Master Forms Index

LO S ANGEL ES COMMUNIT Y COLLEG E DIST RICT FACILITIES PLANNING AND DEVELOPMENT PROPOSITION A/AA BOND PROGRAM Master Forms Index Forms/Letters Form No. Comments/ Revision Date User Program Management Administration 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. PMP Revision Request Table of Contents for Project Monthly Reports Distribution List for Project Monthly Reports Program Budget Establishment Project Budget Establishment Worksheet Project Budget Transfer Bulletin Template Personnel Action Request Employee Checklist College President Signature Authorities College Project Manager Signature Authorities Task Order Subtask Assignment Program Controls Monthly DSA Review Reimbursable Expense Approval Form PMA-0010 PMA-0020 PMA-0030 PMA-0041 PMA-0042 PMA-0043 PMA-0050 PMA-0060 PMA-0061 PMA-0090 PMA-0100 PMA-0110 PMA-0111 PMA-0120 PMA-0130 Rev.2_03.10.04 Rev.1_02.13.03 Rev.3_10.31.03 NEW_11.12.03 NEW_11.12.03 Rev.2_02.03.05 Rev.2_10.31.03 Rev.5_12.13.04 Rev.1_01.28.05 Rev.2_12.21.04 Rev.2_12.15.05 Rev.1_01.19.07 NEW_01.19.07 Rev.1_01.09.06 Rev.2_09.20.05 PM CPM CPM CPM, PM CPM, PM CPM, PM PM CPM, PM PM, CPM PM, C PM, CPM PM, CPM PM, CPM CPM, APM C, APM Document Control Management Plan 1. 2. Document Transmittal Form Controlled Document Transmittal/Receipt and Read Acknowledgement Form DCM-0010 DCM-0020 CPM, D PM Master Forms Index Page 1 of 11 Last Rev on 04.19.07 LO S ANGEL ES COMMUNIT Y COLLEG E DIST RICT FACILITIES PLANNING AND DEVELOPMENT PROPOSITION A/AA BOND PROGRAM Forms/Letters Form No. Comments/ Revision Date User Design Quality Manual Forms 1. 2. Audit Surveillance Check List Audit Finding Report QA-0000 QA002-A QA002-B PM PM Design Procedure Manual Forms 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. Calculation Cover Sheet Calculation Description Computer Program Validation Drawing Coordination Check List Request for Deviations to Baseline Documents Check Print Stamp Interdisciplinary Review Sign-off Design Review Comments Final Design Back Check Approval Constructability/Maintainability Check List LeedTM Check List DES-0000 DES-001-A DES-001-B DES-001-C DES-003-A DES-004-A DES-004-B DES-004-C DES-004-D D D D D D D Rev.2_12.09.04 D CPM Rev.3_12.15.05 07.14.02 See USGBC website (www.usgbc.org) PM, CPM DES-005-A DES-006-A CPM D, CPM, PM D, CPM, PM D, CPM, PM CPM, D CPM, D, PM 12. Sustainable Check List for Renovation Projects Plan Check Fee Request Application for Approval of Plans and Specifications [DSA-1] Summary Estimated Project Construction Cost DES-007-B Rev.1_07.22.04 Rev.3_01.27.05 NEW_09-27-04 NEW_11.10.04 13. 14. 15. DES-008 DES-009 DES-010 Master Forms Index Page 2 of 11 Last Rev on 04.19.07 LO S ANGEL ES COMMUNIT Y COLLEG E DIST RICT FACILITIES PLANNING AND DEVELOPMENT PROPOSITION A/AA BOND PROGRAM Forms/Letters 16. 17. 18. Infrastructure Committee (IC) Meeting Submittal Information Form Project Team Sign-Off Sheet Commissioning Authority/District Approval for Owner Project Requirement & Program Management Plan Deviations Constructability Review Comments Infrastructure Committee Meeting Submittal Process (Program Policies & Procedures) Infrastructure Committee Meeting Project Summary Form Form No. DES-011 DES-012 DES-013 Comments/ Revision Date Rev.3_03.02.07 Rev.4_03.02.07 NEW_01.27.05 User D, CPM, PM D, CPM, PM CPM, PM 19. 20. 21. DES-014 DES-015 DES-015-A NEW-02.11.05 Rev.2_03.02.07 Rev.1_04.19.07 D D, CPM, PM D, CPM, PM Design Criteria / Standards Manual Forms 1. 