GDOT Pay Item Report 627-2 TRAFFIC CONTROL LUMP SUM by V45hC0

VIEWS: 4 PAGES: 2

									                                                         Division of Construction                                                         Report No.
  Georgia Department of Transportation                      Inspectors Report
                                                                                                                                          Page 1 of

Project No.                                                                                                       County

Contractor                 Subcontractor

Date(s) Work Accomplished                                                to

           Estimate                                                                          See Qty Book No.                               Page(s)
           Source Document                                                                   Attachment(s)

       L.I.N.                             ITEM NUMBER

    ITEM DESCRIPTION                                                       TRAFFIC CONTROL
                                                                     (TRAFFIC CONTROL LUMP SUM)

      Location and
       Description

                Traffic Control Item was                               0.00          %          Completed as of
                                                                                                                                          (DATE)

     Enter Previous Percent of Contract Earnings
Previous Contract Earnings is located on the CURRENT Construction
          Report 1ST PAGE at the TOP RIGHT CORNER.                                                          %

     As per contract specification ADD 25 PERCENT
                                                                                                            % (+)

Enter Previous Percent Complete for Traffic Control on
           the Current Construction Report                                                                  % (-)

                                               REPORT TOTAL                              0.000

           MC Checklist Item
Material Source

Test Certification

Remarks



Inspectors Signature                                                                                                              Title


Audited By                                                          Total To-Date                         0.000            Report Total          0.000

                                                               Constr. Rpt. No.                                                  Dated
    Date
                                                                                        Recorded for Payment By

   Auditor
 Comments


   D.O.T Form 627-2TC         REV: 11/1/2006                                        form created by dwm     NO ERASURES OR CORRECTION FLUID
                                                           Division of Construction                              Report No.
 Georgia Department of Transportation                         Inspectors Report
                                                             IPIR ATTACHMENT                                         Page

Project No.                                                                                        County

      L.I.N.                                 ITEM NUMBER


    ITEM DESCRIPTION                                                   TRAFFIC CONTROL
                                                                         (TRAFFIC CONTROL LUMP SUM)




  D.O.T Form 627-2TC        REV: 11/1/2006                                  form created by dwm   NO ERASURES OR CORRECTION FLUID

								
To top