CONSTRUCTION CONTRACT RECORD KEEPING REVIEW CHECKLIST

MURK 40 (06107) CONSTRUCTION CONTRACT RECORD KEEPING REVIEW CHECKLIST I Visit #: Date: Reviewer: JOB STAMP Supervisor: . EIC: OE: CONTRACT SUMMARY: Contractor Bulletin Board Inspeded? Field Office Bulletin Board Completed? List of CSMIN Equipment to Contrador for Insurance? rYes rYes rYes r r r No No No State/Personal Property Listing Given to Contractor? Emergency Phone Numbers Posted? r r Yes Yes I I No No Comments I Deficiencies: ENGINEER'S DAILY DIARY 'MURK 2): Pre-Numbered Pages Used? JobStamped? WeatherInformationCompleted? Signatures Completed? FirstEntryDate: r r No No No No Last Entry Date: Initial Entryonto ROW Recorded? CorrectContinuationProcedureUsed? ContractorWork HoursReported? Inspedor/OperationlDWR# Completed? CloseoutWavy Lineor Initials? First Dayof Work Noted? Discussions/Orders,Problems, Meetings Documented? rYes rYes rYes rYes rYes r I No rN/A No rYes rYes rYes rYes r r r r r r r r No No No No rYes rYes rYes EngineeringForceSign-InSheetCurrent? ContractorStartedWthin 10 Daysof Award Letter Date? If NO, Date Started: Official VISitOrs Logged? First Day of Sub's Noted? No No rYes rYes rYes r r No No rN/A rYes rYes r r No DisputedWork/LostTime Documented? Utility DelayLog Maintained? No r No IN/A Comments I Deficiencies: SCHEDULE CPM Schedule Required? Schedule Updates Received? I Yes I No rN/A Baseline Schedule Approved? I Yes I No rYes r No Comments I Deficiencies: Page 1 of6 12 - 5 Rev 01 - 08 MURK40 (06ID7) CONSTRUCTION CONTRACT RECORD KEEPING REVIEW CHECKLIST WORK ZONE TRAFFIC CONTROL Departmenfs WZTC Person Identified? Daytime WZTC Review Completed? rYes r No No M&PT Contains Detailed Information? Nighttime WZTC Review Completed? rYes rYes r r No No - Yes r Comments I Deficiencies: DAILY WORK REPORTS (MURK 1): From DWR # DWR Summary Job Stamped? Sheet Date: To DWR# Date: rYes rYes rYes rYes rYes rYes rYes rYes rYes rYes r No r No r No r No r No Prime and Sub Labor & Equipment Reported? Initial Confirmation of Approval for Sub? Subcontractor First Day Listed? All Sheets Signed/Initialed? EIC I RE Signature? r No r No r No r No r No Weather Information Completed? DatelDaylDWR "Sheet # Completed? Contractor's Work Hours Reported? Comments I Deficiencies: DESCRIPTION ItemsListed? OF WORK: rYes r No Location I Stations Identified? Approved Equipment Noted? Confirmation of Inspection? rYes rYes rYes rYes rYes r r r No No No SketchesI DrawingsUsed? Tests& MeasurementsReported? Pay CalculationsShown? UncompletedWork Noted? rYes rYes rYes rYes r No r No r No r No CorrectMethodfor CorrectionsUsed? Audit Trail for CorrectionsUsed? r No r No Comments Deficiencies: I PAY QUANTITIES: Quantity Check Box Checked? Computer Entry Initialed? FS I ES Reported? rYes rYes rYes r No r No r No Computer Entries Verification Initialed? Correct Use of Progress Payments? Payment Box Closed Out if No Payments? rYes rYes rYes r No r No r No Comments I Deficiencies: Page 2 of 6 12 - 6 Rev 01 - 08 MURK40 (06107) CONSTRUCTION CONTRACT RECORD KEEPING REVIEW CHECKLIST HOT MIX ASPHALT (MURK 4): ALL THE ABOVE PLUS SPECIFIC INFORMATION AS REQUIRED ON PRE-PRINTED FORMS MURK Used? 4 No.of TICkets oxCompleted? B Tickets Initialed byInspector? Waste I Rejected Documented? rYes rYes rYes r r r No No No No r N/A Mix I Type Code BoxCompleted? rYes r No Asphalt emperature Delivery ickets? T on T YieldChecks Performed? OAF Properly Calculated and Reported in CEES? rYes r No rYes r No rYes r No r Yes r r Test trips S Properly Recorded andPaid? Comments I Deficiencies: rYes No CONCRETE PAVEMENT (MURK 3) AND STRUCTURAL CONCRETE (MURK 5): Correct URK M Form Used? Material sage U BoxCompleted? No.ofTickets BoxCompleted? rYes rYes rYes r r r No r No No N/A Truck Mixing I Information eported? R Concrete