utilization Form.doc

CG-P10 MWBE Utilization Summary.doc

CG-R02 Daily Inspection Report.doc (2 pages)

CG-R07 Engineer's Weekly Summary.doc

CG-R08 Engineer's Monthly Progress Report.doc (2 pages)

CG-S03 Request for Information.xls

700-010-48 Notice of Utility Construction Work.doc

Progress Energy - Self Inspecting Agency Release Form

OUC - Self Inspecting Agency Release Form

Load Center Electrical Service Inspection Form

Roadway Lighting Inspection Checklist

 

7.2 Pre-Construction

 

CG-F01 Notice of Beginning & Completion of Construction.doc

CG-P01 Preconstruction Survey-Letter 1.doc (2 pages)

CG-P02 Preconstruction Survey-Letter 2.doc (2 pages, incl. Survey Cross Section Waiver)

CG-P03 Contractor Equal Opportunity Employment Profile.doc

CG-P10 Memorandum of Agreement.doc

CG-P11 Baseline Schedule Acceptance Letter.doc

Storm Water Pollution Prevention Plan.pdf

650-040-07 Contractor Certification for NPDES Storm Water Permit.pdf

 

7.3 Contract Modification

 

CG-M03 Supplemental Agreement Worksheet.doc (2 pages)

CG-M05 Notice of Payment and Preservation of Rights.doc (2 pages)

CG-M06 Work Order For Unforeseen Additional Work.doc

CG-M07 Work Order Summary Sheet.xls

CG-M08 Work Order, Finding of Facts

700-050-58 Daily Record of Force Account Work.pdf

700-050-59 Force Account Work Summary.pdf

Contract Time (Form)

Fuel Adjustment Report (Example)

 

7.4 Owner Direct Purchase Materials (ODPM)

 

ODPM Procedures

Supply Bond

Routing Guidelines

OOCEA PO Terms

Exhibit #1,     Request for Purchase Order

Exhibit #2,     OOCEA Purchase Order

Exhibit #3,     OOCEA Letter to Vendor

Exhibit #3A,   OOCEA Letter to Vendor w/ Supply Bond

Exhibit #4,     Contractor’s Vendor Invoice Affirmation Letter

Exhibit #5,     Vendor Invoice Form

Exhibit #6,     CEI’s Recommendation to Pay Invoice Letter

Exhibit #7,     Stockpiles Materials Worksheet

Exhibit #8,     Contract Bid Items Calculations Spreadsheet

Exhibit #9,     Progress Estimate cover sheet with “Deductions” section

Exhibit #10,   Payment Documentation Log

Exhibit #11,   Vendor Summary Sheet

Exhibit #12,   CEI Closeout Letter to Contractor

Exhibit #13,   CEI Closeout Letter to Vendor

Exhibit # 14,  Tax Exempt Certificate

                    

7.5 QC and General Failure Reports

 

CG-Q01 Non Compliance Notice.doc

CG-Q02 Non Compliance Notice Log.doc

CG-Q04 Notification of Failing Test Results.doc

675-030-02 Control Charts for Acceptance Tests.pdf (2 pages)

675-050-01 Material Release Notification.pdf

700-020-02 Construction Compliance.pdf

                    

7.6 MOT

 

CG-T01 Lane Closure Checklist.doc

CG-T03 Off Duty Law Enforcement Officer Letter Form.doc

700-010-08 MOT Review Report.pdf

700-050-50 Off-Duty Officer Site Source Record.doc

Lane Rental Form

 

7.7 Piling, Girders, Sign Structures

 

CG-R11 Pile Driving Log.doc (3 pages)

700-020-01 Pile Driving Installation Plan.pdf

700-050-08 Piling Tabulation.pdf (2 pages)

Off-site Inspection of Tub Girders, Overhead Sign Structures

Drilled Shaft Installation Log (2 Pages)

 

7.8 Earthwork

 

QC Density Log Book (.pdf)

VT Density Log Book (.pdf)

C-22, Sample Transmittal Card

                     

7.9 Concrete

 

675-50-02 Control of Concrete.doc

Structural Concrete Verification Log

Bridge Concrete Straightedge Test Report (.doc/,pdf)

  

7.10 Asphalt

 

Asphalt Paving Report VT

Friction Course Straightedge Deduction

 

7.11 Pay Estimate

 

CG-E01 Certification - DPPPS.doc

CG-E02 DBE Payment Certification.doc

CG-E03 Monthly DBE Status Report.xls

CG-E04 Payment Documentation Log.doc

CG-E05 Payment Request for Stored Materials.doc

CG-E07 Contractor Pay Estimate Summary Sheet.xls

700-010-42 Stockpiled Materials.pdf

700-050-02 Curb & Gutter Computations.pdf

700-050-03 Linear Measure Comp with Components.pdf

700-050-05 Lump Sum Quantities.pdf

700-050-06 Weight Measure or Liquid Volume.pdf (2 pages)

700-050-07 Concrete and Rebar Computations

700-050-09 Linear Measurements, Weight Computations.pdf

700-050-10 Comp. Book Pay Item Summary Sheet.pdf

 

7.12 Project Closeout

 

CG-F02 Contractors Final Release.doc

CG-F03 Form 21-A REV 0304.doc (2 pages)

CG-F04 Form 21-B.doc

CG-F05 Disbursement of Previous Payment.doc

CG-F06 Construction Materials Affidavit.doc

CG-F07 Contractors Acceptance of Final Payment.doc

CG-F08 Final Acceptance Letter.doc

CG-F09 Final Offer Letter.doc

CG-R12 Punch List.doc

CG-R15 Release of Contractor's Escrowed Bid Documents.doc

Summary of Overrun/Underruns (SA summary sheet)

Box Inventory Form (Example)

 

7.13 Micro Contracts

 

MC-E01 Pay Request, MCP-0XX Example.doc

MC-E02 Monthly Estimate Example.xls

MC-E03 Monthly Pay Estimate MCP, 0XX Example.xls

MC-M01 Change Order Example.doc

MC-M02 Finding of facts example.doc

MC-P01 Agreement for Contract Services.doc

MC-P02 Notice to Proceed.doc

MC-P03 Request for Bids.doc