Construction Manual California PDF
Construction Manual California PDF
Construction Manual California PDF
DEPARTMENT
OF TRANSPORTATION
Construction
Manual
Construction Manual
CALIFORNIA DEPARTMENT
CALIFORNIA DEPARTMENT OF TRANSPORTATION
OF TRANSPORTATION
STATE OF CALIFORNIA
DEPARTMENT OF TRANSPORTATION
Issued by
Division of Construction
GRAY DAVIS
Governor
JEFF MORALES
Director, Department of Transportation
TONY V. HARRIS
Chief Deputy Director
JOHN HANCOCK
Editor
State of California
Department of Transportation
Publication Distribution Unit
1900 Royal Oaks Drive
Sacramento, California 95815-3800
CONSTRUCTION MANUAL
TABLE OF CONTENTS
Chapter-Section
3 General Provisions
3-0 Introduction
3-1 Definitions and Terms
3-2 Proposal Requirements and Conditions
3-3 Award Execution and Approval of Contract
3-4 Scope of Work
3-5 Control of Work
3-6 Control of Materials
3-7 Legal Relations and Responsibility
3-8 Prosecution and Progress
3-9 Measurement and Payment
4 Construction Details
4-00 Introduction
4-10 Dust Control
4-11 Mobilization
4-12 Construction Area Traffic Control Devices
4-15 Existing Highway Facilities
CONSTRUCTION MANUAL
TABLE OF CONTENTS
Chapter-Section
CONSTRUCTION MANUAL
TABLE OF CONTENTS
Chapter-Section
5 Contract Administration
5-0 Conduct of the work
5-1 Project Records and Reports
5-2 Funds
5-3 Contract Change Orders
5-4 Disputes
California Department of Transportation • Construction Manual • December 2003
Table of Contents TOC.3
S T A T E O F C A L I F O R N I A • D E P A R T M E N T OF T R A N S P O R T A T I O N
CONSTRUCTION MANUAL
TABLE OF CONTENTS
Chapter-Section
7 Environmental
7-1 Environmental Rules and requirements
8 Employment Practices
8-1 Labor Compliance
8-2 Equal Employment Opportunity
8-3 Disadvantaged Business
INDEX
1-101 General
Section 1
Section 1 Construction Organization Construction
Organization
1-101 General 1-101
In accordance with the Government Code, the powers and duties of Caltrans include General
constructing transportation systems.
The Streets and Highways Code directs Caltrans to lay out and construct all state
highways between the termini designated by law and on the locations determined by
the California Transportation Commission. This code also authorizes Caltrans to
enter into those contracts that are required for Caltrans to perform its duties.
The Caltrans director has delegated to the deputy director of Project Delivery various
responsibilities for administering construction contracts. In turn, the deputy director
of Project Delivery has delegated many of these responsibilities to the Division of
Construction chief.
In addition, the majority of Caltrans construction contracts receive federal aid.
Consequently, federal regulations take precedence over state law and Caltrans policy.
1-201 General
Section 2
Section 2 Public Relations Public Relations
1-301 General
Section 3
Section 3 Personnel Development Personnel
Development
1-401 General
Section 4
Section 4 Facilities and Equipment Facilities and
Equipment
1-401 General 1-401
This section provides guidelines for the acquisition and the care of facilities and General
equipment used in Caltrans construction field operations.
1-501 General
Section 5
Section 5 Field Expenses and Purchases Field Expenses
and Purchases
1-501 General 1-501
This section of the Construction Manual (manual) contains guidelines for paying General
for travel expenses and obtaining goods and services.
Section 1 Safety
2-101 General
Section 2 Traffic
2-201 References
2-202 Objective
2-203 Planning
2-209 Delineation
2-301 General
2-303 Guidelines
Section 3
Section 3 Major Construction Incidents Major
Construction
Incidents
2-301 General 2-301
This section provides guidelines for reporting and dealing with accidents and major General
incidents on construction projects. For detailed guidelines on reporting, see Chapter
19, “Special Reporting of Serious Injury, Illness, or Fatality,” of the Caltrans Safety
Manual. This chapter also discusses special reporting for a serious occupational
injury, illness, or fatality connected with any employment activity.
Introduction Introduction
3-201 General
3-202 Advertisement
Section 2
Section 2 Proposal Requirements and Conditions Proposal
Requirements
and Conditions
• Refer directly to the plans, specifications, and other provisions of the contract.
Quote specific sections of the Standard Specifications and special provisions, as
well as specific sheet numbers and details on the plans and Standard Plans.
• Ensure conclusive responses. If an inquiry cannot be answered conclusively by
directly referring to the contract provisions and requires some measure of
amplification, confirm the statewide interpretation by consulting with the district
construction office, the Division of Construction, the Division of Engineering
Services, or other program with the necessary knowledge. In such cases, give
special emphasis to assessing the need for an addendum. Before giving a response
that involves inquiries regarding construction methods, obtain direction from
the district construction office. Routinely route inquiries and proposed responses
through appropriate support and construction functions. Before bid opening,
route all inquiries and responses to the resident or construction engineer
responsible for administering the project.
• If an inquiry indicates the contract should be modified, issue an addendum.
Before publicly posting any referrals to the addendum, issue it. When an
addendum is issued in response to an inquiry, post “Per Addendum No.--, dated
—” as the inquiry response. The district office engineer must notify the Office
of Office Engineer as soon as possible of addenda proposed or under
consideration. Responses to inquiries, whether made verbally or in writing, do
not become part of nor change the contract. However, they may be used in
defending Caltrans or the contractor’s position in a dispute when the industry
has been given related knowledge before bidding.
• Rarely respond with “Bid it as you see it.” However, such responses may be
appropriate, depending on the scope of the particular issue, the timing of the
bidder inquiry, and other factors.
• It may be impractical to post responses to certain inquiries that are submitted
too close to the bid opening date. Although you should aggressively pursue the
investigation of all bidder inquiries, Caltrans may, considering the particular
circumstances, waive posting a response, if warranted.
• Post all responses, including “Bid it as you see it” responses.
• Consider written bidder inquiries only when a completed “Bidder Inquiry” form
is submitted when the contract requires this form.
You can obtain minor B project information by calling the Sacramento office at
(916) 227-1950 or from the Internet at the following address:
http://www.ns.net/caltrans/purchase.htm
3-403 Changes
3-403A Procedure and Protest
3-403B Increased or Decreased Quantities
3-403B (1) Increases of More Than 25 Percent
3-403B (2) Decreases of More Than 25 Percent
3-403B (3) Eliminated Items
3-403B (4) Surplus and Salvaged Material
3-403C Changes in Character of Work
3-403D Extra Work
3-405 Detours
3-405A Use of Local Streets and Roads
3-501 General
3-505 Superintendence
3-507 Inspection
Time the final inspection so that the recommendation for contract acceptance will
not be delayed pending the inspection. Before the final inspection, give the contractor
a written list of items needing attention.
3-513A Work for Other Agencies or Owners
When any work performed under the contract is for other agencies or owners, as a
courtesy ask for the concurrence of these entities in the acceptability of the work.
Include the concurrence of others such as local agencies, other state agencies, utility
companies, and school districts.
3-601 General
3-608 Testing
Agreement (1)
In accordance with Section 6.2, "Local Materials," of the Standard Specifications, here is the agreement for
using the materials source for the subject Contract, as required before removal of said materials:
WHEREAS, Contractor has entered into Contract No. ____ with the State of California, Department of
Transportation, hereinafter called "Department," for the performance of ______ work on road ________, and
WHEREAS, Department has entered into an agreement dated _____,with ______for the obtaining of materials
from the property described in said arrangement.
NOW THEREFORE, pursuant to the terms of said arrangement and of said Contract No. ______, Contractor
hereby agrees to comply with all terms and conditions of said arrangement between the Department and said
property owner and further agrees to hold said property owner harmless from all claims for injury to persons or
damage to property resulting from Contractor's operations on owner's property.
DATE
Contractor
By
Authorized Agent
Title
Origin.-Dist. Director
Dupl.-Contr.
Trip. -Prop. Owner
Quad. -Res. Engr.
Agreement (2)
Contract No.
District
Date
TO:
District Direct or, District
, California
Dear _________,
In accordance with Section 6.2, "Loca l Materials," of the Standard Specifications, here is the agreement for
using the materials source for subject Contract, as required before removal of said materials:
WHEREAS, Contractor has entere d into Contract No. _________ with the State of California, Department of
Transportation, hereinafter called "Department," for the perfor mance of _ ______ work on road _________,
and
WHEREAS, pursuant to the authority of said Contract, _____________, Contractor and ______, Owner, have
entered into an agreement under which Contractor may obtain materials from Owner's property.
NOW THEREFORE, pursuant to said Contract No. ____, Contractor and Owner hereby notify Department
that materials obtained by Contractor fro m Owner's property will be obtained pursuant to agreement between
Contractor and Owner and not pursua nt to the arrangement between Department and Owner, dated
___________, 19____, and Owner specif ically agrees t hat the Department is hereby released from any and all
obl igations to Owner under Department's said arrangement with Owner.
DATE
Owner
DATE
Contractor
By Authorized Agent
Title
Origin. -Dist. Director
Dupl. -Contr.
Trip. -Prop. Owner
Qua d. -Res. Engr.
Section 7
Section 7 Legal Relations and Responsibility Legal Relations
and Responsibility
3-701 Laws to Be Observed 3-701
According to the specifications, the contractor must be familiar with and comply Laws to Be
with all laws, regulations, and ordinances that affect the labor, materials, or conduct Observed
of the work. However, the specifications do not intend or require that the resident
engineer exercise police enforcement power. If the engineer learns that the contractor
has violated a work-related law or regulation, the engineer must bring the matter to
the contractor’s attention in writing.
3-701A Reporting Apparent Attempts at Fraud on Construction Contracts
Resident engineers are confronted occasionally with situations where contractors or
their subcontractors or suppliers attempt to obtain improper additional payment.
These matters may differ in magnitude and intent, and minor situations may be
resolved satisfactorily at the project level. However, certain fraudulent acts, such as
presenting false weight certificates, padding the number of loads of a commodity
delivered, tampering with scales or falsifying test or inspection reports may require
special investigation and appropriate action. Such investigations are confidential
and begin with a discussion between the resident engineer and the construction
engineer. To request a special investigation, write a letter to the construction field
coordinator.
3-701B Labor Code Requirements and Fair Labor Standards Act
For the resident engineer’s duties with regard to Labor Code requirements and the
Fair Labor Standards Act, see Chapter 8, “Employment Practices,” of the Construction
Manual (manual).
3-701C Contractor’s Licensing Laws
According to the specifications, all contractors and bidders must be licensed. For
bidders and prime contractors, the Office of Contract Awards and Services in the
Office of Office Engineer verifies compliance with the specifications. If you become
aware that a prime contractor or subcontractor is not licensed for the work being
performed, notify the California Contractors State License Board.
3-701D Vehicle Code
In any areas open to public traffic within the project’s limits, the contractor is not
exempt from Vehicle Code requirements. Equipment that fails to comply with the
Vehicle Code must not be operated on detours or any other roadway open to public
traffic.
3-801 Subcontracting
3-801A Amount of Work Subcontracted
3-801B Calculating the Amount of Work Subcontracted
3-801C The Subletting and Subcontracting Fair Practices Act
3-801C (1) Substitution Process
3-801D Procedure for Approval or Acknowledgment of Subcontractor
Section 8
Section 8 Prosecution and Progress Prosecution and
Progress
3-801 Subcontracting 3-801
Contractors can use subcontractors on their projects provided the subcontractor and Subcontracting
the prime contractor comply with the applicable contract specifications and with
state and federal laws and regulations. When projects use subcontractors, the resident
engineer must primarily focus on the following:
• Always know which subcontractors are working on the project.
• Of the contract amount, ensure that subcontractors perform no more than 50
percent (or the percentage allowed by the special provisions), excluding Specialty
Items as identified in the special provisions.
• Ensure that listed subcontractors are not illegally removed or replaced.
• Ensure the prime contractor achieves the subcontracting level pledged to meet
requirements of the disadvantaged business enterprise (DBE) and the disabled
veteran business enterprise (DVBE) when the contract was awarded. For more
information on the DBE and DVBE subcontracting requirements, see Section
8-3, “Disadvantaged Business,” of the Construction Manual (manual).
• Ensure adherence to the provisions of the Subletting and Subcontracting Fair
Practices Act.
In the same manner as for other contractual obligations, construction personnel must
review the contract and administer the subcontracting provisions.
3-801A Amount of Work Subcontracted
Section 8-1.01, “Subcontracting,” of the Standard Specifications, requires that the
contractor perform no less than 50 percent of the work using the contractor’s own
organization, excluding Specialty Items as identiefied in the special provisions. The
special provisions may revise this percentage.
The percentage of work subcontracted is calculated for first-tier subcontractors only.
A contractor’s organization must include only workers employed and paid directly
by the prime contractor and only equipment owned or rented by the prime contractor,
with or without operators.
The following examples portray common situations encountered when attempting
to determine if work should be considered as subcontracted:
• The contractor pays an hourly rate for work performed at the job site. The
contractor purchases material for curing seal by the tonne, but pays for spreading
the material by the hour. Consider this work as completed by the contractor’s
own forces.
• The contractor pays a unit price or lump sum for work performed at the job site.
The contractor purchases cement for cement-treated base, and the price per tonne
includes spreading on the project. Consider the work as subcontracted.
To ensure the contractor is not requesting approval for a firm other than those firms
listed in the bid documents, the resident engineer must check the DBE listing and
the Subletting and Subcontracting Fair Practices Act listing. If a discrepancy is noted,
the resident engineer must advise the contractor and ask for an explanation. The
resident engineer must not approve the subcontracting request until the contractor
provides an acceptable explanation.
3-8.5
The following presents typical examples of some of the more common violations of
the act by a prime contractor:
• Subcontracting work that was not listed as subcontracted work.
• Using a subcontractor that was not listed.
• Substituting subcontractors without Caltrans’ consent.
• Performing work that a subcontractor was designated in the bid documents to
perform.
If these or any other violations occur, proceed as follows:
• The resident engineer must discuss the apparent violations with the construction
engineer.
• If the construction engineer agrees an apparent violation has occurred, send the
prime contractor a letter stating the following:
“It has come to our attention that you are in apparent violation of the Subletting
and Subcontracting Fair Practices Act, Public Contract Code, Sections 4100
through 4114, for work being performed on item(s) ____ of State Contract
No. ------.
“You will be assessed a penalty of $ _____ as provided in the Subletting and
Subcontracting Fair Practices Act. If you wish to dispute this penalty, you
should request a hearing. Caltrans will schedule a hearing on this apparent
violation and the penalty to be assessed. Should you request a hearing, you
will be given five days notice of the time and place thereof, in accordance
with Section 4110 of the Public Contract Code. If you do not request a hearing,
the penalty will be assessed as a permanent deduction on the next progress
pay estimate.”
Send copies of the letter to the subcontractor and to the Division of Construction.
• If the contractor requests, the district will schedule a hearing using the same
procedure as described in the substitution process.
• When Caltrans has determined that a penalty will be imposed (0 to 10 percent of
the subcontract amount depending on the district’s evaluation of the reasons for
the violation of the act), the district must ensure that the penalty amount is
deducted from a future estimate.
• Occasionally, the contractor will list subcontractors that are not required by the
act. If so, only Caltrans’ normal subcontracting procedures apply.
VIOLATION OF SUBLETTING
AND
SUBCONTRACTING FAIR
PRACTICES ACT
YES
PRE-HEARING
Conctractor
Contractor Notify hearing officer
ojbects? ?
objects Notify listed subcontractor
Confirm hearing date with all
parties.
NO
HEARING
Resident
Residentengineer withholds
engineer or deducts
withholds the appropriate
appropriate
amount
amount from
from the next
the next monthly
monthly progress
progress pay. pay.
END
*NOTE
During any suspension, advise the contractor of the conditions under which
maintenance will be performed.
During a suspension, preferably use the contractor to perform the necessary work to
provide for public convenience or public safety. If Caltrans must perform such work,
the district will request a director’s order, financed from the contract allotment. This
order allows the district to hire a contractor to perform the work at force account.
When the reason for a suspension no longer exists, or when favorable conditions are
expected soon for resuming work, the resident engineer must notify the contractor
in writing. The letter must state the date when working days are expected to be
resumed and must allow sufficient time to permit the contractor to remobilize the
necessary labor and equipment. Generally speaking, 10 working days are considered
a reasonable time.
The district construction office must forward to the Division of Construction copies
of the letters notifying the contractor of suspension and resumption of work.
Because of an ordered suspension of work, the contractor may be due additional
compensation, contract time, or both, that was not provided for elsewhere in the
specifications. The specification allowing such compensation applies only to
situations where the work is suspended for an unreasonable period. A one-day
suspension because of traffic generated by a planned major event is not unreasonable.
However, a suspension resulting from an unplanned major incident could be reason
for granting additional compensation, time, or both.
3-805A (3) Computation of Extended Date for Completion (the Lower Block)
In the lower section of the form, summarize the information the contractor will
receive.
The “first working day” is the calendar day specified in Section 4, “Beginning of
Work, Time of Completion and Liquidated Damages,” of the contract’s special
provisions. This day is usually the 15th calendar day after contract approval.
Several methods are used to specify the first working day. The resident engineer
must read and understand the contract’s specifications and correctly record the date
of the first working day.
Use the Construction Workday Calendar to determine the correct values to place in
the “Numbered Day” column on Form CEM-2701 for the first working day, the
computed date for completion, and the extended date for completion. The calendar
is available at the following address:
http://www.dot.ca.gov/hq/construc/calendar.html
The number shown on the calendar on a particular date is that date’s numbered day.
REPORT NUMBER 1
REMARKS
Contract approved March 22th , 1999
(Refer to Section 4 of the special provisions to determine the first day of work)
The contractor will be allowed fifteen (15) days in which to protest in writing the correctness of the
statement; otherwise, the statement shall be deemed to have been accepted by the contractor as correct.
NOTE: Footnote instruction for resident engineer are on reverse side.
REPORT NUMBER 1
REMARKS
Contract approved March 22th, 1999
(Refer to Section 4 of the special provisions to determine the first day of work)
The contractor will be allowed fifteen (15) days in which to protest in writing the correctness of the
statement; otherwise, the statement shall be deemed to have been accepted by the contractor as correct.
NOTE: Footnote instruction for resident engineer are on reverse side.
REPORT NUMBER 5
Embankment Construction
REMARKS
April 21st and 22nd 1999 granted for CCO #2
The contractor will be allowed fifteen (15) days in which to protest in writing the correctness of the
statement; otherwise, the statement shall be deemed to have been accepted by the contractor as correct.
NOTE: Footnote instruction for resident engineer are on reverse side.
REPORT NUMBER 10
REMARKS
A review of our records indicates that the controlling operation of embankment construction was delayed by a labor
dispute on May 6-7, 1999. In accordance with Section 8-1.07 of the Standard specifications and your letter dated June
3, 1999, two days are granted
The contractor will be allowed fifteen (15) days in which to protest in writing the correctness of the
statement; otherwise, the statement shall be deemed to have been accepted by the contractor as correct.
NOTE: Footnote instruction for resident engineer are on reverse side.
REPORT NUMBER 13
REMARKS
st
Work was suspended on July 1 in accordance with Section 8-1.05, “Temporary Suspension of Work,” of the Standard
Specifications due to city holiday weekend preparations.
Section 10-1.14, “Maintaining Traffic,” of the special provisions prohibits work on Friday, Saturday, and Sunday when a
designated legal holiday falls on Monday’. See Section 8-1.06 of the Standard Specifications
The contractor will be allowed fifteen (15) days in which to protest in writing the correctness of the
statement; otherwise, the statement shall be deemed to have been accepted by the contractor as correct.
NOTE: Footnote instruction for resident engineer are on reverse side.
REPORT NUMBER 83
REMARKS
Status of plant establishment and working days
1. Plant establishment period started 9/23/99
2. There are 250 plant establishment days in this contract 250
3. Working days previously credited 7
4. Working days credited this week 5
5. Total plant establishment days credited to date 12
6. Plant establishment days remaining 238
The contractor will be allowed fifteen (15) days in which to protest in writing the correctness of the
statement; otherwise, the statement shall be deemed to have been accepted by the contractor as correct.
NOTE: Footnote instruction for resident engineer are on reverse side.
REPORT NUMBER 92
The contractor will be allowed fifteen (15) days in which to protest in writing the correctness of the
statement; otherwise, the statement shall be deemed to have been accepted by the contractor as correct.
NOTE: Footnote instruction for resident engineer are on reverse side.
REPORT NUMBER 34
REMARKS
The contractor will be allowed fifteen (15) days in which to protest in writing the correctness of the
statement; otherwise, the statement shall be deemed to have been accepted by the contractor as correct.
NOTE: Footnote instruction for resident engineer are on reverse side.
REPORT NUMBER 80
REMARKS
*WORKING and NON-WORKING Days are shown for record only since the contract time has elapsed. There is a total
of 9 calendar days overrun through February 12, 1999.
The contractor will be allowed fifteen (15) days in which to protest in writing the correctness of the
statement; otherwise, the statement shall be deemed to have been accepted by the contractor as correct.
NOTE: Footnote instruction for resident engineer are on reverse side.
REPORT NUMBER 7
REMARKS
Contract Change Order #8 approved 3/02/01
Contract work suspended 2/27/01 because of anticipated heavy traffic due to the annual Snow Maiden Festival.
The contractor will be allowed fifteen (15) days in which to protest in writing the correctness of the
statement; otherwise, the statement shall be deemed to have been accepted by the contractor as correct.
NOTE: Footnote instruction for resident engineer are on reverse side.
After the disposition of overruns has been determined, the district will advise the
contractor directly.
Place copies of all memoranda in the project files to serve as the record of final
disposition of overruns.
Once the contractor’s control has been terminated, the construction field coordinator
must notify the Division of Construction’s progress payment coordinator by
forwarding a copy of the termination letter. Using information from the termination
letter, the progress payment coordinator will update the termination database and
keep this information in the database for 36 months. The progress payment coordinator
will also send a written request to the resident engineer requesting copies of all
correspondence and daily report information related to the termination.
The Division of Construction chief will send a letter to the surety requesting the
surety to fulfill its obligations under the bond to complete the work with other forces.
Because it is typically preferred that the surety proceed with the contractual work,
the resident engineer should assist the surety in its efforts to complete the work. The
resident engineer will determine and resolve with the surety the precise quantities
and costs necessary to complete the work.
The following two sections describe the process to complete the contract after the
contractor’s control has been terminated.
3-901 General
3-908 Deductions
3-909 Retentions
3-909A Calculating Progress - Projects with Single Time
3-909B Calculating Progress for Landscape Projects
Section 9
Section 9 Measurement and Payment Measurement and
Payment
3-901 General 3-901
This section covers measurement and payment of contract item work and extra work, General
partial payments, and payment to the contractor after contract acceptance.
Include notations concerning decisions to allow or deny payment for work that may
be in dispute or not considered a legitimate part of extra work. Similarly, prepare a
supplemental daily report if it is later found that the number of hours or labor and
equipment was substantially different than recorded on the original daily report.
Such a supplemental daily report might read as follows:
c. The system will return the deduction at the time set forth in the contract.
Accounts Receivable
Headquarters Initiated Accounts Accounts Receivable
Receivable due to arbitration or General ledger entry
General ledger entry
(Accounting)
claims settlement (Accounting)
(Construction)
Bill contractor
30-60-90 Billday
contractor
notice
cc: HQ30-60-90 day notice
Construction &
cc: HQ Construction
resident engineer &
resident engineer
(Accounting) Monthly accounts
(Accounting) Monthly
receivable accounts
summary to
receivable summary to
HQ Construction
Resident Engineer (Accounting)
HQ Construction
sends notice of offset (Accounting)
to contractor and
bonding companies
(Construction)
Contractor or either
bonding company
requests offset hearing
(Construction)
No Yes
Resident Engineer
AdvisesDivision of Hearing Officer
conducts an offset
Construction of
declination of hearing hearing within 10 days
(Construction) (Construction)
No
Execute progress/final
Accounting executes payment to contractor
Accounting
offsetexecutes notify accounting
(Accounting)
offset (Construction)
(Accounting)
Account receivable is
Accountcleared
receivable is
(Accounting)
cleared
(Accounting)
• Soon after the contract is accepted, meet with the contractor to discuss submitting
the required information to complete the contract. If the contractor does not
submit the required data within four weeks after acceptance, you must notify the
contractor in writing that Caltrans will issue the proposed final estimate and
deduct the appropriate amount.
• Before the processing of the proposed final estimate, ensure all extra work bills
submitted by the contractor are processed and ready for payment. Ensure the
estimate’s issuance is not delayed for force account billings that remain
outstanding.
• If the contractor has not submitted required information in a timely manner,
Section 5-4, of this manual dictates that the proposed final estimate must still be
2. On the proposed final estimate, you may list (in the amount the district
determines to be payable) any force account billings that have not been paid
because of a dispute. Upon return of the proposed final estimate, the
contractor must reiterate the disputed extra work, which must be handled
like any other claim. Do not list in the proposed final estimate any force
account billings the contractor has not yet submitted. It is the contractor’s
responsibility to either submit these bills before the proposed final estimate
or list them as exceptions to the proposed final estimate.
3. The district will show the required deduction on the proposed final estimate
in the same manner as for any other deduction when the contractor has the
following outstanding items:
(These items are also described under the heading “Payment of a Progress
Estimate After Contract Acceptance” in this section.) When such deductions
are shown, include a statement similar to the following on the letter that
accompanies the proposed final estimate: “The amount of $_________, which
has been deducted for nonsubmittal of documents required by the contract,
will be paid when all such documents have been received.”
In accordance with the provisions of Section 9-1.07B, “Final Payment and Claims,” of the Standard
Specifications, attached (in triplicate) is a
Please note the following portion of Section 9-1.07B of the Standard Specifications, which states:
“The contractor shall submit written approval of the proposed final estimate or a written statement of
all claims arising under or by virtue of the contract so that the engineer receives the written approval or
statement of claims no later than close of business of the thirtieth day after receiving the proposed final
estimate. If the thirtieth day falls on a Saturday, Sunday or legal holiday, then receipt of the written
approval or statement of claims by the engineer shall not be later than close of business of the next
business day. No claim will be considered that was not included in the written statement of claims, nor
will any claim be allowed as to which a notice or protest is required under the provisions in Sections
4-1.03, ’Changes,’ 8-1.06, ’Time of Completion,’ 8-1.07, ’Liquidated Damages,’ 5-1.116, ’Differing
Site Conditions,’ 8-1.10, ’Utility and Non-Highway Facilities,’ and 9-1.04, ’Notice of Potential Claim,’
unless the contractor has complied with the notice or protest requirements in those sections.”
Your promptness in returning the signed copies, indicating your approval, will expedite payment of
the final estimate. Alternatively, a signed qualified approval by reason of a written statement of claims
will expedite payment of a semifinal estimate. A statement of claims must include a notarized certificate
containing the language required in Section 9-1.07B of the Standard Specifications.
If claims are submitted in connection with this contract, you will be expected to comply fully with the
fourth paragraph of Section 9-1.07B of the Standard Specifications. The engineer will base the
determination of claims upon the investigation of your statement, in which you will be expected to
present your position fully as to the contractual basis of the claim, compliance with contract requirements
such as Section 4-1.03A, “Procedure and Protest,” or Section 9-1.04, “Notice of Potential Claims” of
the Standard Specifications, if applicable, a breakdown of the total amount claimed, and all other
information you consider to be in support of your claim.
As further provided in Section 9-1.07B of the Standard Specifications, in case neither approval nor a
statement of claims is received within 30 days, a final estimate in the amount of this proposed final
estimate will be issued. Your date of receipt of this proposed final estimate establishes the beginning of
the specified 30 days.
Sincerely,
I have examined the quantities of contract items and amounts indicated as payment for extra
work and the deductions on the proposed final estimated dated ____________________. I agree
to accept the total of $___________________ as indicated, as the total amount earned for all
work performed on the above contract, except as may be indicated below.
__________________________
Contractor
Exceptions (check one)
__________________________
By
[ ] None
[ ] As indicated per
attached letter
dated_________.
__________________________
Title
__________________________
Date
005 COLD PLANE ASPHALT CONCRETE PAVEMENT M2 5.0000 8,400.00 1,683.000 8,415.00
(S)
006 REMOVE CONCRETE SIDEWALK AND DRIVEWAY M3 1,500.0000 750.00 3.060 4,590.00
007 REMOVE CONCRETE (CURB AND GUTTER) M3 1,500.0000 1,200.00 1.570 2,355.00
3-9.37
3-9.38
Example 4: Sample of Project Record Estimate, Summary of Payment
3-9.39
3-9.40
Example 7: Schedule of Deductions
DEPARTMENT OF TRANSPORTATION
DIVISION OF CONSTRUCTION
1120 N STREET
P. O. BOX 942873
SACRAMENTO, CA 94273-0001
PHONE (916) xxx-xxxx
FAX (916) xxx-xxxx
October 1, 2001
Prime Contractor
Address
City, State Zip
Bonding Company
Address
City, State Zip
Dear Sirs:
This notice is to advise you of your rights upon determination of offset by the resident engineer in the amount of
$XX,YYY.SS to clear an accounts receivable billing for contract number PP-RRRRRR, awarded to you by the
California Department of Transportation, for highway construction on Route XX, YYY County, near ZZZZZ.
You have the right to request an offset hearing pursuant to this offset, as provided for by Government Code, Section
12419.5.
Unless your written request for an offset hearing is received within 20 calendar days of the date of this notice, this
offset will be taken against contract number SS-VVVVVV, effective DD-MM-YY. Contract number SS-VVVVVV
was awarded to you by the California Department of Transportation, for highway construction on Route XX, YYY
County, near ZZZZZ.
If you request an offset hearing, one will be scheduled within approximately ten working days upon receipt of your
written request. Under the procedures outlined under Section 8790.3 of the State Administrative Manual, you are
entitled to an opportunity to present any valid objection you may have to the use of the offset procedure. At the
hearing, you will be provided opportunity to present facts that discredit the accounts receivable, the appropriateness of
this offset action, or other evidence you believe is relevant to the determination of the appropriateness of this offset
action.
If you have questions regarding this notice, you may contact me at (BBB) ZZZ-RRRR.
Sincerely,
NAME
Resident Engineer
Attachment / Enclosure
Introduction Introduction
Section 10
Section 10 Dust Control Dust Control
4-1201 General
4-1501 General
Section 15
Section 15 Existing Highway Facilities Existing Highway
Facilities
4-1501 General 4-1501
The information in this section corresponds to Section 15, “Existing Highway General
Facilities” of the Standard Specifications. The following sections of the Standard
Specifications also have related information:
• Section 7-1.11, “Preservation of Property”
• Section 7-1.12, “Indemnification and Insurance”
• Section 8-1.10, “Utility and Non-Highway Facilities”
The work described in this section covers removing existing highway facilities that
interfere with construction within the area that must be cleared and grubbed, as
specified in Section 16, “Clearing and Grubbing,” of the Standard Specifications.
The contractor is required to protect all existing highway facilities (whether shown
or not shown in the contract plans) that are to remain in place, either temporarily or
permanently, and that are to be salvaged, relaid, reset, relocated, or reconstructed.
When such facilities are damaged as a result of the operation, the contractor is
responsible for repair or replacement. Caltrans is responsible for repair or replacement
of existing highway facilities that are damaged by public traffic.
Section 17
Section 17 Watering Watering
Section 19 Earthwork
4-1901 General
All blasting work must be conducted in strict accordance with the Construction
Safety Orders or a properly approved alternate safety plan. An alternate safety plan
is required when a 15 m clear zone cannot be maintained around the loading area,
such as a blasting area adjacent to traffic. The Construction Safety Orders contain
the required elements of an alternate safety plan. These elements include low-
sensitivity explosive materials, initiation systems that cannot be affected by stray
current or radio frequency energy, a system to detect lightning and electric storms,
and barriers to prevent entry by vehicular traffic.
In addition to reviewing any blasting plan the contract requires, discuss the planned
blasting operation with the contractor. Address the following areas of concern before
blasting begins:
• Blast area security- Review the procedures the contractor proposes to ensure
they are adequate to protect the public from unauthorized entry into the blast
area during the loading, arming, and detonating of the explosives. Often this
review will require the contractor to consider more than automobile traffic.
Consideration should include recreational activities such as boating, hiking, and
biking or production activities such as farming and ranching. These types of
activities may utilize unusual entry routes.
• Electrical storms- No explosive can be considered “safe” should lightening strike
directly or nearby. Always consider lightning when planning to use explosives.
During a review of the electrical storm section of the contractor’s safety plan,
include an evaluation of the plan’s objective and the procedures and equipment
to be used.
• Radio transmissions- Review the contractor’s proposal for controlling or
eliminating the possibility of a premature detonation due to radio transmissions
(including transmissions from cellular telephones).
• Warnings and signals- Review the warnings and signals to be used and, if an
unsafe condition should be observed, the method by which the blast can be
stopped.
1. The audible signals (as shown in the Construction Safety Orders) are a widely
used standard and intended to inform workers in the area that blasting is in
Erosion Control
4-2002A Materials
4-2002A (1) Topsoil
4-2002A (2) Commercial Fertilizer
4-2002A (3) Straw
4-2002A (4) Fiber
4-2002A (5) Seed
4-2002A (6) Stabilizing Emulsion
4-2002B Before Work Begins
4-2002C During the Course of the Work
4-2002D Seed Sampling
4-2002D (1) Scope
4-2002D (2) Size of Sample
4-2002D (3) Procedure for Sampling
4-2002D (4) Sample Preparation, Preservation and Packaging
4-2002E Quality Assurance Seed Testing Results
4-2002E (1) Results
4-2002E (2) Nonconformance Procedures
4-2002F Measurement and Payment
Good Roots
Acceptable
Section 22
Section 22 Finishing Roadway Finishing
Roadway
Section 24
Section 24 Lime Stabilization Lime Stabilization
4-2701 General
4-2901 General
Section 29
Section 29 Treated Permeable Bases Treated
Permeable Bases
4-2901 General 4-2901
Treated permeable base, used under portland cement concrete pavement and under General
asphalt concrete pavement, provides a highly permeable drainage layer within the
structural section. It also provides part of the strength of the base layer.
The special provisions specify the type of treatment, either asphalt or cement. Many
of the requirements for producing and placing treated permeable bases are also those
specified for asphalt concrete, portland cement concrete, and portland cement concrete
pavement.
4-3701 General
4-3901 General
4-4001 General
Section 40
Section 40 Portland Cement Concrete Pavement Portland Cement
Concrete
Pavement
4-4001 General 4-4001
This section covers portland cement concrete pavement. A concrete paving operation General
includes the following:
• The production of the portland cement concrete
• The placing, finishing, and curing of the concrete pavement
• The concrete pavement subgrade
• The specified equipment
• The construction of joints
• The protection of the pavement
Plant inspection specialists and acceptance testers not directly assigned to the resident
engineer usually perform inspection and testing duties at the concrete batch plant.
However, in addition to on-site inspection, mix design and plant inspection are part
of the resident engineer’s responsibility. Good communication is essential between
plant and inspection specialists and assistant resident engineers. The resident engineer
must be kept informed of test results in a timely manner.
This section will mostly cover on-site inspection duties. For information on producing
and transporting portland cement concrete, see Section 4-90, “Portland Cement
Concrete,” of the Construction Manual (manual).
2. For slip-form construction, examine the paver for the specified attributes.
Require the specified demonstration of satisfactory operation and note
such activity in the daily report.
b. Excess laitance
d. Areas in the finished surface that are still soft and wet while the
surrounding area has turned firm and lost its watery sheen
4. Standing bleed water may appear on the surface under certain conditions
shortly after pavement is placed. To avoid mixing bleed water with surface
grout, preliminary finishing should be completed before bleeding
progresses to this degree.
a. Before placing the membrane, ensure the contractor sprays the concrete
with a mist of water until the concrete has set.
c. Ensure that sheeting material is placed and secured and that any damaged
sheeting is repaired as required in the specifications. Ensure the contractor
adheres to the specified curing period.
2. Curing Compound:
(4) The curing film remains unbroken for the specified duration of
curing.
0.6 1.8
0.1 3.0
0.2 0.6
0.9 2.7
0.5 1.5
0.7 2.1
0.4 1.2
0.8 2.4
0.3 0.9
• In turn, locate the remaining primary cores in the lanes. Space them uniformly,
from the first core in the unit, at longitudinal intervals equal in length to the
primary coring interval for the unit. Then locate them laterally within each lane
in the manner used for the first core by applying successive values from the
lateral factors in table 4-40.1. All values in the table are to be used successively
for each primary unit throughout the project after the value for the first core in
the unit is selected at random. The location of each core should be spotted on the
pavement within “pacing accuracy” longitudinally and within about 0.3 m
laterally.
