Sample Certificate of Substantial Completion - Download as PDF

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scope of work template
							                                     Sample Certificate of Substantial Completion


Project Site: ____________________________                           Project Number: ________________________________

Project Location: ______________________________________________________________________________

Preliminary Project Documentation Submitted: (Check indicating submittal)

          ____ 1.       Maximum Applied Water Allowance:
                        ________    (gallons or cubic feet per year)
          ____ 2.       Estimated Applied Water Use:
                        ________    (gallons or cubic feet per year)
          ____ 2a.      Estimated Amount of Water Expected from Effective Precipitation:
                        ________    (gallons or cubic feet per year)
          ____ 3.       Estimated Total Water Use:
                        ________    (gallons or cubic feet per year)
          Note: If the design assumes that a part of the Estimated Total Water Use will be provided by
          precipitation, the Effective Precipitation Disclosure Statement in Section 495 shall be completed and
          submitted. The Estimated Amount of Water Expected from Effective Precipitation shall not exceed
          twenty-five percent (25%) of the local annual mean precipitation (average rainfall).
          ____ 4.     Landscape Design Plan
          ____ 5.     Irrigation Design Plan
          ____ 6.     Irrigation Schedules
          ____ 7.     Maintenance Schedule
          ____ 8.     Landscape Irrigation Audit Schedule
          ____ 9.     Grading Design Plan
          ____ 10. Soil Analysis


Post-Installation Inspection: (Check indicating substantial completion)
        ____ 1.     Plants installed as specified
        ____ 2.     Irrigation system installed as designed
                    ______         dual distribution system for recycled water
                    ______         minimal runoff or overspray
        ____ 3.     Landscape Irrigation Audit performed
        ____ 4.     Project submittal package and a copy of this certification has been provided to owner/manager
                    and City Water Operations Division
Comments:




I/We certify that work has been installed in accordance with the contract documents.


          ______________________________________________________________________________________
          Contractor                                            Signature                       Date                    License Number
I/We certify that based upon periodic site observations, the work has been substantially completed in accordance with the Water
Efficient Landscape Ordinance and that the landscape planting and irrigation installation conform with the approved plans and
specifications.

          _________________________________________________________________________________________________
          Landscape Professional                                Signature                       Date                    License Number
I/We certify that I/we have received all of the contract documents and that it is our responsibility to see that the project is maintained
in accordance with the contract documents.


          _________________________________________________________________________________________________
          Owner                                   Signature                Date

						
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