9-11 MS-999L Project Completion Report.pdf

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Attached to
2026 Milling and Paving of Various Township Roads
Solicitation number
Not on record
Issued by
Montgomery County, Pennsylvania

About this file

Written by GovTribe AI ·

This is a Project Completion Report (Form MS-999) submitted to the Pennsylvania Department of Transportation by a municipality for a completed contract project. The form documents the final status of work performed by a contractor in accordance with plans, specifications, and County Aid and/or State Aid Agreements. The report requires detailed itemization of all work completed, including unit descriptions, contract quantities, bid unit prices, actual quantities used, actual unit prices, and final costs for up to 25 line items. The municipality must certify that work has been completed in strict accordance with contract conditions and that the contractor has fully complied with all contractual requirements. Upon completion, the form and supporting documentation must be submitted to the Pennsylvania Department of Transportation and retained for presentation to state and local auditors upon request.

The form tracks the distribution of project costs across multiple funding sources: Liquid Fuels Funds, Form 944 Contract funds, County Aid Grants, General Funds, and Other funds. The report requires identification of any variance between actual costs and estimated costs exceeding ten percent, with justification provided for such discrepancies. Liquid Fuels Tax Funds expended must align with Form MS-965 (Actual Use Report), and all County Aid Grant monies must be expended through the General Fund and reimbursed upon receipt of grant funds. The form requires approval and signature by a Municipal Services Representative and must document the contractor's name and address, project start and completion dates, and the total contract amount as awarded.

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MS-999 (3-09) COUNTY:

MUNICIPALITY:

PARTIAL PROJECT NUMBER:

Name and Address of Contractor: Date Work Started:

Date Work Completed:

Total contract amount as awarded:

DISTRIBUTION OF ALL PROJECT COSTS

Liquid Fuels Funds

Form 944 Contract

Engineering Fees

All Other Costs

Total If Actual Costs differs from the Estimated Cost by more than 10% - Show Justification Below.

I hereby certify that the work has been done in strict accordance with the plans, specifications and the County Aid and / or State Aid Agreement and that the contractor has fully complied with the conditions of the contract.

ATTEST :(Seal) Partial or Final Inspection By:

(SIGNATURE -SECRETARY/CLERK)

Address (Signature - Municipal Official)

SECTION 2:

1. Liquid Fuels Tax Funds Expended must agree with Form MS-965 (Actual Use Report)

2. All County Aid Grant monies must be expended through the General Fund and reimbursed to that fund upon receipt of grant.

3. Please retain this form and backup information for presentation to state and local auditors upon request.

4. The County is hereby approved to release County Aid Grant in the amount of - - - -

APPROVED: DATE:

(MUNICIPAL SERVICES REPRESENTATIVE)

REPORT

PROJECT

COMPLETION

Description

SECTION 1: To be completed by Municipality. Upon completion submit to the Pennsylvania Department of Transportation.

Approval and Instructions to Municipalities.

County Aid Grants

Original: District Office cc: Municipality

County Commisioners

TotalGeneral Funds

Actual Qty Used

Actual Unit Price CostItem no.