BEG IN
EN D
Equipm entC rossing
Shoulder
2.1m Lane
0.9m 3
2.4m Lane
1.5m 3.0m
2
Lane
1.2m 1.8m 1
10+00
10+45
11+36
12+27
13+18
14+09
15+00
17+54
17+80
Bridge
M edian
3 lanes x 640m
= 7 cores
300
640m
= 91.4 m eters/core,use 91m
7 cores
c. Location ofthe FirstPrim ary C ore
In this exam ple the centerlane is chosen (atrandom ),and the
fifth setofnum bers(atrandom )from the table above is used. The firstcore
is taken ata longitudinaldistance from the beginning of45.5m (0.5 x 91m ).
A distance rounded to 45m is used in the exam ple.
The firstcore is taken 1.5m from the rightedge ofthe lane.
Core 7 was deficient by more than 15 mm. Because of this deficiency, the
next step was to determine, from secondary thickness measurements, the
dimensions of the secondary unit.
To determine the limits of the secondary unit, the resident engineer ordered secondary
thickness measurements to be made in the panels adjacent to the panel in which
Core 7 was taken. Subsequent thickness measurements were made in panels adjacent
to any of these panels that had thickness deficiencies of more than 15 mm. This
process continued until the secondary unit was bounded by panels in which the
secondary measurements were deficient in thickness by 15 mm, or less. The following
columns show the resulting thickness variations in the secondary cores:
7a-1 -20 mm
7a-2 -7.5 mm
7a-3 +5 mm
7a-4 -10 mm
7b-1 -2.5 mm
7b-2 -17.5 mm
7b-3 -12.5 mm
7c-1 -5 mm
Figure
Figure4-40.2
6-40.2
17+31
PanelLengths
C enterline
The panels in the secondary area, represented by cores 7, 7a-1, and 7b-2,
were measured and found to be 42 m.
The engineer averaged the thickness variations of the secondary thickness
measurements outside of the secondary unit area. The resulting value was
used, in lieu of the thickness variation for Core 7, in the calculation to
determine the average thickness deficiency of the primary unit area. The
core thickness variations in the panels surrounding the secondary unit are
tabulated below.
Section 41
Section 41 Pavement Subsealing and Jacking Pavement
Subsealing
and Jacking
• Verify that the pump can sustain the specified gauge pressure.
• Verify that the washing device meets the specified number of jets and that the
contractor operates it as the specifications require.
• Perform California Test 541, “Flow of Grout Mixtures (Flow Cone Method)” to
determine that the efflux time is within the required range during grouting
operations.
• Monitor the slab for movement during subsealing. Also, observe and monitor
the contractor’s string lines during jacking to determine when the slab has been
raised to the established grade.
• Monitor grout mixing so that grout not used within the specified time is disposed
of properly.
Section 42
Section 42 Groove and Grind Pavement Groove and Grind
Pavement
4-4201 General 4-4201
Grooving is generally performed to increase the coefficient of friction for new or General
existing portland cement concrete or asphalt concrete pavement. It is one of the
methods discussed in Section 611.8, “PCCP Rehabilitation Strategies,” of the
Highway Design Manual.
Grinding is generally performed to improve the riding quality of new or existing
portland cement concrete or asphalt concrete pavement. Grinding may also retard
structural damage at the joints of portland cement concrete pavement. Existing
pavements are ground as a rehabilitation strategy. New pavements may be ground to
meet smoothness requirements.
Section 50
Section 50 Prestressing Concrete Prestressing
Concrete
4-5001 General 4-5001
Section 50, “Prestressing Concrete,” of the Standard Specifications includes General
specifications for prestressing precast or cast-in-place concrete by tensioning
prestressing steel. For detailed information regarding prestressed concrete, see Section
160, “Prestressed Concrete,” of the Bridge Construction Records and Procedures
Manual and the Office of Structure Construction’s (OSC) Prestress Manual.
4-5101 General
Section 51
Section 51 Concrete Structures Concrete
Structures
4-5101 General 4-5101
This section covers items related to constructing concrete structures. Concrete General
structures include concrete bridges, grade separations, structure approach slabs,
culverts, headwalls, endwalls, drainage inlets, retaining walls, and other concrete
structures shown on the plans.
Many specified requirements for concrete structures apply only to bridges and major
structures and are covered in detail in the Bridge Construction Records and
Procedures Manual. Additional reference material can be found in the Office of
Structure Construction’s Concrete Technology Manual, Foundation Manual,
Prestress Manual, and Bridge Deck Construction Manual.
The Office of Structure Construction is responsible for reviewing and approving
falsework drawings and calculations. The Office of Structure Construction’s
Falsework Manual and the Bridge Construction Records and Procedures Manual
contain detailed procedures. The Office of Structure Construction’s project
representative has complete responsibility and authority to approve falsework plans
and enforce falsework specifications.
Section 3-705, “Public Safety,” of the Construction Manual (manual) contains
guidelines for work that temporarily impairs horizontal and vertical bridge clearance.
Section 52
Section 52 Reinforcement Reinforcement
4-5201
4-5201 General General
Items used for reinforcement include bars, welded wire fabrics, and wires.
Section 53
Section 53 Shotcrete Shotcrete
Section 54
Section 54 Waterproofing Waterproofing
Section 55
Section 55 Steel Structures Steel Structures
Section 56 Signs
4-5601 General
Section 58
Section 58 Preservative Treatment of Lumber, Preservative
Timber, and Piling Treatment of
Lumber, Timber,
and Piling
4-5801 General 4-5801
The work covered in this section consists of treating wood products to prevent decay General
from moisture, bacteria, or insects. Piling, poles, posts, and lumber requiring
preservative treatment are specified in the Standard Specifications in the following
sections:
• Section 49, “Piling”
• Section 56, “Signs”
• Section 57, “Timber Structures”
• Section 80, “Fences”
• Section 83, “Railings and Barriers”
• Section 86, “Signals, Lighting and Electrical Systems”
Section 59
Section 59 Painting Painting
Section 61
Section 61 Culvert and Drainage Pipe Joints Culvert and
Drainage Pipe
Joints
4-6101 General 4-6101
Section 61, “Culvert and Drainage Pipe Joints,” of the Standard Specifications General
provides an opportunity for the contractor to choose alternate types of joint systems
or couplers used with culvert and drainage pipe that are specified in the following
sections of the Standard Specifications:
• Section 64, “Plastic Pipe”
• Section 65, “Reinforced Concrete Pipe”
• Section 66, “Corrugated Metal Pipe”
• Section 69, “Overside Drains”
When joint systems and couplers conforming to the provisions in Section 61 are
selected, the contractor must provide test results or a mathematical analysis of the
joint materials.
Section 62
Section 62 Alternative Culverts Alternative
Culverts
4-6201 General 4-6201
Section 62, “Alternative Culverts,” of the Standard Specifications provides the General
contractor the opportunity to choose between several different kinds of culverts to
be installed or constructed. Alternative culverts may include pipe, pipe arch,
reinforced concrete box, and reinforced concrete arch culverts. The contract plans
show the locations and alternative types of culverts. When alternative culverts are
specified, the engineer’s estimate will designate contract items as alternative culverts
for each size and type of culvert.
Section 63
Section 63 Cast-In-Place Concrete Pipe Cast-In-Place
Concrete Pipe
4-6301 General 4-6301
Cast-in-place concrete pipe is used for culverts operating under low head conditions General
and is generally not placed under a roadbed. For the design criteria for this type of
pipe, see Topic 854 of the Highway Design Manual. Also, note that special soil
conditions are necessary for installing cast-in-place concrete pipe.
• During the onsite storage of PVC pipes, verify their protection from long-term
exposure to sunlight. Without such protection, the pipes may become brittle. In
fact, ensure that pipes are protected from any kind of damage throughout all
operations.
• Verify that pipes of the specified size, type, and class are in the proper locations.
• Examine gaskets for cracks or splits.
• Verify pipe joints are installed as specified.
• Require methods of handling that will not damage the pipes.
• Ensure that backfill work complies with the details on the contract plans, Standard
Plans, or both. Refer to Section 4-19, “Earthwork,” of this manual for additional
instructions on excavation and backfill.
• After the backfill of pressure pipes or siphons to 0.6 m over the crown, witness
the specified hydrostatic tests. Require the repair of all obvious leaks and leak
reductions to the maximum permitted.
• Require that culvert construction loads (as shown in the Standard Plans) meet
the minimum fill conditions.
• Continue to periodically inspect pipes as work progresses. A critical time to
inspect is after the completion of the grading and before the start of base and
surfacing. During the final phases of the project, make another inspection,
primarily to find any pipes that need cleaning.
4-6501 General
Section 65
Section 65 Reinforced Concrete Pipe Reinforced
Concrete Pipe
4-6501 General 4-6501
Reinforced concrete pipe is used for culverts, siphons, drains, and conduits. Section General
65, “Reinforced Concrete Pipe,” of the Standard Specifications, includes
specifications for circular reinforced concrete pipe, oval-shaped reinforced concrete
pipe, and reinforced concrete pipe arch. The resident engineer and assistant resident
engineers responsible for inspecting reinforced concrete pipe need to be familiar
with the specifications and Standard Plans that provide for determining the physical
characteristics of the pipe. The specifications provide options to the contractor for
selecting the class of pipe and earthwork required for installing the pipe. The Office
of Materials Engineering and Testing Services (METS) personnel will test and inspect
the pipe during manufacturing, but the resident engineer and assistant resident
engineers must ensure that the correct combination of class of pipe and earthwork
methods are used in each location.
Example 1:
The length along centerline between the two faces and additional length
required due to skew=18.9 m
Individual lengths of pipe placed total 18.3 m, plus additional length made up
in joints and by forming out from one structure.
Therefore:
Pay for 19 m
Example 2:
Therefore:
Pay for 19 m
Example:
• Slope length along centerline of the pipe between the two inside faces=44.4 m.
• Individual lengths of pipe placed total 44 m, plus additional length made up in
joints or forming out from one structure, or both.
Therefore:
Pipe placed from toe of Uncut Pay the slope length the
fill to toe of fill. engineer designates.
Example:
• Designated length=44 m.
• Laid pipe=44.4 m, with the additional length due to the gain in joints. One end
is allowed to extend the additional distance beyond the toe of fill.
Therefore:
Pay for 44 m
Under the following circumstances, you may use field measurements in lieu of
calculations or you may supplement calculations:
1. A culvert runs between two structures. After verifying that the structures are
constructed as shown on the plans, you can determine designated length from
a field measurement along the centerline of the pipe between the two inside
faces. If the pipe is cut, make appropriate adjustments to the field measurement.
2. After verifying that a culvert is properly staked, you may use field measurements
between stakes referenced to the ends of the culvert to determine the length
designated by the engineer. If you use a field measurement to determine pay
lengths, include on the quantity sheet an explanation of how the field
measurement relates to the length designated by the engineer.
Section 66
Section 66 Corrugated Metal Pipe Corrugated
Metal Pipe
4-6601 General 4-6601
Corrugated metal pipe, designated by metal thickness and pipe diameter, includes General
both steel and aluminum pipe. The Standard Plans specify the requirements and
other details for coupling bands.
4-6801 General
4-6801A Underdrains
4-6801B Horizontal Drains
4-6801C Edge Drains
Section 68
Section 68 Subsurface Drains Subsurface Drains
Section 69
Section 69 Overside Drains Overside Drains
Section 70
Section 70 Miscellaneous Facilities Miscellaneous
Facilities
4-7201 General
Section 72
Section 72 Slope Protection Slope Protection
4-7301 General
Section 73
Section 73 Concrete Curbs and Sidewalks Concrete Curbs
and Sidewalks
Section 74
Section 74 Pumping Plant Equipment Pumping Plant
Equipment
4-7401 General 4-7401
Section 74, “Pumping Plant Equipment,” of the Standard Specifications includes General
specifications for furnishing and installing drainage pumping equipment and pumping
plant electrical equipment. For additional information regarding pumping plant
equipment, see Section 161, “Pumping Plants,” of the Bridge Construction Records
and Procedures Manual.
Section 75
Section 75 Miscellaneous Metal Miscellaneous
Metal
Section 80
Section 80 Fences Fences
4-80.2 Fences
Chapter 4 Construction Details
Section 81
Section 81 Monuments Monuments
Section 82
Section 82 Markers and Delineators Markers and
Delineators
4-8301 General
Section 83
Section 83 Railings and Barriers Railings and
Barriers
Section 84
Section 84 Traffic Stripes and Pavement Markings Traffic Stripes
and Pavement
Markings
4-8401 General 4-8401
This work consists of applying painted and thermoplastic traffic stripes and pavement General
markings. The special provisions may also allow the contractor to substitute traffic
striping and pavement marking tape. The engineer’s estimate and the contract plans
will indicate when and where the contractor must use paint or thermoplastic.
Section 85
Section 85 Pavement Markers Pavement
Markers
4-8501 General 4-8501
This work consists of furnishing and placing retroreflective, nonreflective, and General
retroreflective-recessed pavement markers. In addition to the information in this
section of the Construction Manual (manual), see the following documents for more
information:
• For details about placing pavement markers, see the “Pavement Markers and
Traffic Lines, Typical Details” sheets of the Standard Plans.
• For the specifications for epoxy adhesive, see Section 95, “Epoxy,” of the
Standard Specifications.
• For the specifications for hot-melt bituminous adhesive, see Section 85,
“Pavement Markers,” of the Standard Specifications.
When specified, pavement markers may be placed using a moving lane closure to
control traffic. Only bituminous adhesive is permitted when moving lane closures
are used. The special provisions and Standard Plans provide details for moving lane
closures.
In areas subject to snow, the specifications may require the contractor to place
pavement markers in recesses in the pavement.
Section 86
Section 86 Signals, Lighting and Electrical Systems Signals, Lighting
and Electrical
Systems
4-8601 General 4-8601
Electrical work involving traffic signals, street lighting, illuminated signs, changeable General
message signs, electrical devices, and communication systems requires a specialized
knowledge. The district should retain staff or train sufficient personnel to inspect
this type of work.
Highway transportation signal and illumination systems are in a state of evolution,
and changes in materials and specifications on successive projects are continually
arising. Both the contractor and the resident engineer should be continually alert to
this situation because even experienced electrical contractors may not be familiar
with all of the work included in current specifications.
In most districts, construction has transportation electrical engineers to act as resident
engineers on projects where electrical work is predominant. On projects where
electrical work is not predominant, then personnel with electrical expertise can be
made available for assistance to inspect electrical work.
In the smaller districts, transportation electrical engineers in the district traffic unit
and highway electricians in the electrical maintenance unit are available for
consultation. In recent years, the department has been using many more electrical
systems in addition to just the traditional traffic signals and street lighting used in
the past. These new systems include the following:
• Closed circuit television
• Changeable message signs
• Roadway weather information systems
• Microwave vehicle detection systems
• Other types of current technology devices
For the most part, the major changes consist in the equipment being used. The basic
construction features are the same. For design intent and operational requirements,
the resident engineer should pay particular attention to the special provisions and
have close contact with the project designer and the operational end user.
Section 90
Section 90 Portland Cement Concrete
Portland Cement
Concrete
The quantities of water shown in the Table 4-90.1, “Estimate of Free Water
Content for Initial Design” should apply with sufficient accuracy for preliminary
estimates or proportions. The values are near the maximal, which should be
expected for fairly well shaped but angular aggregate graded within the limits
The following table shows estimated free water content for different ranges of
consistency (penetration) and maximum aggregate size. The free water content
for crushed aggregate can be estimated at the upper limit of the listed water
contents and rounded aggregates can be estimated at the lower limit of free
water content. Additional cementitious material must be ordered, if the free water
content exceeds the amount specified in Section 90-6.06 of the Standard
Specifications. Notify the contractor of any ordered increase in the cementitious
material. If the contractor elects to use a water-reducing agent, ensure that the
proposed admixture is on METS’ list of approved brands. Testing of the mix
desgin must include the proposed admixtures to ensure that the desired concrete
properties, such as strength, and air content are attained.
Approximate amount of
entrapped air in nonair-
entrained concrete, 2 1 0.4
percent
If the fine aggregate is close to the fine side of the specification limits for the
various sieve sizes, use two percentage points less fine aggregate in the mix.
If the fine aggregate is close to the coarse side of the specification limits for the
various sieve sizes, use two percentage points more fine aggregate in the mix.
This was done in the following Example 4-90.1, “Sieve Analysis and Combined
Grading for Portland Cement Concrete, 37.5 mm Maximum.”
If the cement content is 350 kg or more per cubic meter, use two percentage
points less fine aggregate.
Check the grading of the combined mix against the specification limits for the
various intermediate screens. Also analyze the grading of the combined mix
based on experience and judgment.
You may tabulate the gradations to be used as shown in columns (b), (d), and (f)
in Example 4-90.1, “Sieve Analysis and Combined Grading for Portland Cement
Concrete, 37.5 mm Maximum” in these instructions.
• 350 kg/m 3 cementitous material, 25 percent of which is fly ash [262 kg – cement, 88 kg – fly ash]
(Standard Specifications)
• Specific gravity of cement = 3.15 (known)
• Specific gravity of fly ash = 2.33 (known)
• 40 percent fine aggregate*
• 20 percent 25 mm x 4.75 mm aggregate*
• 40 percent 37.5 mm x 19 mm aggregate
• Nominal penetration – 50 mm*
• 180 kg/m 3 water *
• 1 percent entrapped air*
*From Section 4-9002H, “Design of Mix.”
SSD Percent
Specific Gravity Absorbed Moisture
Fine aggregate (from lab) 2.64 2.1
25 mm x 4.75 mm (from lab) 2.68 1.1
37.5 mm x 19 mm (from lab) 2.65 0.9
weight, kg
Absolute volume in m 3 = (1)
SSD,specific _ gravity *1000
and
3
Weight in kg. = Absolute volume in m x SSD specific gravity x 1000 (2)
Computation of the absolute volume of aggregate based on the proportions given in “Design of Mix,”
above, is as follows:
262
Absolute volume cement = 0.08m 3
3.15 * 1000
88
Absolute volume fly ash = 0.04m3
2.33 * 1000
180
Absolute volume water = 0.18m3
1.00 * 1000 3
Absolute volume air = 1 percent = 0.01 m
3
Total = 0.31 m
Subtract the absolute volume of the cement, fly ash, water, and air in the mix from 1 cubic meter; this
calculation will give you the K factor.
1 m 3 – 0.31 m 3 = 0.69 m 3
Aggregate = 0.40 x 0.69 m 3 = 0.28 m 3 (use 0.27 m 3)
25 mm x 4.75 mm = 0.20 x 0.69 m 3 = 0.14 m 3
37.5 mm x 19 mm = 0.40 x 0.69 m 3 = 0.28 m 3
Volume check:
Cement 0.08
Fly ash 0.04
Water 0.18
Air 0.01
37.5 mm 0.27
25 mm 0.14
Sand 0.28
1.00
0.08 * 713
Kg free moisture in fine aggregate = 56kg / m 3
1.021
Kg free moisture in
0.02 * 375
25 mm x 4.75 mm aggregate = 7kg / m3
1.011
Kg free moisture in
0.01* 742
37.5 mm x 19 mm aggregate = 7kg / m3
1.009 3
Total free moisture from aggregate = 70 kg/ m
Section 91
Section 91 Paint Paint
Section 92
Section 92 Asphalts Asphalts
Section 93
Section 93 Liquid Asphalts Liquid Asphalts
Section 94
Section 94 Asphaltic Emulsions Asphaltic
Emulsions
Section 95
Section 95 Epoxy Epoxy
FHWA
FINAL ACCEPTANCE CHECKLIST
FOR FEDERAL-AID “N” PROJECTS
Project Information:
EA No. ___________________________ Federal-aid No. ________________________________
Project Description: ___________________________________________________________________
District/County/Route/KP: ______________________________________________________________
Date Awarded: _____________________ Approval Date: ________________________________
Time Started: ______________________ Work Started: _________________________________
Contract Days: _____________________ Final No. Working Days:_________________________
Original Completion Date: ____________ State Acceptance Date: __________________________
Liquidated Damages (No. of days and total $ amount): ________________________________________
Submittals:
Submitted? Date:
Material Certification (CM 6-1.1) Yes/No – N/A _________________
Additional Information:
Labor Compliance Problems: ____________________________________________________________
____________________________________________________________________________________
Any other changes: ____________________________________________________________________
____________________________________________________________________________________
Form CEM 4902A, Extra Work Bill - Title Page (Stock # 7541-3496-7)
Contractors use Form CEM 4902A, “Extra Work Bill - Title Page,” for billing extra
work. It is the first page of the 4-part extra work bill. It identifies the project, contract
change order number, method of payment and performer of work. This form also
provides for manual calculation of the bill. Details for use are on the back of the form
and are also included in Section 5-103E, “Extra Work Billing,” of this manual. The
resident engineer may approve contractor-designed forms. With prior approval from
the Division of Construction, the contractor may submit extra work bill data on a
computer report identical to Form CEM-4902A for all Caltrans projects.
Category 6, Safety
File project documents relating directly to safety in this category. Suggested
subcategories are shown below:
• Employee Safety
• Contract Documents Relating to Safety
• Correspondence with the Division of Occupational Safety and Health (Cal/
OSHA)
• A copy of the contractor’s Code of Safe Practices in use for the project
Category 9, Welding
In this category, file documents relative to welding in accordance with instructions
in Section 180, “Welding,” of the Bridge Construction Records and Procedures
Manual.
Category
and Contract items
Subcategory Involved in the
Number Operations Operation
Since all drainage quantity calculation sheets will remain filed in Category
47, some item-numbered folders in Category 48 may have no documents.
CONSTRUCTION
UNIT COST
SYSTEM (CUC)
BRIDGE DATA
MANAGEMENT (BDM)
Contract item prices are
collected quarterly from
Report of any structure work done on the CAS files by the CUC
highway contracts. INTERNET system.
CONTRACT
ADMINISTRATION
SYSTEM
(iCAS) Enters information in
Milestone and Extra
Work Bill (EWB) now,
in the future Contract
Change Order (CCO),
STATE CONTROLLER CAS Progress Pay,
ACCOUNTING SUBSYSTEM Daily Diary, Contract
CAS passes a claim tape to Transaction Input (CTI),
State Controller containing etc.
Issues payment vouchers to State
contractor payment Controller and payment transaction
information. State Controller information to TRAMS
creates pay vouchers and
sends them back to us. Approves
payments to the
TRANSPORTATION contractors.
ACCOUNTING MANAGEMENT
SYSTEM
(TRAMS)
DISBURSING
CAS places all contract payment DISTRICT OR
Distributes the warrants and transactions on a collector to be picked up HEADQUARTERS
payment vouchers to the by TRAMS. Payment information is used to CONSTRUCTION
contractors. make up the Federal Bill.
5-103B (1b) Card type C05 (each field is independent and can be updated
separately)
For the following data fields under card type C05, do the following:
To change the contractor’s local address: Enter the contractor’s name on line
C09, and as necessary, continue the name on lines C10 through C12. Leave
unused lines blank.
Enter the contractor’s local address on lines C13 and C14. Also enter the
contractor’s local phone number on line C14.
Warning: You must enter the entire name and address each time you wish
to update any or all of these lines. You cannot update a single line.
• Contract change order anticipated change: This transaction has the same
effect as does the contract item anticipated change except that a contract
change order is being changed.
• Contract change order final balance: This transaction has the same effect as
does a contract item balance. When work on a contract change order is
finished, mark it “Complete” by entering this transaction. As with contract
items, additional extra work bills may be paid, and the system will continue
to balance the contract change order.
• Contract change order final balance (“Reopen”): This transaction allows
you to reverse the status of the contract change order from “Complete” to
“Active.”
5-103C (2) Completing Form CEM-6004, “Contract Transactions Input”
The engineer will use Form CEM-6004 more often than any other form in CAS.
Page 2 of the form provides instructions for completing it, and this section contains a
complted sample of the form. See Example 5-1.2, “Contract Transaction Input.”
We cannot overemphasize the importance of legible entries that conform to the
instructions for completing the form. Also, because of the high volume of transactions,
make your entries on Form CEM-6004 as soon as the information becomes available.
Partially filled pages are acceptable.
• Anticipated changes:
1.If the amount anticipated exceeds $100,000, a warning message is issued.
2.If the amount anticipated exceeds 10 percent of the construction allotment,
a warning message is issued.
• For the contract change order anticipated change, the new estimated
final cost is computed for the contract change order and reported. The
system does not do any checking.
• Contract change order final balance and final balance (“Reopen”):
1. The contract change order status is set to “Complete,” or “Active,”
respectively. The system does not do any checking.
2. For a contract change order final balance (“Reopen”), the word
“Reopen” must be left-justified.
5-103C (2d) General
The Contract Transactions Processing Module will sort your transactions
into order, will edit each transaction for reasonableness and conformance
to this manual, and will either accept or reject each transaction. From this
processing, the system will issue a report entitled “Contract Transactions
Input Edit.” This report will list the disposition of each line entry that you
submitted. A comprehensive set of warning messages exists. Do not ignore
warning messages on the report.
Examine the remainder of the report. You must respond to rejected entries and
possibly to warnings.
5-1.48
CEM-6004 (Rev. 10/1983) CT#7541-3515-0
DATE CONTRACT ITEM ENTRIES ALL OTHER ENTRIES
LINE ENT
SOURCE DOCUMENT DESCRIPTION
NO. MO. DAY ITEM + CCO + BY BY
QUANTITY (UNITS) NO. AMOUNT($) TYPE
- -
CODE
18 20 22 24 43 45 NO. 48 49 60 62 64 65 66 74
BRIDGE
01 0 5 1 9 4 8 - 1 4 - 1 7 b 0 1 4 , 1,2 7 3 0 0 0 , IME URW
02 0 5 1 9 M A I L B O X E S O N E L M S T 0 2 8 , , 15000Q , IME URW
03 0 5 1 9 A N T . E L I M . A C O N F L Z , 1,5 0 0 0 0 0 A , IME URW
04 0 5 1 9 B A L . C O M P L . I T E M 6 0 0 6 , , F , IME URW
05 0 5 1 9 4 8 - 8 - 2 0 0 8 , ,1 5 2 4 0 0 F , IME URW
06 0 5 1 9 R E S T O R E S T A T U S 0 3 9 R E O,P E N, F , IME URW
07 0 5 1 9 R E V G R A D E F R 2 L I N E , , 1 5 ,0 0 0 0 0 A N T IME URW
08 0 5 1 9 5 1 - 4 - 2 , , 2 ,1 7 4 3 7 M H S IME URW
09 0 5 1 9 5 2 - 4 - 1 , , 2 ,0 0 0 0 0 S F M IME URW
10 0 5 1 9 5 3 - 4 - 1 , , 3 1 5 ,0 0 0 0 0 T A C IME URW
11 0 5 1 9 D E L E T D R A I N A G E , , 0 2 9 - 1 0 ,0 0 0 0 0 A C C IME URW
12 0 5 1 9 B A L . C O M P L . C C O 1 8 , , 0 1 8 , B A L IME URW
13 0 5 1 9 R E S T O R E S T A T U S , , 0 0 5 R E O,P EN B A L IME URW
14 , , ,
15 , , ,
Example 5-1.2 Contract Transaction Input
16 , , ,
17 , , ,
18 , , ,
19 , , ,
20 , , ,
21 , , ,
22 , , ,
23 , , ,
24 , , ,
IN CASE OF QUESTION CONTACT: NAME I. M. Engineer
VERIFY
93 95682 (123) 345-6789
The remainder of the form is divided into five sections labeled “Card Type
1,” “Card Type 2,” “Card Type 3,” “Card Type 4,” and “Card Type 5.”
Complete only those sections that are applicable.
Card Type 1: This section is required. Complete each entry in the section. If the
entry for the field “Net Money Change This CCO” is zero, enter $0.00. The
field “Time Extension Days” should include the number of working days added
(or deleted), zero (0), or be coded “DEF” (instead of a number) if the contract
change order was written with a deferred time adjustment clause. Enter a category
code on every contract change order. Left-justify this code.
• Make the first entry by checking either the “EW” or “AC” box to indicate
extra work or adjustment of compensation.
• Make the second entry by choosing one of the “FA,” “LS,” or “UP” boxes
to indicate whether payments will be made by force account, lump sum, or
unit price.
• Make the third entry by entering the dollar amount of the change (increase
or decrease).
If multiple items of work in the change order are using the same pay method,
they must be totaled. Also, you can enter each pay method only once per
change order. If there is more than one type of extra work or adjustment of
compensation on the contract change order, continue making successive
line entries.
Card Type 3: If you have no changes for contract item prices, do not complete
this section of the form. Otherwise, furnish the item number and increase or
decrease the quantity for each changed item.
Card Type 4: If all or part of the work to be done under the contract change
order is structure work, enter the net dollar amount involved. This amount will contribute
to the contract change order changes line of the structure totals shown on the next
estimate.
California Department of Transportation • Construction Manual •July 2004
5-1.50 Project Records and Reports
If this section of the form does not apply or the amount is zero, leave the section
blank.
For federal segregation, if more than one funding source exists, show the
percentage allotted to each federal funding source.
• Complete the entire form exactly as you would for the file function, using
correct information.
• Place “R,” in the function box at the top right of the form.
The module for processing contract change orders will replace the data
stored in the computer file with the new contract change order.
• Enter corrections for the extra work bills that reverse payments to date
to zero for the particular method of payment to be eliminated. For
payments exceeding the authorized amount, enter corrections for the
extra work bills to reduce payments below the authorized amount.
• Submit the replace request.
• After the contract change order has been replaced, reenter the extra work
bills that were reversed.
5-103E (1) Preparing Form CEM-4902, Extra Work Bill (Short Form)
The contractor may enter extra work bills on the Form CEM-4902, “Extra Work Bill
(Short Form).” Or, if more entries are required for equipment, labor, or material, the
contractor must use the four part forms CEM-4902A, CEM-4902B, CEM-4092C,
and CEM-4902D.
The contractor initiates forms containing force account payment and submits them
to the resident engineer. The resident engineer initiates forms containing payment at
agreed prices. The backs of the forms contain the basic instructions for completing
the forms. The following information supplements the instructions on the forms:
5-103E (1a) Basic Information (Title Page)
Do the following for the basic information:
• The contract change order number: Right-hand justify this number; for
instance, contract change order 1 is 001, contract change order 10 is 010.
• Report number: The contractor should leave the report number blank.
Duplicate numbers will be rejected (except for corrections to previous bills).
• Date performed: A separate extra work bill must exist for each day on which
force account work is performed (except for work done by a specialist).
Enter the date the work was performed in these spaces. For extra work bills
covering invoices only, enter the date on which the material was used.
If this entry is not practical, enter the current date. You must enter a
date in this field. You may enter the acronym “VAR” in the date
performed field if the pay method is lump-sum unit-price or if equipment
and labor are not present on the bill.
• Date of report: Enter the date on which the report is prepared.
• Payment method: Ensure the method selected matches one of the
methods authorized by the contract change order.
• Bridge: Place the letter “T” in this box if toll bridge work is involved
and you want to apply a 10 percent markup to equipment and material
and a 25 percent markup to labor.
• Fifty percent flagging: You must include on the extra work bill the total
hours spent on flagging because the computer will make payment of only
50 percent of the total. For flagging that is not subject to the 50 percent split,
submit separate extra work bills.
• Regular hours for which payment is to be made: Enter the regular hours for
which payment is to be made. Regular hours may not exceed 8 unless you
are entering a daily rate item. If the date the work was performed is various,
you may enter up to 99 in the regular hours field. Various is used for
equipment at day rates.
• Overtime hours: Enter the overtime hours worked. Overtime hours may not
exceed 16.
5-103E (1c) Other Expenses Subject to Labor Markup
This portion of the form is for travel expenses that cannot be entered as
“Subsistence” under “Labor.”
If the units and rate are already entered, the computer will calculate the amount.
Otherwise, enter the amount, and this figure will be used.
Note: If you use the “Unit” and “Rate” fields, leave the “Amount” field
blank. If you enter an amount in the “Amount” field, don’t make an entry
in the “Unit” and “Rate” fields.
• Material: Note that the material entry will not be processed unless there is a
value in both the “Units” and the “Unit Cost or Net Pay” fields. Do the
following for material:
1. Invoice date: Preferably, enter the date of the invoice to help in checking
for duplicate billing. However, if entering the invoice date is not practical,
enter the date the material was used.
2. Invoice description: Enter a brief description of material.
3. Units: Normally, enter the unit one (1.00) for materials used.
4. Unit cost or net pay: In this column, enter the amount for which
payment is due. Normally, this amount is the cost of the material
plus tax, if applicable, less any discount offered.
• Work Done by Specialists: Enter this item in the same manner as
described under “Material” above.
• Administrative deductions: Enter “ADM” in the type field. Both plus and
minus deductions are allowed.
• Equal employment opportunity deductions: Enter “EEO” in the type field.
Both plus and minus deductions are allowed, but plus deductions should be
adjustments or reversals of deductions taken on prior estimates. If you wish
to take an EEO deduction on this estimate, leave the amount field blank.
The system will compute the deduction amount for you. Only one
“blank” EEO deduction, normally entered by the labor compliance
officer, can appear on the form. Note: The system will not accept EEO
deductions if the contract item payment for this estimate is zero. It may
be necessary to enter the minimum amount of $1000.
• Labor compliance violation deductions: The labor compliance officer
usually makes these entries on the form. The officer will enter “LCV”
in the type field. The rules for LCV deductions are identical to those for
EEO deductions. Note: “LCV” deductions will not be taken if the contract
item payment for this estimate is zero. It may be necessary to enter the
minimum amount of $1000.
• Liquidated damages deductions: Enter “LIQ” in the type field. Both
plus and minus deductions are allowed. Plus deductions reverse earlier
deductions.
• Other outstanding documents deductions: Enter “OOD” in the type field.
If you wish to take this deduction, leave the amount field blank. The
system will compute the amount for you. Take this deduction only once
per contract. The system will maintain the correct deduction on subsequent
estimates by generating “OOD” in the type field with a description,
“MAINTAIN OOD DEDUCT.” You can reverse the deduction at any time
by entering a plus amount that exactly reverses the OOD deductions to date
from the previous estimate. Negative OOD deduction amounts are never
allowed on the input form.
After carefully preparing Form CEM-6001, promptly send it to the district office.
The specific deadline for submittal may vary by district.
• Edit Form CEM-6001 for consistency with previous estimates and with the
working days calendar stored in the computer.
• Identify and summarize all daily extra work reports entered in the system
and eligible for payment since the last estimate.
• Identify and summarize all contract transactions entered in the system since
the last estimate.
• Identify and balance the contract change orders that require balancing.
• Identify and balance the contract items that require balancing.
• Make calculations for the item “Mobilization” (if necessary), for the
various deductions and retentions, for percent time elapsed, for percent
complete, and for various status totals, such as authorized final cost.
The system also determines whether the contractor’s progress is
satisfactory.
• Edit any deduction submitted for processing on Form CEM-6001. Special
attention is given to three of the deductions as follows:
1. If the resident engineer has submitted an EEO deduction, CAS computes
the amount as 10 percent of the contract item payment on this estimate,
or a minimum of $1,000 or a maximum of $10,000, and places the
deduction on file.
2. If the resident engineer has submitted an LCV deduction, the system
performs the same calculation as for EEO deductions described above.
3. If the resident engineer has submitted an OOD deduction, the system
will compute the deduction under the following conditions:
a. The contract has been completed, or retention is being reduced
because the percent complete exceeds 95 percent. If one of these
conditions is not met, the deduction will be rejected.
b. The total of all OOD deductions from prior estimates must be zero,
or the deduction will be rejected. An OOD deduction should be
taken only once for a contract.
c. If the first two conditions are met, the amount of the deduction is
calculated as 5 percent of the total work completed to date less
mobilization, or $10,000, whichever is less.
• Further deduction processing as follows:
1. If the total to date for an OOD deduction is negative, the system will
check whether the value for has changed since the last estimate for total
work completed to date less mobilization. If the value has changed, the
system will generate a new OOD deduction with a description,
• Edit messages: The system can produce many possible messages. If your
estimate is rejected, the exact reason will be found here. To assist in
preventing overpayments, among other problems, warning messages have
been set based on carefully chosen tolerances. You must read these messages
carefully.
• Transaction selection: The system will print a list of the exact pages and
lines of contract transactions that were used to produce the estimate.
This list enables you to verify that all the contract transactions you
submitted were used to produce the estimate.
• Contract change order processing: This lists any balancing of contract
change orders by the system. Occasionally, the list contains warning
messages, too.
• Contract item processing: This part of the report does the same things
as described in the bullet above, but for contract items instead of contract
change orders.
• Contract transactions list: This list identifies all contract transactions
used to generate your estimate. If you question any line item on the
project record-estimate, examine the detailed records to see how the
system derived its totals.
• Structure totals: This item summarizes all structure work the system
found while processing the estimate.