SpecifICation Information Completed? Concrete Cylindernfo? I rYes rYes rYes r No r No r No Comments I Deficiencies: MATERIAL ACCEPTANCE RECORD: "Not Needing Certification" listing Correct? Item # and Quantity Accepted on Acceptance Document? rYes rYes r r No No ItemI MaterialReceivedI Quantityon DVIIR?rYes r No Comments I Deficiencies: LABOR AND EMPLOYMENT: Subcontractor Approvals Wage Rate Interviews (Prime) Wage Rate Interviews (Subs) Wage Interviews Filed Together CEES Report 28Completed?Yes # r rYes rYes rYes r No If YES, Attach to Report Labor Classifications: r r r No No No Number Performed - NumberPerformed LaborClassifications: Comments I Deficiencies: Page3 of 6 12 - 7 Rev 01 - 08 MURK40 (06107) CONSTRUCTION CONTRACT RECORD KEEPING REVIEW CHECKLIST LABOR AND EMPLOYMENT (continued): Certified Payrolls (Appropriate Form, Annotated With Race & Gender, Certified, Current For Time Worked) Last Last Prime to Date Sub Sub Sub Sub Sub ,Yes ,Yes, ,Yes ,Yes ,Yes rYes ,No No ,No ,No ,No ,No I Sub Sub Sub Sub Sub Sub ,Yes ,Yes ,Yes ,Yes ,Yes r ,No ,No ,No ,No No ,Yes ,Yes r No ,No Sub Comments I Deficiencies: ,Yes ,No Sub HEALTH AND SAFETY: MSDS Sheets on File? Contractor Tailgate Safety Meetings on File? ,Yes ,Yes ,No ,No Approved Contractor H&S Plan on File? ,Yes ,No r No Department Tailgate Safety Meetings on File? ,Yes Comments I Deficiencies: ENVIRONMENTAL: SPDES Log Book / File? CONR 7 Certifications Monthly Summaries SPDES Stormwater Permit required? ,Yes,No ,Yes ,Yes , Yes r No Signed CONR 5 on File for Contractor/Subs? After Event? Signed & on File? Posted? ,No ,No Stormwater Inspections Conducted VVeekly / Quarterly Summaries Posted? , , Yes Yes , r, , Yes No No No Comments I Deficiencies: PARTIAL PAYMENTS: Approved? Withdrawals adeas Needed? M , N/A ,Yes ,Yes ,No ,No Documentation on File? rYes r No Comments I Deficiencies: 10 Page 4 of 6 12 - 8 Rev 01 - 08 MURK 40 (06101) CONSTRUCTION PAYMENTS: CONTRACT RECORD KEEPING REVIEW CHECKLIST CONTRACT Data Entry Form? CONR22 from Main Office? Confirmation of E-Mailfor Transfer? F &A Payments Warranted? Correct Fuel I Asphalt Adjustment Factors Used? AAP 21's for Subs? I" Yes I" No I" Yes I" I" Yes I" Yes No CONR 22 from CEES? CONR 30b With MIRDate? I" Yes I" No I" Yes I" No I" No r No Fuel and Asphalt Summary Report? Steel Price Adjustment Current? AAP 33 Current? rYes r- No I" No I" Yes I" No I" Yes rYes rYes r No r No CommentsI Deficiencies: ORDERS-ON-CONTRACT: Over-Runs Being Addressed? r N/A rYes I" Yes r No No FCO I FCP Used? r I" Yes Yes I" No No Authorization of Extra Work (CONR 104) for Overages? Initial Force Account Records on File? Initial FAW Paid Only to 90% ? Standard Labor Markup Used? r r AtlOver ThresholdNotificationSent? Authorization of Extra Work Signed by RCE? FAW PaymentBasedOnly on Submitted Records? ForceAccount Originals Reconciled? r I"N/A rYes No rN/A No I"N/A I" Yes I" I" Yes I" No No No I" Yes I" rN/A I" N/A I" Yes r I" Yes I" No r No N/A r Yes I" If NO. is YTD Gross Supplied for All FA Workers? Comments I Deficiencies: MISCELLANEOUS: InitialContract Condition Photos Taken? Books LabeledwithReturnLabels? I" Yes r r I" No CorrespondenceFilesLogged? Insurance Forms in Own Folder? As-Built Information Being Tracked? All Subs Associated to Pay Items in CEES? CEES Back-up (per Regional Procedure)? I" Yes r I" I" I" No I" Yes I" No I" Yes No No I" Yes I" No rYes I" Yes No No No Geotechnical est Results RecordedI Filed? T High Bid Items Idenified in CEES? CEES Version in Use: rYes rYes OPTIONAL: Printouts from CEES: #2, #3, #8, #19, #20, #28, #29, #30, #32, #38 & #39 (For Review) Comments I Deficiencies: Page5 of 6 12 - 9 Rev 01 - 08 MURK40 (06107) CONSTRUCTION CONTRACT RECORD KEEPING REVIEW CHECKLIST ADDITIONAL COMMENTS: Reviewer: Page6 of 6 Date: 12 - 10 Rev 01 - 08