Final_Inspection_Check_Off.pdf

This is a Final Inspection Certification and Request for Payment form from the City of Phoenix Street Transportation Department, used to document completion of contracted work and authorize payment processing. The form serves as a certification document where a City of Phoenix inspector verifies that work identified on the contractor's invoice(s) has been completed in accordance with the applicable Scope of Work. The document includes designated sections for recording the work order number (630 is referenced in the template), location of work, completed work and quantities, punch list items requiring attention, and any relevant notes. The form requires signatures and certifications from three parties: the City of Phoenix inspector confirming work completion, the contractor certifying satisfactory completion and that all labor and material bills have been paid, and a City of Phoenix representative verifying that the payment request complies with all funding source requirements and organizational policies and procedures.

This certification form is directly related to the City of Phoenix's Streetlight Maintenance Services solicitation, a five-year agreement with a commencement date of December 1, 2026, and two optional one-year extensions exercisable at the City's sole discretion. The form facilitates the payment authorization process for streetlight maintenance work performed under this contract, ensuring that invoices are properly inspected and validated before payment release. The document contains multiple blank fields for documenting specific billing cycles and line items, allowing for systematic tracking of multiple invoice payments and corresponding work completion across the contract term.