• Contract number
• Status
• Date bids were opened
• Date of award
• Date of approval
• Date of acceptance
• Bid amount
• Name of contractor
After bid opening, projects are added to the list automatically. After the final
estimate and approvals from the districts and the disbursing office, the Division
of Construction removes the projects from the list.
Section 2 Funds
5-201 General
Supplemental funds in the amount of $•••••••••• are requested for the above-
referenced project. As previously discussed, following are the details supporting this
request:
Present
Contract Estimated Probable
Allotments Final Expenditures
Contract Items $ 00 $ 00
Supplemental Work . 00 . 00
Contingency Fund . 00 . 00
State-Furnished Materials & Expense 00 . 00
Previously Approved G-12 Funds 00 00
Totals $ 00 $ 00
Estimated Deficit 00
⇑ Why:
⇑ What:
⇑ Alternatives:
______________________
Construction Engineer
5-301 General
Contract change orders other than those listed above are considered minor. Although
approval may be granted retroactively, minor contract change orders require written
and signed FHWA approval. These approvals occur during FHWA construction
reviews, or occur with final approval of the project by FHWA.
5-308B State-Authorized Projects
Projects with a suffix of “E” are state-authorized, so resident engineers are not
formally required to communicate with the FHWA engineer except for a few
instances. Informal discussions for technical guidance are encouraged.
5-308B(1) Federal Highway Administration Involvement Requirements–
Major Contract Change Orders
There are several events that may make FHWA involvement necessary. The FHWA
engineer is contacted sufficiently in advance of the project event deemed necessary
to allow their participation. In all other cases, contact the FHWA engineer as soon as
practical to ensure federal concurrence and participation.
FHWA involvement is required for any of the following major contract change orders:
• Changes to federal environmental requirements:
1. Environmental Mitigation. See Mitigation Monitoring Reporting Record,
if available.
California Department of Transportation • Construction Manual • August 2005
5-3.22 Contract Change Orders
2. Permit conditions.
3. Agreements with federal resource agencies.
Example:
Revising sound walls – height, length, location, adding auxiliary lanes, and
disturbing a site on or eligible for the National Register of Historic Places.
• Introduction of new social, environmental or economic issues that need to be
addressed under applicable federal laws.
• Changes for mandatory disposal or borrow sites – Public Interest Finding and
NEPA clearance may be needed.
• Waivers to the Buy America requirements, above the minimal amount that is
allowed in Section 3-605, “Certificates of Compliance,” of the Construction
Manual and the project special provisions.
• Project limits expanding beyond the limits set in the environmental document.
5-308C All Federally Funded Projects
For each case listed in section 5-308A(1) and 5-308B(1), the resident engineer
contacts the Federal Highway Administration engineer and provides documents as
necessary. In addition to the major and minor contract change orders listed above
for “N” and “E” projects, there are several other issues or events that may invoke
the involvement of the FHWA. See Section 5-007 “Federal Highway Administration
Involvement in Contract Administration.”
E. A.
FROM CO-RTE-PM
Resident Engineer FED NO.
CCO NO. SUPPLEMENT NO. CATEGORY CODE CONTINGENCY BALANCE (including this change):
1 $ 230,000.00
The Standard Specifications and Special Provisions specify certain work to be performed to expedite
the safe and convenient passage of public traffic around and through the work. Such work is specified to
be paid for as extra work. This contract change order provides for payment as extra work at force account
of all such traffic-related work to be performed on this project.
This contract change order will not affect contract time and, therefore, provides for no adjustment in time of
completion.
OTHER (SPECIFY) DATE FEDERAL SEGREGATION (If more than one funding source or P.I.P. type)
CCO FUNDED PER CONTRACT CCO FUNDED AS FOLLOWS
DATE
FEDERAL FUNDING SOURCE PERCENT
HQ OR DISTRICT PRIOR APPROVAL BY DATE
You are directed to make the following changes from the plans and specifications or do the following described work not
included in the plans and specifications for this contract. NOTE: This change order is not effective until approved by the
Engineer.
Description of work to be done, estimate of quantities and prices to be paid. (Segregate between additional work at contract
price, agreed price, and force account.) Unless otherwise stated, rates for rental of equipment cover only such time as
equipment is actually used and no allowance will be made for idle time. The last percentage shown is the net accumulated
increase or decrease from the original quantity in the Engineer’s Estimate
Extra Work at Force Account:
Furnish flaggers in accordance with Section 7-1.08,”Public Convenience,” and Section 7-1.09,
“Public Safety,” of the Standard Specifications. Furnishing flaggers will be paid for as specified in
Section 12-2.02, “Flagging Costs,” of the Standard Specifications.
Repair damage to detours caused by public traffic in accordance with Section 4-1.04, “Detours,”
of the Standard Specifications.
In accordance with Section 7-1.08, “Public Convenience” of the Standard Specifications:
Except as otherwise provided for construction area signs in Section 12, “Construction Area Traffic
Control Devices,” of the Standard Specifications, furnish, install, and remove sign covers.
Furnish a pilot car and driver for the purpose of expediting the passage of public traffic through the
work under one-way controls.
In order to expedite the passage of public traffic through or around the work and where ordered by
the engineer, furnish and install signs, lights, flares, temporary railing (Type K), barricades, and
other facilities, not to be paid for as separate contract items.
Perform work ordered by the engineer for the accommodation of public traffic after the roadbed
has been brought to a smooth and even condition and prior to commencing subgrade operations.
Shape shoulders and reshape subgrade as necessary for the passage of public traffic thereon
during subgrade preparation on paving operations.
Apply water for the purpose of controlling dust caused by public traffic only in accordance with
Section 10-1.04, “Payment,” of the Standard Specifications.
In accordance with Section 12-4.01, “Measurement and Payment,” of the Standard Specifications,
do the following:
After initial placement of barricades, and if ordered by the engineer, move barricades from
location to location.
Move temporary railing (Type K) laterally when ordered by the engineer and when such
repositioning is not shown on the plans.
Furnish, erect, maintain, move, and remove additional construction area signs when ordered by
the engineer.
In accordance with Section 10-1.xx, “Temporary Crash Cushion Module,” of the Special
Provisions
When ordered by the engineer, reposition crash cushion modules when such repositioning is
not shown on the plans.
In accordance with Section 10-1.xx, “Traffic Plastic Drums,” of the Special Provisions, after
initial placement move plastic traffic drums from location to location when ordered by the
engineer.
Estimate of extra work = $20,000.00
APPROVAL RECOMMENDED BY
SIGNATURE (PRINT NAME & TITLE) DATE
ENGINEER APPROVAL BY
SIGNATURE (PRINT NAME & TITLE) DATE
We, the undersigned contractor, have given careful consideration to the change proposed and agree, if this proposal is
approved, that we will provide all equipment, furnish the materials, except as may otherwise be noted above, and perform all
services necessary for the work above specified, and will accept as full payment, therefore, the prices shown above. NOTE: If
you, the contractor, do not sign acceptance of this order, your attention is directed to the requirements of the specification
as to proceeding with the ordered work and filing a written protest within the time therein specified.
CONTRACTOR ACCEPTANCE BY
SIGNATURE (PRINT NAME & TITLE) DATE
E. A.
FROM CO-RTE-PM
Resident Engineer FED NO.
CCO NO. SUPPLEMENT NO. CATEGORY CODE CONTINGENCY BALANCE (including this change):
2 $ 230,000.00
OTHER (SPECIFY) DATE FEDERAL SEGREGATION (If more than one funding source or P.I.P. type)
CCO FUNDED PER CONTRACT CCO FUNDED AS FOLLOWS
DATE
FEDERAL FUNDING SOURCE PERCENT
HQ OR DISTRICT PRIOR APPROVAL BY DATE
You are directed to make the following changes from the plans and specifications or do the following described work not
ncluded in the plans and specifications for this contract. NOTE: This change order is not effective until approved by the
Engineer.
Description of work to be done, estimate of quantities, and prices to be paid. (Segregate between additional work at contract
price, agreed price, and force account.) Unless otherwise stated, rates for rental of equipment cover only such time as
equipment is actually used and no allowance will be made for idle time. The last percentage shown is the net accumulated
ncrease or decrease from the original quantity in the Engineer’s Estimate
Furnish flaggers in accordance with Section 7-1.08, ”Public Convenience,” and Section, 7-1.09,
“Public Safety,” of the Standard Specifications. Furnishing flaggers will be paid for as specified in
Section 12-2.02, “Flagging Costs,” of the Standard Specifications and as follows:
The following agreed hourly prices are determined in conformance with the provisions in Section 9-
1.03, “Force Account Payment,” of the Standard Specifications and represent the state’s 50 percent
share of flagging costs. The contractor must maintain a daily log of flagging labor by individual. The
copy of the log and a signed extra work bill must be submitted to the resident engineer before the
15th day of each month for payment. These agreed prices are subject to revision due to any changes
in prevailing wage rates or labor surcharge rates.
APPROVAL RECOMMENDED BY
SIGNATURE (PRINT NAME & TITLE) DATE
ENGINEER APPROVAL BY
SIGNATURE (PRINT NAME & TITLE) DATE
We, the undersigned contractor, have given careful consideration to the change proposed and agree, if this proposal is
approved, that we will provide all equipment, furnish the materials, except as may otherwise be noted above, and perform all
services necessary for the work above specified, and will accept as full payment, therefore, the prices shown above. NOTE: If
you, the contractor, do not sign acceptance of this order, your attention is directed to the requirements of the specification
as to proceeding with the ordered work and filing a written protest within the time therein specified.
CONTRACTOR ACCEPTANCE BY
SIGNATURE (PRINT NAME & TITLE) DATE
E. A.
FROM CO-RTE-KP
Resident Engineer FED NO.
CCO NO. SUPPLEMENT NO. CATEGORY CODE CONTINGENCY BALANCE (including this change):
3 $ 127,127.12
This contract change order compensates the contractor for additional costs incurred in the construction
of retaining wall No. 3. The contract plans showed an existing 36-inch drainage culvert to be 6 meters in
back of the top of the retaining wall. It was found to be much closer. The contractor was required to install
special shoring to protect the culvert and submitted Notice of Potential Claim No. 2 for reimbursement of
the protective work. Records of the protective work were kept during construction of the retaining wall.
The resident engineer determined that, due to the plan error, the contractor is entitled to be reimbursed
for the cost of protecting the culvert.
The adjustment in compensation at agreed lump sum, provided for in the contract change order, is
based on the force account cost of protecting the culvert. Records and calculations used to determine
the adjustment in compensation are on file in the project records.
This change was discussed with the construction engineer and she agrees that the contractor should
receive additional compensation for protecting the culvert.
There will be no time adjustment by reason of this contract change order since the work involved did not
affect the controlling operation.
CONCURRED BY: ESTIMATE OF COST
CONSTRUCTION ENGINEER/BRIDGE ENGINEER DATE THIS REQUEST TOTAL TO DATE
ITEMS $ 0.00 $ 0.00
PROJECT ENGINEER DATE FORCE ACCOUNT $ 0.00 $ 0.00
AGREED PRICE $ 0.00 $ 0.00
PROJECT MANAGER DATE ADJUSTMENT $ 23,000.00 $ 23,000.00
OTHER (SPECIFY) DATE FEDERAL SEGREGATION (If more than one funding source or P.I.P. type)
CCO FUNDED PER CONTRACT CCO FUNDED AS FOLLOWS
DATE
FEDERAL FUNDING SOURCE PERCENT
HQ OR DISTRICT PRIOR APPROVAL BY DATE
TO Contractor
You are directed to make the following changes from the plans and specifications or do the following described work not
included in the plans and specifications for this contract. NOTE: This change order is not effective until approved by the
Engineer.
Description of work to be done, estimate of quantities, and prices to be paid. (Segregate between additional work at contract
price, agreed price, and force account.) Unless otherwise stated, rates for rental of equipment cover only such time as
equipment is actually used and no allowance will be made for idle time. The last percentage shown is the net accumulated
increase or decrease from the original quantity in the Engineer's Estimate
Compensate the contractor for additional costs incurred in the construction of Retaining Wall 3.
The contractor will receive and agrees to accept the lump sum of $23,000.00 for this change.
This contract change order resolves Notice of Potential Claim No. 2, dated June 1, 2000.
APPROVAL RECOMMENDED BY
SIGNATURE (PRINT NAME & TITLE) DATE
ENGINEER APPROVAL BY
SIGNATURE (PRINT NAME & TITLE) DATE
We, the undersigned contractor, have given careful consideration to the change proposed and agree, if this proposal is
approved, that we will provide all equipment, furnish the materials, except as may otherwise be noted above, and perform all
services necessary for the work above specified, and will accept as full payment, therefore, the prices shown above. NOTE: If
you, the contractor, do not sign acceptance of this order, your attention is directed to the requirements of the specification
as to proceeding with the ordered work and filing a written protest within the time therein specified.
CONTRACTOR ACCEPTANCE BY
SIGNATURE (PRINT NAME & TITLE) DATE
E. A.
FROM CO-RTE-KP
Resident Engineer FED NO.
CCO NO. SUPPLEMENT NO. CATEGORY CODE CONTINGENCY BALANCE (including this change):
4 $ 127,127.12
The contractor submitted acceptable extra work bills in the amount of $40,000 on September 8, 2000, for
work performed on Contract Change Order 2 and Contract Change Order 3. However, because of filing
errors in the resident engineer’s office, these bills were not paid within the time limits specified in Section
5-xx , “Interest on Payments,” of the Special Provisions. The bills were paid on the estimate for the period
ending December 20, 2000, and the check including payment for these bills was issued January 6, 2001.
The interest paid by this contract change order is calculated for the 77-day period beginning October 20,
2000, and ending January 5, 2001.
OTHER (SPECIFY) DATE FEDERAL SEGREGATION (If more than one funding source or P.I.P. type)
CCO FUNDED PER CONTRACT CCO FUNDED AS FOLLOWS
DATE
FEDERAL FUNDING SOURCE PERCENT
HQ OR DISTRICT PRIOR APPROVAL BY DATE
You are directed to make the following changes from the plans and specifications or do the following described work not
included in the plans and specifications for this contract. NOTE: This change order is not effective until approved by the
Engineer.
Description of work to be done, estimate of quantities, and prices to be paid. (Segregate between additional work at contract
price, agreed price, and force account.) Unless otherwise stated, rates for rental of equipment cover only such time as
equipment is actually used and no allowance will be made for idle time. The last percentage shown is the net accumulated
increase or decrease from the original quantity in the Engineer's Estimate.
In accordance with Section 5.xx , “Interest on Payments,” of the Special Provisions, provide
payment of interest for the following extra work bills:
CCO No. 2, Daily Extra Work Reports 28, 29, 30, and 32.
CCO No. 3, Daily Extra Work Report 1, 2, 5, 7, and 8.
APPROVAL RECOMMENDED BY
SIGNATURE (PRINT NAME & TITLE) DATE
ENGINEER APPROVAL BY
SIGNATURE (PRINT NAME & TITLE) DATE
We, the undersigned contractor, have given careful consideration to the change proposed and agree, if this proposal is
approved, that we will provide all equipment, furnish the materials, except as may otherwise be noted above, and perform all
services necessary for the work above specified, and will accept as full payment, therefore, the prices shown above. NOTE: If
you, the contractor, do not sign acceptance of this order, your attention is directed to the requirements of the specification
as to proceeding with the ordered work and filing a written protest within the time therein specified.
CONTRACTOR ACCEPTANCE BY
SIGNATURE (PRINT NAME & TITLE) DATE
E. A.
FROM CO-RTE-KP
Resident Engineer FED NO.
CCO NO. SUPPLEMENT NO. CATEGORY CODE CONTINGENCY BALANCE (including this change):
5 $ 127,127.12
Eliminating the foliage protectors shown on the plant list, in the remarks column (Sheet HP-1).
The district landscape architect has determined that foliage protectors are not needed on this project.
Attached is a letter from the district landscape architect requesting this change.
As required in Section 10-2.01A, Cost Breakdown,” of the Special Provisions, the contractor submitted
a cost breakdown for highway planting. The price for foliage protectors included in the cost breakdown
submittal is $1.50 each. The contract change order provides for an adjustment in compensation, based
on the submitted price and the special provision.
The deleted portion of the lump sum contract item, highway planting, is subject to Section 4-1.03B(3),
“Eliminated Items,” of the Standard Specifications. The contractor purchased no material and did no
work on foliage protectors. Therefore, the contract change order provides that no adjustment in
compensation is made in accordance with Section 4-1.03B(3).
OTHER (SPECIFY) DATE FEDERAL SEGREGATION (If more than one funding source or P.I.P. type)
CCO FUNDED PER CONTRACT CCO FUNDED AS FOLLOWS
DATE
FEDERAL FUNDING SOURCE PERCENT
HQ OR DISTRICT PRIOR APPROVAL BY DATE
Delete foliage protectors shown under remarks on the plant list of Contract Plan Sheet HP-1 and
shown on the highway planting cost breakdown submitted by the contractor in accordance with
Section 10-2.01A, “Cost Breakdown,” of the Special Provisions.
In accordance with Section 4-1.03B(3), “Eliminated Items,” of the Standard Specifications and
Section 10-2.01A, “Cost Break-down,” of the Special Provisions, the adjustment due to
eliminating foliage protectors is zero.
APPROVAL RECOMMENDED BY
SIGNATURE (PRINT NAME & TITLE) DATE
ENGINEER APPROVAL BY
SIGNATURE (PRINT NAME & TITLE) DATE
We, the undersigned contractor, have given careful consideration to the change proposed and agree, if this proposal is
approved, that we will provide all equipment, furnish the materials, except as may otherwise be noted above, and perform all
services necessary for the work above specified, and will accept as full payment, therefore, the prices shown above. NOTE: If
you, the contractor, do not sign acceptance of this order, your attention is directed to the requirements of the specification
as to proceeding with the ordered work and filing a written protest within the time therein specified.
CONTRACTOR ACCEPTANCE BY
SIGNATURE (PRINT NAME & TITLE) DATE
E. A.
FROM CO-RTE-KP
Resident Engineer FED NO.
CCO NO. SUPPLEMENT NO. CATEGORY CODE CONTINGENCY BALANCE (including this change):
6 $ 127,127.12
Furnishing 3.51 mm thick pipe in lieu of 2.77 mm thick pipe for the 1800 mm diameter corrugated metal
pipe at station “N” 375+00.
The district materials engineer requested this change because of new information obtained regarding
the abrasiveness of the streambed load at this location. The letter requesting the change is attached.
This change constitutes a change in character for the contract item for 1800 mm diameter corrugated
metal pipe. A unit price adjustment of $25.62 per meter will be paid for the increased pipe thickness.
The adjustment is based on price quotes for the two pipe sizes from the supplier. A 15 percent material
markup was added to the difference in the two quotes to arrive at the unit adjustment. Records
supporting this adjustment are on file in the project records.
No adjustment in contract time is warranted. This change does not affect contract time.
OTHER (SPECIFY) DATE FEDERAL SEGREGATION (If more than one funding source or P.I.P. type)
CCO FUNDED PER CONTRACT CCO FUNDED AS FOLLOWS
MATERIALS ENGINEER DATE
FEDERAL FUNDING SOURCE PERCENT
HQ OR DISTRICT PRIOR APPROVAL BY DATE
Furnish 3.51 mm thick pipe in lieu of the specified 2.77 mm thick pipe for the 1800 mm diameter
corrugated metal pipe culvert at station “N” 375+00.
APPROVAL RECOMMENDED BY
SIGNATURE (PRINT NAME & TITLE) DATE
ENGINEER APPROVAL BY
SIGNATURE (PRINT NAME & TITLE) DATE
We, the undersigned contractor, have given careful consideration to the change proposed and agree, if this proposal is
approved, that we will provide all equipment, furnish the materials, except as may otherwise be noted above, and perform all
services necessary for the work above specified, and will accept as full payment, therefore, the prices shown above. NOTE: If
you, the contractor, do not sign acceptance of this order, your attention is directed to the requirements of the specification
as to proceeding with the ordered work and filing a written protest within the time therein specified.
CONTRACTOR ACCEPTANCE BY
SIGNATURE (PRINT NAME & TITLE) DATE
E. A.
FROM CO-RTE-KP
Resident Engineer FED NO.
CCO NO. SUPPLEMENT NO. CATEGORY CODE CONTINGENCY BALANCE (including this change):
7 $ 260,000.00
$ 404,210.00
HEADQUARTERS APPROVAL REQUIRED? YES NO
INCR DECR
SUPPLEMENTAL FUNDS PROVIDED IS THIS REQUEST IN ACCORDANCE WITH
ENVIRONMENTAL DOCUMENTS? YES NO
$
The Class 3 permeable material specified in the Special Provisions did not function properly. The
district materials engineer recommended that Class 1 permeable material be used instead for
permeable blankets. Unanticipated ground water was encountered throughout the entire cut between
Stations “A” 725 + 00 and “A” 737 + 00. The district materials engineer recommended that the planned
permeable blanket and underdrain system between Stations “A” 722 + 50 and “A” 725 + 00 be
extended to Station “A” 737 + 00. The district materials engineer’s letter, recommending these changes,
is attached.
This contract change order increases quantities of Contract Item 6, “Roadway Excavation,” and Contract
Item 48, “Permeable Material (Blanket).”
We have provided a change in character adjustment in compensation for the permeable material
contract item. The adjustment, based on the contractor’s force account analysis and verified by the
engineer, represents the increased cost in processing the permeable material. Calculations supporting
the adjustment are on file with the project records.
Adjustment in compensation due to the overrun in Contract Item 48, “Permeable Material (Blanket),” is
deferred until the completion of the item.
Removing and disposing of the Class 3 permeable material previously placed will be paid for as extra
work at force account. There is no contract item that would be applicable to this work.
The contractor requested an adjustment in contract time of an additional eight working days. Placing the
additional permeable material will delay structural section work (the controlling item), and time will be
required to begin producing the Class 1 permeable material. The engineer’s analysis, on file with the
contract records, verifies that an eight-day extension of contract time is reasonable.
OTHER (SPECIFY) DATE FEDERAL SEGREGATION (If more than one funding source or P.I.P. type)
CCO FUNDED PER CONTRACT CCO FUNDED AS FOLLOWS
DATE
FEDERAL FUNDING SOURCE PERCENT
HQ OR DISTRICT PRIOR APPROVAL BY DATE
You are directed to make the following changes from the plans and specifications or do the following described work not
included in the plans and specifications for this contract. NOTE: This change order is not effective until approved by the
Engineer.
Description of work to be done, estimate of quantities, and prices to be paid. (Segregate between additional work at contract
price, agreed price, and force account.) Unless otherwise stated, rates for rental of equipment cover only such time as
equipment is actually used and no allowance will be made for idle time. The last percentage shown is the net accumulated
increase or decrease from the original quantity in the Engineer’s Estimate.
As shown on sheets 3 and 4 of this contract change order, place a permeable blanket and
underdrain system between stations “A” 725 + 00 and “A” 737 + 00. Place permeable material
(blanket) between station “A” 722 + 50 and “A” 725 + 00.
Any adjustment due in accordance with Section 4-1.03B(1), “Increases of More Than 25 Percent,” of
the Standard Specifications, for Contract Item 48 is deferred.
In lieu of Class 3 permeable material, as specified in the Special Provisions, use Class 1
permeable material for all permeable blankets. In accordance with Section 4-1.03C, “Changes in
Character of Work,” of the Standard Specifications, the contractor will accept and receive $1.48 per
tonne of permeable material (blanket). This sum constitutes full payment, including all markups, for
this change.
Remove the Class 3 permeable material (blanket) from the roadbed between station “A” 722 + 50 and
“A” 725 + 00 and place it in the embankment at station “A” 715 + 00.
APPROVAL RECOMMENDED BY
SIGNATURE (PRINT NAME & TITLE) DATE
ENGINEER APPROVAL BY
SIGNATURE (PRINT NAME & TITLE) DATE
We, the undersigned contractor, have given careful consideration to the change proposed and agree, if this proposal is
approved, that we will provide all equipment, furnish the materials, except as may otherwise be noted above, and perform all
services necessary for the work above specified, and will accept as full payment, therefore, the prices shown above. NOTE: If
you, the contractor, do not sign acceptance of this order, your attention is directed to the requirements of the specification
as to proceeding with the ordered work and filing a written protest within the time therein specified.
CONTRACTOR ACCEPTANCE BY
SIGNATURE (PRINT NAME & TITLE) DATE
E. A.
FROM CO-RTE-KP
Resident Engineer FED NO.
CCO NO. SUPPLEMENT NO. CATEGORY CODE CONTINGENCY BALANCE (including this change):
8 $ 68,500.00
A 300 mm waterline, crossing the right-of-way at station “A” 453 + 45 was lowered and placed in a steel
conduit before construction began on the project. During roadway excavation operations, a check was
made on the elevation of the waterline, and it was discovered that an error of approximately 2 meters
had been made in establishing the relocated elevation. The line was critical for water service in the area
and could be taken out of service for only short time periods. Roadway excavation had to be suspended
from September 29, 2000, through October 12, 2000, while city water crews lowered the line below
planned subgrade.
Some of the roadway excavation equipment was sent to other work, and the remainder of the equipment
that was made idle by the delay remained at the job site. The adjustment in compensation provided for
in the contract change order represents the cost of idle equipment calculated as specified in Section 8-
1.09, “Right of Way Delays,” of the Standard Specifications. Records were kept of equipment moved off
the site to other work and moved back in when roadway excavation resumed. Cost of move-out and
move-in are paid for as extra work at agreed price. The contract change order does not include
payments for the idle time of workers. A full day of work was completed on September 28,, 2000, before
the work was suspended.
Records and cost calculations for the adjustment in compensation and for the extra work at agreed price
are on file with the project records.
The contract change order provides for an increase in contract time of 10 working days. Earthwork was
the controlling operation, and it was delayed for the period between September 29, 2000, and October
12, 2000, inclusive.
OTHER (SPECIFY) DATE FEDERAL SEGREGATION (If more than one funding source or P.I.P. type)
CCO FUNDED PER CONTRACT CCO FUNDED AS FOLLOWS
DATE
FEDERAL FUNDING SOURCE PERCENT
HQ OR DISTRICT PRIOR APPROVAL BY DATE
You are directed to make the following changes from the plans and specifications or do the following described work not
included in the plans and specifications for this contract. NOTE: This change order is not effective until approved by the
Engineer.
Description of work to be done, estimate of quantities, and prices to be paid. (Segregate between additional work at contract
price, agreed price, and force account.) Unless otherwise stated, rates for rental of equipment cover only such time as
equipment is actually used and no allowance will be made for idle time. The last percentage shown is the net accumulated
increase or decrease from the original quantity in the Engineer's Estimate.
Adjustment in Compensation at Agreed Lump Sum:
In accordance with Section 8-1.09, “Right of Way Delay,” of the Standard Specifications, the
contractor agrees to accept the sum of $6,853.00 as full compensation for idle equipment due to
suspension of roadway excavation from September 29, 2000, through October 12, 2000.
Adjustment of compensation………… $ 6,853.00 increase
A determination of the delay in completion of the contract due to the right-of-way delay caused by
the suspension of the earthwork from September 29, 2000, through October 12, 2000, has been
made in accordance with the provisions of Section 8-1.07, “Liquidated Damages,” of the Standard
Specifications.
The contractor shall be granted 10 working days for the following dates: August 29, 2000, through
September 12, 2000.
Estimated Cost: : Decrease Increase $ 9,203.00
By reason of this order, the time of completion will be adjusted as follows: 10 Working Days
SUBMITTED BY
SIGNATURE (PRINT NAME & TITLE) DATE
APPROVAL RECOMMENDED BY
SIGNATURE (PRINT NAME & TITLE) DATE
ENGINEER APPROVAL BY
SIGNATURE (PRINT NAME & TITLE) DATE
We, the undersigned contractor, have given careful consideration to the change proposed and agree, if this proposal is
approved, that we will provide all equipment, furnish the materials, except as may otherwise be noted above, and perform all
services necessary for the work above specified, and will accept as full payment, therefore, the prices shown above. NOTE: If
you, the contractor, do not sign acceptance of this order, your attention is directed to the requirements of the specification
as to proceeding with the ordered work and filing a written protest within the time therein specified.
CONTRACTOR ACCEPTANCE BY
SIGNATURE (PRINT NAME & TITLE) DATE
E. A.
FROM CO-RTE-KP
Resident engineer FED NO.
CCO NO. SUPPLEMENT NO. CATEGORY CODE CONTINGENCY BALANCE (including this change):
9 $ 75,000.00
A cost reduction incentive to eliminate the falsework opening at the Brighton Overhead (Br. No. 24-289
R/L).
The contractor negotiated an agreement with Ms. Mary Smith, owner of the property served by the
driveway passing under the Brighton Overhead. A copy of the agreement is attached. As a result of the
agreement, the temporary falsework opening at the Brighton Overhead can be eliminated. The
contractor submitted a cost reduction incentive proposal providing for elimination of the opening. The
Division of Structure Construction has approved revised falsework plans.
The estimated net savings in construction costs resulting from this contract change order are $5,890.60.
The net decrease is based on the following:
1. A decrease in Contract Item 3, “Temporary Railing (Type K),” at the contract price of $4,312.00. A
cost analysis, on file with the project records, verifies that the contract price of this item is reasonably
close to the actual cost of the work determined by the force account method.
2. A decrease in the cost of constructing the Brighton Overhead falsework of $1578.60. This decrease
is based on the contractor’s submitted force account analysis verified by the engineer. Cost
information and analysis are on file with the project records.
On half of the construction cost savings, $2,945.30 is returned to the contractor as an adjustment in
compensation in accordance with the cost reduction incentive specification.
This change had no effect on contract time, and no adjustment in contract time is made in the contract
change order.
OTHER (SPECIFY) DATE FEDERAL SEGREGATION (If more than one funding source or P.I.P. type)
CCO FUNDED PER CONTRACT CCO FUNDED AS FOLLOWS
DATE
FEDERAL FUNDING SOURCE PERCENT
HQ OR DISTRICT PRIOR APPROVAL BY DATE
In accordance with Section 5-1.14, “Cost Reduction Incentive,” of the Standard Specifications,
eliminate the falsework opening at the Brighton Overhead (Br. No. 24-289 R/L).
Adjustment in Compensation:
In accordance with Section 4-1.03C, “Changes in Character of Work,” of the Standard
Specifications,” the state will receive a credit of $1,578.60 by eliminating the falsework opening at
the Brighton Overhead.
Adjustment in Compensation
In accordance with Section 5-1.14, “Cost Reduction Incentive,” of the Standard Specifications, the
contractor agrees to accept the above decrease in contract payments and a lump sum payment of
$2,945.30 as full compensation for this change.
APPROVAL RECOMMENDED BY
SIGNATURE (PRINT NAME & TITLE) DATE
ENGINEER APPROVAL BY
SIGNATURE (PRINT NAME & TITLE) DATE
We, the undersigned contractor, have given careful consideration to the change proposed and agree, if this proposal is
approved, that we will provide all equipment, furnish the materials, except as may otherwise be noted above, and perform all
services necessary for the work above specified, and will accept as full payment, therefore, the prices shown above. NOTE: If
you, the contractor, do not sign acceptance of this order, your attention is directed to the requirements of the specification
as to proceeding with the ordered work and filing a written protest within the time therein specified.
CONTRACTOR ACCEPTANCE BY
SIGNATURE (PRINT NAME & TITLE) DATE
E. A.
FROM CO-RTE-KP
Resident Engineer FED NO.
CCO NO. SUPPLEMENT NO. CATEGORY CODE CONTINGENCY BALANCE (including this change):
10 $ 269,000.00
Before the project was advertised, the district right-of-way agents were unable to close negotiations
with the abutting property owner adjacent to Station 782 + 32. An Order of Immediate Possession was
obtained so that construction could begin. Before the start of construction, negotiations were finally
closed. The major item of agreement was the construction of a 2440 mm x 2440 mm reinforced
concrete box culvert, located at Station 782 + 32, to serve as a cattle pass from one portion of the
property to the other. There are no applicable contract items for constructing the reinforced concrete box
culvert. The contractor quoted a price of $216.00 per cubic meter of concrete, in-place, for the reinforced
concrete box culvert. The resident engineer verified this cost as reasonable by performing an
independent force account analysis. The cost submittal and independent analysis are filed in the job
records. Structure excavation and structure backfill will be measured and paid for by contract item.
The project engineer and the construction engineer agreed with this change.
Construction of the reinforced concrete box culvert will not affect contract time. No adjustment of contract
time is provided for in the contract change order.
OTHER (SPECIFY) DATE FEDERAL SEGREGATION (If more than one funding source or P.I.P. type)
CCO FUNDED PER CONTRACT CCO FUNDED AS FOLLOWS
DATE
FEDERAL FUNDING SOURCE PERCENT
HQ OR DISTRICT PRIOR APPROVAL BY DATE
Perform excavation and backfill for the reinforced concrete box culvert shown on sheet 3 of 3 of this
contract change order.
The quantity increase shown here for Contract Items 43 and Contract Item 44, when combined with
quantities shown in the engineer’s estimate, and as modified by any previous change orders or
revisions to dimensions made by the engineer, will be the final quantities for which payment will be
made for each contract item.
Construct a reinforced concrete box culvert at station 782 + 32 as shown on sheet 3 of 3 of this
contract change order and Standard Plans D80, D82, and D83. Perform all work in accordance
with Section 51, “Concrete Structures,” and Section 52, “Reinforcement,” of the Standard
Specifications.
A payment of $216.00 per cubic meter of concrete, measured in accordance with the Standard
Specifications, will constitute full compensation, including all markups, for constructing the
reinforced concrete box culvert, complete in-place, including all reinforcing steel and incidentals.
APPROVAL RECOMMENDED BY
SIGNATURE (PRINT NAME & TITLE) DATE
ENGINEER APPROVAL BY
SIGNATURE (PRINT NAME & TITLE) DATE
We, the undersigned contractor, have given careful consideration to the change proposed and agree, if this proposal is
approved, that we will provide all equipment, furnish the materials, except as may otherwise be noted above, and perform all
services necessary for the work above specified, and will accept as full payment, therefore, the prices shown above. NOTE: If
you, the contractor, do not sign acceptance of this order, your attention is directed to the requirements of the specification
as to proceeding with the ordered work and filing a written protest within the time therein specified.
CONTRACTOR ACCEPTANCE BY
SIGNATURE (PRINT NAME & TITLE) DATE
E. A.
FROM CO-RTE-KP
Resident Engineer FED NO.
CCO NO. SUPPLEMENT NO. CATEGORY CODE CONTINGENCY BALANCE (including this change):
11 $ 115,000.00
Adjustments of compensation for fluctuations in the California Statewide Paving Asphalt Price Index.
This change is made in accordance with the requirements of Section 5-xx, “Compensation Adjustment
for Price Index Fluctuations,” of the Special Provisions. Contract Item 20, “Asphalt Concrete,” and
Contract Item 22, “Asphalt Concrete Base,” are subject to the adjustment. The contract change order
authorizes the maximum amount allowed by the special provision.
OTHER (SPECIFY) DATE FEDERAL SEGREGATION (If more than one funding source or P.I.P. type)
CCO FUNDED PER CONTRACT CCO FUNDED AS FOLLOWS
DATE
FEDERAL FUNDING SOURCE PERCENT
HQ OR DISTRICT PRIOR APPROVAL BY DATE
Adjust the contract unit prices of the contract items listed below in accordance with Section 5.1xx,
“Compensation Adjustments for Price Index Fluctuations,” of the Special Provisions.
APPROVAL RECOMMENDED BY
SIGNATURE (PRINT NAME & TITLE) DATE
ENGINEER APPROVAL BY
SIGNATURE (PRINT NAME & TITLE) DATE
We, the undersigned contractor, have given careful consideration to the change proposed and agree, if this proposal is
approved, that we will provide all equipment, furnish the materials, except as may otherwise be noted above, and perform all
services necessary for the work above specified, and will accept as full payment, therefore, the prices shown above. NOTE: If
you, the contractor, do not sign acceptance of this order, your attention is directed to the requirements of the specification
as to proceeding with the ordered work and filing a written protest within the time therein specified.
CONTRACTOR ACCEPTANCE BY
SIGNATURE (PRINT NAME & TITLE) DATE
Section 4 Disputes
5-401 General
5-407 Overhead
5-407A Methods of Overhead Payment
5-407B Overhead Claims
5-408 Audits
5-408A Contractor Submitted Audits
5-408B Special Audits
5-409 Arbitration
5-409A Arbitration Process
5-409B Arbitration Payment Process
5-409C Arbitration Tracking, Monitoring, and Reporting
Example 5-4.5 - Sample Final Estimate Letter - Board of Review Held, Not
Attended by Contractor
5-412A (13) Summary of construction claim findings in tabular format for all claims
5-4.1A(2) If no merit
“I have investigated the material and the contract documents, (specify which
documents) and have found that the material does not vary from that shown on the
contract documents. Therefore, no additional cost or extension of contract time is
warranted to complete the work. If you still feel a differing site condition exists,
please provide me with any additional information you may have.”
