PROPERTY OF THE
PROPERTY OF THE
STATE OF NEW YORK
IF FOUND, PLEASE RETURN TO:
___________________________, REGIONAL DIRECTOR
New York State Department of Transportation
REGION -
(Regional office address with city, state, zip code)
(This sheet should be taped to the inside of the top to every box as well as taped to the inside of the front cover of every DWR, Diary, Material Acceptance, & Final Book)
Job Stamp
PROJECT BOX INVENTORY
BOX #
|ENVELOPE OR ROLL # |CONTENTS |
| | |
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(Project box inventory to be taped to each box, two copies to Contracts and one copy to keep for future reference)
COUNTY OF _______________________________________
CONTRACT ______________________________________________________
______________________________________________________
______________________________________________________
CONTRACT NO. __________________________________________________
P.I.N. ____________________________________________________________
CONTENT ________________________________________________________
________________________________________________________
DATE OF DISPOSAL _______________________________________________
BOX _____ OF _____ ACCEPTED ____________________________________
COUNTY OF ____________________________________
CONTRACT ______________________________________________________
______________________________________________________
______________________________________________________
CONTRACT NO. ___________________________________________________
P.I.N. ____________________________________________________________
CONTENT ________________________________________________________
________________________________________________________
DATE OF DISPOSAL _______________________________________________
BOX _____ OF _____ ACCEPTED ____________________________________
(BOX LABEL)
Job Stamp FINAL BOOK INDEX
ITEM DESCRIPTION SHEET
______ Title Sheet 2
______ Project Index 3
______ Contract Information 4
______ Engineering Force 5
______ Subcontractor Record
(This is a listing of all Subcontractors with their respective items,
along with their first and last days of work)
(CEES) Orders on Contract
(CEES) Partial Payments
(CEES) Monthly Asphalt Prices
(CEES) Monthly Fuel Prices
(CEES) Charges to Contractor
(CEES) Progress Payment Items
(CEES) Eligible Fuel Adjustment Items
(CEES) Eligible Asphalt Adjustment Items
(CEES) Monthly Steel PPI
(CEES) Steel Adjustment Listing
(CEES) Fiscal Shares
(CEES) Items Not Paid by N.Y.S.D.O.T.
(CEES) Final CONR 22 (FS Breakdown and Total)
(CEES) Final Fuel and Asphalt Report
Book _____ of _____
Sheet _____ of _____
CONTRACT D#
PIN#
CONTRACT DESCRIPTION
COUNTY
CONTRACTOR: NAME
ADDRESS
TOWN, STATE, ZIP
ENGINEER-IN-CHARGE: NAME
TITLE
BOOK NAME
FINAL BOOK NO.
NEW YORK STATE DEPARTMENT OF TRANSPORTATION
REGION –
(Address of Regional office)
, REGIONAL DIRECTOR
Book Title Sheet (State Inspected)
CONTRACT D#
PIN#
CONTRACT DESCRIPTION
COUNTY
CONTRACTOR: NAME
ADDRESS
TOWN, STATE, ZIP
RESIDENT ENGINEER: NAME
TITLE
CONSULTANT FIRM: NAME
ADDRESS
TOWN, STATE, ZIP
CONSULTANT CONTRACT #
ENGINEER-IN-CHARGE: NAME
TITLE
BOOK NAME
FINAL BOOK NO.
NEW YORK STATE DEPARTMENT OF TRANSPORTATION
REGION –
(Regional address)
, REGIONAL DIRECTOR
Book Title Sheet (Consultant Inspected)
Job Stamp
PROJECT INDEX
CONTENTS BOOK BOX
Final Book 1 1
Material Acceptance Record Book 2 1
Engineer’s Daily Project Diary (Binders) 1
Conformed Proposal 1
Inspector’s Daily Reports (#1 - # _ )
Correspondence Folders (A-Z folders)
Shop Drawings
Item Folders
Consultant/Sub consultant Estimates
Estimates (Contractor)
Job Photos, Job Stamp, and Job Disks
Blue Prints – Record Plans
Book _____ of _____
Sheet _____ of _____
Job Stamp
DATE OF CONTRACT LETTING:
DATE OF CONTRACT AWARD:
DATE OF CONTRACT AGREEMENT:
FIRST DAY OF WORK:
DATE WORK STOPPED:
DATE WORK RESUMED:
ORIGINAL CONTRACT COMPLETION DATE:
EXTENSION OF TIME GRANTED TO:
LAST DAY OF WORK:
DATE OF REG. DIR. RECOMMENDATION OF ACCEPTANCE:
DATE OF ACCEPTANCE OF CONTRACT BY CONSTR. DIV.:
CONTRACT BID AMOUNT:
FINAL CONTRACT AMOUNT:
ENGINEERING CHARGES:
LIQUIDATED DAMAGES:
THE QUANTITIES IN THIS FINAL BOOK HAVE BEEN REVIEWED AND VERIFIED AS TO THEIR ACCURACY.
______________________ ________________________________________
DATE ENGINEER-IN-CHARGE
ALL THE MATERIALS INCORPORATED INTO THIS CONTRACT HAVE BEEN TESTED AND ACCEPTED AS SPECIFIED IN THE NEW YORK SPECIFICATION OF XXXX. ACCEPTANCES, CERTIFICATIONS AND THE NUMBERS HAVE BEEN RECORDED IN THE FINAL BOOKS.
______________________ ________________________________________
DATE ENGINEER-IN-CHARGE
Contract Information (State Inspected)
Job Stamp
DATE OF CONTRACT LETTING:
DATE OF CONTRACT AWARD:
DATE OF CONTRACT AGREEMENT:
FIRST DAY OF WORK:
DATE WORK STOPPED:
DATE WORK RESUMED:
ORIGINAL CONTRACT COMPLETION DATE:
EXTENSINO OF TIME GRANTED TO:
LAST DAY OF WORK:
DATE OF REG. DIR. RECOMMENDATION OF ACCEPTANCE:
DATE OF ACCEPTANCE OF CONTRACT BY CONSTR. DIV.:
CONTRACT BID AMOUNT:
FINAL CONTRACT AMOUNT:
ENGINEERING CHARGES:
LIQUIDATED DAMAGES:
THE QUANTITIES IN THIS FINAL BOOK HAVE BEEN REVIEWED AND VERIFIED AS TO THEIR ACCURACY.
______________________ ________________________________________
DATE RESIDENT ENGINEER
CONSULTING FIRM
______________________________________
ENGINEER-IN-CHARGE
ALL THE MATERIALS INCORPORATED INTO THIS CONTRACT HAVE BEEN TESTED AND ACCEPTED AS SPECIFIED IN THE NEW YORK SPECIFICATION OF XXXX. ACCEPTANCES, CERTIFICATIONS AND THE NUMBERS HAVE BEEN RECORDED IN THE FINAL BOOKS.
______________________ ________________________________________
DATE RESIDENT ENGINEER
CONSULTING FIRM
______________________________________
ENGINEER-IN-CHARGE
Contract Information (Consultant Inspected)
-----------------------
COUNTY OF: _______________________________________________________
CONTRACT: _________________________________________________________
_________________________________________________________
CONTRACT NO.: _____________________________________________________
P.I.N. NO.: ____________________________________________________________
CONTENTS: __________________________________________________________
__________________________________________________________
DATE OF DATE OF
ACCEPTANCE: _______________________ DISPOSAL: _________________
(Box Label – should be taped to both ends of every box)
................
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