ATT C Contract Closeout Compliance Checklist.doc

DOC document 93 KB Posted

Attached to
ER 2025 I-5 SB MP 109. 5 (Serpentine Rockfall) Gabion Wall Repairs
Solicitation number
S-73000-00014937
Issued by
Douglas County, Oregon

About this file

This document is a Contract Closeout Compliance Checklist for a state-funded public improvement project in Oregon, specifically for Contract Number PO-73000-000, designed to assist the Agency and Contractor in completing final project requirements. The checklist outlines multiple mandatory steps for contract closeout, including submission of record documents, operation and maintenance manuals, substantial and final completion notices, and environmental cleanup verification.

The checklist requires the contractor to certify that all subcontractors and suppliers have been paid, all disputes are resolved, and no outstanding claims exist. Key compliance areas include environmental cleanup confirmation, training session scheduling, extra materials documentation, and certificate of occupancy receipt. The document is structured to ensure comprehensive project closure, with spaces for both contractor and owner representatives to initial and sign off on each requirement, and includes instructions to email the completed form to the ODOT Procurement Office and, for ESB contracts, to the Office of Civil Rights Field Coordinator.

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Other files

File Type Posted
Sample Contract~51.docx DOCX document
RFCQ Bid Results.xlsx XLSX spreadsheet
00014937_Prequote_Signup.pdf PDF
Exhibit A Special Provisions and Specifications.docx DOCX document
00014937 Request for Competitive Quotes.docx DOCX document
ATT B FHWA Form 1273.pdf PDF
00014939 Bid Results.xlsx XLSX spreadsheet
ATT A Project Wage Rates.pdf PDF

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CONTRACT CLOSEOUT COMPLIANCE CHECKLIST

For state-funded projects let through Region procurement

Contract Number
PO-73000-000

Contract Name

Contractor

Owner Authorized Rep.

This checklist is intended to assist Agency and Contractor in complying with the Contract Closeout and Final Payment requirements in the General Conditions for Public Improvement Contracts, Sections K and E.6: http://www.oregon.gov/das/Procurement/Guiddoc/GenCon4PI.pdf Owner will mark “NA” by any requirement that is not applicable to the Contract. Contractor’s and Owner’s Authorized Representatives shall place their initials by each requirement listed below that has not been marked “NA” by Owner, and provide a signature at the end of the Checklist.

Keep a copy of the signed form in the Contract Administration file. Email a copy to the ODOT Procurement Office. For ESB contracts, also email a copy to your Office of Civil Rights Field Coordinator.

Requirements
Mark NA if not applicable
Date completed
Contractor initials
Owner’s Rep.

initials

K.1 Record Documents submitted

K.2 O & M Manuals submitted

K.3 Certification/Release of Claims

By Contractor’s signature below, Contractor certifies and agrees to the following:

All Subcontractors and suppliers have been paid in full or will be paid in full out of the final payment, and in compliance with all prompt payment requirements. All disputes with property owners have been resolved, all obligations on the project have been satisfied, all monetary claims and indebtedness have been paid, and, to the best of the Contractor's knowledge, there are no claims of any kind outstanding against the project.

K.4 Completion notices submitted

Substantial Completion notice

Date of substantial completion:

Final Completion notice

Date of final completion:

K.5 Training sessions scheduled

Requirements
Mark NA if not applicable
Date completed
Contractor initials
Owner’s Rep.

initials

K.6 Extra materials provided

(List individually):

K.7. Environmental Clean-up:

Contractor hereby notifies Owner that all environmental cleanup that was performed as a part of this contract has been disposed of in accordance with all applicable rules, regulations, laws, and statutes of all agencies having jurisdiction over such environmental pollution.

K.8 Certificate of Occupancy received by Owner

K.9 Other Contractor Responsibilities

(List individually):

E.6 Contractor’s final payment request submitted

Final payment request approved by Owner

CONTRACTOR’S AUTHORIZED REPRESENTATIVE:

Printed Name

Title

Signature

Date

OWNER’S AUTHORIZED REPRESENTATIVE:

Printed Name

Title

Signature

Date

Revised: 7/9/2018

File details come from the government source that posted it. Updated .