DEPARTMENT OF TRANSPORTATION
DISTRICT X CONSTRUCTION
(ADDRESS)
(PHONE) Flex your power!
(FAX) Be energy efficient!
(date)
(Dist-EA)
(Dist-Co-Rte-PM/KP)
Federal Aid Project: (FA#)
(Contractor)
(Address)
Gentlemen:
In conformance with Section 5-1.xx__ of the special provisions of the contract referenced
above, Caltrans is nominating Mr. (nominee’s name) to the Dispute Review Board. The
nominee’s project specific disclosure statement is attached for your consideration. Please
provide your written response accepting or rejecting this nomination within seven days of the
date of this notification.
In addition, please provide your nomination to the Dispute Review Board, including the
nominee’s project specific disclosure statement within seven days of the receipt of this letter.
Sincerely,
(NAME)
Resident Engineer
Attachment
DEPARTMENT OF TRANSPORTATION
DISTRICT X CONSTRUCTION
(ADDRESS)
(PHONE) Flex your power!
(FAX) Be energy efficient!
(date)
(Dist-EA)
(Dist-Co-Rte-PM/KP)
Federal Aid Project: (FA#)
(Contractor)
(Address)
Gentlemen:
I have reviewed your exceptions to the Proposed Final Estimate and have made the following
determination:
x Resolved claims
You will be notified of the date, time and the location of the board of review meeting in a
follow up letter.
Sincerely,
(NAME)
Deputy District Director of Construction
cc:
Board of review secretary
Resident engineer
Structure representative
Construction engineer
Area bridge engineer
Construction manager
District construction claims engineer
District construction office
Division of Construction Field Coordinator
Division of Construction – Office of Contract Administration
DEPARTMENT OF TRANSPORTATION
DISTRICT X CONSTRUCTION
(ADDRESS)
(PHONE) Flex your power!
(FAX) Be energy efficient!
(date)
(Dist-EA)
(Dist-Co-Rte-PM/KP)
Federal Aid Project: (FA#)
(Contractor)
(Address)
Gentlemen:
Both the contractor and Caltrans will be afforded the opportunity to make verbal presentation in
support of their previously submitted written positions on the claim(s) listed above.
Caltrans policy requires that an attorney from the Legal Division be present if the contractor intends
to be represented by legal counsel at the board of review. Please advise in writing if you plan on
having legal representation in this matter.
In accordance with Section 9-1.07B, “Final Payment and Claims,” of the Standard Specifications,
your attendance at the board of review meeting is mandatory.
Sincerely,
(NAME)
Board of Review Secretary
DEPARTMENT OF TRANSPORTATION
DISTRICT X CONSTRUCTION
(ADDRESS)
(PHONE) Flex your power!
(FAX) Be energy efficient!
(date)
(Dist-EA)
(Dist-Co-Rte-PM/KP)
Federal Aid Project: (FA#)
(Contractor)
(Address)
Gentlemen:
On (date of board of review meeting), the district convened a board of review meeting for the
purpose of reviewing the following claim(s):
Your absence at that meeting, an administrative procedure set forth in the contract as part of
the Caltrans claim process, has nullified those claims.
The final estimate is being issued as authorized by Section 9-1.07B, “Final Payment and
Claims,” of the Standard Specifications in accordance with the district director’s final
determination of claims sent to you on (date). Payment in the amount of (dollars) on claim
numbers (1, 2, etc) is included on the final estimate. This amount fully resolves claim
numbers (1, 2, etc). Enclosed is a copy of the final estimate.
Sincerely,
(name)
District Director
Attachment
Memorandum
From: [NAME]
Deputy District Director of Construction
The contractor, (name) returned exceptions to the proposed final estimate, dated (date), and
specified (overhead, escalated cost, or impacted item work) claims due to a state-directed
suspension as shown on the attached summary of delay related claims. The contractor was
permitted to work on non-controlling items of work during the period of suspension. Caltrans
directed the suspension for a redesign of most of the project.
Project work involved the removal and replacement of concrete pavement with fast-setting
hydraulic cement concrete.
It is requested that Caltrans audit determine if additional compensation for overhead and
escalated costs is owed to the contractor for this project. The justification for this request is as
follows:
x Contract time was extended by the suspension by more than 15 percent, and
x The contractor worked an additional season (as evidenced by the effect on the scheduled
completion date) due to the suspension.
The district contact for project information will be (name), (resident engineer or claims
engineer), at (telephone number).
____________________________ ______________________________________
(NAME), Field Coordinator (NAME), Deputy District Director
Division of Construction Construction
Contract No.:
Contractor:
Delay Claims
Subcontractor Claims
The bridge work to be done consists, in general, of constructing earthquake retrofit modifications on the
following bridges as shown on the project plans and briefly described below:
New CIDH piles with connecting pile extensions and anchor heads constructed at every fourth bent (148 new
piles), and 3,520 composite column casings installed on existing pile extensions.
The proposed final estimate (PFE) was mailed to the contractor on September 30, 1999, and was returned with
exceptions on November 3, 1999. The total amount claimed was $1,636,903.82.
CHRONOLOGY (DELAY-RELATED)
Identification Number
Title
Notification Details
Date On Time Amount Claimed
Written notice/protest Yes___ No___
Initial NOPC Yes___ No___
Supplemental NOPC Yes___ No___
Full & Final Doc Yes___ No___
State Response
Date Merit On Time
To Supplemental Yes___ No___ Yes___ No___
Comments
Background
Contractor Position
District Position
Exhibits x = included
x Contractor’s exceptions to PFE ____
x Written notice or protest ____
x Initial NOPC (6201 A) ____
x Supplemental NOPC (6201 B) ____
x Full & Final Documentation (6201 C) ____
x State response
To Supplemental NOPC ____
To Full and Final Documentation ____
x Other correspondence ____
x Dispute Review Board
State position paper ____
Contractor position paper ____
DRB recommendation ____
x Diaries
Resident Engineer ____
Assistant ____
x Plan sheets ____
x Specifications ____
x Contract Change Orders ____
x Photographs ____
x Calculations & analysis ____
x Weekly Statement of Working Days ____
x CPM Schedules ____
x Other (list)
_______________________________ ____
_______________________________ ____
_______________________________ ____
_______________________________ ____
DEPARTMENT OF TRANSPORTATION
CENTRAL REGION
10-123454
10-ALP-88-0.2
ON STATE ROUTE 88
LOCATED IN
January 1, 2004
TABLE OF CONTENTS
Project Chronology………………………………………………………………… 3
General Information………………………………………………………………... 4
Summary of Claims………………………………………………………………... 4
Non-Administrative Claims:
Claim #1 – PCC Pavement Grinding Claim (ID #46)……………………………... 4
Background………………………………………………………………… 6
Applicable Specifications………………………………………………….. 6
Notification of Claim………………………………………………………. 6
Contractor’s Position………………………………………………………. 6
District’s Position………………………………………………………….. 6
Findings……………………………………………………………………. 8
Claim #2 – Differing Site Condition Claim - CIDH Piling at Kirkwood Creek Bridge (ID
#34)………………………………………………………………………
Background………………………………………………………………...
Applicable Specifications………………………………………………….
Notification of Claim………………………………………………………
Contractor’s Position………………………………………………………
District’s Position………………………………………………………….
Board of Review Findings………………..……………………………….
Administrative Claims:
Claim #3 – Item 27 – Reconstruct Fence – 11.6M………………………..
Background………………………………………………………..
Contractor’s Position………………………………………………
District’s Position………………………………………………….
Findings……………………………………………………………
Signatures…………………………………………………………………………
Exhibits…………………………………………………………………………..
Claim #2 – Differing Site Condition Claim – CIDH Piling at Deer Creek Bridge (ID #34) Exhibits
Exhibit 1 Contractor’s Differing Site Condition Notice…………………………1 Sheet
Exhibit 2 Resident Engineer’s Determination Letter…………………………….2 Sheets
Exhibit 3 Contractor’s Initial Notice of Potential Claim………………………...1 Sheet
Exhibit 4 Contractor’s Supplemental Notice of Potential Claim………………...2 Sheets
Exhibit 5 Resident Engineer’s Response………………………………………...2 Sheets
Exhibit 6 Contractor’s Full and Final Documentation of Potential Claim.……...5 Sheets
Exhibit 7 Resident Engineer’s Response………………………………………...5 Sheets
Exhibit 8 Contractor’s DRB Position Paper…………………………….……….8 Sheets
Exhibit 9 District’s DRB Position Paper………………………………………...7 Sheets
Exhibit 10 DRB’s Recommendation………………………………………………5 Sheets
Exhibit 11 Contractor’s Response to DRB Recommendation…………………….1 Sheet
Exhibit 12 Resident Engineer’s Response to DRB Recommendation…………….1 Sheet
Exhibit 13 Materials Information Handout………………………………………..9 Sheets
Exhibit 14 Log of Test Borings……………………………………………………2 Sheets
PROJECT CHRONOLOGY
WORKING
EVENT DATE DAY NO. NO. OF DAYS
Non-working days 6
Suspension days 14
This project consisted of constructing a cast-in-place, prestressed, concrete box girder bridge supported
on cast-in-drilled-hole concrete piling. Also, existing highway 88 was realigned with portland cement
concrete pavement over aggregate base over imported borrow.
The bid amount was $12,654,308.00. The proposed final estimate was $13,013,459.85.
The proposed final estimate was mailed to the contractor on December 9, 2003, and was returned with
five (5) exceptions on December 31, 2003. The total amount of the exceptions is $48,302.62.
SUMMARY OF CLAIMS
NON-ADMINISTRATIVE CLAIMS:
Background (Utilize background from resident engineer’s response to full and final documentation of
potential claim in conjunction with guidelines in Section 5-410B (7), “Background,” of the Construction
Manual)
Section 10-1.01, “Order of Work,” of the special provisions and Sheet SC-1 of the project plans require
the contractor to construct this project in multiple stages and describe PCC pavement of variable widths
and orientations relative to the lane lines.
On March 10, 2003, the contractor completed profilographing the PCC pavement surface from stationing
10+240 to 12+010 and found that multiple areas exceeded the profile index requirements of Section 40-
1.10, “Final Finishing,” of the Standard Specifications. The contractor proposed that a contract change
order be executed to modify the profile index requirements (see Exhibit 1). The resident engineer required
the contractor to remedy the deficient areas to conform to the final finishing requirements (see Exhibit
California Department of Transportation • Construction Manual •December 2004
5-4.62 Disputes
Example 5-4.10 - SampleConstruction Claim Findings (7 of 10)
2). The contractor submitted an initial notice of potential claim on March 21, 2003 (see Exhibit 3)
followed by a supplemental notice of potential claim (see Exhibit 4). The resident engineer provided a
response to the supplemental notice of potential claim finding no merit in the contractor’s potential
claim (see Exhibit 5).
The contractor referred this dispute issue to the dispute review board. The dispute review board heard
the subject of this claim and issued a unanimous recommendation on June 10, 2003 in Caltrans’ favor
(see Exhibit 10).
Applicable Specifications
Notification of Claim
Supplemental
Notice of Potential Claim: April 2, 2003 (see Exhibit 4)
Contractor’s Position (Utilize the contractor’s potential claim submittals in conjunction with
guidelines in Section 5-410B (8), “Contractor’s Position,” of the Construction Manual)
Exhibits 1, 3, 4, 6, 8, and 11 are documents in which the contractor has stated their position on this
dispute. These exhibits provide the contractor’s consistent basis for claim in this matter. The contractor’s
detailed position in this matter is taken verbatim from their supplemental notice of potential claim
dated April 2, 2003:
District’s Position (Utilize the resident engineer’s responses in conjunction with guidelines in Section
5-410B (9), “District’s Position,” of the Construction Manual)
The district’s position in this matter is stated in exhibits 2, 5, 7, and 9. The following compilation
provides the district’s position on this issue:
The contractor’s claim for additional compensation associated with grinding of PCC pavement to meet
the profile index requirements of Section 40-1.10, “Final Finishing,” is without merit. The contractor
has stated that the staging requirements of the contract in conjunction with construction of PCC pavement
in variable widths and orientations created the non-compliant profile index of the finished surfaces in
question. District maintains that the primary cause leading to the remedial grinding of PCC pavement
was due to the contractor’s lack of quality control in placing PCC pavement.
The contract specified the staging requirements within Section 10-1.01, “Order of Work,” of the special
provisions and on the Sheet SC-1 of the Project Plans. While the staging requirements of this contract
may have influenced the contractor’s means and methods utilized in constructing the PCC pavement,
these constraints were not unknown at time of bid and were not changed during the course of the
contract. In addition, the contractor’s own profilographs show many areas where PCC pavement surfaces
were produced within the profile index requirements and that many of these areas involved pavement
of variable widths along multiple orientations. These results along with satisfactory results from other
contracts with similar constraints and construction methods verify that profile index requirements can
be met without remedial grinding if proper care is taken during the placement operations. The contractor
was informed of these facts by the resident engineer on multiple occasions as evidenced in exhibits 2, 5,
and 7.
Profile index requirements on finished PCC pavement surfaces are contractually defined in Section 40-
1.10, “Final Finishing,” of the Standard Specifications. The contractor’s argument that these requirements
should not be applied to the PCC pavement for this contract is without merit. The department has
consistently utilized the profile index requirements on finished PCC pavement surfaces constructed in
stages. The only exception to this practice is when portions of the existing pavement are to remain in
the finished contract. In such cases, the department will contractually exclude those areas and related
transitions from the profile index requirements. On this contract there is no existing PCC pavement that
remained in the final PCC pavement from stationing 10+240 to 12+010.
Findings
That the contract details the PCC pavement work to be performed including staging
requirements shown on project plan sheet SC-1 and as specified in Section 10-1.01, “Order of
Work,” of the special provisions.
That the contractor constructed PCC pavement between stationing 10+240 and 12+010 between
the dates of September 17, 2002 and March 5, 2003.
That this PCC pavement was constructed in multiple stages of variable widths and multiple
orientations relative to the lane lines.
That the contractor profilographed the completed PCC pavement surfaces on March 10, 2003.
That the contractor’s profiling results showed that multiple finished surface areas of PCC
pavement exceeded the profile index requirements in Section 40-1.10, “Final Finishing,” of the
Standard Specifications.
That the contractor requested a contract change order on March 12, 2003 to modify profile index
requirements for the PCC pavement.
That on March 18, 2003 the resident engineer denied the contractor’s request for a contract
change order to modify the profile index requirements for the PCC pavement and requested the
contractor provide details for how the non-compliant areas of the PCC pavement would be
remedied.
That on March 21, 2003 the contractor submitted an initial notice of potential claim for grinding
PCC pavement along with a proposal for remedial work.
That on March 24, 2003 the resident engineer accepted the contractor’s proposal for correcting
the non-compliant PCC pavement.
That the grinding of PCC pavement areas to meet profile index requirements occurred between
the dates of April 2, 2003 and April 4, 2003.
That the contractor submitted each potential claim document in conformance with timeframes
specified in the contract.
That the contractor submitted this dispute as an exception to the proposed final estimate within
the contractual timeframe specified in the contract.
That the contractor requested $25,209.00 for this claim issue which corresponds to the full and
final documentation of potential claim.
That the resident engineer’s letter dated March 18, 2003 and resident engineer’s responses to the
supplemental notice of potential claim and full and final documentation of potential claim
Amount Recommended
Claim No. Title Claimed Payment
1 (ID #46) PCC Pavement Grinding Claim $25,209.00 Unresolved
2 (ID #34) Differing Site Condition Claim $18,482.00 Unresolved
3 Item 27 Reconstruct Fence – 11.6M $ 2,030.00 $ 0.00
4 Item 124 Rock Slope Protection – 10M3 $ 1,925.00 $ 1,925.00
5 CCO #11 – DEWR’s 6 & 8 $ 656.62 $ 314.67
SIGNATURES
Respectfully Submitted,
____________________________________________________
DISTRICT CONSTRUCTION CLAIMS ENGINEER’S NAME
Claims Engineer
Findings Approved,
_________________________________________________________________
DEPUTY DISTRICT DIRECTOR OF CONSTRUCTION’S NAME
Deputy District Director, Construction
DEPARTMENT OF TRANSPORTATION
DISTRICT X
(ADDRESS)
(PHONE)
(FAX) Flex your power!
Be energy efficient!
(date)
(Dist-EA)
(Dist-Co-Rte-PM/KP)
Federal Aid Project: (FA#)
(Contractor)
(Address)
Gentlemen:
Caltrans District (district number) has completed its review of claims submitted to the
proposed final estimate on (date).
1. That……….
2. That……….
3. Etc.
1. That……….
2. That……….
3. Etc.
“Caltrans improves mobility across California”
Summary
The payment of each of the various claims is summarized as follows:
Amount Amount
Claim No. Description Claimed Paid
X $(Amount) $(Amount)
Y $(Amount) $(Amount)
Sincerely,
____________________________
(NAME)
District X Director
Differing Site
Condition dispute
resolution process
30 days
max.
Table 5-4.1 - Notice of Potential Claim Process
Contractor submits
Full and Final Resident engineer
Documentation of responds to contractor's Full Unknown
* If contractor's full and final documentation of potential claim is submitted after c ontract
acceptance, resident engineer's response is not necessary.
5-4.69
5-4.70
Contractor submits Contractor notifies
Contractor submits
Supplemental Resident engineer Caltrans of
5 days Initial Notice of 15 days 20 days Unknown
Event Notice of Potential responds to contractor's completion of work
max. Potential Claim max. max. duration
Claim Supplemental Notice of in dispute
Potential Claim
Differing Site
Condition dispute
resolution process
21 days
max.
30 days
max.
Table 5-4.2 - Dispute Review Board Process
Unknown
duration
Contractor refers
the Potential Claim Dispute Review
Dispute Review Caltrans responds to
to Dispute Review Board meets to
30-60 days 30 days Board makes 30 days Dispute Review Board's
Board review Potential
recommendations recommendations
Claim
* If contractor's full and final documentation of potential claim is submitted after c ontract
acceptance, resident engineer's response is not necessary.
Disputes
California Department of Transportation • Construction Manual •December 2004
Disputes
Day 130
Construction engineer
sends preliminary Deputy district director of
40 days Issue proposed final 30 days Contractor returns 40 days 20 days construction reviews preliminary
construction claim
estimate and send to proposed final estimate construction claim findings and
Contract accepted findings to deputy
contractor with exceptions (claims) sends "Review of Claims by Deputy
district director of
construction District Director of Construction"
notification letter tocontractor
Table 5-4.3 - Claims Resolution Process
30 days
Claims that may warrant analysisby a board of review
70 days
Day 160
Day 200 Day 220 Day 230
Contractor can
file for arbitration
at this time
Day 240
5-4.71
Table 5-4.4 - Delegation of Authority (1 of 3)
Claims Resolution
PERIOD ITEM(S) Entitlement Authority (Note 1)
Before issuance of
Notices, Protests, Authority to approve contract change orders resolving entitlement may be delegated
the Proposed Final
and Potential Claims as per the authority to approve contract change orders (Note 2).
Estimate
Approvals of contract change orders resolving entitlement are subject to the district
director’s determination of claims and the delegation authority for contract change
orders (Note 2), but may not be delegated to a senior transportation engineer or below.
From: For contract change orders subject to district approval (see Note 3 for overhead
claims):
Board of Review Deputy district director or region division chief of construction approves;
Meeting authority may be delegated to construction managers, but not construction
engineers.
To: Claims Fax copy to the Division of Construction contract change order engineer.
District Director For contract change orders subject to Division of Construction approval (see Note 3
Determination of for overhead claims):
Claims Deputy district director of construction or region division chief of
(Note 5) construction signs under "submitted by" on contract change order
memorandum (Note 4).
Division of Construction field coordinator provides signature recommending
approval on contract change order memorandum (Note 4).
Division of Construction chief provides signature of approval on contract
change order memorandum (Note 4).
Notes:
1. Entitlement – merit, even partial, requiring compensation per Public Contract Code section 10227, and Section 3-403,"Changes," of the
Construction Manual.
2. Section 5-311, "Contract Change Order Approval,” of the Construction Manual .
3. Approval authority on contract change order memorandum for overhead entitlement:
Field office overhead: <$200K, Division of Construction field coordinator; $200K to $1.0M, Division of Construction chief;
>$1.0M, deputy director, Project Delivery.
Home office overhead: $1.0M, Division of Construction chief; >$1.0M, deputy director, Project Delivery.
4. Revise the contract change order memorandum as appropriate.
5. The district director determination is Caltrans’ final written decision of the claims contained therein. After the district director determination
of claims is issued, no further contact or discussion with the contractor regarding the addressed claims is permitted.
Page 1 of 3
Claims Resolution
PERIOD ITEM(S) Negotiated Settlement Authority (Note 1)
Approval authority and responsibilities for claim settlement reports depend on the settlement
amount, as follows (Note 2):
Notes:
1. Negotiated Settlement – per Public Contract Code section 9201 and Section 5-406B, “Claim Payments Based on Negotiated Settlements,” of
the Construction Manual
2. Submit claim settlement reports to the Division of Construction (no exceptions). The contract change order memorandum does not replace
the claim settlement report. Attach the contract change order and contract change order memorandum to the report before submitting to the
Division of Construction. Attach Form CEM-2702, "Overrun in Contract Time,” to the claim settlement report if recommending action
related to time extensions, liquidated damages, or engineering costs and inspection costs. Approval of the contract change order is subject to
the normal delegation of authority. The Division of Construction contract change order engineer will provide a contract change order
authorization or notify the district or region to authorize the contract change order. File the approved claim settlement report in the Division
of Construction's confidential files. Destroy all drafts.
3. The Division of Construction field coordinator, deputy district director or region division chief of construction, Legal Division
representative, Division of Construction chief, and FHWA transportation engineer will meet to discuss the settlement offer. If the offer is
greater than $1.0M, the deputy director of Project Delivery may also attend.
4. The deputy district director or region division chief of construction is responsible for obtaining FHWA concurrence with the settlement on
full oversight projects.
5. The chairperson of the board of review negotiates the settlement and submits the claim settlement report to the district director.
6. The claim settlement report is Caltrans’ final written decision of the claims contained therein. After the claim settlement report is issued, no
further contact or discussion with the contractor regarding the settled claims is permitted.
Page 2 of 3
Arbitration
PERIOD ITEM(S) Negotiated Settlement Authority (Note 1)
Approval authority and responsibilities for claim settlement reports resolving claims in
arbitration depend on the settlement amount, as follows (Note 2):
Division of Construction issues the contract change order and notifies the district to
process estimate.
Notes:
1. Negotiated Settlement — per Public Contract Code section 9201 and Section 5-405B, "Claim Payments Based on Negotiated Settlements,"
of the Construction Manual,
2. Attach Form CEM-2702, "Overrun in Contract Time," to the claim settlement report if recommending action related to time extensions,
liquidated damages, or engineering and inspection costs.
3. The Division of Construction field coordinator, deputy district director or region division chief of construction, Legal Division
representative, Division of Construction chief, and FHWA transportation engineer will meet to discuss the settlement offer. If the offer is
greater than $1.0M, the deputy director of Project Delivery may also attend.
4. The Division of Construction field coordinator is responsible for obtaining FHWA concurrence with the settlement on full oversight
projects.
Page 3 of 3
Contractor
Table 5-4.5 - Audit Process
Claim is denied No
District
Specifications (SS)? approval change order
for payment
Construction
RE requests
contractor resubmit
No
Division of
Construction
Claim is No compensation
No
denied allowed
No
(OAI)
records and review if applicable) and unabsorbed home office overhead
9-1.07B of SS?
of project files, as contractor costs, and escalated costs incurred by
needed Auditor notifies RE contractor due to delays
Investigations
No and contractor
5-4.75
5-4.76
Receives
complaint in Hears both Contractor
arbitration and and Caltrans Issues arbitration
informs presentations at the findings
concerned arbitration hearing
parties
Office of
Hearing (OAH)
Administrative
Initiates
Table 5-4.6 - Arbitration Process
Contractor
Requests Reviews project
If decision requires payment,
Informs Division of access to records, and
Receives notice submits the request for Lessons
Construction and project records prepares for
of the hearing payment of the award or learned
district claims and additional hearing or
date form OAH settlement to Chief, Division
engineer information from considers
Legal
of Construction
Division
district settlement
Division of
Provides Runs estimate and
information and informs Division of
assistance to Construction
Legal Division
District
Construction Construction
Division of Construction December 2004
Disputes
California Department of Transportation • Construction Manual •December 2004
Table 5-4.7 - Arbitration Payment Process
y
Arbitration award to
or settlement
Writes "Request
Office secretary for for Arbitration
the chief collects Award" or
signatures for settlement
agreement approval memo Arbitration
payment
point-of-contact
Receives approved
memo and settlement
agreement
G11 or G12 fund
request and approval
1–2 California
20–25 business days Transportation
Investigates Commission
Accounting
availability of 1–2 business days votes to approve
specialist Approves funds 30– 40
funds supplemental
request business days
funding
Point-of-contact
Funds
No 1– 2 business days coordinates funds
available?
request process.
Yes
1–40
1– 2 business days
Accounting
Files copy of check specialist sends
5–7 in specialist's 5– 7 business days check and copy
project records of check
Sends notice of
completion
Chief Deputy
director
Contractor
Construction receives check
engineer
Chief, Office
of Contract Assistant
Administration Chief Counsel, Claims
contract law engineer
Construction
coordinator
Flowchart Legend
Input/ Document
Start/End Action Decision
Output
Fax E-mail US Mail Internal Mail
5-501 General
5-503 Specifications
6-101 General
Coating tests 3
Expansion joint material 3
Fencing, all types 2
Guide posts 3
Geosynthetic fabrics 3
Geosynthetic fabrics (UV testing) 45
Metal guardrail 7
Pavement markers 4
Prestressing steel 10
Reinforcing steel and wire 2
Rubber (accompanied by manufacturers test report) 3
Rubber (without test report) 14
Structural steel 10
Type B joint seal 7
State of California
Business Transportation and Housing Agency
Memorandum
To: ______________________
Divisision of Construction Date:
Attention: Progress Pay Coordinator File: Category 61
Job Stamp:
The results of the tests on acceptance samples indicate that the materials incorporated in
the construction work and the construction operations controlled by sampling and testing
were in conformity with the approved plans and specifications
Exceptions to the plan and specifications are explained on the back of this memorandum
(or on attached sheet).
6-109 Materials
The tables on the following pages provide a guide for sampling and testing
requirements.
Close adherence to the sample size requirement shown in the table will prevent
unnecessary delays and the expense of obtaining supplementary samples to complete
tests.
The frequency of sampling indicated in the tables is a guide under normal conditions.
Materials well within specifications and uniform in character may require less frequent
sampling and testing.
In the project files, document adjustments to the testing frequencies shown in the
tables.
6-1.8
SO U R C E TESTS AC C EPTAN C E TESTS
LO C ATIO N O R
SAM PLE SIZE & TIM E O F
M ATER IAL O R PR O D U C T TEST FO R TEST N O . C O N TAIN ER TYPE SAM PLIN G FR EQ U EN C Y O F SAM PLIN G R EM AR KS
LA R attler 1 forevery 3,000m 3,ifprelim inary tests
C O AR SE (500 R ev.)See 211 See N ote (3) See N ote (2) show abrasion loss greaterthan 40% . See
AG G R EG ATE N ote (6) N ote (1)
Aggregate producer
ASTM
subm its certified test
AlkaliSilica C 1293 or
results from qualified C ontactM ETS forlistofapproved sources
R eactivity ASTM
lab to M ETS for
C 1260
approval
AG G R EG ATE
Table 6-1.3 PORTLAND CEMENT CONCRETE – PAVEMENT (1 of 3)
AD M IXTU R ES
SET chloride C 494 kg ofpow der use,untested
R ETAR D ER S identification brands require 5
Table 6-1.3 PORTLAND CEMENT CONCRETE – PAVEMENT (2 of 3)
6-1.9
6-1.10
See testm ethod. Ifyield testused forpaym ent,1 pereach
Yield 518 1 foreach 4 hours production
C O N C R ETE See N ote (8) 1200 m 3,m in.or2 perm ix design perjob
W hen testspecim en is
fabricated and w hen
BallPenetration 533 See ASTM C 172
consistency oruniform ity is
questionable,m in 2 perday
As required,see Standard
Thickness 531
Specifications,Section 40-1.35
C om pliance (See
Standard Forchlorinated rubberbase type,sam ple
PIG M EN TED C U R IN G As new shipm ents arrive on job
Specifications & 1-L can and testifnotpreviously inspected atthe
C O M PO U N D oreach tim e brand is changed
special source
provisions)
N ote:
(1) N otrequired ifP.C .C .from sam e source is used on otherw ork and testis being m ade there. N o need to duplicate the testjustforthe sake ofrecord. The actualtestresults m ay be used anyw here they are applicable.
(2) From m aterialsite orstockpile:60 days priorto use.
(3) 70 kg of63 m m x 37.5 m m -45 kg of37.5 m m x 19 m m -35 kg of19 m m x N o.4-35 kg ofpea gravel-25 kg ofsand. This m aterialfortestnum bers 202,206,207,211,213,214,217,227,229
and 515.
(4) See C alifornia TestN o.528 orcontactthe O ffice ofM aterials Engineering and Testing Services (M ETS).
(5) C ontactdistrictm aterials engineerforspecialsam pling procedures atleast120 calendardays before intended use.
(6) Forlightw eightconcrete,see Standard Specifications and specialprovisions.
(7) W hen priortestresults are acceptable and m aterialappears to be ofuniform com position,a m ax.of2 tests perday w illsatisfy acceptance testrequirem ents forthis m aterial. Adjustm ents to testing frequencies shallbe
docum ented in the projectfiles.
(8) N o deductions forcem entcontentw illbe m ade based on the results ofC alifornia TestN o.518.
(9) See C alifornia TestN o.125 forsam pling procedures.
Table 6-1.3 PORTLAND CEMENT CONCRETE (6) – PAVEMENT (3 of 3)
AG G R EG ATE
D urability 229
C O AR SE &
Specific G ravity & W hen aggregate source
FIN E 206,207 See N ote (3) See N ote (2)
(R.C.B., P.C.C. Arch Culverts, Retaining Walls) (1 of 3)
6-1.11
N one w ith 1 forevery 400 m 3,1 perday Ifno C ertificate ofC om pliance,sam ple
Various C ertificate of m in.See N otes (1)(7). If atleast14 days priorto use for
6-1.12
C EM EN T 3.5 kg
Properties C om pliance (See production is less than 250 m 3,1 previously tested brands,35 days for
R EM AR KS) peraccum ulative 250 m 3 untested brands
C ity w atersupplies fordom estic use
C hlorides, 405,422, C lean 2-L plastic jug Atpointofuse As required foracceptance (See usually need notbe tested unless
W ATER
Sulfates 417 w ith lined,sealed lid (See R EM AR KS) R EM AR KS) suspected ofhigh chloride orsulfate
content. O n-job-w ells are to be tested
Airentraining Sam ples m ust
AIR 1-L can orplastic
properties, ASTM reach M ETS at As new supplies arrive on the job
EN TR AIN IN G bottle ofliquid,1 kg
chloride C 260 least1 w eek prior oreach tim e brand is changed
AG EN T ofpow der
identification to use
Priorto sam pling and testing,check
Sam ples m ust
w ith M ETS forbrands thatm ay be used
W ATER C laim ed reach M ETS at
w hen properly certified
R ED U C ER S properties, ASTM 1-L can ofliquid,1 least1 w eek prior
AD M IXTU R ES
O R SET chloride C 494 kg ofpow der to use,untested
R ETAR D ER identification brands require 5
w eeks priorto use
6-1.13
PO R TLAN D C EM EN T C O N C R ETE M ISC ELLAN EO U S C O N C R ETE,See PO TEN TIAL
N otes (6)(9)(10) SO U R C E TESTS AC C EPTAN C E TESTS
6-1.14
LO C ATIO N O R
M ATER IAL O R SAM PLE SIZE & TIM E O F
PR O D U C T TEST FO R TEST N O . C O N TAIN ER TYPE SAM PLIN G FR EQ U EN C Y O F SAM PLIN G R EM AR KS
LA R attler
C O AR SE (500 R ev.)See 211 See N ote (3) See N ote (2)
AG G R EG ATE N ote (6)
1 forevery 400m 3,1 perday m in.
See N otes (1)(7). Ifproduction is R ecom m end 1 acceptance testperday if
C leanness value 227
less than 250 m 3,1 per 3 consecutive testover80
3
accum ulative 250 m
O nly ifinitialtestshow s criticalor
FIN E C olom etric Test 213 See N ote (3) See N ote (2)
contam ination is suspected
AG G R EG ATE
M ortarStrength 515
D urability 229
C O AR SE &
Specific G ravity & W hen aggregate source changes,
FIN E 206,207 See N ote (3) See N ote (2)
AG G R EG ATE
Absorption See N ote (7)
AG G R EG ATE
Soundness forFine Aggregate w aived if
Soundness 214
durability is > 60
N one w ith 1 foreach 400 m 3 used. 1 per Ifno certificate ofC om pliance,sam ple at
C EM EN T Various C ertificate of day m in.,2 perday m ax. See least14 days priorto use forpreviously
3.5 kg
See N ote (6) Properties C om pliance (See N ote (1). See Section 6-2 ofthis tested brands,35 days foruntested
R EM AR KS) m anual brands
AD M IXTU R ES
O R SET chloride C 494 kg ofpow der untested brands
R ETAR D ER S identification require 5 w eeks
priorto use
As necessary to assure accuracy
Yield,C em ent See testm ethod, Ifyield testused forpaym ent,1 pereach
518 See ASTM C 172 ofm ix design,m in.2 pereach
Factor See N ote (8) 1200 m 3,m in.of2 perm ix design perjob
C O N C R ETE m ix design
W hen testspecim en is fabricated
BallPenetration 533 & w hen consistency oruniform ity
is questionable,M in.2 perday
ASTM
Slum p C oncrete placed underw ater
C 143
O ne setforeach day w hen
(1) N otrequired ifP.C .C .from sam e source is used on otherw ork and testis being m ade there. N o need to duplicate the testjustforthe sake ofrecord. The actualtestresults m ay be used anyw here they are applicable.
(2) From m aterialsite orstockpile;60 days priorto use.
(3) 70 kg of63 m m x 37.5 m m -45 kg of37.5 m m x 19 m m -35 kg of19 m m x N o.4-35 kg ofpea gravel-25 kg ofsand. This m aterialfortestnum bers 202,206,207,211,213,217,227 229 and 515.
(4)See C alifornia TestN o.528 orcontactthe O ffice ofM aterials Engineering and Testing Services (M ETS).
(5) C ontactdistrictm aterials engineerforspecialsam pling procedures atleast120 calendardays before intended use.
(6) Form inorconcrete,sam ple and testonly atresidentengineer's discretion.
(7) W hen priortestresults are acceptable and m aterialappears to be ofuniform com position,a m ax.of2 tests perday w illsatisfy acceptance testrequirem ents forthis m aterial. Adjustm ents to testing frequencies shallbe
docum ented in the projectfiles.
(8) N o deductions forcem entcontentw illbe m ade based on the results ofC alifornia TestN o.518.
Table 6-1.5 PORTLAND CEMENT CONCRETE MISCELLANEOUS CONCRETE cont.
6-1.15
6-1.16
ASPH ALT C O N C R ETE,See N otes (2)(3) PO TEN TIAL
SO U R C E TESTS AC C EPTAN C E TESTS
LO C ATIO N O R
M ATER IAL O R SAM PLE SIZE & TIM E O F FR EQ U EN C Y O F
PR O D U C T TEST FO R TEST N O . C O N TAIN ER TYPE SAM PLIN G SAM PLIN G R EM AR KS
M aterials site,
LA R attler Type A & B As necessary for
211 stockpile,orplant,
AG G R EG ATE PR IO R TO (500 R ev.) U N PR O C ESSED acceptance,See N ote (8)
See N ote (7)
M IXIN G 115 kg
Specific G ravity
(coarse and fine 206,208 PR O C ESSED 25 kg
aggregate) ofeach bin size
C KE 303
% C rushed
205
Particles O pen graded 25 kg
1 foreach 450 tonnes,1
perday m in.,2 perday
m ax,See N otes (1)(4)(5).
Sieve Analysis 202,105 Ifproduction is less than
750 m 3,1 per
accum ulative 250 m 3
Sand Equivalent 217
As necessary for M ade on open graded asphaltconcrete
Film Stripping 302
acceptance only
In accordance Testifno
Table 6-1.6 ASPHALT CONCRETE
6-1.17
LEAN C O N C R ETE BASE,See N ote (2) PO TEN TIAL
6-1.18
SO U R C E TESTS AC C EPTAN C E TESTS
LO C ATIO N O R
M ATER IAL O R SAM PLE SIZE & TIM E O F FR EQ U EN C Y O F
PR O D U C T TEST FO R TEST N O . C O N TAIN ER TYPE SAM PLIN G SAM PLIN G R EM AR KS
1 sam ple foreach 2500
45 kg foraggregate M aterials site or
Sand Equivalent 217 tonnes or1500 m 3,See
qualification stockpile
AG G R EG ATE N ote (1)
Sieve Analysis 202,105
C om pressive
strength of
laboratory
m ixtures, 548
recom m ended
m in.cem ent
content
N one w ith Ifno C ertificate ofC om pliance,sam ple at
Various C ertificate of least14 days before use forpreviously
Each 100 tonnes of
C EM EN T 3.5 kg
Properties C om pliance (See tested brands,35 days foruntested
cem ent,2 perday m ax.