2. Project Description Detailed Space Program Checklist New Construction Detailed Space Program Checklist Addition or Rehab of Existing Detailed Space Program Checklist Rehab/Repair Projects CCC Teaching Station Classifications Matrix Room Amenities Matrix Finishes Matrix DCS-0010 DCS-001-A DCS-002-A D D D D D D D 3. DCS-002-B 4. DCS-002-C 5. 6. 7. DCS-002-D DCS-002-E DCS-002-F Bid/Award Phase 1. Prequalification of Prospective Bidders Technical Questionnaire, Statement of Qualifications, and Certification; Verification of Minimum Experience Compliance Form (combined BA-0010 and BA-0020) BA-0000 BA-0010 Rev.1_02.03.03 PM Master Forms Index Page 3 of 11 Last Rev on 04.19.07 LO S ANGEL ES COMMUNIT Y COLLEG E DIST RICT FACILITIES PLANNING AND DEVELOPMENT PROPOSITION A/AA BOND PROGRAM Forms/Letters 2. Contractor’s Qualification Statement Form No. BA-0015 Comments/ Revision Date Rev.2_08.08.06 PM User 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. Prequalification of Prospective Bidders (combined into BA-0010) Pre-Notice To Proceed Checklist Substitution Request Request for Bid Request for Procurement Bid Formal Bidding Schedule Technical Prequalification Evaluation Form Instructions to Bidders Notice to Bidders Pre-Bid Checklist Pre-Bid Conference Agenda Pre-Bid Conference Sign-in Sheet Pre-Bid Inquiry Designation of Subcontractors Bid Form Bid Packet List Bid Bond Noncollusion Affidavit Checklist of Required Bid Documents Bid Tabulation Bid Security Declaration of Sufficiency of Funds Bid Evaluation Checklist Recommendation to Award Letter Notice of Intent to Award Letter BA-0020 BA-0021 BA-0024 BA-0025 BA-0027 BA-0026 BA-0030 BA-0040 BA-0050 BA-0055 BA-0060 BA-0070 BA-0080 BA-0084 BA-0085 BA-0086 BA-0087 BA-0088 BA-0089 BA-0090 BA-0091 BA-0092 BA-0100 BA-0110 BA-0120 Rev.1_02.03.03 Rev.1_08.08.06 NEW_02.04.05 Rev.7_12.15.05 NEW_04.20.05 NEW_08.05.04 07.01.02 Rev.4_03.27.07 Rev.2_08.08.06 NEW_11.09.04 Rev.1_08.08.06 Rev.4_08.08.06 07.14.02 Rev.2_02.04.05 Rev.4_03.27.07 Rev.2_08.08.06 unlocked Rev.1_09.05.03 Rev.3_03.27.07 Rev.2_08.23.06 07.14.02 NEW_02.04.05 NEW_02.04.05 Rev.3_08.08.06 07.14.02 07.14.02 PM PM, CPM PM, CPM PM, CPM PM, CPM C, CPM PM D, CPM, C PM, PM, CPM PM, CPM PM, CPM C C C PM, C C C PM PM C C PM PM PM Master Forms Index Page 4 of 11 Last Rev on 04.19.07 LO S ANGEL ES COMMUNIT Y COLLEG E DIST RICT FACILITIES PLANNING AND DEVELOPMENT PROPOSITION A/AA BOND PROGRAM Forms/Letters 28. 29. Notice to Proceed Standard Form of Contract Form No. BA-0130 BA-0135 Comments/ Revision Date Rev.1_01.26.05 NEW_03.27.07 User CPM, APM, PM Bid Post-Award Phase 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. Pre-Construction Conference Agenda / Checklist Post Award Conference Agenda/Checklist Checklist of Required Post Notice of Intent to Award Documents Post Award Meeting Sign-in Sheet Pre-Construction Conference Sign-in Sheet Pre-Construction Conference Site Acceptance Sheet, Short Form Pre-Construction Conference Site Acceptance Sheet, Long Form Substitution Request Form Payment Bond Performance Bond Contractor’s Certificate Regarding Workers’ Compensation Instructions for Completing, Executing, and Submitting Evidence of Insurance Checklist of Required Post Notice of Intent to Award Documents College Project Manager Procedures for Segregation of Contract Costs Instructions for Segregation of Contract Costs Segregation of Costs/Schedule of Values (Form PA-0080 Summary by Division Numbers; Form PA-0081 Detailed Items of Work by C.S.I. Section Numbers for Division 01; Form PA-0082 Divisions 02 Thru 16) Segregation of Contract Costs Detailed Items of Work by C.S.I. Section Numbers