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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