R EM AR KS) brands
C ity w atersupplies fordom estic use need
C hlorides, 405,422, C lean 2-L plastic jug Atpointofuse As required foracceptance notbe tested unless suspected ofhigh
W ATER
Sulfates 471 w ith lined,sealed lid (See R EM AR KS) (See R EM AR KS) chloride orsulfate content. O n-the-job
w ells are to be tested
Airentraining
AIR 1-L can orplastic
properties, ASTM Sam ples m ust
EN TR AIN IN G bottle ofliquid,1 kg
chloride C 260 reach M ETS at Priorto sam pling and testing,contact
AG EN TS ofpow der As new supplies arrive on
Table 6-1.7 LEAN CONCRETE BASE
AD M IXTU R ES
w eeks priorto use
R ED U C ER S properties, ASTM 1-L can ofliquid,1 kg
O R SET chloride C 494 ofpow der
R ETAR D ER S identification
(1) Ifm aterialis uniform and w ellw ithin specification lim its,the frequency is decreased to 1 a day unless source is changed. Adjustm ents to testing frequencies shallbe docum ented in the projectfiles.
(2) See C alifornia TestN o.125 forsam pling procedures.
6-1.19
C EM EN T TR EATED BASE R O AD M IX O R PLAN T M IX,See N ote (2) PO TEN TIAL
6-1.20
SO U R C E TESTS AC C EPTAN C E TESTS
LO C ATIO N O R
M ATER IAL O R SAM PLE SIZE & TIM E O F FR EQ U EN C Y O F
PR O D U C T TEST FO R TEST N O . C O N TAIN ER TYPE SAM PLIN G SAM PLIN G R EM AR KS
R -Value (w ith & 45 kg foraggregate M aterials site or
301 C lass B only
AG G R EG ATE w ithoutcem ent) qualification stockpile
C om pressive
312 C lass A
Strength
1 sam ple foreach 2750
M inim um 1 acceptance testperprojecton
Sieve Analysis 202,105 tonnes or1500 m 3,See
sm allerprojects
N ote (1)
Sand Equivalent 217
C om pressive See C alifornia Test See Section 4-27 ofthis
312
C O M PLETED M IX Strength 312 PartII m anual
As necessary for
See C alifornia Test U se m in.of1 person fulltim e during full-tim e
C em entTitration 338 acceptance (See
338 PartI operation
R EM AR KS)
1 sam ple foreach 2750
R elative 312,216,
tonnes or1500 m 3,See
C om paction 231
N ote (1)
As necessary for
Thickness
inform ation
N one w ith
Ifno C ertificate ofC om pliance,sam ple at
Various C ertificate of Each 100 tonnes ofcem ent,
C EM EN T 3.5 kg least14 days before use forpreviously tested
Properties C om pliance (See 2 perday m ax.
brands,35 days foruntested brands
R EM AR KS)
C ity w atersupplies fordom estic use need not
C hlorides, 405,422, C lean 2-L plastic jug Atpointofuse (See As required foracceptance be tested unless suspected ofhigh chloride or
W ATER
Sulfates 417 w ith lined,sealed lid R EM AR KS) (See R EM AR KS) sulfate content. O n-the-job w ells are to be
tested
N one w ith
In accordance C ertificate of
w ith special C om pliance. Ifno
LIQ U ID ASPH ALT provisions & 1-L can C ertificate of Each Shipm ent
Standard C om pliance,then
Table 6-1.8 CEMENT TREATED BASE ROAD MIX OR PLANT MIX
(1) Ifm aterialis uniform and w ellw ithin specification lim its,the frequency is decreased to 1 perday unless source is changed. Adjustm ents to testing frequencies shallbe docum ented in the projectfiles.
(2) See C alifornia TestN o.125 forsam pling procedures.
N ote:
(1) See C alifornia TestN o.125 forsam pling procedures.
(2) 35 kg of0.30 m N o.19 m m x N o.4. This m aterialfortestnum ber202,211 and 227.
(3) From m aterialsite orstockpile,60 days priorto use.
(4) N otrequired ifP.C .C from sam e source is used on otherw ork and testis being m ade there. N o need to duplicate the testjustforthe sake ofrecord. The actualtestresults m ay be used anyw here they are
6-1.21
applicable.
M ISC ELLAN EO U S M ATER IALS,See N ote (3) PO TEN TIAL
6-1.22
SO U R C E TESTS AC C EPTAN C E TESTS
LO C ATIO N O R
M ATER IAL O R SAM PLE SIZE & TIM E O F FR EQ U EN C Y O F
PR O D U C T TEST FO R TEST N O . C O N TAIN ER TYPE SAM PLIN G SAM PLIN G R EM AR KS
% C rushed 45 kg forinitial M aterials site or As necessary for
205 M inim um 1 acceptance testperproject
AG G R EG ATE BASE Particles sam ples, stockpile acceptance
25 kg forcontrol Every 2500 tonnes or1500
Sieve Analysis 202
sam ples m 3,See N ote (1)
Ifinitialsource changes or
D urability Index 229
new source developed
Every 2500 tonnes or1500
R -Value 301
m 3,See N otes (1)(2)
Every 2500 tonnes or1500
Sand Equivalent 217
m 3,See N ote (1)
2 tim es daily ifpaid forby
M oisture 226
w eight
R elative As necessary for
216 or231 15 kg
C om paction acceptance
D im ensions
M aterials site or Every 2500 tonnes or1500
Sieve Analysis 202 25 kg M inim um 1 acceptance testperproject
AG G R EG ATE SU BBASE stockpile m 3,See N ote (1)
Every 2500 tonnes or1500
R -Value 301
m 3,See N otes (1)(2)
Every 2500 tonnes or1500
Sand Equivalent 217
m 3,See N ote (1)
R elative As necessary for
216 or231 15 kg
C om paction acceptance
D im ensions
Table 6-1.11 MISCELLANEOUS MATERIALS
N ote:
(1) Ifm aterialis uniform and w ellw ithin specification lim its,the frequency is decreased to 1 perday unless source is changed. Adjustm ents to testing frequencies shallbe docum ented in the projectfiles.
(2) R -Value testing m ay be w aived w hen testrecords dem onstrate thatm aterialfrom the sam e source,and having com parable grading and sand equivalentvalues,m eets the m inim um R -Value requirem ents.
(3) See C alifornia TestN o.125 forsam pling procedures.
6-1.23
M ISC ELLAN EO U S M ATER IALS,See N ote (2) PO TEN TIAL
SO U R C E TESTS AC C EPTAN C E TESTS
6-1.24
LO C ATIO N O R
M ATER IAL O R SAM PLE SIZE & TIM E O F FR EQ U EN C Y O F
PR O D U C T TEST FO R TEST N O . C O N TAIN ER TYPE SAM PLIN G SAM PLIN G R EM AR KS
N one w ith
LIQ U ID Various
1-lC AN C ertificate of Each shipm ent
ASPH ALT Properties
C om pliance
TR EATM EN T
PEN ETR ATIO N
Asphalt1-L can, N one w ith
PAVIN G Various
Em ulsion 2-L plastic C ertificate of Each shipm ent
ASPH ALT Properties
jug C om pliance
LIQ U ID
ASPH ALT, Binder
339
ASPH ALTIC D istribution
EM U LSIO N
As necessary for
LA R attler 211 25 kg Stockpile
SC R EEN IN G S acceptance
% C rushed
205
Particles
Sieve Analysis 202,105 Tw ice daily
As necessary for
Film Stripping 302
acceptance
BITU M IN O U S SEALS
C leanness Value 227 O nce daily
SLU R R Y As necessary for
Sand Equivalent 217 12.5 kg Stockpile
SEAL acceptance
AG G R EG ATE Sieve Analysis 202
Film Stripping 302
Table 6-1.13 MISCELLANEOUS MATERIALS
6-1.25
6-1.26
M ISC ELLAN EO U S M ATER IALS PO TEN TIAL
SO U R C E TESTS AC C EPTAN C E TESTS
LO C ATIO N O R
M ATER IAL O R SAM PLE SIZE & TIM E O F FR EQ U EN C Y O F
PR O D U C T TEST FO R TEST N O . C O N TAIN ER TYPE SAM PLIN G SAM PLIN G R EM AR KS
C om pliance w ith C ontactM ETS for
BR IC K 10 fullsize
specifications instructions
Sam ple and testifnotpreviously
C H AIN LIN K FEN C IN G 0.6 m w idth Each 50 rolls orfraction
inspected a source. Ifless than 105 M of
fence,See note (1)
Sam ple and testifnotpreviously
C O N C R ETE AN D C LAY C ontactM ETS for C ontactM ETS for
inspected a source. Ifless than 30 M of
PIPE instructions instructions
fence,See note (1)
2
Sam ple and testifnotpreviously
JO IN T FILLER 150 m m long full Each 100 m notless than
EXPAN SIO N inspected a source. Ifless than 10 M 5 of
w idth ofsheet 2 pershipm ent
fence,See note (1)
Sam ple and testifnotpreviously
ELEC TR IC AL 2 each 75 m m long,
Each type each lot inspected atsource. C ertificate of
C O N D U C TO R include m arkings
C om pliance required for5000 V cable.
300 m m length from
Each 500 lengths or Sam ple and testifnotpreviously
G ALVAN IZED PIPE each end oflength
fraction inspected atthe source
tested ofeach size
G EO -SYN TH ETIC S
C ertificate ofC om pliance required for
FILTER ,R EIN FO R C ED & 1 piece,1 m x full
Each lot each lot. U nrollatleast1 circum ference
PAVIN G FABR IC S/R w idth ofroll
before sam pling.
FEN C E,ETC .
Sam ple and testifnotpreviously
C ontactM ETS
JO IN T SEAL,TYPE B inspected atthe source
JO IN T SEALIN G
C O M PO U N D 2- 1-L ofeach 1 sam ple from each
Table 6-1.14 MISCELLANEOUS MATERIALS
Perspecial Perspecialprovisions or
W IR E R O PE O R C ABLE provisions oras as instructed,attim e of
instructed use
N ote:
(1) R esidentengineerm ay accepton the basis ofvisualexam ination provided the source has recently furnished sim ilarm aterialfound to be satisfactory underthe norm alsam pling and testing procedures ofthe
D epartm ent. Place residentengineer's w ritten approvalin the projectfile.
6-1.27
Chapter 6 Sampling and Testing
6-201 General
*Additional back-up documentation such as mill test reports for steel, pressure treating
reports for timber, and concrete test reports that show the materials comply to
specifications.
6-2.12
Asphalt plank Tests workmanship and dimensions Workmanship and dimensions
Visible defects, dimensions, threads, galvanizing,
Tests, visual spot-check, marking. Spot-check marking for correct type fit of nuts. Make sure high-
Bolts and nuts galvanized high strength (ASTM A 325) nuts for strength bolts and nuts are used where specified and nuts
proper lubricant are lubricated properly. (See Office of Structure
Construction Records and Procedures.)
Ceramic tile Tests, visual inspection in stack. Damage, defects, dimensions
Dimensions, fillets, unauthorized repairs (welds fillers),
Casting, iron and steel, bronze Material tests, visual and dimensional inspection
defects
Clay pipe and drain tile Tests, visual inspection, dimensions, marking Damage, cracks and other defects, marking, straightness.
Tests, visual inspection, dimensions, elliptical steel Damage, defects, exposed steel, dimensions, specific
Concrete pipe
markings locations per plans), straightness, concentricity.
Damage, visible defects, damaged galvanizing proper
Check mechanical tests, check coating tests, metal metal thickness for specific location, damage to
Corrugated metal pipe and structural plate pipe thickness (as marked), workmanship, diameter, etc. bituminous coating. Check for weld defects, spacing
(spot-check), markings and edge distance of rivets or spot welds, fit or bands,
etc.
Material tests, marking. (Other types accepted at Proper mixing, marking, check sample. Check for
Curing compound (Chlorinated rubber type)
jobsite if properly packaged and labeled). specified type of container and correct marking.
Specifies tests, visual and dimensional Inspection
Elastomeric bearing pads Damage, defects, uniformity, dimensions
certification
Controllers - complete tests and inspection
Shipping damage, defects, conformance to plans, type,
Luminaries - random tests, visual inspection
Electrical items, luminaries, controllers, signal operational check, etc. Check loop detectors for
Signal heads, switches, etc. - visual inspection
heads, conductors, etc. operation under field conditions inspection. See that all
plans, type, operational check, etc.
conductors are correct type and size.
Conductors - random tests
Proper material for intended use, excessive thickening or
Epoxy Specified tests, markings, packaging
crystallization, proper mixing
Table 6-2.2 Inspection of Fabricated and Manufactured Materials (1 of 3)
markings
Material and weld tests, visual and dimensional
Poles, lighting Dimensions, welds, workmanship, galvanizing type
inspection
Mechanical tests, wrapping, visual inspection Check strand for rust, damage, surface defects. Check
Prestressing strand
when possible tags for stressing information.
6-2.13
6-2.14
PRODUCT ITEMS TESTED BY METS ITEMS TO CHECK AT JOB SITE
Pull boxes (concrete) Reinforcement, dimensions, workmanship Cracks, rock pockets, exposed steel, dimensions
Damage to rail or galvanizing; fabrication or
Railings, barriers Material tests, welder qualifications, welding and
galvanizing defect, fit of sleeves, dimensions; types of
Bridge railing, barrier, etc. fabrication, galvanizing
bolts or nuts furnished
Material tests, fabrication, radius, dimensions, Damage to rail or galvanizing; workmanship of rail
Metal beam guard rail
punching of holes, galvanizing, marking and galvanizing; dimensions; conditions of holes, etc.
Railroad rail Weight, general condition, rust Dimensions, rust
Raised bars (precast) Strength tests, visual inspection Damage, surface defects, color
Damage, general workmanship, general conformance
Material tests, qualification of welders, inspection
to requirements, position of sign panels, final check
Sign structures during and after fabrication, dimensions, cleaning and
of electrical equipment for illuminated signs, proper
painting or galvanizing, etc.
nuts and bolts, properly torqued
Signs, changeable message Fabrication, operation, workmanship (See Section 4-56 of this manual.)
Steel, flooring and grating Materials tests, workmanship and dimensions Workmanship, dimensions
Material tests, qualifications of welders, inspection Damage to members or paint: defects in steel or in
during fabrication, nondestructive testing, preparation welds; overlooked fabrication details; camber
Structural steel and painting in the shop, conformance to plans and condition of paint; dimensions; condition of holes;
approved shop drawings, proper joint preparation for proper bolts and nut markings; proper torquing;
shop-bolted connections straightness and squareness of members
Timber is usually inspected in the pile, so pieces
Visual inspection for grade and dimensions,
should be inspected at the job site for damage, grade,
treatment; retention and penetration; analysis of
Timber, general deposits of excess preservative, etc. Some checking of
preservative; marking
dimensions also may be advisable. METS is
(See Piling, timber, also.)
available for advice or assistance as necessary.
Waterstop Material tests, finish dimensions, uniformity Finish, dimensions, uniformity
Material tests, welder qualifications, welding
Shipping damage, visible defects in pipe or coating
Welded steel pipe inspection;
marking, dimensions
Table 6-2.2 Inspection of Fabricated and Manufactured Materials (3 of 3)
6-301 General
In the sample number shown above, the first digit indicates method 1 storage for
curing; use only one digit for this designation. The second group of two digits indicates
that the cylinder is to be tested at 28 days; use two digits for the test age. The third 1/
5 symbol indicates that it is the No. 1 cylinder of a 5-cylinder trial batch sample; the
No. 2 cylinder would be marked 2/5, and so on. If only one sample card was made
for two cylinders, the third symbol on the card would be 1,2/5. The last four spaces
are reserved for any desired job coding consisting of numbers, letters, or a combination
of both.
7-101 General
7-105 Permits
7-105A Special Use Permits
7-105B Fish and Game Code Sections 1601 and 5650
7-105C List of Potential Permits
Section 1
Section 1 Environmental Rules and Requirements Environmental
Rules and
Requirements
7-101 General 7-101
This section provides information and guidelines for administering the various General
environmental requirements for Caltrans contracts.
The district construction deputy director is responsible for ensuring that environmental
and permit requirements are enforced. To meet legal requirements, district
construction staff must receive appropriate training, possess appropriate skills, and
understand their role in successfully carrying out environmental measures. Within
the district construction division, appropriate environmental coordinators must be
appointed.
In addition to the specific exemptions listed in SMARA (i.e., less than 1,000 cubic
yards, etc), Caltrans has determined that imported material from the following types
of sources comply with SMARA and do not require inclusion on the AB3098 list:
• Imported material from a development or other nonmining source where
the material is a byproduct of construction and this source has approval
in a local agency plan and through the California Environmental Quality
Act.
• Excess material generated from a Caltrans project who’s environmental
approval appropriately considered the construction phase and met approval
requirements for reclamation of the site.
• Materials from failures of natural or man-made slopes within Caltrans’
Right-of-Way as a result of storms slides, or slipouts.
For assistance with resolution, refer any challenges to the acceptance of materials to
the construction field coordinator.
Contractor Use of Areas Outside of the State Right of Way Contractor Use of
Areas Outside of the
If sufficient area is not available to the contractor within the contract limits or at the
Caltrans owned sites outside the contract limits designated on the plans, the contractor State Right of Way
shall secure, at the contractor’s own expense, areas required for plant sites, storage
of equipment or materials, or other purposes. Contractor shall complete the Disposal,
Staging and Borrow (DSB) Site Submittal and obtain the resident engineer’s approval.
The contractor’s use of parcels outside of the Caltrans Right-of-Way and that are
not designated on the plans will be contingent upon successful approval by the resident
engineer of the DSB Site Submittal.
Commercial, industrial, and Local agency (county or city) Land use, general plans, specific plan,
residential development conditional use, or subdivision
Power transmission lines, Public Utilities Commission Review of plans and approval
pipelines, and railroad
crossings
Right-of-way across state California Department of Right of-way permit, license, easement,
parkland Parks and Recreation joint agreement, or lease
Air quality Air Resources Board or local Authority to construct and permit to
air pollution control district operate for activities emitting stationary
source pollutants to the atmosphere
Fish and wildlife habitat California Department of Fish Lake/Streambed Alteration Agreement
and Game for activities in lakes, streams, and
channels and crossings
7 11
California Department of Transportation • Construction Manual • August 2002
Environmental Rules and Requirements 7-1.13
Table 7-1.1 State and Local Agency Permits (2 of 3)
Surface (material borrow sites, Local agency (county or city) Surface Mining and Reclamation Act
and so forth) (SMARA) permit
? to gather information Caltrans district right-of-way Property owner approval for temporary
unit encroachment
Entering surface waters to Regional water quality control Water quality certification
gather information or for board
construction or waiver
Water US Army Corps of Engineers ; Federal Clean Water Act (Section 404)
United States Environmental Regulations concerning the National
Protection Agency (EPA); Pollutant Discharge Elimination System
Bureau of Reclamation; U.S. Fish (40 CFR)
and Wildlife Service; National
Marine Fisheries Service
Air United States Environmental Clean Air Act, Title 42, sections 7401
Protection Agency through 7414
Fish and Wildlife Habitat U.S. Fish and Wildlife Service; Endangered Species Act (Section 7)
U.S. Forest Service; The National
Park Service; National Marine
Fisheries Service
Wild and Scenic Rivers National Park Service Code of Federal Regulations: 36 CFR
297; 43 CFR 8350
If resident engineer encounters Stop work in the vicinity of the find. Evaluate level of risk to
underground tanks, gases, odors, workers and public. Cordon off area and evacuate if resident
uncontained spills. then........... engineer deems appropriate. Do not allow construction
personnel to do any exploratory or investigative work that
would result in further personal exposure.
Yes / Maybe
Emergency ASAP
Hazardous waste
present
Hazardous waste investigation or removal plan developed between Caltrans, emergency contractor
and regulatory agency
Emergency contractor develops and implements approved cleanup plan and/or removes tanks
Mitigation
For example, disposal, local permits, transportation, safety, EPA numbers
Follow-up
For example, refer to Legal for cost recovery
7-109 Solid Waste 7-109 Solid Waste Disposal and Recycling Reporting
Disposal and Contracts containing special provisions for solid waste disposal and recycling reports
Recycling Reporting require the contractor to chronicle landfill disposal and material recycling activity
performed through the duration of the contract. The contractor reports this information
via the Division of Construction Form CEM-2025, “Solid Waste Disposal and
Recycling Report.”
The contractor submits the annual report to the resident engineer by the 15th day of
January, and five days following contract acceptance. If no work was conducted
during the reporting period, the report states no work was performed during that
period.
8-101 General
Section 1
Section 1 Labor Compliance Labor
Compliance
8-101 General 8-101
This section presents the guidelines for administering the labor compliance provisions General
of the contract. These guidelines apply to all projects, whether state or federally
funded. The California Labor Code, the Code of Federal Regulations, Title 29, Part
5 (29 CFR 5), and regulations of the Federal Highway Administration (FHWA) and
the United States Department of Labor provide the basis for contract administration
protocol and the statutory authority to enforce labor compliance contract provisions.
State and federal laws require contractors working on public works contracts to pay
prevailing wages to their employees. Prevailing wages are predetermined hourly
rates for each craft that are set by both the California Department of Industrial
Relations and the United States Department of Labor. In addition, these laws set
guidelines for such things as the following:
• Overtime
• Length or shifts of workday
• Substantiation of wages
• Fringe benefits paid
• Covered work (work done under contract and paid for in whole or in part out of
public funds, thus requiring the payment of prevailing wages) and noncovered
work
The Federal-aid Highway Acts of 1956 and 1968 provide an active program to ensure
that laborers and mechanics employed on federal aid projects are paid at wage rates
generally prevailing for the same type of work on similar construction in the
immediate locality. The federal wage rate determinations are included in the contract.
The California Labor Code provides that the California Department of Industrial
Relations, Division of Labor Statistics and Research (DLS&R) will determine and
publish the general prevailing wage rates and those rates are referenced in the
contract’s special provisions.
The Division of Construction labor compliance unit establishes policy for and
administers FHWA-delegated labor compliance responsibilities, as well as the
Department of Industrial Relations approved Caltrans’ labor compliance program
(LCP). The labor compliance and civil rights function is a unit of the Division of
Construction.
8-201 General
Section 2
Section 2 Equal Employment Opportunity Equal
Employment
Opportunity
8-201 General 8-201
This section presents the guidelines for administration of the nondiscrimination and General
equal employment opportunity provisions of the contract. The total equal employment
opportunity program is complex and involves functional units outside of construction.
The guidelines in this section apply primarily to activities and responsibilities resulting
from contractual requirements and are not necessarily complete insofar as the total
responsibilities and activities for either Caltrans or the contractor.
8-301 General
Section 3
Section 3 Disadvantaged Business Disadvantaged
Business
8-301 General 8-301
Caltrans’ policy is to ensure equal opportunity in the award and performance of its General
contracts. Part of this policy involves a program designed to increase the use of
disadvantaged business enterprises (DBE) on federally funded contracts and disabled
veteran business enterprises (DVBE) on state-funded construction contracts.
For the overall Caltrans federally assisted program, Caltrans establishes an annual
participation goal by DBEs. Federal regulations define DBEs as firms owned and
controlled by individuals who are both socially and economically disadvantaged.
Additionally the state has adopted regulations that call for the use of project goals
for DVBEs. The DVBE is a state-mandated opportunity program for disabled veterans
and applies to contracts financed solely with state funds.
Caltrans Civil Rights evaluates projects to be advertised and, as appropriate, assigns
separate goals for DBEs and DVBEs. Although one overall Caltrans goal exists for
DBE participation, individual contract goals will vary. The advertisement specifies
individual contract goals. Goals are set based upon the type of work and the
availability of DBE and non-DBE subcontractors to participate in the bidding process
in the geographical area of the contract. DVBE participation goals are 3 percent on
all state-funded projects.
For every advertised contract containing goals, the contractor must submit information
to Caltrans regarding the proposed use of DBEs or DVBEs. Civil Rights evaluates
this information to see if the contract goal has been met or if a good faith effort to
use DBEs or DVBEs has been made. If the low bidder has not met the contract goal
or shown good faith efforts, the contract may be awarded to the next low bidder that
meets these requirements. Once a contract is awarded, the bidder’s statement of
intent or good faith effort is a commitment that becomes a contract requirement.
Projects funded only by the state have no specific requirement for the use of DBEs.
Likewise, projects funded only by the federal government have no specific
requirement for the use of DVBEs. DBEs and DVBEs are not interchangeable
Consequently, projects funded only by the state cannot use a DBE to make the goal,
and projects funded only by the federal government cannot use a DVBE to make the
goal.
Some contracts do not have DBE or DVBE goals. However, Caltrans does encourage
the use of DBEs and DVBEs on these contracts, and the bidders are urged to obtain
DBE or DVBE participation.
Note 1: The above letter concerns the least complicated situations in which the prime contractor is doing
work planned to be sublet to a DBE or DVBE. If a second subcontractor is involved, other contract
specifications are probably being violated, for instance the following:
• Standard Specifications, Section 8-1.01 "Subcontracting" --Lack of prior approval to subcontract (if
federal aid) or prior notice of subcontract (state funded).
• "Section 4100 of the Public Contract Code "Subletting and Subcontracting Fair Practices Act"--
Substitutions for listed subcontractors without the engineer’s approval will result in a penalty of up to
ten percent of the contract item amount.
Note 2: When subcontractor approval or notice requirements are involved, the letter to the prime
contractor should refer to "subcontracting and DBE/DVBE provisions" rather than merely "DBE/DVBE
provisions". When the subcontractor listing law is involved, the letter must clearly address both the
"Subletting and Subcontracting Fair Practices Act." and DBE or DVBE violations.
9-101 General
9-201 General
PROJECT LIMITS
TYPE OF WORK
CONTRACTOR NAME
In case of emergency conditions (after regular work hours) on the above construction project, any of the following persons should be contacted.
CALIFORNIA DEPARTMENT OF TRANSPORTATION
BUSINESS ADDRESS & PHONE NO. HOME ADDRESS & PHONE NO.
NAME NORMAL WORK HOURS WEEKENDS & HOLIDAYS
CONTRACTOR
BUSINESS ADDRESS & PHONE NO. HOME ADDRESS & PHONE NO.
NAME NORMAL WORK HOURS WEEKENDS & HOLIDAYS
COMMENTS:
District Director of Transportation Materials & Research CCO Room U.S. Forest Service
District Communications Center Resident Engineer File Highway Patrol Dept. of Parks & Rec.
Maintenance Superintendent Contractor County Sheriff Other:
District Laboratory H.Q. Construction City Police
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 263-2041 or TDD (916) 263-2044 or
ADA Notice write Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
CONTRACT NUMBER COUNTY, ROUTE, BRIDGE OR POST MILES, OR POST KILOMETERS FEDERAL NO.
DESCRIPTION
RELIEF FROM MAINTENANCE AND RESPONSIBILITY GRANTED IN ACCORDANCE WITH THE ABOVE
RECOMMENDATION
Date
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 263-2041 or TDD (916) 263-2044 or write
ADA Notice Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
CEM0501
1. TYPE OF REPORT
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 263-2041 or TDD (916) 263-2044 or write
ADA Notice Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
1. CODE OF SAFE PRACTICES (Mark the sections of the C.O.S.P. which apply to this project)
2. PLANNED, PERIODIC INSPECTIONS (Planned, periodic safety inspections will be conducted as follows)
4. PROGRAM AGREEMENT
5. EMPLOYEE'S ACKNOWLEDGMENT - (Each employee shall acknowledge reading the C.O.S.P. by their signature)
Follow district procedure for notifying personnel within your area. Completion of this
form does not relieve the federal and Cal/OSHA reporting requirements. See the
construction and safety manuals for more information on reporting requirements.
Report
Report Date / / Report Time : AM PM
Initial Report Updated Report Final Report
Person Preparing Report Phone # ( )- -
INSTRUCTIONS
Use this fax report form to report any fatal or serious accident or any accident with the potential to be fatal
or disabling. The "Person Preparing Report" is to FAX the information to the Headquarters Office of Safety
and Health, the Construction Program, and the district construction safety coordinator. Fax an Initial
Report immediately, even if information is minimal. The Initial Report is intended to notify management
as-soon-as possible. An Updated Report may be used to provide supplementary information when
deemed necessary. Follow district procedure for notifying personnel within the district.
INCIDENTS TO BE REPORTED USING THIS FAX REPORT FORM (no cover sheet)
• Incidents involving death or serious injury to a state or a consultant employee or resulting in the death
of a contractor's employee. Telephone in notice of the incident, in advance of the fax when possible:
1. Phone HQ - Office of Safety & Health @ 916-227-2640
2. Phone HQ - Construction Program Manager/Safety Coordinator@ 916-654-2157/916-654-4580
3. Phone District Construction Management/Safety Coordinator @___________________
• Incidents resulting in serious injury to a contractor's employee
• Incidents involving serious damage to equipment owned by the state, consultants or the contractor.
• Incidents resulting in the serious injury or death of a member of the public within the construction zone,
or influenced in any manner by construction-related activities, conditions, equipment or personnel.
• All catastrophic type of incidents or incidents receiving wide media coverage.
Incidents which may result in a significant delay to the traveling public.
• Incidents with no injuries, but with a high potential for being fatal or disabling include, but are not limited
to: false-work or guying system failures, overturned cranes, high-voltage contacts, trench excavation or
shoring failures, gas or fuel line fire or explosions, hazardous utilities breaks, and collisions with
structures under construction or their supporting false-work that cause displacement of a major
member.
The resident engineer should take sufficient photographs or videotapes to document the conditions
that existed at the time of the incident, including all signing and traffic control features that may
have been in effect at the time of the accident. Depending on district policy and the nature and
severity of the accident, additional documentation may be required. The construction safety
coordinator should be consulted for additional information in such cases.
DISTRICT PROJECT MANAGER PROJECT MANAGER'S MAILING ADDRESS BUSINESS PHONE NUMBER
a surety company qualified and duly licensed to do business in the State of California, as SURETY, are held and firmly bound to the
STATE OF CALIFORNIA, as OBLIGEE, in the sum of: TWENTY THOUSAND dollars ($20,000.00), lawful money of the United
States of America, to be paid to the OBLIGEE, for which payment, we bind ourselves, our heirs, executors, administrators, successors,
and assigns, jointly and severally, to those persons referred to in item #4.
1. That whereas PRINCIPAL has made, or is about to make a submittal to the State of California for an oversight project, to be
constructed under an encroachment permit, in accordance with Article 2, Chapter 3, Division 1 of the Streets and Highways Code
to place, change or renew an encroachment in, under or over any portion of a state highway. A bond payable to the State of
California is a required condition of the Streets and Highways Code Section 678. Therefore, this bond is executed and tendered in
accordance with the Streets and Highways Code.
2. This bond shall be subject to all the previously mentioned terms and provisions of the Streets and Highways Code.
3. That if the PRINCIPAL shall fail to faithfully provide all final documentation as required in item #9, then the SURETY herein shall
pay for the production of these documents by others.
4. No right of action shall accrue under this bond to or for the use of any person or entity other than the State of California.
5. That this bond shall be deemed continuous in form, remain in full force and effect, until notice is given to the SURETY by the
Department of Transportation. The notice shall include that the PRINCIPAL has fulfilled their obligations and provided the
Department of Transportation with all the required documents listed in item #9.
6. The SURETY shall give at least thirty (30) days written notice of the termination, cancellation or material change of the policy.
Such notices shall be sent to the Department of Transportation's district project manager as listed in the heading. The notice shall
include the permit number and the projects EA number, location, county, route, and kilometer post (KP) or post mile (PM).
7. That the SURETY shall bear no liability on this bond in the event the encroachment permit issued to the PRINCIPAL is cancelled
or withdrawn prior to commencement of work on state property by the PRINCIPAL.
8. This bond is executed to comply with the provisions of Chapter 3, Division 1 of the Streets and Highways Code and of Chapter 2,
Title 14, Part 2 of the Code of Civil Procedure, and said bond shall be subject to all of the terms and provisions thereof.
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 654-6410 or TDD (916)
ADA Notice 654-3880 or write Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
9. That the following checklist of documents is prepared in accordance with all appropriate Department of Transportation manuals,
plans and specifications, encroachment permits, and project cooperative agreements. The completed documents are required
upon completion of the project and are subject to the approval of the Department of Transportation's State Representative.
Red Marked As-Built for Structures Structures AS-Built Route Slip Driven Pile Records for Structures
Final As-Built for Structures Report Of Completion For Structures DC-C78
Shop Drawings On Microfilm DS-0S C3 DH-0S C79
Joint Movement Calculations for Structures DH-0S C80
DSD-D0129 Paint Records for Structures
Structure Construction Records DH-0S M5 DH-0S M11
Other Structure Construction Records DH-0S M8 DH-0S M78
FEDERAL-AID PROJECTS
10. The documents listed above shall be submitted to the Department of Transportation's State Representative within
30 90 180 days of completing the project.
PRINCIPAL DATE
PRINT OR TYPE NAME OF AUTHORIZED SIGNATURE AND TITLE AUTHORIZED SIGNATURE AND TITLE
I certify (or declare) under penalty of perjury that I have executed the foregoing bond under an unrevoked power of attorney, executed
on , in , , under the laws of the State of California.
PRINT OR TYPE NAME OF ATTORNEY-IN-FACT FOR SURETY SIGNATURE OF ATTORNEY-IN-FACT FOR SURETY
REQUEST NUMBER
CITY/STATE ZIP CODE FEDERAL AID PROJECT NO. (From Special Provisions)
APPROVED
RESIDENT ENGINEER'S SIGNATURE DATE
COPY DISTRIBUTION: Original - Contractor Green - Resident Engineer Canary - Dist. Const Office/Labor Compliance Officer
Pink - HQ Construction Program Goldenrod - Contractor's Information Copy
ADA Notice For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 263-2041 or TDD (916) 263-2044 or write Records
and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
SUBCONTRACTING REQUEST
CEM-1201 (REV. 4/99) CT# 7541-3514-7
Submit in accordance with Sections 8-1.01 of the Standard Specifications. Type or print requested information. Information
copy (goldenrod) is to be retained by the contractor. Submit other copies to the project's Resident Engineer. After approval,
the original will be returned to the contractor.
When an entire item is subcontracted, the value to be shown is the contractor's bid price.
When a portion of an item is subcontracted, describe the portion, and show the % of bid item and value.
Prior submittal of a CP-CEM-1201 involving a replacement Subcontractor, submit a separate written request for approval to
substitute a listed subcontractor. Section 4107 of the Government Code covers the conditions for substitution.
Submit a separate written request for approval of any DBE/DVBE substitution. Include appropriate backup information and
state what efforts were made to accomplish the same dollar value of work by other certified DBE/DVBEs.
NOTE: For contractors who will be performing work on railroad property, it is necessary for the contractor to complete and submit the
Certificate of Insurance (State Form DH-OS-A10A) naming the subcontractor as insured. No work will be allowed which
involves encroachment on railroad property until the specified insurance has been approved.
PROPOSED STARTING DATE PROPOSED COMPLETION DATE COUNTRY, ROUTE, POST MILES
WORK DESCRIPTION
I certify under penalty of law that this document was prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the
information, the information submitted is to the best of my knowledge and belief, true, accurate, and complete. I am aware
that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for
knowing violations.
CONTRACTOR SIGNATURE DATE
THIS CERTIFICATION COMPLIES WITH THE REQUIREMENTS OF THE STATEWIDE NATIONAL POLLUTION DISCHARGE
ELIMINATION SYSTEM PERMIT NO. CAS000002, ORDER NO. 92-08-DWQ FOR CONSTRUCTION.
APPROVAL
RESIDENT ENGINEER'S SIGNATURE DATE
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 263-2041 or TDD (916) 263-2044 or write
ADA Notice Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
CITY PHONE
ADDITIONAL RELATED REQUIRED APPROVALS: DTSC Variance CWA 404/401 DFG 1601 NPDES/WDRs OTHER
DESCRIBE:
TOTAL CONSTRUCTION AREA: ACRES HECTARES TOTAL DISTURBED AREA: ACRES HECTARES
VI. CERTIFICATION
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the
system, or to those persons directly responsible for gathering the information, the information submitted is true, accurate and belief. I am aware that there are
significant penalties for submitting false information, including the possibility of fine and imprisonment of knowing violations.
