Attachment 1 - Contract Administration Forms - B2500045 WCR 41 and SH 52 Intersection Improvements Project.docx

Attachment 1 – Contract Administration Forms

Notice to Proceed (Example)

To: Date:

PROJECT: WCR 41 and SH 52 Intersection Improvements Project described in the Invitation for Bids, Bid No. B2500045.

You are hereby notified to commence Work in accordance with the Agreement dated .

The date of completion of all Work is, therefore, .

By Erich Green, P.E., Engineer III Weld County, Colorado, Owner

Acceptance of Notice

Receipt of the above Notice to Proceed is hereby acknowledged by:

(Contractor)

Dated this day of , 20 .

By

Title

Change Order (Example)

Date:

Project: WCR 41 and SH 52 Intersection Improvements Project described in the Invitation for Bids, Bid No. B2500045

Owner: Weld County, Colorado

Contractor:

The following change is hereby made to the Contract Documents:

Change to Contract Price:

Original Contract Price:

Current Contract Price adjusted by previous Change Order:

The Contract Price due to this Change Order will be increased by:

The New Contract Price, including this Change Order, will be:

Change to Contract Time

The Contract Time will be increased by calendar days.

The date for completion of all Work will be .

Recommended

Owner Representative: Date:

Erich Green, P.E. (Engineer III)

Approvals

Contractor Name: Date:

Title:

Weld County:

Board of County Commissioners Weld County, Colorado Attest:

Weld County Clerk to the Board

BY:

Deputy Clerk to the Board Chairperson

Certificate of Substantial Completion (Example)

Contractor:

Contract For: WCR 41 and SH 52 Intersection Improvements Project described in the Invitation for Bids, Bid No. B2500045.

Contract Dated:

This Certificate of Substantial Completion applies to all Work that has been sufficiently completed in accordance with the Contract Documents and as modified by any change orders agreed to by the parties, so that the County and/or Owner can utilize the project for the use for which it was intended, except for the following specified parts thereof:

The Work to which this Certificate applies has been inspected by authorized representatives of the Owner, Contractor and Engineer, and that Work is hereby declared to be substantially complete in accordance with the Contract Documents on

Date of Substantial Completion

A list of items to be completed or corrected is attached hereto. This list may not be all-inclusive, and the failure to include an item in it does not alter the responsibility of the Contractor to complete all the Work in accordance with the Contract Documents. The items in the list shall be completed or corrected by the Contractor within 14 days of the above date of Substantial Completion.

To be effective, this form must be signed by the Owner, the Engineer, and the Contractor.

Owner: Date:

Engineer: Date:

Contractor: Date:

Lien Waiver (General Contractor) (Page 1 of 2)

TO: Weld County Public Works Attn: Erich Green, P.E., Engineer III P.O. Box 758 Greeley, Colorado 80632

Gentlemen:

For a valuable consideration paid by the Board of County Commissioners of Weld County, the receipt and sufficiency of which is hereby acknowledged, the undersigned hereby, releases unto Weld County and to its heirs, executors, administrators or assigns, all rights of the undersigned to claim a mechanic's lien for material heretofore furnished for use in and for labor heretofore performed upon the construction, alteration, addition to or repair of the structures or improvements described in the Contract Documents as:

Project: WCR 41 and SH 52 Intersection Improvements Project described in the Invitation for Bids, Bid No. B2500045.

Contractor:

(If no legal description is shown following the description of Project, we acknowledge that the foregoing is an adequate description of the real properties and improvements inasmuch as the foregoing is the description given in the Contract Documents which govern the performance of the Work for which consideration has been received.)

In executing this release, we certify that all claims for labor, or materials, or both, furnished or performed on our behalf by our material suppliers or subcontractors have been paid or that satisfactory arrangement for payment has been made.

We agree to defend Weld County from any and all claims on the part of our material suppliers, laborers, employees, servants and agents or subcontractors arising from our Work on the Project, and we further agree to reimburse the Board of County Commissioners of Weld County for any and all costs, including reasonable attorney fees, which they may incur as a result of such claims.

Contractor

By:

Title:

Date:

Lien Waiver (General Contractor) (Page 2 of 2)

State of ) ) ss.

County of )

The foregoing instrument was acknowledged before me this day of , 2025, by

My commission expires:

Notary Public

Lien Waiver (Subcontractors)

Project WCR 41 and SH 52 Intersection Improvements Project

To All Whom It May Concern:

Whereas, the undersigned has been employed by (A) to furnish labor and materials for (B) work, under a contract (C) for the improvement of the premises described as (D)

County of Weld, State of Colorado of which Weld County is the Owner.

NOW, THEREFORE, this day of , 2025, for and in consideration of the sum of (E) Dollars paid simultaneously herewith, the receipt whereof is hereby acknowledged by the undersigned, the undersigned does hereby waive and release any lien rights to, or claim of lien with respect to and on said above described premises, and the improvements thereon, and on the monies or other considerations due or to become due from the Owner, on account of labor, services, material, fixtures, apparatus or machinery heretofore or which may hereafter be furnished by the undersigned to or for the above described premises by virtue of said contract.

(F)

(Signature of Authorized Representative)

Title:

Instructions for Final Waiver

A. Person or firm with whom you agreed to furnish either labor, or services, or materials, or both.

B. Fill in nature and extent of work; strike the word labor or the word materials if not in your contract.

C. If you have more than one contract on the same premises, describe the contract by number if available, date and extent of work.

D. Furnish an accurate enough description of the improvement and location of the premises so that it can be distinguished from any other property.

E. Amount shown should be the amount actually received and equal to total amount of contract as adjusted.

F. If waiver is for a corporation, corporate name should be used, corporate seal affixed and title of officer signing waiver should be set forth; if waiver is for a partnership, the partnership name should be used, partner should sign and designate himself as partner.

Notice of Final Acceptance (Example)

TO: Date:

RE: WCR 41 and SH 52 Intersection Improvements Project described in Bid No. B2500045.

This is to inform you that the above referenced job, has been satisfactorily completed in accordance with the Contract Documents and is hereby accepted. Final payment will be made on or about , 2025.

Final acceptance does not relieve the Contractor of the minimum one (1) year guarantee on all work and materials incorporated into this Project. Such guarantee shall begin on the date of this acceptance.

By:

Erich Green, P.E., Engineer III Weld County, Colorado, Owner

Acceptance of Notice

Receipt of the above Notice to Proceed is hereby acknowledged by:

Dated this day of 2025.

By (Contractor)

Title