Exhibit A - Deliverable Acceptance Form.docx

This is a Deliverable Acceptance Form for use under a state and local contract opportunity in Idaho. The form serves as an official sign-off document to verify that specified deliverables have been delivered to the Idaho Transportation Department (ITD) in accordance with contract requirements and that ITD has accepted and approved those deliverables. The form includes designated spaces for documenting deliverable descriptions, contract references, and acceptance criteria for multiple items, with provisions for attaching supporting documentation such as bills of lading or shipping tickets.

The form requires completion by ITD personnel, including printed name, title, signature, and date of acceptance, along with a section for ITD comments regarding the deliverables received. The contract number and contract name are to be completed upon execution of the underlying procurement agreement. This standardized acceptance form establishes formal documentation of delivery and approval, creating a clear record of contract performance and deliverable receipt for administrative and audit purposes.