for Division PA-0000 PA-0010 PA-0011 PA-0012 PA-0013 PA-0020 PA-0030 PA-0040 PA-0050 PA-0055 PA-0056 PA-0057 PA-0058 PA-0059 PA-0060 PA-0070 PA-0080-82 Rev.6_12.30.05 Unlocked NEW_06.24.05 Unlocked NEW_03.23.06 NEW_05.12.06 07.14.02 Rev.1_03.18.04 Rev.2_03.23.06 Rev.1_03.27.07 Rev.2_03.27.07 Rev.2_09.05.03 9.30.02 Rev.1_08.25.03 Rev.6_03.27.07 07.14.02 Removed 04.19.07 Rev.2_04.19.07 CPM, D CPM, D CPM, C PM, CPM CPM CPM, C CPM, C C C C C C PM C C C 17. PA-0081 Removed 04.19.07 C Master Forms Index Page 5 of 11 Last Rev on 04.19.07 LO S ANGEL ES COMMUNIT Y COLLEG E DIST RICT FACILITIES PLANNING AND DEVELOPMENT PROPOSITION A/AA BOND PROGRAM Forms/Letters 01 (combined with PA-0080) 18. Segregation of Contract Costs Detailed Items of Work by Section Numbers for Divisions 02 thru 16 (combined with PA-0080) Segregation of Costs General Requirements Summary of Construction Costs Segregation of Costs Approval Letter Escrow Agreement for Security Deposits in Lieu of Retention Core Employees List Request For Approval Of Plans Form No. Comments/ Revision Date User PA-0082 Removed 04.19.07 C 19. 20. 21. 22. 23. 24. PA-0083 PA-0085 PA-0090 PA-0100 PA-0110 PA-0120 NEW_12-24-03 NEW_03.27.07 07.14.02 Rev.1_08.08.06 Rev.3_08.11.03 NEW_01.27.05 C C C C C, CPM C, CPM Construction Phase 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. Inspector Request Hold Harmless Agreement RFC Pre-Processing Checklist Project Directory Transmittal Form Contractor’s Daily Report/Daily Details Prolog Shutdown Request Sign-In Sheet Meeting Minutes Request for Information (RFI) Request for Information Log Cutting and Patching Request Contractor Invoice Approval Procedure PROPA-5004 Invoice Correction Notification Invoice Prop A Payment Approval [Construction_AE Services_FF&E] CP-0000 CP-0005 CP-0010 CP-0015 CP-0020 CP-0030 CP-0040 CP-0050 CP-0080 CP-0090 CP-0100 CP-0110 CP-0120 CP-0130 CP-0150 CP-0160 Rev.2_07.15.04 07.14.02 Rev.2_03.18.04 Unlocked Rev.1_03-19-03 Unlocked Rev.1_04.09.04 Rev.1_04.09.04 07.14.02 Rev.1_03.06.03 Rev.5_03.14.05 Rev.11_04.12.06 Removed 03.27.07 Rev.5_08.08.06 CPM CPM PM, APM CPM CPM, C, D C C CPM CPM C CPM C C C CPM, PM Master Forms Index Page 6 of 11 Last Rev on 04.19.07 LO S ANGEL ES COMMUNIT Y COLLEG E DIST RICT FACILITIES PLANNING AND DEVELOPMENT PROPOSITION A/AA BOND PROGRAM Forms/Letters 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. Invoice Prop AA Payment Approval [Construction_AE Services_FF&E] Proposition A/AA District Written Approval Invoice Payment Checklist Payee Data Record Contractor Payment Request Project and/or Funds Transfer to Proposition A Bond Program Request Historical Data Sheet for Project and/or Transfer to Propositions A Bond Requests Project Health, Safety & Environmental Inspection Report Correction Notice Correction Notice Log Stop Work Notice Release of Stop Notice Change Order Request Change Order Request Log Change Order (CO) Change Order for Design-Builder (CO) Change Order Reconciliation Change Order Proposal (COP) Change Order Proposal Pricing Sheet Summary Change Order Estimate Summary Change Order Estimate Pricing Sheet Record of Change Order Negotiation Construction Field Order Claims Log Contractor’s Performance Evaluation Form No. CP-0162 CP-0163 CP-0165 CP-0170 CP-0190 CP-0195 CP-0196 CP-0200 CP-0210 CP-0220 CP-0230 CP-0235 CP-0255 CP-0256 CP-0260 CP-0261 CP-0265 CP-0270 CP-0280 CP-0290 CP-0300 CP-0320 CP-0330 CP-0360 CP-0370 Comments/ Revision Date Rev.7_04.12.06 Rev.3_01.18.05 Rev.3_07.25.06 Rev.2_03.27.07 Rev.4_11.29.05 NEW_09.09.03 NEW_09.09.03 