PROJECT CLOSURE SUMMARY by cometjunkie55

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									PROJECT CLOSURE SUMMARY I. Airport Name: AIP Project No.: GENERAL INFORMATION Location: Contract No.: FA-NE-

Project description: __________________________________________

II. Sponsor Administration: Sponsor Force Account Eng./Cnstr.: Consultant Engineering: Construction: Change Order(s): Equipment: Total: Federal Share:

FISCAL SUMMARY (ELIGIBLE costs only) Amount Claimed _________________________ _________________________ _________________________ _________________________ _________________________ _________________________ _________________________ _________________________ Amount Approved _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________

III. Grant Amendment Request: Letter attached

MISCELLANEOUS

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Request Amount $________________

Special Conditions, if applicable, met? ______ Yes ______ No (if no, explain) ALP revisions showing project As-Built conditions: ________________ (date) Airport Master Record (FAA Form 5010-1) update submitted to FAA: ________ (date)

IV.

ENGINEERING

Consultant/Engineer: _______________________________________________________ Contract: __________________ Eligible: ___________ FAA Approval Date: _____________ Engineering Amendment(s) Amount: __________________________________ (eligible only)

V. Contractor: _______________________

CONSTRUCTION

Total Amount: __________________________ Eligible Amount: _______________________ Notice to Proceed (effective date): _______________ Work Completion Date: ______________ Liquidating Damage Assessment: __________________________________________________ Final Inspection Date: ________________________ VI. SUBMISSIONS/CERTIFICATIONS

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Contract Work Item Summary Summary of Test Performed Summary of Change Orders

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Final Payment Request Aerial Photos, if required (8 ½” x 11” preferred)

Date As-Built drawings Submitted: __________________ Date Electronic As-Built Submitted: _________________ Date Certifications of Final Acceptance (attachment 5) signed and submitted: _______________ *******************************EQUIPMENT ONLY****************************** Date Equipment (ARFF/SRE) has been received and inspected by Sponsor: __________________ Equipment meets specification(s) ____________ Yes ____________ No (if no, explain)

FAA USE ONLY Reported Accepted: ___________ as submitted OR ______________ as annotated Project Manager: _______________________________ Date: __________________


								
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