SIGNATURE DATE
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 263-2041 or TDD (916) 263-2044 or write
ADA Notice Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
The Permit requires that a Notification of Construction (NOC) for construction projects covered by the Permit be
submitted to the appropriate Regional Water Quality Control Board (RWQCB) at least 30 days prior to the start of
construction. In some cases, the RWQCB may view two or more smaller projects in the same corridor as part of a
larger common plan of development. The Project Manager should be aware of other projects in the corridor. If
needed, these projects should be mentioned in section V. Construction Site Information.
Typically, most of the information on the form is completed by the District Storm Water Coordinator, Environmental
staff, Project Manager or Project Engineer. That individual also submits the NOC to the appropriate RWQCB(s) at
the same time the PS&E package is transmitted to the Office Engineer. No fees are to be to submitted to the
RWQCBs. A copy should also be transmitted to the District Construction Division.
At the time of the first submittal to the RWQCB, the District may elect to leave blank the information in Section IV.
Construction Field Office and resubmit a copy of the form with that information filled in at the time the Resident
Engineer (RE) is assigned. Alternately, the District may wish to fill in a contact name of someone other than the
RE, such as the Area Senior Construction Engineer or Project Manager, who will remain the contact for that project
until the NOC is resubmitted with the new contact information, or until the Notice of Completion of Construction
(NCC) is filed.
I. IDENTIFICATION. Provide a brief project descriptive name, a "nickname." When the NOC is first submitted to
the RWQCB, check the First Submittal box. For subsequent changes of information, including contact information,
enter the amendment number.
Enter the date that the NOC is first submitted to the Regional Water Quality Control Board (RWQCB), or date of
subsequent submittals.
Provide a "to scale" or "to approximate scale" drawing of the construction site and the immediate surrounding area.
Limit the map to an 8.5" x 11" or 11" x 17" size. At a minimum, the map must show the site perimeter, the
geographic features surrounding the site, general topography, and location of the construction project in relation to
surface waters and named streets, roads, intersections, or landmarks. Do not submit a drawing unless it meets
the above size limits.
Enter the city, if applicable, or N/A if not within city limits. Enter the county or counties, route number, post mile
and kilometer post. Also enter the tentative start and end dates.
Enter a tentative date the Storm Water Pollution Prevention Plan (SWPPP) will be available.
III. CALTRANS DISTRICT. Enter the name and address of the Caltrans District individual responsible for submittal of the
NOC to the RWQCB. Typically that individual is the Project Engineer, Project Manager, the District Storm Water
Coordinator, or Environmental Program staff.
IV. CONSTRUCTION FIELD OFFICE. Enter Caltrans field office information, if known, and Construction Contact person
information. As discussed above, the District may elect to use the contact information for the RE after the project has been
assigned, or another individual, such as the Area Senior or Project Manager. If the Construction Contact information
changes, then the District should resubmit a revised form to the RWQCB(s). Provide the physical address of the field office,
or a description of the physical location of the field office if no physical address is available and a location map.
V. CONSTRUCTION SITE INFORMATION. Provide a brief narrative description of the work. You can attach a checklist of
permanent and/or temporary BMPs if needed, or required by a RWQCB. A checklist of construction BMPs can also be
attached later as an amendment after the SWPPP is completed.
Check the box or boxes to indicate any additional required approvals, permits or certifications. Some examples are:
variance from the Department of Toxics Substances Control (DTSC) for reuse of soil containing lead, dredge or fill operations
requiring Army Corps of Engineers 404 certification and/or Clean Water Act 401 certification, streambed alteration requiring
Department of Fish and Game 1601 permit and non-storm water discharges requiring separate waste discharge
requirements. Describe the condition and whether the approval, permit or certification has been issued. If the project
involves soils subject to the DTSC variance, notify the appropriate RWQCB(s) to determine if separate waste discharge
requirements must be issued. The RWQCBs have up to 120 days to issue waste discharge requirements, so the RWQCBs
should be notified early in the process.
Indicate the total size in acres and hectares, of the construction project. Also indicate the size of the disturbed soil area.
Disturbed soil area is defined in the Storm Water Management Plan as "areas of exposed, erodible soil, including
stockpiles, that are within the construction limits and that result from construction activities."
Identify the name of the surface receiving water body for the storm water discharge. Indicate whether the project is in or
immediately adjacent to the receiving water. If the storm water is infiltrated, check the box for infiltration basin, and identify
the basin's location. If the discharge is to a separate storm sewer system, such as a collection system operated by a
municipality, flood control district, utility, or similar entity, check the box for municipal/other system and the name of the
system owner.
VI. CERTIFICATIONS. The permit requires that all reports and information requested by the SWRCB or RWQCBs be
signed by an Executive Officer, Executive Director or a duly authorized representative if the authorization is made in writing.
If signature authority is delegated to staff, a copy of that delegation letter should be sent to the Storm Water Manager at
Headquarters.
EA
CITY (if applicable) COUNTY ROUTE KILOMETER POST / POST MILE (S) START DATE END DATE
3. Site can not discharge storm water to waters of the United States Reason:
VI. CERTIFICATION
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system,
or to those persons directly responsible for gathering the information, the information submitted is true, accurate, and complete to the best of my knowledge and
belief. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment of knowing violations.
SIGNATURE
PRINT/TYPE NAME
DATE
TITLE
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 263-2041 or TDD (916) 263-2044 or write Records
ADA Notice and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
II. CALIFORNIA REGIONAL WATER QUALITY CONTROL BOARDS. Check the box next to the appropriate
RWQCB(s).
III. CALTRANS DISTRICT. Provide the Caltrans District information and the name, title and phone of the construction
contact, which by District policy may be the Resident Engineer (RE), the Area Senior, the Program Manager, National
Pollution Discharge Elimination System (NPDES) Coordinator or other responsible staff. The contact should be someone
who can address RWQCB staff questions about project storm water controls or who can refer a RWQCB staff to a
someone who can.
3. The construction site can not discharge storm water to waters of the United States. Indicate how prevention of all
discharge is ensured, and if all storm water is retained on site or collected offsite.
4. The discharge of construction storm water from the site is now subject to another NPDES general permit or an
individual NPDES permit. The general permit or individual permit NPDES number and the date coverage began should be
provided.
V. DESCRIPTION OF COMPLETION
Briefly describe how the completion requirements have been met. Attach site photographs.
VI. CERTIFICATION
The permit requires information submitted be signed by the District Director or a duly authorized representative. If the
District Director elects to delegate signature authority, the District must first have submitted the list of authorized
representatives to the appropriate RWQCB.
Sample Forms
Project Name: Type of Work:
*NOTE: Earth and rock material shall not be reported as either waste material diverted from or disposed to landfills.
Name and location or Recycling or Disposal Facility Type of material Type of activity Amount of material taken to Amount of material diverted
Enter letter as follows: Enter number as follows: landfills quantity (tonne or from landfills quantity (tonne
3
A=Asphalt 1=Source-Separated M3 ) or M )
C=Concrete Materials Recycling
M=Metal 2=On-Site Reuse
D=Mixed Debris 3=Mixed Debris Recycling
W=Wood/cleared 4=Reuse of salvageable items
vegetation 5=Disposal at landfill or
O=Other [described] Transfer Station
6=Other [described]
*See Note above
A-1.19
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
SOLID WASTE DISPOSAL AND RECYCLING REPORT
CEM-2025 (NEW 12/2003)
FIELD INSTRUCTIONS
Reporting Period (month and year): From and To Start and end dates of the reporting quarter
Street Address, City, State, Zip Contractor's street address, including city, state and zip code
Name and Location of Recycling or Disposal Facility Full name and address of recycling or disposal facility
Amount of Material taken to Landfills Include all material disposed of that has not been recycled,
reused, etc. Quantity shall be reported in tonne or cubic meters.
Amount of Material Diverted from Landfills Quantity shall be reported in tonne or cubic meters. If scales
are available, report tonne.
Contractors Certification The contractors must sign and date the form attesting that all the
information provided is complete and accurate.
Resident Engineer Resident engineer will sign and date that the information
provided by the contractor has been reviewed, not certified.
(JOB STAMP)
DATE
DESCRIPTION OF WORK
(Please Print) 1 2 3 4
MEMBER NAME
ID NUMBER
CHP Office
RANK
VEHICLE NUMBER
CHP
ENDING TIME**
STARTING TIME
TOTAL TIME**
ENDING MILEAGE**
STARTING MILEAGE
TOTAL MILEAGE**
CALTRANS INFORMATION
NAME AND TITLE (print) RESIDENT ENGINEER'S NAME (print) COST CENTER
WHITE - CHP Officer YELLOW - Resident Engineer (Project Files) PINK - District COZEEP Coordinator
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 654-6410 or TDD (916)
ADA Notice 654-3880 or write Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
This task order is entered into pursuant to the provisions of the Interagency Agreement No. for the period of July 1, --- to
June 30, ---, between Caltrans and the California Highway Patrol (CHP).
1. Project Description and Location (include the county, route, and post mile)
* Estimated
4. Project Officials
Caltrans Project Supervisor CHP Coordinator (completed by CHP)
Name Name
Title Title
Telephone No. Telephone No.
Facsimile No. Facsimile No.
5. Reporting
Caltrans and CHP agree that all reporting for this job shall be accomplished through the standard COZEEP/MAZEEP Daily Report
Form. Revisions, other versions, or additional forms shall not be used.
Approvals
By By
(Name and Title) (Name, ID # and Title)
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 654-6410 or TDD (916) 654-3880 or
ADA Notice write Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
FIRST CANCELLATION
Resident Engineer's Name: Phone Number:
Officer's When No
Officer's Name $50 4 Hours
ID Notified Charge
SECOND CANCELLATION
Resident Engineer's Name: Phone Number:
Officer's When No
Officer's Name $50 4 Hours
ID Notified Charge
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 654-6410 or TDD (916) 654-3880 or
ADA Notice write Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
Sample Forms
(See Reverse for Instructions)
LISTED OR PREVIOUSLY APPROVED SUBCONTRACTOR DBE DVBE PROPOSED SUBCONTRACTOR DBE DVBE
REMARKS:
DISTRIBUTION: ORIGINAL - Contractor GREEN - Resident Engineer CANARY - Disrict Construction/Labor Compliance Officer PINK - Construction Program GOLDENROD - Business Enterprise Program
A-1.27
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
SUBSTITUTION REPORT FOR DISADVANTAGED BUSINESS ENTERPRISE/DISABLED
A-1.28
VETERAN BUSINESS ENTERPRISE
CEM-2401 (REV 3/1999) CT# 7541-3507-3
INSTRUCTIONS
Listed/Proposed Subcontractor Indicate name of subcontractors involved. Check one box only, as applicable.
Work Description Corresponds to Item #, Special Provisions. List only items or partial items of work allocated to
subcontractor being removed.
Dollar Dollar amount of work completed by previously approved contractor, and dollar amount of
remaining work. (If a portion of the work has been done, explain in the remarks section or on
attachment.)
FM 2180 M 94 95 86073
Sample Forms
California Department of Transportation • Construction Manual • July 2004
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
FINAL REPORT - UTILIZATION OF DISADVANTAGED BUSINESS ENTERPRISES
(DBE), FIRST-TIER SUBCONTRACTORS
CEM-2402F (REV. 10/1999) CT# 7541-3502-2
CONTRACT NUMBER COUNTY ROUTE ADMINISTERING AGENCY CONTRACT COMPLETION DATE
Sample Forms
POST MILES POST KILOMETERS FEDERAL AID PROJECT
$
DESCRIPTION OF CONTRACT PAYMENTS
WORK PERFORMED DBE
ITEM SUBCONTRACTOR NAME
AND CERT. DBE DBE
NO. AND BUSINESS ADDRESS DBE DATE WORK
MATERIALS NUMBER NON-DBE DBE (NON-MINORITY (MINORITY DATE OF FINAL
MINORITY COMPLETE
PROVIDED WOMEN) WOMEN) PAYMENT
TO THE BEST OF MY INFORMATION AND BELIEF, THE ABOVE INFORMATION IS COMPLETE AND CORRECT
RESIDENT ENGINEER'S SIGNATURE BUSINESS PHONE NUMBER DATE
COPY DISTRIBUTION: Original - Construction Program Green - Business Enterprise Program Canary - Contractor Pink - District Construction Golden Rod - Resident Engineer
ADA Notice For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 263-2041 or TDD (916) 263-2044 or write Records and Forms Management, 1120 N Street, MS-89,
Sacramento, CA 95814.
A-1.29
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
FINAL REPORT - UTILIZATION OF DISADVANTAGED BUSINESS ENTERPRISES
(DBE), FIRST-TIER SUBCONTRACTORS
CEM-2402F (REV. 10/1999) CT# 7541-3502-2
The form requires specific information regarding the construction project: Contract Number, County, Route, Post Miles/ Post
Kilometers, a box to check that the project is indeed a Federal Aid Project, the Administering Agency (Caltrans), the Contract
Completion Date and the Estimated Contract Amount. It requires the prime contractor name and business address. The focus
of the form is to describe who did what by contract item numbers and descriptions, asking for specific dollar values of item work
completed broken down by subcontractors who performed the work, both DBE and non-DBE work forces. DBE prime
contractor's are required to show the date of work performed by their own forces along with the corresponding dollar value of
work.
The form has a column to enter the Contract Item No. (or Item No's) and description of work performed or materials provided, as
well as a column for the subcontractor name and business address. For those firms who are DBE, there is a column to enter
their DBE Certification Number. The DBE should provide their certification number to the contractor and notify the contractor in
writing with the date of the decertification if their status should change during the course of the project.
The form has five columns for the dollar value to be entered for the item work performed by the subcontractor.
The Non-DBE column is used to enter the dollar value of work performed for firms who are not certified DBE.
The decision of which column to be used for entering the DBE dollar value is based on what program(s) the firm is
certified. This Program status is determined by the Civil Rights Certification Unit based on ethnicity, gender,
ownership and control issues at time of certification. The certified firm is issued a certificate by the Civil Rights Unit
that states their program status as well as the firms expiration date. DBE Program status may be obtained by
accessing the civil rights website (http://www.dot.ca.gov/hq/bep/)and downloading the Calcert Extract or by calling
(916) 227-2207. Based on this DBE Program status, the following table depicts which column to be used:
If a contractor performing work as a DBE on the project becomes decertified and still performs work after their decertification
date, enter the total value performed by this contractor on Form 2402(F) under the appropriate DBE Program Status (include all
work performed after decertification) and complete and submit Form CEM-2403 (F) as appropriate. Any comments to be made
on the Form CEM-2403(F) is being submitted.
If a contractor performing work as a Non-DBE on the project becomes certified as a DBE enter the dollar value of all work
performed as a DBE on CEM-2402(F) and CEM-2403(F). Any comments to be made on the form 2402(F) are to be explained on
the reverse side of the form. Indicate in the Comments section that Form CEM-2403(F) is being submitted.
There is a space provided on the CEM-2402(F) where TOTAL is entered for these five columns.
There is a column on the CEM-2402(F) to enter the Date Work Complete as well as a column to enter the Date of Final Payment,
which is an indicator of when the prime contractor made the "final payment" to the subcontractor for the portion of work listed as
being completed.
The Original Commitment area on the CEM_2402(F) is based in information at award time of the project and is the dollar value of
those subcontractors listed as being at award based on the above table.
The CEM-2402(F) has an area at the bottom where the contractor and the resident engineer sign and date that the information
provided is complete and correct.
Sample Forms
PRIME CONTRACTOR BUSINESS ADDRESS ESTIMATED CONTRACT AMOUNT
$
CONTRACT PAYMENTS
DESCRIPTION OF WORK PERFORMED DBE
CONTRACT SUBCONTRACTOR NAME
AND CERT DVBE DATE OF
ITEM NO. AND BUSINESS ADDRESS DATE WORK
MATERIALS PROVIDED NO (STATE-FUNDED FINAL COMMENTS
COMPLETED
PROJECTS ONLY) PAYMENT
List all Disabled Veterans Business Enterprises (DVBE's) regardless of tier, whether or not the firms were originally listed for goal credit. If actual DVBE utilization (or item of work) was different than that approved at
time of award, provide comments. List actual amount paid to each DVBE, even if different than originally listed for goal credit.
I CERTIFY THAT THE ABOVE INFORMATION IS COMPLETE AND CORRECT
CONTRACTOR REPRESENTATIVE'S SIGNATURE BUSINESS PHONE NUMBER DATE
TO THE BEST OF MY INFORMATION AND BELIEF, THE ABOVE INFORMATION IS COMPLETE AND CORRECT
RESIDENT ENGINEER'S SIGNATURE BUSINESS PHONE NUMBER DATE
COPY DISTRIBUTION: Original - Construction Program Green - Business Enterprise Program Canary - Contractor Pink - District Construction Golden Rod - Resident Engineer
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 263-2041 or TDD (916) 263-2044 or write Records and Forms Management, 1120 N Street, MS-89,
ADA Notice Sacramento, CA 95814.
A-1.31
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
FINAL REPORT - UTILIZATION OF DISABLED VETERAN BUSINESS ENTERPRISES (DVBE)
STATE FUNDED PROJECTS
CEM-2402S (REV. 10/1999) CT# 7541-3502-2
The form requires specific information regarding the construction project: Contract Number, County, Route, Post Miles/ Post
Kilometers, a box to check that the project is indeed a State-Funded Project, the Administering Agency (Caltrans), the Contract
Completion Date and the Estimated Contract Amount. It requires the prime contractor name and business address. The focus of
the form is to describe by contract item numbers, descriptions of the work performed, and specific dollar values of the actual item
work completed by the certified DVBE contractor(s).
The form has a column to enter the Contract Item No. (or Item No's) and description of work performed or materials provided, as well
as a column for the subcontractor name and business address. There is a column to enter the DVBE Certification Number. The
DVBE should provide their certification number to the contractor.
The form has a column DVBE (State-Funded Projects Only) for the dollar value to be entered for the item(s) work performed by the
DVBE subcontractor as well as a column to enter the Date Work Completed. In the column Date of Final Payment, this is where
the prime contractor enters the date for the "final payment" to the subcontractor for work completed.
The box addressed as "TOTAL" is where the total dollar value of the column DVBE (State Funded Projects Only) is entered.
The Original Commitment area on the CEM-2402(S) is based in information at award time of the project and is the dollar value of the
DVBE subcontractors listed at award.
There is a comments section for any additional information that may need to be provided regarding any of the above transactions.
The CEM-2402(S) has an area at the bottom where the contractor and the resident engineer sign and date that the information
provided is complete and correct.
Sample Forms
CEM-2403(F) (NEW 10/1999)
CONTRACT NUMBER COUNTY ROUTE POST MILES POST KILOMETERS ADMINISTERING AGENCY CONTRACT COMPLETION DATE
CERTIFICATION/
CONTRACT SUBCONTRACTOR NAME AMOUNT PAID WHILE DECERTIFICATION DATE
BUSINESS PHONE CERTIFICATION NUMBER
ITEM NO. AND BUSINESS ADDRESS CERTIFIED Letter attached
TO THE BEST OF MY INFORMATION AND BELIEF, THE ABOVE INFORMATION IS COMPLETE AND CORRECT
RESIDENT ENGINEER'S SIGNATURE BUSINESS PHONE NUMBER DATE
COPY DISTRIBUTION: Original - Construction Program Green - Business Enterprise Program Canary - Contractor Pink - District Construction Golden Rod - Resident Engineer
ADA Notice For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 263-2041 or TDD (916) 263-2044 or write Records and Forms Management, 1120 N Street, MS-89,
A-1.33
Sacramento, CA 95814.
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
DISADVANTAGED BUSINESS ENTERPRISES (DBE)
CERTIFICATION STATUS CHANGE
CEM-2403(F) (NEW 10/1999)
The top of the form requires specific information regarding the construction project: Contract Number, County, Route, Post Miles/
Post Kilometers, the Administering Agency (Caltrans), the Contract Completion Date and the Estimated Contract Amount. It
requires the prime contractor name and business address. The focus of the form is to substantiate and verify the actual DBE
dollar amount paid to contractors on federally funded projects that had a change in certification status during the course of the
completion of the contract. The two situations that are being address by CEM 2403(F) are if a firm certified as a DBE and doing
construction work on the contract during the course of the project becomes decertified, and if a non-DBE firm doing work on the
contract during the course of the project becomes certified as a DBE.
The form has a column to enter the Contract Item No. (or Item No's), as well as a column for the Subcontractor name and
Business Address, Business Phone and contractor's Certification Number.
The column entitled Amount Paid While Certified will be used to enter the actual dollar value of the work performed by those
contractors who meet the conditions as outlined above during the time period they are certified as a DBE. This column on the
CEM-2403(F) should only reflect the dollar value of work performed while the firm was certified as a DBE.
The column called Certification/Decertification Date (Letter attached) will reflect either the date of the Decertification Letter sent
out by the Civil Rights or the date of the Certification Certificate mailed out by the Civil Rights. There is a box to check that
support documentation is attached to the CEM-2403(F) form.
There is a comments section for any additional information that may need to be provided regarding any of the above transactions.
The CEM-2403(F) has an area at the bottom where the contractor and the resident engineer sign and date that the information
provided is complete and correct.
Sample Forms
CEM-2404(F) (NEW 12/1999)
Commission Lease
DBE Company California Hwy. Date
Truck Owner Truck No. Or Arrangement
Cert. No. Name and Address Patrol CA No. Paid
Amount Paid* ( if applicable)
Lease Agreement
$ Non-DBE
DBE
Lease Agreement
$ Non-DBE
DBE
Lease Agreement
$ Non-DBE
DBE
Lease Agreement
$ Non-DBE
DBE
Lease Agreement
$ Non-DBE
DBE
Lease Agreement
$ Non-DBE
DBE
Lease Agreement
* Upon request all Lease Agreements shall be made available, in accordance with the Special Provisions.
I CERTIFY THAT THE ABOVE INFORMATION IS COMPLETE AND CORRECT
CONTRACTOR REPRESENTATIVE'S SIGNATURE TITLE DATE
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 263-2041 or TDD (916) 263-2044 or write Records and Forms Management, 1120 N Street, MS-89,
ADA Notice Sacramento, CA 95814.
A-1.35
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
MONTHLY DBE TRUCKING VERIFICATION
CEM-2404(F) (NEW 12/1999)
The top of Form CEM-2404(F) contains boxes to put in the Contract Number, the Month of the reporting period
and the Year of the reporting period.
The Form CEM-2404(F) has a column to enter the name of the Truck Owner, the DBE Cert. No. (if DBE
certified) and the Name and Address of the trucking company. The Form CEM-2404(F) also requires the
Truck No. and the California Highway Patrol CA No.
Form CEM-2404(F) is to be submitted prior to the 15th of each month and must show the dollar amount paid to
the DBE trucking company(s) for truck work performed by DBE certified trucks and for any fees or
commissions of nonDBE trucks utilized each month on the project. The amount paid to each trucking company
is to be entered in the column called "Commission or Amount Paid", in accordance with the Special Provisions
Section 5-1.X.
Payment information is derived using the following:
1.) 100% for the trucking services provided by the DBE using trucks it owns, operates and insures.
2.) 100% for the trucking services provided by trucks leased from other DBE firms.
3.) The fee or commission paid on non-DBEs for the lease of trucks. The prime does not receive 100%
credit for these services because they are not provided by a DBE company.
The total dollar figure of this column is to be placed in the box labeled "Total Amount Paid".
The column "Date Paid" requires a date that each trucking company is paid for services rendered. The next
column contains information that must be completed if a lease arrangement is applicable. Located at the
bottom of Form is a space to put the name of the "Prime Contractor", their "Business Address" and their
"Business Phone No.".
At the bottom of Form there is a space for the Contractor or designee "Contractor Representative's Signature,
Title and Date" certifying that the information provided on the form is complete and correct.
CONTRACTOR/SUBCONTRACTOR (Please Print) CONTRACT NUMBER FEDERAL AID PROJECT NUMBER DATE
The following information (as shown or referenced on wage rate determinations) paid to or on behalf of employees in various crafts or
classifications is used to check payrolls or applied to force account work on the above contract.
THIS FORM MUST BE COMPLETED AND SUBMITTED WITH THE FIRST CERTIFIED PAYROLL, OR WHEN THERE HAVE BEEN ANY CHANGES.
CLASSIFICATION FRINGE BENEFIT HOURLY AMOUNT NAME AND ADDRESS OF PLAN, FUND, OR PROGRAM
Health & $
Welfare
Pension $
CLASSIFICATION FRINGE BENEFIT HOURLY AMOUNT NAME AND ADDRESS OF PLAN, FUND, OR PROGRAM
Health & $
Welfare
Pension $
CLASSIFICATION FRINGE BENEFIT HOURLY AMOUNT NAME AND ADDRESS OF PLAN, FUND, OR PROGRAM
Health & $
Welfare
Pension $
I certify under penalty of perjury that fringe benefits are paid to the approved Plans, Funds, or Programs as listed above.
NAME AND TITLE (Please Print)
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 263-2041 or TDD (916) CEM2501
ADA Notice 263-2044 or write Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
A-1.38
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) Section 1798.24 of the IPA of 1977. Each individual has the right upon request and proper identification, to inspect all personal information in any record maintained on the individual
ADA Notice 263-2041 or TDD (916) 263-2044 or write Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA by an identifying particular. Direct any inquiries on information maintenance to your IPA Officer.
PAYROLL NO. FOR WEEK ENDING PROJECT AND LOCATION CONTRACT NUMBER FEDERAL AID NUMBER
Sample Forms
California Department of Transportation • Construction Manual •July 2004
CEM-2502 (REV 4/2001)
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
STATEMENT OF COMPLIANCE
CEM-2503 (REV 8/96)
CONTRACTOR/SUBCONTRACTOR CONTRACT NUMBER
FIRST DAY AND DATE OF PAY PERIOD LAST DAY AND DATE OF PAY PERIOD
(1)
That I pay or supervise payment to employees of the above-referenced contractor on the above-referenced contract. All
persons employed on said project for the above-referenced time period have been paid their full weekly wages earned, that no
rebates have been or will be made either directly or indirectly to or on behalf of said contractor from the full weekly wages
earned by any person and that no deductions have been made either directly or indirectly from the full wages earned by any
person other than permissible deductions.
(2)
That any payrolls otherwise under this control required to be submitted for the above period are correct and complete; that the
wage rates for laborers or mechanics contained therein are not less that the applicable wages rates:
(a) Specified in the applicable wage determination incorporated into the contract;
(b) Determined by the Director of Industrial Relations for the county or counties in which the work is performed;
that the classification set forth therein for each laborer or mechanic conform with the work he or she performed.
(3)
That any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with a
State apprenticeship agency.
(4)
That fringe benefits as listed in the contract:
(a) Have been or will be paid to the approved plan(s), fund(s), or program(s) for the benefit of listed employee(s),
except as noted below.
(b) Have been paid directly to the listed employee(s), except as noted below.
REMARKS:
SIGNATURE DATE
On federally-funded projects, permissible deductions are defined in Regulation, Part 3 (29 CFR, Subtitle A), issued by the Secretary of
Labor under the Copland Act, as amended (48 Sat. 948 63 Stat. 108,72 State. 967;76 Stat 357:40 U. S. C. 276c).
Also, the willful falsification of any of the above statements may subject the contractor or subcontractor to civil or criminal prosecution (See
Section 1001 of Title 18 and Section 231 of Title 31 of the United States Code).
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 263-2041 or TDD (916)
ADA Notice 263-2044 or write Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814. CEM2503
This statement of compliance meets needs of the state and federal payroll requirements to pay fringe benefits in addition to payment
of the minimum rates. The contractor's obligation to pay fringe benefits may be met by payment of the fringes to the various
preapproved plans, funds, or programs or by making these payments directly to the employees as part of their weekly wage
payments.
The contractor must show on the face of his or her payroll all monies paid to the employees whether as basic rates or total
hourly wage amount in lieu of fringes. The contractor shall report in the statement of compliance that he or she is paying to
others fringes required by the contract and not paid directly to the employees in lieu of fringes.
Such a contractor shall check paragraph 2(a) of the statement to indicate that the wage rates for laborers or mechanics contained in
the payroll are not less than the applicable wage rates specified in the applicable wage determination incorporated into the contract.
Contractors required to pay the State Prevailing Wage Rates as determined by the Director of Industrial Relations:
Such a contractor shall check paragraph 2(b) of the statement to indicate that the wage rates for laborers or mechanics contained in
the payroll are not less than the applicable wage rates determined by the Director of Industrial Relations for the county or counties in
which the work is preformed.
A contractor who pays fringe benefits to approved plans, funds, or programs in amounts not less than were determined in the
applicable wage decisions shall continue to show on the face of his or her payroll the basic hourly rate and overtime rate paid to his
or her employees, just as he or she has always done. Such a contractor shall check paragraph 4(a) of the statement to indicate
that he or she is also paying approved plans, funds, or programs within the times required for the receipt of those sums, not less
than the amount predetermined as fringe benefits for each craft. Any exception shall be noted in Section 4(c).
A contractor who does not pay fringe benefits to an approved plan shall pay a like amount to the employee. This payment can be
reported by inserting in the straight time hourly rate column of his or her payroll an amount not less than the predetermined rate for
each classification plus the amount of fringe benefits determined for each classification in the applicable wage decision. Inasmuch
as it is not necessary to pay time and a half on wages paid in lieu of fringes, the overtime rate shall be not less than one and
one-half the basic predetermined rate, plus the required cash in lieu of fringes at the straight time rate. To simplify computation of
overtime, it is suggested that the straight time basic rate and payment in lieu of fringes be separately stated in the hourly rate
column, thus $14.56/5.11. In addition, the contractor shall check paragraph 4(b) of the statement to indicate that he or she is
paying fringe benefits directly to his or her employees. Any exceptions shall be noted in Section 4(c).
Any contractor who is making payment to approved plans, funds, or programs in amounts less than the wage determination required
is obligated to pay the deficiency directly to the employees as wages in lieu of fringes. Any exceptions to Section 4(a) and 4(b),
whichever the contractor may check, shall be entered in Section 4(c). Enter in the Exception column the craft, and enter in the
Explanation column the hourly amount paid the employees as wages in lieu of fringes, and the hourly amount paid to plans, funds,
or programs as fringes.
CONFIDENTIAL CONTRACT NO
This document contains personal information and pursuant to Civil Code 1798.21 it shall be
kept confidential in order to protect against unauthorized disclosure. FED. NO.
1. TO BE FILLED IN BY INTERVIEWER (Data may be obtained from payroll records or during source document review)
A. HOW LONG HAVE YOU WORKED FOR YOUR PRESENT EMPLOYER? HOW LONG ON THIS PROJECT?
B. DESCRIBE THE TYPE OF WORK YOU HAVE BEEN DOING THIS PAST WEEK
C. WHAT IS YOUR WAGE [Include Base Rate and Fringe Benefits (Compare to Payroll)] DO YOU KEEP A RECORD OF THE HOURS YOU
YES NO
D. DO YOU WORK OVERTIME? ARE YOU PAID TIME AND IF NO, EXPLAIN
FREQUENTLY SELDOM NONE ONE-HALF FOR OVERTIME? YES NO
E. HAS YOUR EMPLOYER DIRECTED YOUR ATTENTION TO HAVE YOU SEEN IF NO, EXPLAIN
THE REQUIRED WAGE RATE POSTERS ON THE PROJECT? YES NO THOSE POSTERS? YES NO
F. ARE YOU AWARE OF THE DOES THE CONTRACTOR HOLD HOW OFTEN?
CONTRACTOR'S EEO POLICIES? YES NO REGULAR EEO MEETINGS? YES NO
WHO CONDUCTS THE MEETINGS? WHO IS THE EEO OFFICER FOR YOUR EMPLOYER? WHO IS THE EEO OFFICER FOR THE PROJECT?
G. ARE YOU INTERESTED IN / OR HAS YOUR EMPLOYER INFORMED YOU OF UPGRADING IF YES, PLEASE EXPLAIN
AND TRAINING POSSIBILITIES? YES NO
FM 91 1282 91 61116
DIRECTIONS TO INTERVIEWER
CONFIDENCIAL No DE CONTRATO
Este documento contiene informacion personal y de acuerdo al codigo civil 1798.21
debera ser mantenida confidencialmente con el fin de protegerla contra divulgaciones no
autorizadas. No DE FED
1. A SER LLENADO POR EL ENTREVISTADOR (Los datos pueden ser obtenidos de las planillas de pago o durante la revision de documentos)
NOMBRE DEL EMPLEADO CLASIFICACION DEL TRABAJO
2. PREGUNTAS AL EMPLEADO
A. CUANTO TIEMPO HA TRABAJADO CON ESTA EMPRESA? CUANTO TIEMPO HA TRABAJADO EN ESTE PROYECTO?
C. CUAL ES SU SUELDO? [Incluya sueldo basico y beneficios (Compara con Planilla)] USTED ANOTA SUS HORAS TRABAJADAS?
SI NO
D. USTED TRABAJA HORAS EXTRAS? LE PAGARON TIEMPO Y MEDIO SI ES NO, EXPLIQUE
FREQUENTEMENTE POCO NUNCA POR LAS HORAS EXTRAS? SI NO
F. ESTA USTED ENTERADO DE LAS REGLAS REALIZA EL CONTRATISTA CON QUE FRECUENCIA?
SI SI
DEL CONTRATISTA ACERCA DEL IOE?? NO REUNIONES (JUNTAS) ACERCA DEL IOE? NO
QUIEN DIRIGE LAS REUNIONES (JUNTAS)? QUIEN ES EL REPRESENTANTE DEL IOE POR PARTE QUIEN ES EL REPRESENTANTE DEL IOE EN EL
DE LA EMPRESA? PROYECTO?
Sample Forms
PAYROLL NO FOR WEEK ENDING PROJECT AND LOCATION CONTRACT NO
NOTE: CERTIFICATION WILL BE ACCEPTED ONLY FROM THE CONTRACTOR EMPLOYING THE OWNER OPERATOR:
A-1.45
IT WILL NOT BE ACCEPTED FROM THE OWNER OPERATOR HIM / HERSELF.
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
OWNER-OPERATOR LISTING STATEMENT OF COMPLIANCE
CEM-2505 (REV 05/2001)
Date
do hereby state:
(Name of signatory party) (Title)
(1) That I pay or supervise the payment of the persons reported on this form as Owner-operators by
(Contractor or subcontractor)
on the , that during the payroll period commencing on the day of
(Building or work)
and ending day of , all persons working on said project have been paid the
full weekly sums earned, that no rebates have been or will be made either directly or indirectly to or on behalf of said
from the full weekly sums earned by any person and that no deductions
(Contractor or subcontractor)
have been made either directly or indirectly from the full sums earned by any person, other than permissible deductions, as
described below:
(2) That any payrolls or listings or otherwise under this contract required to be submitted for the above period are correct and
complete; that the wage rates for laborers or mechanics contained therein are not less than the applicable wage rates contained in
any wage determination incorporated into the contract; that the classifications set forth therein for each laborer or mechanic
conform with the work he performed.
(3) That any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with
a State apprenticeship agency.
(4) That:
(a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS, OR PROGRAMS
In addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll or
listings payments of fringe benefits as listed in the contract have been or will be made to appropriate programs for the
benefit of such employees, except as noted in Section 4(c) below.
(c) EXCEPTIONS
Remarks:
On federally-funded projects, permissible deductions are defined in regulations, Part 3 (29 CFR Subtitle A), issued by the Secretary of Labor under
the Copeland Act, as amended (48 Stat. 948 63 Stat. 108, 72 Stat. 967; 76 Stat. 357; 40 U.S.C. 276c).
Also, the willful falsification of any of the above statements may subject the contractor or subcontractor to civil or criminal prosecution (see Section
1001 of Title 18 and Section 231 of Title 31 of the United States Code).
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 263-2041 or TDD (916) 263-2044 or wr
ADA Notice Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
Sample Forms
CONTRACTOR INVOLVED
DATE CLASSIFICATION CLASSIFICATION HOURLY RATE HOURLY RATE DAILY TOTAL DAILY TOTAL DAILY TOTAL LABOR PENALTIES
(Payroll) (Actual) REQUIRED PAID REQUIRED PAY ACTUAL PAY WAGES DUE STATE FEDERAL
HOURS
ST OT ST OT ST OT ST OT ST OT ST OT OT
WORKED
A-1.47
California Department of Transportation • Construction Manual •July 2004
A-1.48 Sample Forms
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
ADA Notice
LABOR VIOLATION: CASE SUMMARY For individuals with sensory disabilities, this document is available in alternate
CEM-2507 (REV. 11/88) formats. For information call (916) 263-2041 or TDD (916) 263-2044 or write
Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA
(TO BE USED WITH FORM CEM-2506) 95814.
