TRIBAL TRANSPORTATION PROGRAM

PROJECT CLOSEOUT CHECKLIST

Project Name:

Project Number:

Final Estimate Assembly:

Certification Of Final Estimate

Contractor’s Release  

Summary of Quantities

As‐Built Plans

Final Construction Report

Final Estimate Assembly (See above)

Final Construction Report Summary Sheet

Reports (as required): Daily Diaries

Weekly Progress  Reports

Clear Water Act (NOT)

Certificate of Material Compliance

Utility Adjustments

Report on Use of Regulatory Speed Signs (if Regulatory Speed

order used)

Report on Claims (if the contractor submits a claim)

Explanation of Overruns, Underruns, Change Documents. (List only contract major bid

items whose final quantity varied more than 25% from the estimated quantity and an

explanation of all change document items)

Right‐of‐Way Certification

Proof of Use for Material Sources with Material Site Record.

Final Inspection Report
TRIBAL TRANSPORTATION PROGRAM

CERTIFICATION

FINAL ESTIMATE REVIEW REPORT

Project Number:    Contractor:   

Project Name:   

Description of Work:   

Required Project Completion Date: / Calendar Days

Actual Project Completion Date: / Calendar Days

Project Manager:    Project Engineer:   

Final Acceptance Date:   

Days Overrun:    Liquidated Damages

Assessed:

Final Amount:    Bid Amount:   

Materials Certification Date:    Right‐of‐Way Clearance Date:   

Dept. of Revenue Clearance Date:   

******************

UCLASSIFICATION OF COSTS – FINAL AMOUNTS

Indian Reservation Road:   

Alaska Department of Transportation and Public Facilities:   

Denali Commission:   

Other:   

Total:   

Remarks   

I certify that my review of this project, in accordance with TTP policy, indicates that all work

has been completed within the term of the contract and authorized change documents; and it

also indicates that funds have been properly classified unless otherwise noted above.

Signature of Reviewer Date Submitted
Issue Date:   

Project No:   

TRIBAL TRANSPORTATION

PROGRAM

CONTRACTOR’S RELEASE

Contract No.:   

Project Name:

Contract Compensation Summary

Final Amount:

Less Liquidated Damages:

Total Final Sum:

Located at:

Less previous payments OR

Estimate(s), 1 through

Totaling:

Final Payment Due:

Pursuant to the terms of the written contract dated , for the construction

of  

Project Number(s) , and in consideration of the

total final sum of

Dollars (                  ) which has been or is to be paid under the said contract to (Contractor’s Name)

located at

(hereinafter called the Contractor) or it assignees, if any, the Contractor, upon payment of the said

sum by the Tribe, does remise, release, and discharge the Tribe, its officers, agents, and employees, of

and from all liabilities, obligations, claims, and demands whatsoever under or arising from said

contract, whether known or unknown and whether or not ascertainable at the time of the execution

of this instrument except specified claims in stated amounts or in estimated amounts where the

amounts are not susceptible of exact statement by the Contractor, as follows:

The Contractor agrees, in connection with the claims which are not released as set forth above, that

(s)he will comply with all of the provisions of the said contract, including without limitation those

provisions relating to the notification of the Tribe and relating to the prosecution of claims.

IN WITNESS WHEREOF, this release was executed this day of    , .

Witness Contractor

By:

Witness

Title:

(NOTE: In the case of a corporation, witnesses are not required, but certificate on reverse side

must be completed by a corporate officer other than the one who signs above.)

Contractor’s Release, Page     of  
CERTIFICATE

I, , certify that I am the

Name Title

of the corporation named as Contractor in the foregoing release; that

Name

who signed said release on behalf of the Contractor was then

Official Title

of said corporation; that said release was duly signed for and in behalf of said corporation by

authority of its governing body and is within the scope of its corporate powers.

Signature  

Print Name

IN WITNESS WHEREOF,

I have set my hand and affixed my official seal this   day of   ,   .

My Commission Expires:  

Notary Public
TRIBAL TRANSPORTATION Sheet of Sheet

PROGRAM Project No:   

FINAL ESTIMATE Project Name & Location:   

SUMMARY OF QUANTITIES

ITEM

NO.

ACT.

CODE

ITEM UNIT UNIT

PRICE

QUANTITY AMOUNT

Prepared by:    Date:    Checked by:    Date:
TRIBAL TRANSPORTATION PROGRAM

FINAL CONSTRUCTION REPORT SUMMARY SHEET

PROJECT NAME:

PROJECT NUMBER:

PROJECT LOCATIONS:

PROJECT DESCRIPTION:

PROJECT ENGINEER:

CONTRACTOR:

DATE OF AWARD: NOTICE TO PROCEED:

START DATE OF CONSTRUCTION:

ORIGINAL CONTRACT COMPLETION DATE:

AMENDED CONTRACT COMPLETION DATE:

PROJECT ACCEPTANCE DATE:

OVERRUN TIME: DAYS LIQUIDATED DAMAGES: DAYS

ENGINEER’S ESTIMATE:

ORIGINAL AWARD AMOUNT:

ADDITION OR REDUCTION AFTER AWARD:

FINAL CONTRACT AMOUNT:
TRIBAL TRANSPORTATION PROGRAM

RIGHT‐OF‐WAY CERTIFICATION

AND

RELOCATION PROGRAM ASSURANCES

There are   parcels on this project and   temporary easements and permits.  

All individuals and families were relocated to decent, safe, and sanitary housing, or displaced persons

were relocated to the adequate replacement housing that the Tribe made available to them in

accordance with the provisions of the current BIA/FHWA directives and one of the following applies:

All necessary right‐of‐ways, including control of access rights when pertinent, were

acquired including legal and physical possession. There are ___________ parcels in

condemnation.

Although all necessary right‐of‐ways were not fully acquired, the right to occupy and

to use all rights‐of‐way required for the proper execution of the project was acquired.

There are _____ parcels with right of entry only.

The acquisition or right of occupancy and use of a few remaining parcels is not

complete, but all occupants of the residences on such parcels have replacement

housing made available to them in accordance with 49 C.F.R. 24.204.    A listing of

these parcels with their anticipated acquisition date is shown on the attached sheet.

Construction will be contained within existing right‐of‐way.

Date  _________________________    _______________________________________

TRIBE'S TRANSPORTATION PROGRAM OFFICIAL

Print Name
FINAL INSPECTION OF TRIBAL TRANSPORTATION PROGRAM PROJECT

1. PROJECT NAME AND NUMBER 2. TRIBAL COUNCIL 3. CITY

4. DESCRIPTION OF IMPROVEMENT AS PROGRAMMED

5. CONTRACTOR’S NAME 6. CONTRACT AMOUNT

7. NOTICE OF COMPLETION: The above listed project is completed. A final inspection by

the Tribe's Transportation Program has found this project

to be in reasonable conformance with the PS&E.

SIGNATURE (TRIBE'S TRANSPORTATION PROGRAM OFFICIAL)

NAME and TITLE  

8. INSPECTION MADE BY 9. DATE OF INSPECTION

10. IN COMPANY WITH

cc:  

Date  ____________________