Attachment E _ Admin _ Procedural Forms.pdf

(Administrative and Procedural Items and Forms) 00840-1

SECTION 00840

ADMINISTRATIVE AND PROCEDURAL ITEMS AND FORMS

PART 1 GENERAL

1.01 This section of the CONTRACT DOCUMENTS references the various forms and other documents that will become a part of these CONTRACT DOCUMENTS during the course of the

WORK.

PART 2 MATERIALS

2.01 FORMS AND DOCUMENTS

A. Partial Payment Estimate

B. Contractor’s Affidavit and Lien Waiver

C. Contract Change Order

D. Field Order

E. Statement of Substantial Completion

PART 3 EXECUTION

3.01 ENGINEER shall provide CONTRACTOR with sufficient copies of the above listed forms and/or documents where applicable for submittal by CONTRACTOR during course of the WORK. (Examples of the listed forms are included in this Section. CONTRACTOR may use these and/or photo copies of same for submittal)

3.02 ENGINEER shall use these forms for administrative and procedural duties. (Examples of the listed forms are included in this section)

END OF SECTION

(Administrative and Procedural Items and Forms) 00840-2

PARTIAL PAYMENT ESTIMATE

CONTRACT NO.

PARTIAL PAYMENT ESTIMATE NO.

PAGE _____ OF _____.

OWNER:

Oconee County Board of Commissioners, Oconee County, Georgia

CONTRACTOR:

PERIOD OF ESTIMATE

FROM ____________ TO ____________

CONTRACT CHANGE ORDER SUMMARY ESTIMATE

NO. ADDITIONS ($) DEDUCTIONS ($) 1. Original Contract

2. Change Orders

3. Revised Contract (1 + 2)

4. Work Completed*

5. Stored Materials*

6. Subtotal (4 + 5)

7. Retainage

8. Previous Payments

9. Amount Due (6-7-8)

TOTALS

NET CHANGE

* Detailed breakdown attached.

CONTRACT TIME

Original (days) Revised Remaining

On Schedule Yes No

Starting Date Projected Completion

CONTRACTOR'S CERTIFICATION:

The undersigned Contractor certifies that to the best of their knowledge, information and belief the work covered by this payment estimate has been completed in accordance with the contract documents, that all amounts have been paid by the Contractor to his subcontractors and suppliers for work for which previous payment estimates were issued and payments received from the Owner, and that current payment shown herein is now due.

Contractor

By

Date

APPROVED BY OWNER:

Owner

Date

ENGINEER'S STATEMENT:

The undersigned states that to the best of their knowledge and belief, the quantities shown in this estimate are correct.

Engineer: PRECISION PLANNING, INC.

Date

(Administrative and Procedural Items and Forms) 00840-3

Oconee County Board of Commissioners, Georgia

CONTRACTOR'S AFFIDAVIT AND LIEN WAIVER

WHEREAS, (CONTRACTOR) has been paid in full by the Oconee

County Board of Commissioners, Georgia (OWNER) for labor, materials, and/or equipment furnished under a contract dated , except as contained on the attached payment request.

AND WHEREAS, said labor, materials, and/or equipment was applied to real property located in

Oconee County, Georgia which is owned by OWNER.

THEREFORE, in consideration of the reliance of OWNER upon this agreement and final payment by OWNER, the CONTRACTOR does hereby:

1. Certify to OWNER that all subcontractors and suppliers to the project have been paid in full.

2. Release, waive, and forever quitclaim unto the OWNER any and all manner of liens

CONTRACTOR now has or may acquire in the real property associated with Project.

3. Agree to indemnify and hold harmless OWNER, its successors or assigns, against any loss claim or lien asserted by a subcontractor or supplier against OWNER or against the real property associated with Project.

IN WITNESS WHEREOF, CONTRACTOR has caused this release to be signed by its duly authorized owner, partner, or corporate officer on the day of , 20___.

Sworn to and subscribed before me this ____ (NAME OF CONTRACTOR) day of , 20___. By:

Attest:

Notary Public

(Administrative and Procedural Items and Forms) 00840-4

CONTRACT CHANGE ORDER

Contract No. Order No. Date:

Project Title: Epps Parkway Sewer Collector Upgrade State: Georgia

Owner: Oconee County Board of Commissioners County: Oconee

TO:

(Contractor)

You are hereby requested to comply with the following changes from the contract plans and specifications.

Description of Changes (Supplemental Plans & Specs. Attached)

Decrease In Contract Price

Increase In Contract Price

TOTAL

Justification:

Previous Contract Amount: $

Amount of Change Order: $

Current Contract Amount: $

Previous Contract Time Days: Date:

Change in Contract Time Days:

Current Contract Time Days: Date:

REQUESTED:

(Owner) (Date)

RECOMMENDED:

(Precision Planning, Inc.) (Date)

AUTHORIZED/ACCCEPTED:

(Owner) (Date)

ACCEPTED:

(Contractor) (Date)

This document will be used as a record of any changes to the original construction contract.

(Administrative and Procedural Items and Forms) 00840-5

Field Order

No.

Date of Issuance: Effective Date:

Project:

Epps Parkway Sewer Collector Upgrade

Owner:

Oconee County Board of Commissioners

Owner's Contract No.:

Contract: Date of Contract:

Contractor: Engineer's Project No.:

Attention:

You are hereby directed to promptly execute this Field Order issued in accordance with General Conditions Paragraph 9.05A., for minor changes in the Work without changes in Contract Price or Contract Times. If you consider that a change in Contract Price or Contract Times is required, please notify the Engineer immediately and before proceeding with this Work.

Reference:

(Specification Section(s)) (Drawing(s) / Detail(s))

Description:

Attachments:

Engineer:

Receipt Acknowledged by (Contractor): Date:

Copy to Owner

EJCDC No. C-942 (2002 Edition) Prepared by the Engineers' Joint Contract Documents Committee and endorsed by the Associated General Contractors of America and the Construction Specifications Institute.

(Administrative and Procedural Items and Forms) 00840-6

STATEMENT OF SUBSTANTIAL COMPLETION

Project: Epps Parkway Sewer Collector Upgrade

Engineer's Project No:

Contractor:

Contract For: Contract Date:

This Statement* of Substantial Completion applies to all Work under the Contract Documents or to the following specified parts thereof:

To:

OWNER

And To:

CONTRACTOR

The Work to which this Statement* applies has been observed by authorized representatives of 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 tentative 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 CONTRACTOR to complete all the Work in accordance with the Contract Documents. When this Statement* applies to a specified part of the Work the items in the tentative list shall be completed or corrected by CONTRACTOR within days of the above date of Substantial Completion.

Executed by ENGINEER on , ____.

By:

The CONTRACTOR accepts this Statement* of Substantial Completion on , ____.

Contractor

By:

The OWNER accepts the work or designated portion thereof as substantially complete and will assume full possession thereof on , ____.

By:

* A PROFESSIONAL ENGINEER'S STATEMENT OF CONDITIONS COMPRISES A DECLARATION OF HIS PROFESSIONAL JUDGEMENT. IT DOES NOT CONSTITUTE A WARRANTY OR GUARANTEE, EXPRESS

OR IMPLIED, NOR DOES IT RELIEVE ANY PARTY OF HIS RESPONSIBILITY TO ABIDE BY CONTRACT DOCUMENTS, APPLICABLE CODES, STANDARDS, REGULATIONS AND ORDINANCES.