INVESTIGATION BACKGROUND
(FOR THIS SECTION, USE ADDITIONAL SHEET IF NECESSARY - SHOW ITEM NUMBER)
1. BRIEF, CONCISE STATEMENT OF THE NATURE OF THE CIRCUMSTANCES PROMPTING THE INVESTIGATION
CHRONOLOGY
DATE DISTRICT ACTION DATE HEADQUARTERS ACTION
confirmation of review - letter/telephone Letter to prime regarding withhold and rights of appeal
Case to Headquarters
DISTRICT INVESTIGATOR DISTRICT LABOR COMPLIANCE OFFICER - SIGNATURE DATE
CONTRACTOR'S ADDRESS
PRIME CONTRACTOR
SAME
ADDRESS:
DEFICIENCIES
NO YES (BRIEFLY IDENTIFY BELOW)
ADA Notice For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 263-2041 or TDD (916) 263-2044 or write
Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
A GENERAL E MISCELLANEOUS
A1 Prime notified Business license:
E1 Co./City # Yr.
A2 Sub notified
A3 Sub approved E2 Subcontract contain Section 6
A4 E3 Home office bulletin board in order
B PAYROLLS E4
E5
B1 Same as submitted
B2 Time Cards/PR agree F INVESTIGATION
B3 Canceled Checks/PR agree Number of payrolls
B4 Wages pd at/above contract min. F1 reviewed:
B5 Nonworking supv. shown on PR All Random
Fed/State tax held from Number of wage
B6 employee wages F2 underpayments
Employee interview on file Number of workers
B7 (No. ) F3 underpaid:
Employee interview reflect F4
B8 problem
G CONCLUSIONS
B9 G1 Payrolls okay
G2 Discepancies intentional
C PROPRIETORSHIP G3
C1 Sole proprietor G4
C2 Partnership H DISTRICT RECOMMENDATIONS
Partnership papers
C3 available H1 Assess State penalties
H2 Assess Federal penalties
Partnership profit papers
C4 available H3 Contractor aware of findings
H4 Case to Hqs
C5 Corporation
H5
Are corp. officers laborers/
C6 mechanics H6
ENTER
ITEM # REMARKS
C7 If so, recieving proper wages
C8
D BENEFITS
D1 Fringes paid cash
D2 Fringes paid to a trust fund
D3 Trust fund approved
D4 Trust statements available
Statement hrs per employee per
D5 month equal or exceed total
PR hours
Canceled checks agree with
D6 payments
Canceled checks agree with
D7 statements
D8
D9
DISTRICT REVIEWER DATE DISTRICT LC OFFICER DATE
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 263-2041 or TDD (916) 263-2044 or write
ADA Notice Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
LIMITS
100
90
80
70
60
PERCENT OF COMPLETION
50
40
30
20
C = 0.5 (T/10) + 1.25(T/10)2 - 0.03 (T/10)3
C = Theoretical Percent Complete
T = Percent Elapsed Time
10
10 20 30 40 50 60 70 80 90 100
PERCENT OF TIME
Working Day
Nonworking No Work
Date Day Weather, Weather Conditions or Other Conditions¹ Working Day Day Done on
Controlling
Operation²
Monday
Tuesday
Wednesday
Thursday
Friday
Days this week
Days previously reported
Total days to date
Days Approved
Time Extensions³ CCO Numbers4
CCO Other
Days this report
Days previously reported
Total days to date
Number of Numbered
Computation of Extended Date for Completion 5 Date
Days Day
1. First working day
2. Working days specified in contract
3. COMPUTED DATE FOR COMPLETION (line 1 + line 2 - 1)
4. Days contract suspended to date
5. Total time extension days approved to date (CCO plus other)
6. Total Nonworking days to date6
7. Subtotal (line 4 + line 5 + line 6)
8. EXTENDED DATE FOR COMPLETION (line 3 + line 7)
9. Revised working days for contract (line 2 + line 5)
10. Total working days to date
11. WORKING DAYS REMAINING (line 9 - line 10)
CONTROLLING OPERATION(S)
REMARKS
The contractor will be allowed fifteen (15) days in which to protest in writing the correctness of the
statement; otherwise, the statement shall be deemed to have been accepted by the contractor as correct.
NOTE: Footnote Instructions to resident engineer are on reverse side.
RESIDENT ENGINEER SIGNATURE DATE
1. When recording nonworking days due to weather, state the reason why the day is unworkable when the weather description
itself does not adequately describe conditions. For example, "clear-wet grade" to describe conditions when the weather is clear,
but the grade is too wet to work. Do not list days merely as "Unworkable."
2. Enter days on which no productive work has been performed on the controlling operation(s) for reasons other than weather.
3. Time Extensions, Other, are to be explained under Remarks and the following information is to be included:
a. Cause of delay and specification reference under which approval was granted.
b. Statement as to what controlling operation or operations are being delayed and to what extent.
If an extension of time is subsequently approved, determine the new Extended Date by taking into account all nonworking days
that are reachable.
6.
From calendar issued by the Division of Construction with working days numbered for convenience in computations.
CONTRACTOR'S NAME
The recommendation for acceptance of this contract was approved by the director subject to determination that if there was an overrun in contract time, a
decision relative to assessing the contractor for liquidated damages or extending the contract time and charging the contractor for engineering and inspection
costs would be deferred pending further study. The attached information (in the form of a memorandum or determination of claim) contains the result of the
study.
RECOMMENDED ACTION CONCERNING TIME EXTENSION, LIQUIDATED DAMAGES AND ENGINEERING AND INSPECTION COSTS (Per Section 8-1.07,
Standard Specifications):
The detemination of claim for elimination of liquidated damages is that all of the time involved was within the control of the contractor. It is
that no extension of time be granted and that the contractor be assessed liquidated damages of $ per calendar day for the period from
to , both dates inclusive, for a total of days and $ .
A delay of working days was caused by circumstances over which the contractor had no control. It is recommended that a time
extension of working days be granted. Such action will extend the date for completion to , reducing the overrun to
calendar days. It is further recommended:
That during the period of such extension the contractor shall be charged engineering and inspection charges in the amount of $ .
That during the period of such extension the contractor not be charged engineering and inspection costs.
That for the remaining overrun of calendar days, from to both dates inclusive, the contractor shall be assessed
liquidated damages of $ per calendar day for a total amount of $ .
The contractor has agreed to accept this decision as to assessment of liquidated damages, and charges for engineering and inspection costs as full
settlement of any claim for return of liquidated damages.
Director of Transportation
Date Date
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 263-2041 or TDD (916) 263-2044
ADA Notice or write Records and Forms Management, 1120 N Street, Sacramento, CA 95814.
You are hereby notified that materials required for use under Contract Number
for construction of
CONTRACT
MATERIAL TYPE NAME AND ADDRESS OF INSPECTION SITE
ITEM NO.
It is requested that you arrange for sampling, testing and inspection of materials prior to delivery in accordance with section 6 of the
Standard Specifications where the same is practicable and in accord with your policy. It is understood that source inspection does not
relieve me of the full responsibility for incorporating in the work, materials that comply in all respects with the contract plans and
specifications. nor does it preclude the subsequent rejection of materials found to be unsuitable.
Yours truly,
GREEN - DISTRICT
BUSINESS PHONE EXTENSION
( ) -
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 263-2041 or TDD (916) 263-2044 or write
ADA Notice Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
COMPLETION DATE (Expected) DATE PROBLEM DETECTED CURRENT DATE JOB SUSPENDED AC (Tonnes Produced To AC (Tonnes
Date) Remaining)
YES NO
PROBLEM STATEMENT
MIX PROPERTIES
TYPE MIX TYPE GRADING MAX GRADING ADDITIVES AGGREGATE TYPE ASPHALT GRADE
(mm)
A DENSE 38 LIME A or AR-1000 PBA-1
B GAP 19 LIQUID ANTI-STRIP B AR-2000 PBA-1a
RECYCLED OPEN GRADED 12.5 CEMENT AR-4000 PBA-2
OTHER ABSORPTIVE or
COARSE 9.5 AR-8000 PBA-3
NON-ABSORPTIVE
MEDIUM AR-16000 PBA-4
PBA-5
OTHER
PBA-6a
PBA-6b
PBA-7
APPEARANCE PLANT TYPE BACKGROUND DATA - Attach Test Method 109 verification, mix design, plant and street test results
OK BATCH or ACTUAL ASPHALT CONTENT - Attach test results (including target asphalt content, source
and date; note lift and location)
SEGREGATED CONTINUOUS
RICH ACTUAL STABILITY OF STREET SAMPLES - Attach test results (note lift and location)
PORTABLE or
DRY TEST MAXIMUM DENSITY - Attach test results (note lift and location)
STATIONARY
TENDER
COLOR MIX SUPPLIER AND LOCATION(S) -
OTHER
MIX TEMP AT WINDOW (ºC) MIX TEMP AT BREAKDOWN DISTANCE, PAVER TO WINDOW LENGTH (Meter) AVERAGE ONE WAY
ROLLER (ºC) BREAKDOWN ROLLER HAUL TIME (hours)
UNDER 65 (METER) 0
65-89 UNDER 65 UNDER 15 0-30 UNDER 1/2
90-125 65-89 15-75 31-61 1/2-1
CEM3501
PAINT BINDER (tack coat) TACK SPREAD RATE MIX THICKNESS (Compacted) UNDERLYING CONDITIONS
(liters per metered square)
ASPHALT FIRST LIFT AC OK
0.45 SECOND LIFT
EMULSION PCC GRINDER PREPARED
0.68 THIRD LIFT
OTHER ATPB CRACK & SEAT
0.95
AB PRE LEVELED
1.13
OTHER CRACKED
OTHER
FABRIC
OTHER
MECHANICAL PROPERTIES
NUCLEAR DENSITY GAGE
* A completed copy of this form should be filed in Category 35 of the Project Documents. A description of the form is included in the Construction
Manual.
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 263-2041 or TDD (916)
ADA Notice 263-2044 or write Records and Forms Managment, 1120 N Street, MS-89, Sacramento, CA 95814.
Sample Forms
MINIMUM FREQUENCY INDEX
37.
MATERIAL
TEST RESULTS
DATE TEST PRODUCTION QUANTITY
SAMPLE LOCATION REMARKS *
SAMPLED NUMBER REPRESENTED
A-1.65
* REFERENCE FAILING TEST CORRECTIVE ACTION
JOB STAMP
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
RELATIVE COMPACTION SUMMARY
A-1.66
CEM-3702 (REV. 10/92) INDEX
37.
MATERIAL
ELEVATION MOISTURE
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 263-2041 or TDD (916) 263-2044 or write Records and Forms Management, 1120 N CEM3702
ADA Notice Street, MS-89, Sacramento, CA 95814.
* REFERENCE FAILING TEST CORRECTIVE ACTION
Sample Forms
California Department of Transportation • Construction Manual •July 2004
JOB STAMP:
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
Page of
MATERIALS RELEASE SUMMARY
CEM-4101 (NEW 6/94)
Sample Forms
MATERIAL: CONTRACT ITEM NO.
SOURCE OF MATERIAL (SUPPLIER): DATE CEM-3101 SUBMITTED MR-0608 (FURNISHED) MR-0029 (SAMPLED)
A-1.67
ADA Notice 263-2044 or write Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
JOB STAMP
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
MATERIAL INSPECTED AND RELEASED ON JOB
CEM-4102 (New 7/95)
SUPPLIER
5. OTHER (EXPLAIN)
REMARKS:
CEM4102
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 263-2041 or TDD (916) 263-2044 or write
ADA Notice Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
3. Insulation
4. Shielding
5. Housekeeping
6. Fire protection
1. Access stairs
B. Aggregate/Cement
Sample Area 2. Access stairs, agg
4. Guardrails
5. Floor holes
6. Housekeeping, agg
4. Other conveyors
1. Stairs
D. Control Room
2. Landings
3. Guardrails
4. Fire protection
5. Emergency exit
6. First aid
7. Drinking water
8. Toilet facilities
2. Trucks
2. Wash pits
3. Yard pits
4. Electrical
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 263-2041 or TDD (916) 263-2044 or write
ADA Notice Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
WEATHER
SIGNATURE TITLE
CEM4501
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 263-2041 or TDD (916)
ADA Notice 263-2044 or write Records and Forms Management, 1120 N Street, Sacramento, CA 95814.
Signature Title
91-92184
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 263-2041 or TDD (916)
ADA Notice 263-2044 or write Records and Forms Management, 1120 N Street, Sacramento, CA 95814.
PROGRESS RECORD
STAKED: BY:
ITEM NUMBER
DATE ENGR. REMARKS
PLAN Q
ADJUST Q
ACTUAL Q
CUT
PIPE GROUND GRADE PAY
PARTY:
STAKED:
ROD
STATION ELEV. ELEV. DEPTH
FILL
STAKING PLAN
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 263-2041 or TDD (916) 263-2044 or write Records and
ADA Notice Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
CHK. BY DATE
CEM4801
TO
contractor
You are directed to make the following changes from the plans and specifications or do the following described work not included in
the plans and specifications for this contract. NOTE: This change order is not effective until approved by the engineer.
Description of work to be done, estimate of quantities and prices to be paid. (Segregate between additional work at contract price,
agreed price and force account.) Unless otherwise stated, rates for rental of equipment cover only such time as equipment is actually
used and no allowance will be made for idle time. The last percentage shown is the net accumulated increase or decrease from the
original quantity in the engineer's estimate.
SUBMITTED BY
SIGNATURE (PRINT NAME & TITLE) DATE
APPROVAL RECOMMENDED BY
SIGNATURE (PRINT NAME & TITLE) DATE
ENGINEER APPROVAL BY
SIGNATURE (PRINT NAME & TITLE) DATE
We the undersigned contractor, have given careful consideration to the change proposed and agree, if this proposal is approved, that
we will provide all equipment, furnish the materials, except as may otherwise be noted above, and perform all services necessary for
the work above specified, and will accept as full payment therefor the prices shown above. NOTE: If you, the contractor, do not
sign acceptance of this order, your attention is directed to the requirements of the specification as to proceeding with the
ordered work and filing a written protest within the time therein specified.
CONTRACTOR ACCEPTANCE BY
SIGNATURE (PRINT NAME & TITLE) DATE
TO
contractor
You are directed to make the following changes from the plans and specifications or do the following described work not included in
the plans and specifications for this contract. NOTE: This change order is not effective until approved by the engineer.
Description of work to be done, estimate of quantities and prices to be paid. (Segregate between additional work at contract price,
agreed price and force account.) Unless otherwise stated, rates for rental of equipment cover only such time as equipment is actually
used and no allowance will be made for idle time. The last percentage shown is the net accumulated increase or decrease from the
original quantity in the engineer's estimate.
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 263-2041 or TDD (916) 263-2044 or write
ADA Notice Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
Sample Forms
14 15
16
TIME
NET $ CHANGE APPROVAL - - -
. EXTENSION CATEGORY
THIS CCO + - 58 66 DATE 67 + - 74 77
DAYS
EW AC FA LS UP
+ -
.
+ - 18
. 26
EW AC FA LS UP
+ - 23
. 31
. + -
.
+ -
. + -
.
+ -
. + -
.
+ -
. + -
.
+ -
. + -
.
+ -
. + -
.
+ -
. 17 19 + - 21
. 32
17 19 + - 21 32
CARD TYPE FEDERAL PARTICIPATION FEDERAL SEGREGATION (IF MORE THAN ONE FUNDING SOURCE)
IF PARTICIPATING IN PART (S), BREAKDOWN COST AS FOLLOWS:
5
(INPUT TYPE AS P,M,N,R)
16
TYPE COST E = CCO to be funded as per contract F = CCO to be funded as follows:
17 28 29
P = PARTICIPATING
18 19
. 27
N = NON-PARTICIPATING
.
(OTHER THAN MAINTENANCE)
30 44 45
.
R = NON-PARTICIPATING
(REIMBURSEMENT BY OTHERS)
18 19
. 27 30 44 45
S = PARTICIPATING IN PART
IN CASE OF QUESTIONS CONTACT: NAME BUSINESS PHONE VERIFY
A-1.79
CEM-4901 REV 5/1993
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
CONTRACT CHANGE ORDER INPUT
CEM-4901 REV 5/1993 CT# 7541-3516-2
HEADING INSTRUCTIONS
CARD TYPE 1
Net Money Change This CCO Enter the amount of change. Enter zero if there is no net change. Indicate negative or
positive amount.
Approval Date Enter the month, day, year and the Approval Date. The change order will not be filed
until it has been approved.
Category Enter alpha-numeric code. Left justify if less than four characters.
CARD TYPE 2
Payment Method Mark one of the three Payment Method boxes, Force Account, Lump Sum or Unit price.
CARD TYPE 3
Item Number Quantity Enter the contract item number and the quantity change for each item shown on the
change order.
CARD TYPE 4
Bridge Work Enter the net amount of Bridge Work contained in this change order. Leave blank if zero.
CARD TYPE 5
Federal Participation Enter FHWA Funding Participation determination on every change order.
Federal Segregation If more than one funding source, mark if the CCO is to be funded as prescribed in
contract or show the percentage allotted to each Federal funding source.
DATE PERFORMED DATE OF REPORT CONTRACTOR. JOB CONTRACTOR. RPT. NO. E.W. A.C. BR * 50% SUB R/W PARTNERING LABOR WCI CLASS WCI RATE
Sample Forms
01 +- F LS UP F LS UP SW FLAG WORK DELAY SWITCH SUR
02 WORK PERFORMED BY
03 DESCRIPTION OF WORK
EQUIPMENT CHARGES
EQUIPMENT ID NUMBER EQUIPMENT DESCRIPTION REGULAR OVERTIME FOR RESIDENT ENGINEERS ONLY
CLASS MAKE CODE ATTACH HOURS HOURS
04
NEW BILL APPROVED FOR
PAYMENT
05
08
09
10
LABOR CHARGES
35
36
37
38
39
40
SIGNATURE OF RESIDENT ENGINEER IN CASE OF QUESTIONS CONTACT: (Resident Engineers Use Only)
A-1.81
FM 94 2020 M WHITE - DATA ENTRY CANARY - RESIDENT ENGINEER PINK - CONTRACTOR (After Approval) GOLDENROD - CONTRACTOR
EXTRA WORK BILL (SHORT FORM)
CEM-4902 REV 7/94 CT # 7541-3500-8
A-1.82
Preparing Form CEM 4902
This form is provided for entry of basic information related to extra work performed on a Contract Change Order. The majority of all Extra Work Bills will fit on this form. If more
entries are required for equipment, labor or material, you must use the four part forms. (CEM-4902A, CEM-4902B, CEM-4902C, CEM-4902D)
The top of this form includes fields that are used to record basic information required on all Extra Work Bills. Following is a list of these fields: All switch fields, Bridge,
flagging,
sub work, R/W Delay and Partnering are set by entering a "Y" in the appropriate box. To remove a switch from an existing bill, place an "N" in the appropriate box.
FIELD REMARKS
Contract Number Identifies the project. Must be a valid contract number that is on file in the Progress Pay System.
CCO Number Identifies the Contract Change Order.
Report Number This is assigned by the submitter (R.E.), in sequential order beginning with 0001 for each CCO.
Line 01:
Date Performed Enter the work performed date. "VAR" may be entered in this field if the pay method is lump-sum or unit-price and equipment.
Date of Report Enter the date the bill is prepared.
Contractor. Job No. This is used by the contractor to identify the extra work bill.
Contractor. Rpt. No. This is used by the contractor to identify the extra work bill.
Payment Method Required entry. Indicate + or -, and place an "X" in the appropriate box. A blank is considered a +.
BR SW Set to "Y" in if the CCO indicates work on structure items.
50% Flag Set to "Y" if the bill is for flagging. This will reduce the bill by 50%.
Sub Work Set to "Y" to add subcontractor markup.
R/W Delay Set to "Y" if bill is for right of way delay. No markup will be applied to the bill.
Partnering Switch Set to "Y" if bill is for partnering. No markup will be applied to the bill.
Labor Sur Enter the labor surcharge for the type of work normally performed by that contractor.
Line 02 and 03
Work Performed By Identify the party that is performing the work.
Description of Work Identify the location and description of the work.
Lines 24 -25 Materials and/or Work done by Specialist or Lump or Unit Price Payments
Vendor Name Enter the vendor's name.
Invoice data Enter the invoice number, date, and description.
Invoice units & cost Enter the number of units and the unit cost or net pay.
Sample Forms
California Department of Transportation • Construction Manual • July 2004
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
CASEWB
EXTRA WORK BILL-TITLE PAGE
CEM-4902A NEW 7/94 CT# 7541-3496-7 CONTRACT NO. CCO NO. REPORT NO. PAGE
1 OF
E.W. A. C. * 50% SUB R/W PARTNERING
Sample Forms
FLAG WORK DELAY SWITCH
+/- FA LS UP FA LS UP BR
DATE PERFORMED DATE OF CON. JOB. NO. CONT. RPT. NO
01
WORK PERFORMED BY
02
DESCRIPTION OF WORK
03
Total Materials (B) Subtotal (C) + (D) + Regular Surcharge + Premium Surcharge + (E) + (F)
Total Equipment & Materials (A) + (B) + Standard Mark-up Total Equipment & Materials
A-1.83
WHITE - Data Entry CANARY - Resident Engineer PINK - Contractor (After Approval) GOLDENROD - Contractor CEM4902A
EXTRA WORK BILL-TITLE PAGE
CEM-4902A NEW 7/94 CT# 7541-3496-7
A-1.84
Preparing Form CEM 4902A
Form CEM 4902A is provided for entry of basic information related to extra work performed on a Contract Change Order. It is the first of four input forms
used to file the Extra Work Bill and are required for each billing. Entries in the shaded areas will not become part of the electronic copy of the bill and are
for the user's information only.
The top of this form includes fields that are used to record basic information required on all Extra Work Bills. Following is a list of these fields: All switch
fields, Bridge, flagging, sub work, R/W Delay and Partnering are set by entering an "Y" in the appropriate box. To remove a switch from an existing bill,
place an "N" in the appropriate box.
FIELD REMARKS
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 263-2041 or TDD (916) 263-2044
ADA Notice or write Records and Forms Management, 1120 N Street, Sacramento, CA 95814.
Sample Forms
California Department of Transportation • Construction Manual • July 2004
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
EXTRA WORK BILL - LABOR CHARGES CASEWB
CEM-4902B NEW 7/94 CT# 7541-3497-9
CONTRACT NO. CCO NO. REPORT NO. LABOR SURCHARGE WCI CLASS WCI RATE PAGE
. 1 of
Sample Forms
NAME REGULAR HOURS PREMIUM HOURS SUBSISTENCE
CRAFT ID INT LAST HRS RATE HRS RATE UNITS RATE TOTAL
34 . . . . . .
35
. . . . . .
36 . . . . . .
37 . . . . . .
38
. . . . . .
39 . . . . . .
40 . . . . . .
41 . . . . . .
42 . . . . . .
43 . . . . . .
44 .
. . . . .
45 . . . . .
.
46 . . . . . .
47
DESCRIPTION AMOUNT
54
.
TRAVEL EXPENSE EXTENDED TOTAL (F)
UNITS RATE
A-1.85
WHITE - Data Entry CANARY - Resident Engineer PINK - Contractor (After Approval) GOLDENROD - Contractor
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
EXTRA WORK BILL - LABOR CHARGES
A-1.86
ADA Notice
CEM-4902B NEW 7/94 CT# 7541-3497-9 For individuals with sensory disabilities, this document is available in alternate
formats. For information call (916) 263-2041 or TDD (916) 263-2044 or write
Records and Forms Managment, 1120 N Street, MS-89, Sacramento, CA 95814.
Form CEM 4902B is provided for entry of the contractor labor costs used to perform work on a contract change order. Information in the shaded area will
not become part of the electronic copy of the bill. The top of this form includes fields that are used to record or calculate labor surcharges. Following is a
list of these fields:
FIELD REMARKS
Sample Forms
California Department of Transportation • Construction Manual • July 2004
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
EXTRA WORK BILL - EQUIPMENT CHARGES CASEWB
CEM-4902C NEW 7/94 CT# 7541-3498-1
CONTRACT NO. CCO NO. REPORT NO. PAGE
of
Sample Forms
EQUIPMENT DESCRIPTION REGULAR OVERTIME REG OT EXTENDED
EQUIP ID NUMBER CLASS MAKE CODE ATTACH HOURS HOURS RATE RATE AMOUNT
04
05
06
07
08
09
10
11
12
13
14
16
17
18
19
20
21
22
23
SIGNATURE OF RESIDENT ENGINEER IN CASE OF QUESTION CONTACT: TOTAL
(RESIDENT ENGINEERS USE ONLY) (A)
SIGNATURE OF PRIME CONTRACTORS REPRESENTATIVE NAME BUSINESS PHONE
A-1.87
WHITE - DATA ENTRY CANARY - RESIDENT ENGINEER PINK - CONTRACTOR (AFTER APPROVAL) GOLDENROD - CONTRACTOR CEM4902C
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
EXTRA WORK BILL - EQUIPMENT CHARGES
A-1.88
CEM-4902C NEW 7/94 CT# 7541-3498-1
Form CEM-4902C is provided for entry of the contractor equipment costs used to perform work on a contract change order. Information in
the shaded area will not become part of the electronic copy of the bill. Following is a list of these fields:
FIELD REMARKS
Contract No. Required entry, same as on the Title Page
CCO No. Required entry, same as on the Title Page
Report No. Required entry, same as on the Title Page
Equipment ID Required entry. Enter the equipment's I.D. number.
Equipment Description Each piece of equipment is identified by code. This code is either in the Equipment Rental Rate Book or is
included in the Miscellaneous Equipment Listing.
Equipment Class Required entry. In the Equipment Rental Rate book, this code is included in the heading for the class of
equipment and is set off by brackets [ ].
Equipment Make Required entry. In the Equipment Rental Rate book, this code is included in the subheading adjacent to the
Manufacturer's name and is set off by brackets [ ].
Equipment Code Required entry. In the Equipment Rental Rate book, this code is included in the line of the equipment being
identified under the subheading "CODE".
Attach Optional entry. In the equipment Rental Rate Book, the attachment codes are in the class "ATTACHMENTS"
and are identified under the subheading "CODE."
Regular Hours Enter the number of Regular hours worked.
Premium Hours Enter the number of Premium hours worked.
NOTE: If the equipment was on R/W delay, place a "Y" in the R/W Delay box on the Title Page Form.
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 263-2041 or TDD (916)
ADA Notice 263-2044 or write Records and Forms Management, 1120 N Street, Sacramento, CA 95814.
Sample Forms
California Department of Transportation • Construction Manual • July 2004
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
EXTRA WORK BILL - MATERIAL CHARGES CASEWB
CEM-4902D NEW 7/94 Front CT# 7541-3499-3
MATERIAL and/or WORK done by CONTRACT NO. CCO NO. REPORT NO. PAGE
specialist 1 of
VENDOR NAME INVOICE NUMBER MO DAY YR
Sample Forms
24 INVOICE DESCRIPTION UNITS UNIT COST OR NET PAY EXTENDED TOTAL
25
INVOICE DESCRIPTION UNITS UNIT COST OR NET PAY EXTENDED TOTAL
A-1.89
WHITE - DATA ENTRY CANARY - RESIDENT ENGINEER PINK - CONTRACTOR (AFTER APPROVAL) GOLDENROD - CONTRACTOR
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
EXTRA WORK BILL - MATERIAL CHARGES
CEM-4902D NEW 7/94 Back CT# 7541-3499-3
A-1.90
Preparing Form CEM-4902D
Form CEM 4902D is provided for entry of the contractor material and/or work done by specialist or LUMP SUM or UNIT PRICE
PAYMENTS. It is not practical to use the Extra Work Bill to compute invoices, due to tax and discount; the net amount of the invoice
should be entered as a unit. Information in the shaded area will not become part of the electronic copy of the bill. Following is a list of
these fields:
FIELD REMARKS
Contract No. Required entry, same as on the Title Page
CCO Number Required entry, same as on the Title Page
Report No. Required entry, same as on the Title Page
Vendor Name Optional entry.
Invoice Number Optional entry.
Invoice Date Optional entry. "VAR" is an acceptable invoice date entry.
Invoice Description Optional entry.
Units Required entry. Both lump-sum and unit-price entries require a unit to be input.
Unit Cost or Net Pay
NOTE: The Material entry will not be processed unless there is a value in both the Unit and the Unit Cost fields.
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 263-2041 or TDD (916)
ADA Notice 263-2044 or write Records and Forms Management, 1120 N Street, Sacramento, CA 95814.
Sample Forms
California Department of Transportation • Construction Manual • July 2004
Page 1 of
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
CONTRACT CHANGE ORDER MEMORANDUM DATE
FROM CO-RTE-PM
FED NO.
CCO NO. SUPPLEMENT NO. CATEGORY CODE CONTINGENCY BALANCE (Including this change):
$
ITEMS
PROJECT ENGINEER FORCE ACCOUNT
AGREED PRICE
PROJECT MANAGER DATE ADJUSTMENT
TOTAL
FHWA REP. DATE FEDERAL PARTICIPATION
OTHER (SPECIFY) DATE FEDERAL SEGREGATION (If more than one funding source or P.I.P. type)
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 263-2041 or TDD (916)
ADA Notice 263-2044 or write Records and Forms Management, 1120 N Street, Sacramento, CA 95814.
ADA Notice
For individuals with sensory disabilities, this document is available in alternate
formats. For information call (916) 263-2041 or TDD (916) 263-2044 or write
Records and Forms Managment, 1120 N Street, MS-89, Sacramento, CA 95814.
In accordance with the provisions of Section 9-1.06 of the Standard Specifications, request is made for payment as "Materials on
Hand" for the following materials:
TYPE OF SUBSTANTIATING
ITEM
QUANTITY MATERIAL DESCRIPTION VALUE EVIDENCE OF PURCHASE WHERE STORED *
NUMBER ATTACHED
AFFIDAVIT:
The materials listed above have been purchased exclusively for use on the above-referenced project. The material is separated from
other like materials and is physically identified as our property for use on Contract . The State may enter upon the
premises for the purposes set forth in Section 6 of the Standard Specifications for inspection, checking or auditing, or for any other
purpose you consider necessary. It is expressly understood and agreed that this information and affidavit are furnished to the State for
the purpose of obtaining payment for the above materials before they are delivered to, or incorporated into, the project described above,
and that the storage thereof at the location shown is subject to, and under the control of, the State. A revised form showing the current
status of the value of materials for which payment is being requested will be submitted each estimate period.
SIGNATURE OF CONTRACTOR
* When stored at a location other than on the jobsite or at a fabricator's yard, a warehouse receipt for the materials issued in the name
of the State shall accompany the request for payment. In case the storage location (other than the jobsite or fabricator's yard) is the
Contractor's property, the area containing the material to be paid for shall be fenced and posted to indicate that the material within the
fenced area is under the control of the State.
INSTRUCTIONS TO CONTRACTOR:
Submit original and one copy to Resident Engineer not later than one week prior to the end of the estimate period. Attach evidence of
purchase (and warehouse receipt when required) to original.
INSTRUCTIONS TO RESIDENT ENGINEER:
Forward duplicate to Division of New Technology, Materials and Research.
Contract Number 4
1 3
CASOAE
1. ESTIMATE PARAMETERS:
A. Estimate Number
10
+
Time Extension Days (CCO) -
33 34
c)
46
2) Estimate Type:
a) Supplemental Progress Estimate
71
c) Semifinal Estimate
73
d) Final Estimate
74
2. DEDUCTIONS:
+
TYPE DESCRIPTION - AMOUNT *
, , .
10 13 33 34
, , .
10 13 33 34
, , .
10 13 33 34
* NOTE: USE MINUS SIGN TO TAKE A DEDUCTION; PLUS SIGN INDICATES RETURN OF A PREVIOUS DEDUCTION.
IN CASE OF QUESTION CONTACT:
NAME VERIFY
PHONE DATE
4
DISTRICT (XX) PROJECT STATUS
7
STATUS OF CONTRACT ITEMS
8
PROJECT RECORD ITEM SHEET
9
STATUS OF PROJECT CHANGE ORDERS
10
CCO MASTER LISTING
11
BRIDGE QUANTITIES BY STRUCTURE
12
DISTRICT (XX) STATUS OF ANTICIPATED CHANGES
13
PROJECT RECORD-ESTIMATE (DUMMY)
14
NAME VERIFY
PHONE DATE
PAGE OF
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 263-2041 or TDD (916)
ADA Notice 263-2044 or write Records and Forms Managment, 1120 N Street, MS-89, Sacramento, CA 95814.
A-1.96
CEM-6003 (REV 02/2001)
MISCELLANEOUS INPUT
C CARD RESIDENT ENGINEERS RESPON. DATE WORK EST. DATE FOR SUSPENSION OR S P BEGIN
PASSWORD
C TYPE PHONE NUMBER UNIT STARTED COMPLETION REACTIVATION DATE R E CONSTRUCTION DATE
C 0 5
C 0 6
C 0 7
C 0 8
C 0 9
ADA Notice
C 1 0 For individuals with sensory disabilities, this document is available in alternate
formats. For information call (916) 263-2041 or TDD (916) 263-2044 or write
NAME
C 1 2
CONTRACTORS
C 1 3 PHONE NUMBER
C 1 4
ADDRESS
C 1 5 , ,
* (INCLUDE MOBIL AMT.)
PHONE DATE
Sample Forms
California Department of Transportation • Construction Manual • July 2004
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION 4 PAGE NO.
1 3 9
CAS0A 15 17
CONTRACT TRANSACTIONS INPUT DIST CONTRACT NO. PASSWORD
CEM-6004 (Rev. 10/1983) CT#7541-3515-0
DATE CONTRACT ITEM ENTRIES ALL OTHER ENTRIES
LINE ENT
SOURCE DOCUMENT DESCRIPTION
Sample Forms
NO. MO. DAY ITEM + CCO + BY BY
QUANTITY (UNITS) AMOUNT($) TYPE
18 20 22 24 43 45 NO. 48 - 49 60 62
NO. 64 65 - 66 74
CODE
BRIDGE
01 , , ,
02 , , ,
03 , , ,
04 , , ,
05 , , ,
06 , , ,
07 , , ,
08 , , ,
09 , , ,
10 , , ,
11 , , ,
12 , , ,
13 , , ,
A-1.97
93 95682
PHONE
California Department of Transportation • Construction Manual • July 2004
A-1.98 Sample Forms
FOR STATE USE ONLY
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
NOTICE OF POTENTIAL CLAIM Received by Date
CEM-6201 (REV 3/2001) (For resident engineer)
(resident engineer)
This is a Notice of Potential Claim for additional compensation under the provisions of Section 9-1.04 of the Standard Specifications.
The act of the engineer, or his/her failure to act, or the event, thing, occurrence, or other cause giving rise to the potential claim
occurred on
DATE
The particular circumstances of this potential claim are described in detail as follows:
The reasons for which I believe additional compensation may be due are:
The nature of the costs involved and the amount of the potential claim are described as follows:
(If accurate cost figures are not available, provide an estimate, or describe the types of expenses involved.)
The undersigned originator (Contractor or Subcontractor as appropriate) certifies that the above statements are made in full
cognizance of the California False Claims Act, Government Code sections 12650-12655. The undersigned further understands and
agrees that this potential claim to be further considered unless resolved, must be restated as a claim in response to the states
proposed final estimate in accordance with Section 9-1.07B of the Standard Specifications.
SUBCONTRACTOR or CONTRACTOR
(Circle one)
(Authorized Representative)
For subcontractor notice of potential claim
This notice of potential claim is acknowledged and forwarded
PRIME CONTRACTOR
(Authorized Representative)
ADA Notice For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 263-2041 or TDD
(916) 263-2044 or write Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814. CEM6201
(resident engineer)
This is an Initial Notice of Potential Claim for additional compensation submitted as required under the provisions of Section 9-1.04, "Notice
of Potential Claim," of the Standard Specifications. The act of the engineer, or his/her failure to act, or the event, thing, occurrence, or other
cause giving rise to the potential claim occurred on:
DATE:
The particular nature and circumstances of this potential claim are described as follows:
The undersigned originator (Contractor or Subcontractor as appropriate) certifies that the above statements and attached documents are
made in full cognizance of the California False Claims Act, Government Code sections 12650-12655. The undersigned further understands
and agrees that this potential claim to be further considered, unless resolved, must fully conform to the requirements in Section 9-1.04 of the
Standard Specifications and must be restated as a claim in the Contractors written statement of claims in conformance with Section 9-1.07B
of the Standard Specifications.
SUBCONTRACTOR or CONTRACTOR
(Circle One)
(Authorized Representative)
PRIME CONTRACTOR
(Authorized Representative)
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 654-6410 or TDD (916) 654-3880 or
ADA Notice write Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
(resident engineer)
This is a Supplemental Notice of Potential Claim for additional compensation submitted as required under the provisions of Section 9-1.04,
"Notice of Potential Claim," of the Standard Specifications. The act of the engineer, or his/her failure to act, or the event, thing, occurrence,
or other cause giving rise to the potential claim occurred on:
DATE:
The particular nature and circumstances of this potential claim are described in detail as follows:
SUBCONTRACTOR or CONTRACTOR
(Circle One)
(Authorized Representative)
PRIME CONTRACTOR
(Authorized Representative)
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 654-6410 or TDD (916) 654-3880 or
ADA Notice write Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
(resident engineer)
This is the Full and Final Documentation of Potential Claim for additional compensation submitted as required under the provisions of
Section 9-1.04, "Notice of Potential Claim," of the Standard Specifications. The act of the engineer, or his/her failure to act, or the event,
thing, occurrence, or other cause giving rise to the potential claim occurred on:
DATE:
The complete and factual narration of events which fully describe the nature and circumstances that caused the dispute or disagreement and potential
claim are attached hereto.