Other

Unit

FINAL

Bid Unit Price

Contract Quantity

MS-999

PARTIAL:
FINAL:
Name and Address of Contractor:
Total contract amount as awarded:
Date Work Started Date Work Completed:
Item noRow1:
DescriptionRow1:
UnitRow1:
Contract QuantityRow1:
Bid Unit PriceRow1:
Actual Qty UsedRow1:
Actual Unit PriceRow1:
CostRow1:
Item noRow2:
DescriptionRow2:
UnitRow2:
Contract QuantityRow2:
Bid Unit PriceRow2:
Actual Qty UsedRow2:
Actual Unit PriceRow2:
CostRow2:
Item noRow3:
DescriptionRow3:
UnitRow3:
Contract QuantityRow3:
Bid Unit PriceRow3:
Actual Qty UsedRow3:
Actual Unit PriceRow3:
CostRow3:
Item noRow4:
DescriptionRow4:
UnitRow4:
Contract QuantityRow4:
Bid Unit PriceRow4:
Actual Qty UsedRow4:
Actual Unit PriceRow4:
CostRow4:
Item noRow5:
DescriptionRow5:
UnitRow5:
Contract QuantityRow5:
Bid Unit PriceRow5:
Actual Qty UsedRow5:
Actual Unit PriceRow5:
CostRow5:
Item noRow6:
DescriptionRow6:
UnitRow6:
Contract QuantityRow6:
Bid Unit PriceRow6:
Actual Qty UsedRow6:
Actual Unit PriceRow6:
CostRow6:
Item noRow7:
DescriptionRow7:
UnitRow7:
Contract QuantityRow7:
Bid Unit PriceRow7:
Actual Qty UsedRow7:
Actual Unit PriceRow7:
CostRow7:
Item noRow8:
DescriptionRow8:
UnitRow8:
Contract QuantityRow8:
Bid Unit PriceRow8:
Actual Qty UsedRow8:
Actual Unit PriceRow8:
CostRow8:
Item noRow9:
DescriptionRow9:
UnitRow9:
Contract QuantityRow9:
Bid Unit PriceRow9:
Actual Qty UsedRow9:
Actual Unit PriceRow9:
CostRow9:
Item noRow10:
DescriptionRow10:
UnitRow10:
Contract QuantityRow10:
Bid Unit PriceRow10:
Actual Qty UsedRow10:
Actual Unit PriceRow10:
CostRow10:
Item noRow11:
DescriptionRow11:
UnitRow11:
Contract QuantityRow11:
Bid Unit PriceRow11:
Actual Qty UsedRow11:
Actual Unit PriceRow11:
CostRow11:
Item noRow12:
DescriptionRow12:
UnitRow12:
Contract QuantityRow12:
Bid Unit PriceRow12:
Actual Qty UsedRow12:
Actual Unit PriceRow12:
CostRow12:
Item noRow13:
DescriptionRow13:
UnitRow13:
Contract QuantityRow13:
Bid Unit PriceRow13:
Actual Qty UsedRow13:
Actual Unit PriceRow13:
CostRow13:
Item noRow14:
DescriptionRow14:
UnitRow14:
Contract QuantityRow14:
Bid Unit PriceRow14:
Actual Qty UsedRow14:
Actual Unit PriceRow14:
CostRow14:
Item noRow15:
DescriptionRow15:
UnitRow15:
Contract QuantityRow15:
Bid Unit PriceRow15:
Actual Qty UsedRow15:
Actual Unit PriceRow15:
CostRow15:
Item noRow16:
DescriptionRow16:
UnitRow16:
Contract QuantityRow16:
Bid Unit PriceRow16:
Actual Qty UsedRow16:
Actual Unit PriceRow16:
CostRow16:
Item noRow17:
DescriptionRow17:
UnitRow17:
Contract QuantityRow17:
Bid Unit PriceRow17:
Actual Qty UsedRow17:
Actual Unit PriceRow17:
CostRow17:
Item noRow18:
DescriptionRow18:
UnitRow18:
Contract QuantityRow18:
Bid Unit PriceRow18:
Actual Qty UsedRow18:
Actual Unit PriceRow18:
CostRow18:
Item noRow19:
DescriptionRow19:
UnitRow19:
Contract QuantityRow19:
Bid Unit PriceRow19:
Actual Qty UsedRow19:
Actual Unit PriceRow19:
CostRow19:
Item noRow20:
DescriptionRow20:
UnitRow20:
Contract QuantityRow20:
Bid Unit PriceRow20:
Actual Qty UsedRow20:
Actual Unit PriceRow20:
CostRow20:
Item noRow21:
DescriptionRow21:
UnitRow21:
Contract QuantityRow21:
Bid Unit PriceRow21:
Actual Qty UsedRow21:
Actual Unit PriceRow21:
CostRow21:
Item noRow22:
DescriptionRow22:
UnitRow22:
Contract QuantityRow22:
Bid Unit PriceRow22:
Actual Qty UsedRow22:
CostRow22:
Item noRow23:
DescriptionRow23:
UnitRow23:
Contract QuantityRow23:
Bid Unit PriceRow23:
Actual Qty UsedRow23:
CostRow23:
Item noRow24:
DescriptionRow24:
UnitRow24:
Contract QuantityRow24:
Bid Unit PriceRow24:
Actual Qty UsedRow24:
CostRow24:
Item noRow25:
DescriptionRow25:
UnitRow25:
Contract QuantityRow25:
Bid Unit PriceRow25:
Actual Qty UsedRow25:
CostRow25:
Liquid Fuels FundsForm 944 Contract:
County Aid GrantsForm 944 Contract:
General FundsForm 944 Contract:
OtherForm 944 Contract:
TotalForm 944 Contract:
Liquid Fuels FundsEngineering Fees:
County Aid GrantsEngineering Fees:
General FundsEngineering Fees:
OtherEngineering Fees:
TotalEngineering Fees:
Liquid Fuels FundsAll Other Costs:
County Aid GrantsAll Other Costs:
General FundsAll Other Costs:
OtherAll Other Costs:
TotalAll Other Costs:
Liquid Fuels FundsTotal:
County Aid GrantsTotal:
General FundsTotal:
OtherTotal:
TotalTotal:
If Actual Costs differs from the Estimated Cost by more than 10 Show Justification Below:
Address:
SECTION 2 Approval and Instructions to Municipalities:
2 All County Aid Grant monies must be expended through the General Fund and reimbursed to that fund upon receipt of grant:
MUNICIPAL SERVICES REPRESENTATIVE:
DATE:
Actual Unit Price 22:
Actual Unit Price 23:
Actual Unit Price 24:
Actual Unit Price 25:
County:
Municipality:
Project Number:

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