The undersigned originator (Contractor or Subcontractor as appropriate) certifies that the above statements and attached documentation are
made in full cognizance of the California False Claims Act, Government Code sections 12650-12655. The undersigned further understands
and agrees that this potential claim to be further considered, unless resolved, must fully conform to the requirements in Section 9-1.04 of the
Standard Specifications and must be restated as a claim in the Contractors written statement of claims in conformance with Section 9-1.07B
of the Standard Specifications.
SUBCONTRACTOR or CONTRACTOR
(Circle One)
(Authorized Representative)
PRIME CONTRACTOR
(Authorized Representative)
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 654-6410 or TDD (916) 654-3880 or
ADA Notice write Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
Instructions for use - Complete this form after the initial DRB meeting has been held. Fax the completed form to the
Division of Construction (headquarters) DRB coordinator.
CURRENT DATE
WORK DESCRIPTION
CONTRACTOR
DRB MEMBERS
NAME NOMINATED NOMINATION APPROVED BY APPROVAL DATE
Department Contractor
Contractor Department
*DRB chairman nomination requires the Division of Construction (headquarters) construction coordinator approval. Enter both the
contractor's
COMMENTS
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 653-3657 or TDD (916)
ADA Notice 654-3880 or write Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
Instructions for use - Complete this form yearly beginning on the anniversary of the first contract working day. Fax the
completed form to the Division of Construction (headquarters) DRB coordinator.
CURRENT DATE
CONTRACT NUMBER
COMMENTS
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 653-3657 or TDD (916)
ADA Notice 654-3880 or write Records and Forms Management, 1120 N Street, MS - 89, Sacramento, CA 95814.
Instructions for use - Complete this form when the Department's response to the DRB recommendation is sent and the
contractor's response has been received or has been accepted by default. Fax the completed form, the DRB
recommendation, and the Department's response to the Division of Construction (headquarters) DRB coordinator.
CURRENT DATE
CONTRACT NUMBER
RESIDENT ENGINEER PHONE
ISSUE INFORMATION:
BRIEF DESCRIPTION OF ISSUE:
RESOLUTION INFORMATION:
HAS THE DISPUTE ISSUE BEEN RESOLVED IN ITS ENTIRETY (Y/N)
(If yes, provide the details in the "comments" section below. Include quantification of the dispute resolution in time and dollars and identify the
corresponding CCO.)
COMMENTS:
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 653-3657 or TDD (916)
ADA Notice 654-3880 or write Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
Sample Forms
Instructions for use - Complete this form within 30 days after receipt of contractor's exceptions to the proposed final estimate. Fax the completed form to the Division
of Construction (headquarters) DRB coordinator.
CURRENT DATE
CONTRACT NUMBER
DRB MEETINGS:
MEETING TYPE DID DRB
ISSUE IDENTIFICATION
(INITIAL, STATUS, TOUR SITE?
(if applicable)
OR ISSUE) (Y/N) DATE
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 653-3657 or TDD (916)
ADA Notice 654-3880 or write Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
A-1.113
DISPUTE REVIEW BOARD (DRB) COMPLETION REPORT
A-1.114
CEM-6205 (NEW - 02/2002)
OTHER COMMENTS:
Sample Forms
California Department of Transportation • Construction Manual • July 2004
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
CONTRACT ACCEPTANCE
CEM 6301 (Rev. 1/2001)
Centerline Kilometers
New Construction Lane Kilometers
Structures
Lane Kilometers
Reconstruction
Structures
New HOV Lane Kilometers
Operations Lane Kilometers
Rehabilitation Lane Kilometers
Preservation Lane Kilometers
Roadside: New Highway Planting Hectares
Soundwall Linear Kilometers
CONTRACT ACCEPTANCE IS RECOMMENDED - in accordance with Section 7-1.17, "Acceptance of Contract," of the
Standard Specifications.
New Construction:
New transportation facility that did not previously exist in the corridor or as the
addition of an interchange. Lane kilometers include High Occupancy Vehicles (HOV)
lanes.
Reconstruction:
• Addition of a mainline through lane, including HOV lanes
• Significant changes in horizontal and vertical alignment
• Reconstruction of an interchange by adding, moving or relocating ramps
• Replacement of an entire bridge or major portions of an existing bridge on a new
vertical or horizontal alignment
• Seismic Retrofit
Operations:
Preservation:
Major maintenance and other pavement life extension work (Thin blanket AC
overlays 25mm or less, chip seals, slurry seals, etc.)
Landscaping
Soundwalls:
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 263-2041 or TDD (916)
ADA Notice 263-2044 or write Records and Forms Managment, 1120 N Street, MS-89, Sacramento, CA 95814.
PROPOSED CHANGE
DEPTH DEPTH
LOCATION OF SOURCE LOCATION OF SOURCE
COVER ADDITIONAL INFORMATION WITH LETTER COVER ADDITIONAL INFORMATION WITH LETTER
DATE SAMPLED DATE SAMPLED
BY TITLE BY TITLE
DIST, CO, RTE, PM DIST, CO, RTE, PM
LIMITS LIMITS
ADDRESS ADDRESS
CONTRACTOR CONTRACTOR
REMARKS REMARKS
024070
Note: THIS IS A RECORD OF JOB CEMENT SAMPLES SHIPPED
TO THE LABORATORY BY THE RESIDENT ENGINEER.
DISTRICT COUNTY ROUTE P.M.
CONTRACTOR
ADDRESS
I II III IV V 1P N F C
BRAND
Mineral admixture Cement
TYPE WORK
MILL OR SOURCE
Certificate
of
READY-MIX MANUFACTURER
Compliance
Received
From CONCRETE PRODUCTS MANUFACTURER
(name)
CERTIFICATE OF COMPLIANCE NUMBERS
REMARKS
Purpose of Report:
ADA Notice For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 263-2041 or TDD (916)
263-2044 or write Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA. 95814
A-1.122
LA-17 (REV 04/2001)
A B C D
CHEMICAL MIXTURE
AND PERCENT
ACTIVE MATERIAL
WATER RATE
APPLICATION PER
SQUARE FOOT OR ACRE
CHECK PROPER BOX PLANTING SPRAYED PEST KILLED DESCRIPTION OF AREA (STA., LOOP, ETC.)
CHEMICAL
USED
A B C D
DAY
WINDY
CALM
A.M.
P.M.
CLOUDY
SUNNY
TREES
SHRUBS
IVY
ICE PLANT
GRASS
BROADLEAF
STOLONS
DISEASE
GROUNDCOVER
SCALE, MOTH, ETC.
MON
TUE
WED
THU
FRI
SAT
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 263-2041 or TDD (916) 263-2044 or write Records and Forms Management, 1120 N Street, MS-89,
ADA Notice Sacramento, CA 95814.
Sample Forms
California Department of Transportation • Construction Manual • July 2004
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
NOTICE OF CHANGE IN CLEARANCE OR BRIDGE WEIGHT RATING
TR-0019 (NEW 6/2000)
PLEASE FAX THIS FORM TO: NORTH REGION CONST/MAINT LIAISON (916) 322-4081
SOUTH REGION CONST/MAINT LIAISON (909) 383-4296
BRIDGE NAME BRIDGE NUMBER DATE
TYPE OF CHANGE (SELECT ONE) TENTATIVE START DATE TENTATIVE END DATE
PERMANENT TEMPORARY (SEE NOTE 1)
BRIDGE WEIGHT RATING CHANGE (SELECT ONE) EXISTING BRIDGE WEIGHT RATING NEW BRIDGE WEIGHT RATING
YES NO
CLEARANCE DIAGRAM
BRIDGE NAME
COLUMN
NOTE 2 SHOULDER TRAVELED WAY SHOULDER SHOULDER TRAVELED WAY SHOULDER NOTE 2
EP ETW ETW EP EP ETW ETW EP
NOT TO SCALE
BOUND BOUND
LOOKING AHEAD ON
(ROUTE)
NOTES:
1) FOR TEMPORARY VERTICAL CLEARANCE CHANGES, DIMENSIONS ARE TO BOTTOM OF FALSEWORK
2) INCLUDE DISTANCE TO ANY OBSTRUCTION (i.e. -GUARDRAIL, COLUMNS, K-RAIL)
PLEASE FAX THIS FORM TO: NORTH REGION CONST/MAINT LIAISON (916) 322-4081
SOUTH REGION CONST/MAINT LIAISON (909) 383-4296
SIGN NAME SIGN NUMBER DATE
CLEARANCE DIAGRAM
OVERHEAD SIGN
NOT TO SCALE
LOOKING ON
(DIRECTION) (ROUTE)
MAINLINE RAMP
PLEASE FAX THIS FORM TO: NORTH REGION CONST/MAINT LIAISON (916) 322-4081
SOUTH REGION CONST/MAINT LIAISON (909) 383-4296
BRIDGE NAME BRIDGE NUMBER DATE
TYPE OF CHANGE (SELECT ONE) TENTATIVE START DATE TENTATIVE END DATE
PERMANENT TEMPORARY (SEE NOTE 1)
BRIDGE WEIGHT RATING CHANGE (SELECT ONE) EXISTING BRIDGE WEIGHT RATING NEW BRIDGE WEIGHT RATING
YES NO
CLEARANCE DIAGRAM
BRIDGE NAME
NOT TO SCALE
MAINLINE RAMP
LOOKING ON
(DIRECTION) (ROUTE)
NOTES:
1) FOR TEMPORARY VERTICAL CLEARANCE CHANGES, DIMENSIONS ARE TO BOTTOM OF FALSEWORK
2) INCLUDE DISTANCE TO ANY OBSTRUCTION (i.e. -GUARDRAIL, COLUMNS, K-RAIL)
3) FOR DIVIDED HIGHWAYS, USE FORM NUMBER TR-0019
FOR LIAISON USE ONLY:
DATE RECEIVED BY LIAISON DATE OF RCD/TRD CHANGE LIAISON SIGNATURE
B
Backflow preventers, irrigation systems ...................................................................... 4-20.15
Bars, raised (precast) ..................................................................................................... 6-1.27
Barbed wire ............................................................................................... 4-80.1, 6-1.25, 6-2.8
Barricades ...................................................................................................................... 4-12.2
Barriers ........................................................................................................................... 4-83.1
Barriers, railings and ...................................................................................................... 4-83.1
Basement soil ................................................................................................................. 6-1.23
Bases
aggregate ..................................................................................................................... 4-26.1
asphalt treated permeable ................................................................................ 4-29.2, 6-1.21
cement treated ................................................................................................. 4-27.1, 6-1.20
cement treated permeable ................................................................................ 4-29.2, 6-1.21
lean concrete ................................................................................................... 4-28.1, 6-1.18
Bearing devices, structures ............................................................................................. 4-51.3
Beginning of work ............................................................................................................ 3-8.8
Bid openings .................................................................................................................... 3-2.1
Bids .................................................................................................................................. 3-2.1
Bitumen ratio ................................................................................................................... 4-37.6
Bituminous adhesive, pavement markers ........................................................................ 4-85.1
Bituminous seals ................................................................................................. 4-37.1, 6-1.24
Blasting ........................................................................................................................... 4-19.2
Board of Review ..............................................................................................................5-4.15
Board of Review Report ..................................................................................................5-4.29
Bolted connections ......................................................................................................... 4-56.2
Borrow
excavation ................................................................................................................. 4-19.13
imported ...................................................................................................................... 4-19.9
Brick ...................................................................................................................... 6-1.26, 6-2.8
Bridge removal ................................................................................................................ 4-15.2
Bridge deck finishing ...................................................................................................... 4-42.2
Bridge railing ................................................................................................................... 4-83.1
Budgeting ........................................................................................................................ 1-3.3
Buy America requirements ............................................................................................... 3-6.2
C
C
Cable railing ....................................................................................................................4-83.4
Calibration program for equipment .................................................................................. 6-3.1
California test methods .................................................................................................... 6-3.3
California test number:
109 ................................................................................................................... 6-3.6, 3-9.3
110 ............................................................................................................................ 6-3.3
115 ............................................................................................................................ 6-3.2
121 ............................................................................................................................ 6-3.6
202 ............................................................................................................................ 6-3.2
223 ......................................................................................................................... 4-90.10
226 ........................................................................................................................... 4-20.3
231 ............................................................................................................................ 6-3.6
312 ................................................................................................................. 6-3.3, 6-1.20
338 ...................................................................................................... 4-27.2, 6-3.3, 6-1.20
339 ........................................................................................................................... 4-37.3
375 ........................................................................................................................... 6-1.17
504 ............................................................................................................... 6-3.2, 4-90.13
518 ................................................................................................................. 6-3.4, 4-72.3
523 ...........................................................................................................................4-40.4
526 ...................................................................................................... 6-3.3, 4-42.2, 4-40.8
California test number: (continued)
529 ........................................................................................................................ 4-90.14
533 ........................................................................................................................... 6-3.4
540 ........................................................................................................................... 6-3.4
541 .......................................................................................................................... 4-41.2
Carpobrotus cuttings ..................................................................................................... 4-20.8
Cash expenditure voucher .............................................................................................. 1-5.2
Cast-in-place
concrete pipe ............................................................................................................. 4-63.1
concrete ..................................................................................................................... 4-50.1
Cement mortar ................................................................................................................ 4-65.2
Cement treated
permeable base .......................................................................................................... 4-29.2
permeable material ..........................................................................................4-68.2, 4-29.1
Cement treated bases ..................................................................................................... 4-27.1
Certification of environmental compliance ..................................................................... 7-1.22
Certification of samplers and testers ............................................................................... 6-1.3
Chain link fence .............................................................................................................. 4-80.1
Chain link railing ............................................................................................................ 4-83.4
Changeable message signs, portable ............................................................................. 4-12.3
Channelizers ................................................................................................................... 4-12.2
Character of workers ....................................................................................................... 3-5.6
Claims .............................................................................................................................. 5-4.3
payments ..................................................................................................................... 5-4.20
resolution process ....................................................................................................... 5-4.13
Cleaning up, final ............................................................................................................ 3-4.1
Clearing and grubbing ................................................................................................... 4-16.1
Coating tests ................................................................................................................... 6-1.2
Compliance, Certificates of ............................................................................................. 3-6.2
Compressive strength samples & tests ........................................................................... 6-3.4
Concrete
compressive strength ................................................................................................. 6-3.4
curbs and sidewalks .................................................................................................. 4-73.1
pavement, portland cement ....................................................................................... 4-40.1
railing ......................................................................................................................... 4-83.4
removal ...................................................................................................................... 4-15.2
retaining walls ................................................................................................4-51.1, 6-1.11
structures .................................................................................................................. 4-51.1
Concrete barriers ............................................................................................................ 4-83.4
Concrete structures ........................................................................................................ 4-51.1
Cones, traffic .................................................................................................................. 4-12.3
Construction area signs ................................................................................................. 4-12.2
Construction area traffic control devices ....................................................................... 4-12.1
Contract acceptance ................................................................... See Acceptance of contract
Contract change order .................................................................................................... 5-3.1
Contract change order memorandum ............................................................................. 5-3.16
Control
of materials .................................................................................................................. 3-6.1
of work ........................................................................................................................ 3-5.1
Controlling operation ..................................................................................................... 3-8.10
Copeland Act ................................................................................................................. 8-1.20
Corrugated metal pipe .................................................................................................... 4-66.1
Cost reduction incentive ................................................................................................. 3-5.7
Critical path method ........................................................................................................3-8.10
CTB ................................................................................................................................. 4-27.1
Culverts, concrete ........................................................................................................... 4-62.1
Curb ramps (wheelchair ramps) ....................................................................................... 4-73.1
Curbs and sidewalks .......................................................................................................4-73.1
Curing compound ............................................................................................................ 6-2.9
D
D
Daily extra work ............................................................................................................... 5-1.25
Damage, responsibility for ............................................................................................... 3-7.4
Damages, liquidated ........................................................................................................3-8.26
Dampproofing ................................................................................................................. 4-54.1
Davis Bacon Act .............................................................................................................8-1.21
DBE ......................................................................................................................... 3-8.1, 8-3.1
Decreased quantities, increased and ............................................................................... 3-4.2
Defective materials ........................................................................................................... 3-6.2
Delays, right of way ........................................................................................................3-8.35
Delineation ....................................................................................................................... 2-2.9
Delineators, markers ........................................................................................................4-82.1
Details, shop ...................................................................................................................4-56.1
Detours ............................................................................................................................ 3-4.5
Differing site conditions .................................................................................................. 3-5.4
Disadvantaged business enterprise(s) (DBE) .................................................................. 8-3.1
Disposal of material outside the highway right-of-way ..................................................3-7.10
Disposal, Staging and Borrow Sites (DSB) ...................................................................... 7-1.2
Dispute Review Board (DRB) ........................................................................................... 5-4.8
Disputes ........................................................................................................................... 5-4.1
Drain hole ........................................................................................................................4-86.7
Drainage inlets ................................................................................................................ 4-51.1
Drainage pumping equipment ......................................................................................... 4-74.1
Drains
horizontal ..................................................................................................................... 4-68.1
overside ....................................................................................................................... 4-69.1
subsurface ...................................................................................................................4-68.1
Dry sieve analysis ............................................................................................................ 6-3.3
Dump truck rental ............................................................................................................3-9.11
Dust control ....................................................................................................................4-10.1
Dust palliative ................................................................................................................. 4-18.1
DVBE ............................................................................................................................... 8-3.1
E
E
Earthwork ........................................................................................................................4-19.1
slipouts and slides ......................................................................................................4-19.7
slope rounding ............................................................................................................ 4-19.8
slopes, embankment .................................................................................................. 4-19.12
local borrow .................................................................................................................4-19.9
Edge drains .....................................................................................................................4-68.1
Electrical ..........................................................................................................................4-86.1
Eliminated items ............................................................................................................... 3-4.3
Employee complaints ....................................................................................................... 8-2.2
Emulsions, asphaltic ...................................................................................................... 4-94.1
Engineering fabrics ........................................................................................................ 4-88.1
Entrained air ................................................................................................................. 4-90.11
Environmental Compliance Certification ........................................................................ 7-1.22
Environmental Quality Act .............................................................................................. 7-1.2
Epoxy ............................................................................................................................. 4-95.1
Equal employment opportunity ....................................................................................... 8-2.1
Erosion control .............................................................................................................. 4-20.1
Erosion control and highway planting ........................................................................... 4-20.1
Excavation ...................................................................................................................... 4-19.1
Execution of contract ...................................................................................................... 3-3.1
Execution of contract, award and .................................................................................... 3-3.1
F
Expansion joint armor ..................................................................................................... 4-51.3
F
Fabrication, out of state .................................................................................................. 3-6.3
Facilities, existing highway ............................................................................................ 4-15.1
Fair Labor Standards Act ................................................................................................ 3-7.1
False Information Act ..................................................................................................... 8-1.21
Falsework ............................................................................................................. 3-7.2, 4-51.1
lighting ....................................................................................................................... 4-86.9
Fences ............................................................................................................................ 4-80.1
Field
Inspection ................................................................................................................... 6-3.1
Laboratory ................................................................................................................... 6-3.1
Office ........................................................................................................................... 1-4.1
Testing Equipment ...................................................................................................... 6-3.1
Filter fabric ..................................................................................................................... 4-88.1
Final cleaning up ............................................................................................................. 3-4.1
Finishing bridge decks ................................................................................................... 4-42.2
Finishing roadway ......................................................................................................... 4-22.1
Flagging ......................................................................................................................... 4-12.1
Flashing arrow signs ...................................................................................................... 4-12.2
Flashing beacons, portable ............................................................................................ 4-12.2
Fog seal coat .................................................................................................................. 4-39.9
Force account payment .......................................................................................... 3-9.6, 5-3.1
Foreign materials ............................................................................................................. 3-6.2
Form
CEM-0101, Resident Engineer’s Report of Assignment .................................... 5-1.1, A-1.1
CEM-0501, Relief from Maintenance ................................................................. 5-1.2, A-1.2
CEM-0601, Construction Safety Report ............................................................ 5-1.2, A-1.3
CEM-0602, Project Safety Program Statement ................................................... 5-1.2, A-1.4
CEM-0603, Major Construction Incident Notification ....................................... 5-1.2, A-1.5
CEM-1101, Documents Bond of State Highway Oversight Projects ................. 5-1.2, A-1.7
CEM-1201, Subcontracting Request ................................................................. 5-1.2, A-1.9
Form (Continued)
CEM-2001, National Pollution Discharge Elimination System
Annual Certification .....................................................................................5-1.2, A-1.11
CEM-2002, Notification of Construction (NOC) .............................................. 5-1.2, A-1.13
CEM-2003, Notification of Completion of Construction (NCC) ....................... 5-1.3, A-1.17
CEM-2025, Solid Waste Disposal and Recycling Report ................................. 5-1.3, A-1.19
CEM-2101, COZEEP Daily Report ................................................................... 5-1.3, A-1.21
CEM-2102, COZEEP/MAZEEP Task Order ...................................................... 5-1.3, A-1.23
CEM-2103, COZEEP/MAZEEP Cancellation Form .......................................... 5-1.3, A-1.25
CEM-2401, Substitution Report for Disadvantaged Business
Enterprise/Disabled Veteran Business Enterprise ......................................... 5-1.3, A-1.27
CEM-2402(F), Final Report - Utilization of Disadvantaged Business
Enterprises (DBE), First-Tier Subcontractors
(Federally Funded Projects) .......................................................................... 5-1.3, A-1.29
CEM-2402(S), Final Report - Utilization of Disabled Veteran Business
Enterprises (DVBE) State Funded Projects ................................................... 5-1.4, A-1.31
CEM-2403(F), Disadvantaged Business Enterprises (DBE) Certification
Status Change .............................................................................................. 5-1.4, A-1.33
CEM-2404(F), Monthly DBE Trucking Verification .......................................... 5-1.4, A-1.35
CEM-2501, Fringe Benefit Statement ................................................................ 5-1.4, A-1.37
CEM-2502, Contractor/Subcontractor Payroll .................................................. 5-1.4, A-1.38
CEM-2503, Statement of Compliance ................................................................ 5-1.4, A-1.39
CEM-2504, Employee Interview: Labor Compliance/EEO ................................. 5-1.4, A-1.41
CEM-2504 (Spanish), Entrevista de Empleado: Labor Compliance/EEO ........... 5-1.4, A-1.43
CEM-2505, Owner - Operator Listing Statement of Compliance ....................... 5-1.5, A-1.45
CEM-2506, Labor Compliance – Wage Violation .............................................. 5-1.5, A-1.47
CEM-2507, Labor Violation: Case Summary ...................................................... 5-1.5, A-1.49
CEM-2508, Contractor’s Payroll Source Document Review ............................. 5-1.5, A-1.51
CEM-2509, Checklist – Source Document Review ........................................... 5-1.5, A-1.53
CEM-2601, Construction Progress Chart .......................................................... 5-1.5, A-1.55
CEM-2701, Weekly Statement of Working Days .............................................. 5-1.5, A-1.57
CEM-2702, Overrun in Contract Time ............................................................... 5-1.5, A-1.59
CEM-3101, Notice of Materials to be Used ...................................................... 5-1.5, A-1.61
CEM-3501, AC Production/Placement Checklist .............................................. 5-1.6, A-1.63
CEM-3701, Test Result Summary ...................................................................... 5-1.6, A-1.65
CEM-3702, Relative Compaction Summary ....................................................... 5-1.6, A-1.66
CEM-4101, Materials Release Summary ........................................................... 5-1.6, A-1.67
CEM-4102, Material Inspected and Released on Job ....................................... 5-1.6, A-1.68
CEM-4202, Material Plant Safety Checklist ...................................................... 5-1.6, A-1.61
CEM-4204, California Test 109 Sticker .......................................................................... 5-1.6
G
G
Geo-synthetics ............................................................................................................... 6-1.26
Glass beads .................................................................................................................... 4-84.1
Grading plane .................................................................................................................. 3-5.3
Grates, frames and miscellaneous metal ......................................................................... 4-75.1
Groove and grind pavement ........................................................................................... 4-42.1
Guard railing, metal beam ............................................................................................... 4-83.1
Guide posts ..................................................................................................................... 6-1.2
H
H
Handrailing ..................................................................................................................... 4-83.4
Highway facilities, existing ............................................................................................. 4-15.1
Highway planting ............................................................................................................ 4-20.1
Hook details ....................................................................................................................4-52.1
Horizontal drains ............................................................................................................. 4-68.1
Hydraulic jacks ................................................................................................................ 6-3.3
Hydroseeding ................................................................................................................. 4-20.2
I
I
Imported borrow ................................................................................................. 4-19.9, 6-1.23
Increased and decreased quantities ................................................................................. 3-4.2
Indemnification and insurance ......................................................................................... 3-7.8
Independent assurance sampling and testing ................................................................. 6-1.3
Items
eliminated ..................................................................................................................... 3-4.3
final pay ........................................................................................................................ 3-9.6
J
J
Jacking
corrugated steel pipe ...................................................................................................4-66.2
pavement .....................................................................................................................4-41.1
reinforced concrete pipe ..............................................................................................4-65.2
Job categories, alphabetical list of ..................................................................................5-1.32
Job categories, numerical list of ......................................................................................5-1.30
Joint filler expansion .......................................................................................................6-1.26
Joint sealing compounds ...................................................................................... 6-1.26, 6-2.6
L
L
Labor surcharge ............................................................................................................... 3-9.8
Labor Code ............................................................................................................. 8-1.1, 3-7.1
Labor compliance ............................................................................................................. 8-1.1
Laws to be observed ........................................................................................................ 3-7.1
Lean concrete base ......................................................................................................... 4-28.1
Legal relations and responsibility .................................................................................... 3-7.1
Licensing laws, contractor ............................................................................................... 3-7.1
Lime stabilization ............................................................................................................4-24.1
Lines and grades .............................................................................................................. 3-5.3
Liquid asphalts ..................................................................................................... 4-93.1, 6-1.4
Load limitations ................................................................................................................ 3-7.1
Local
Funding ........................................................................................................................ 9-1.1
Roads ........................................................................................................................... 3-4.5
Local borrow ...................................................................................................................4-19.9
Local material ................................................................................................................... 3-6.4
Log of test borings .......................................................................................................... 3-5.4
M
M
Maintenance and responsibility, relief from ....................................................................3-7.10
Maintenance Within Construction Limits ........................................................................ 3-7.6
Manholes ........................................................................................................................4-70.1
Manual on Uniform Traffic Control Devices ................................................ 2-2.1, 1-3.4, 4-12.1
Markers
and delineators ............................................................................................................4-82.1
object ...........................................................................................................................4-82.1
pavement .....................................................................................................................4-85.1
Median barriers ...............................................................................................................4-83.3
Mesh-reinforcing ............................................................................................................6-1.27
Metal beam guard railing ................................................................................................4-83.1
Metal railing ....................................................................................................................4-83.2
Mineral admixtures ........................................................................................................ 4-90.14
Minor B projects .............................................................................................................. 3-2.1
N
N
Negative Estimates ......................................................................................................... 3-9.24
Night work .............................................................................................................. 2-2.8, 7-1.8
Noise Control .................................................................................................................. 7-1.11
Non-highway facilities, utility ......................................................................................... 3-8.36
Notices, stop ................................................................................................................... 3-9.15
Nuclear Gauges ....................................................................................................... 1-4.2, 6-3.6
O
O
Object markers ................................................................................................................ 4-82.1
Obliterating roads and detours ....................................................................................... 4-15.1
Office Engineer, Office of ................................................................................................. 3-3.1
Operation, controlling ........................................................................................... 3-8.10, 5-0.5
Order of work .......................................................................................................... 3-5.2, 3-7.5
Overhead claims ..............................................................................................................5-4.21
Overhead costs, adjustment of .................................................................... 3-9.6, 5-3.6, 5-3.14
Overhead sign structures ................................................................................................ 4-56.2
Overside drains ............................................................................................................... 4-69.1
Oversight ......................................................................................................................... 9-2.1
Owner-operated equipment ........................................................................ 3-9.11, 5-5.6, 8-1.11
Owner-operators ............................................................................. 5-1.4, 8-1.10, 8-1.11, 8-1.14
P
P
Palliative, dust ................................................................................................................. 4-18.1
Partial payments ..............................................................................................................3-9.16
Pavement
asphalt concrete .......................................................................................................... 4-39.1
joints, longitudinal ...................................................................................................... 4-39.9
joints, transverse ......................................................................................................... 4-39.9
grind ............................................................................................................................ 4-42.1
groove ......................................................................................................................... 4-42.1
jacking ......................................................................................................................... 4-41.1
portland cement concrete ............................................................................................ 4-40.1
subsealing ................................................................................................................... 4-41.1
Pavement markers ........................................................................................................... 4-85.1
Pavement recesses .......................................................................................................... 4-85.2
Pavement reinforcing fabric ............................................................................................4-88.1
Payment
final ..............................................................................................................................3-9.24
force account ................................................................................................................ 3-9.6
measurement and .......................................................................................................... 3-9.1
offset ...........................................................................................................................3-9.24
Payroll records ................................................................................................................. 8-1.5
PCC pavement (see also portland cement concrete)
joints, contact ..............................................................................................................4-40.8
joints, weakened plane ................................................................................................4-40.7
slip-form ......................................................................................................................4-40.2
thickness deficiency .................................................................................................. 4-40.10
tie bars for ................................................................................................................... 4-40.3
water supply for ..........................................................................................................4-90.5
weakened plane joints .................................................................................................4-40.7
Penetration treatment ......................................................................................................6-1.24
Perforated pipe ................................................................................................................4-68.1
Permeable base
asphalt treated .............................................................................................................4-29.2
cement treated .............................................................................................................4-29.2
Permits ............................................................................................................................7-1.13
encroachment ............................................................................................................... 9-1.4
Pervious backfill material .............................................................................................. 4-19.11
Pesticides ........................................................................................................................4-20.6
Pigmented curing compound ..........................................................................................6-1.10
Piling ...............................................................................................................................4-49.1
Pipe
alternative pipe and pipe arch culverts ........................................................................4-62.1
cast-in-place concrete .................................................................................................4-63.1
corrugated metal ..........................................................................................................4-66.1
corrugated metal, aluminum .........................................................................................4-66.1
corrugated metal, steel ................................................................................................4-66.1
plastic ..........................................................................................................................4-64.1
reinforced concrete ......................................................................................................4-65.1
structural metal plate ...................................................................................................4-67.1
Plans
working drawings ......................................................................................................... 3-5.1
intent of ........................................................................................................................ 3-4.1
Plant establishment work .............................................................................................. 4-20.12
Plant pumping equipment ...............................................................................................4-74.1
Plant stakes, highway planting ..................................................................................... 4-20.10
Plants
highway planting and erosion control ........................................................................4-20.1
watering ..................................................................................................................... 4-20.11
Plastic pipe .......................................................................................................... 4-64.1, 4-20.1
Pollution control
air .................................................................................................................................. 7-1.6
storm water ................................................................................................................... 7-1.6
water ............................................................................................................................. 7-1.6
Polysulfide ...................................................................................................................... 6-1.26
Polyurethane ...................................................................................................................6-1.26
Portable
changeable message signs ..........................................................................................4-12.3
delineators ...................................................................................................................4-12.2
Portland cement concrete ................................................................................................4-90.1
admixtures ......................................................................................................... 4-90.3, 6-1.9
compressive strength ................................................................................................... 6-3.4
Portland cement concrete pavement ...............................................................................4-40.1
Potential claim, notice of ................................................................... 5-4.2, 5-4.6, 5-4.14, 5-4.22
Precast raised traffic bars ................................................................................................. 6-2.8
Preconstruction Conference ............................................................................................ 5-0.3
Preliminary tests .................................................................................................... 6-1.1, 5-1.19
Preparing planting areas .................................................................................................4-20.9
Preservation of property .................................................................................................. 3-7.8
Preservative treatment of lumber, timber and piling ........................................................4-58.1
Prestressing concrete ......................................................................................................4-50.1
Prevailing wage ............................................................................................................... 8-1.16
Priority tests ..................................................................................................................... 6-1.2
Procedure and protest ...................................................................................................... 3-4.2
Profile index ..................................................................................................................... 4-42.2
Profilograph ..................................................................................................................... 6-3.3
Progress
of work ........................................................................................................................3-8.26
prosecution .................................................................................................................. 3-8.1
schedule ...................................................................................................................... 3-8.10
Progress pay estimate project initiation of update ..................................... 3-8.9, 5-1.59, 5-1.69
Project certification .......................................................................................................... 6-1.5
Project records ................................................................................................................. 5-1.1
categories, alphabetical list of .....................................................................................5-1.32
categories, numerical list of .........................................................................................5-1.30
Property, preservation ...................................................................................................... 3-7.8
Proposal requirements and conditions ............................................................................ 3-2.1
Proposed final estimate ................................................................................................... 3-9.29
Prosecution and progress ................................................................................................ 3-8.1
Public access to project records .....................................................................................5-1.69
Public convenience .......................................................................................................... 3-7.3
Q
Q
Quality Assurance Program ........................................................................... 3-9.3, 6-1.3, 9-1.3
R
R
Railings (Type K), temporary .............................................................................. 4-12.2, 4-83.1
Railings and barriers .......................................................................................................4-83.1
Reinforced concrete pipe ................................................................................................4-65.1
Reinforcing bars ..............................................................................................................4-52.1
Reinforcing fabric ............................................................................................................4-88.1
Relative compaction ......................................................................................................... 6-3.6
Relief from maintenance and responsibility ....................................................................3-7.10
Remote control valves .................................................................................................. 4-20.15
Removal of rejected and unauthorized work .................................................................... 3-5.3
Removal, bridge ..............................................................................................................4-15.2
Rental
dump truck ..................................................................................................................3-9.11
equipment ..................................................................................................................... 3-9.9
Responsibility for damage ............................................................................................... 3-7.4
Retaining walls, concrete .................................................................................... 4-51.1, 6-1.11
Retroreflective pavement markers ...................................................................................4-85.1
Right-of-way delays ........................................................................................................3-8.35
Rights in land and improvements ....................................................................................3-7.12
Roadside signs ............................................................................................................... 4-56.1
Roadway excavation .......................................................................................................4-19.1
Rock slope protection .....................................................................................................4-72.1
Rock slope protection fabric ...........................................................................................4-88.1
Root protectors, highway planting ................................................................................. 4-20.5
Rubber ............................................................................................................................. 6-1.2
S
S
Safety and health provisions ........................................................................................... 2-1.1
Sample .............................................................................................................................. 6-1.1
Sampling & testing .......................................................................................................... 6-1.1
Scale sheets ..................................................................................................................... 3-9.4
Scales ............................................................................................................................... 6-3.2
Scales and balances ......................................................................................................... 6-3.2
Scope of work .................................................................................................................. 3-4.1
Screens and sieves .......................................................................................................... 6-3.2
T
T
Tapered notch wedge ........................................................................................... 4-39.1,4-39.9
Temporary railing (Type K) .............................................................................................4-12.2
Temporary suspension of work .......................................................................................3-8.10
Termination of contract ...................................................................................................3-8.38
Termination of control .....................................................................................................3-8.31
Test borings, log of .......................................................................................................... 3-5.4
Test/testing ...................................................................................................................... 6-3.1
Test cylinders ................................................................................................................... 6-3.4
Thermoplastic traffic stripes and pavement markings .....................................................4-84.1
Thrie beam barrier ...........................................................................................................4-83.2
Tile .................................................................................................................................. 6-2.8
Timber piles ..................................................................................................................... 3-8.29
Timber structures ............................................................................................................4-57.1
Time of completion ......................................................................................................... 3-8.11
Traffic cones ...................................................................................................................4-12.3
Traffic control devices, construction area ......................................................................4-12.1
Training ............................................................................................................................ 1-3.1
Treated permeable bases ................................................................................................4-29.1
Trenches .........................................................................................................................4-19.5
Truck rental, dump ..........................................................................................................3-9.11
U
U
Underdrains .................................................................................................................... 4-68.1
Unsuitable material
earthwork ..................................................................................................................... 4-19.6
removing ..................................................................................................................... 4-19.6
Use of materials found on the work ................................................................................. 3-4.6
Use of pesticides ............................................................................................................4-20.6
V
Utility and non-highway facilities ...................................................................................3-8.36
V
Vehicle Code .................................................................................................................... 3-7.1
Vehicle detectors .............................................................................................................4-86.9
W
W
Wage, prevailing .............................................................................................................8-1.16
Water ..............................................................................................................................4-17.1
Water pollution control .................................................................................................... 7-1.6
Water pollution control plan ...........................................................................................7-1.10