Rev.2_06.10.04 Unlocked Rev.1_03.05.04 User CPM, PM CPM, PM, C CPM, APM, PM C C CPM,PM CPM CPM, C, PM CPM, IOR CPM CPM, IOR NEW_08.11.03 Rev.1_03.15.04 Rev.2_03.15.04 Rev.6_08.31.06 Rev.1_08.31.06 Rev.1_01.31.05 07.14.02 07.14.02 07.14.02 Rev.1_03.18.04 Rev.1_09.02.03 Rev.4_12.14.06 CPM, C, PM C CPM CPM CPM CPM C C C C CPM CPM CPM 07.14.02 CPM Master Forms Index Page 7 of 11 Last Rev on 04.19.07 LO S ANGEL ES COMMUNIT Y COLLEG E DIST RICT FACILITIES PLANNING AND DEVELOPMENT PROPOSITION A/AA BOND PROGRAM Forms/Letters 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51. 52. 53. 54. 55. 56. 57. 58. 59. 60. Designer’s and Subconsultant’s Performance Evaluation Project Lessons Learned Workforce Registration Form Contractor Safety Observation Report Safety Field/Handbook Contractor Acknowledgement Notice of Safety Non-Compliance Warning Letter for Safety Non-Compliance Project Accident/Incident Report Witness Statement First Aid Register Health, Safety and Environmental Assessment Survey Project Health, Safety & Environmental Plan (PHSEP) Instructions Project Health, Safety & Environmental Plan (PHSEP) Short Forms Monthly Project Safety Performance Summary Written Notice of Temporary Job Suspension Project Hazard Analysis Project Respiratory Protection Design Consultant’s Supplemental Instructions Design Consultant’s Field Report Community Economic Development Program Local Hire, Special Opportunities, and Internship Programs Outreach Compliance – Record of Progress Payment Disbursements Shop Drawing and Sample Record Conditional Waiver and Release Upon Progress Payment Form No. CP-0375 CP-0380 CP-0390 CP-0395 CP-0400 CP-0405 CP-0410 CP-0420 CP-0422 CP-0425 CP-0426 CP-0427 CP-0429 CP-0430 CP-0435 CP-0440 CP-0450 CP-0480 CP-0490 CP-0500 Comments/ Revision Date Rev.2_03.02.07 Rev.1_03.06.03 Rev.1_12.09.04 NEW_03.02.05 Rev.2_12.09.04 NEW_03.02.05 NEW_03.02.05 Rev.2_03.02.05 NEW-02.22.05 NEW_03.02.05 NEW_03.02.05 NEW_08.26.05 NEW_08.26.05 Rev.1_07.14.02 NEW_03.02.05 Rev.1_12.09.04 CPM CPM C C User C, CPM CPM, PM CPM, PM CPM, PM CPM, PM CPM., PM CPM, PM CPM, PM, C CPM, PM, C CPM, PM CPM, PM CPM, PM CMP, PM CPM, D D C 61. 62. 63. CP-0510 CP-0530 CP-0600 Rev.4_08.08.06 C CPM NEW_12.09.04 PM, APM, CPM Master Forms Index Page 8 of 11 Last Rev on 04.19.07 LO S ANGEL ES COMMUNIT Y COLLEG E DIST RICT FACILITIES PLANNING AND DEVELOPMENT PROPOSITION A/AA BOND PROGRAM Forms/Letters 64. 65. 66. 67. 68. 69. 70. 71. 72. 73. 74. 75. 76. 77. 78. 79. 80. 81. 82. 83. 84. Unconditional Waiver and Release Upon Progress Payment Conditional Waiver and Release Upon Final Payment Unconditional Waiver and Release Upon Final Payment Release of Claims Subtask Assignment for Move Management Services Subtask Assignment for Testing and Specialty Inspection Services 3rd Construction Cost Estimate Waiver Request Traffic Control Worksheet Procurement Notification IOR Daily Report New Project Request Project Description/Name Change Request Request for Craft Employees – Los Angeles City College Request for Craft Employees – East Los Angeles College Request for Craft Employees – Los Angeles Harbor College Request for Craft Employees – Los Angeles Mission College Request for Craft Employees – Pierce College Request for Craft Employees – Los Angeles Southwest College Request for Craft Employees – Los Angeles Trade-Technical College Request for Craft Employees – Los Angeles Valley College Request for Craft Employees – West Los Angeles College Form No. CP-0610 CP-0620 CP-0630 CP-0640 CP-0650 CP-0655 CP-0660 CP-0665 CP-0670 CP-0675 CP-0680 CP-0682 Comments/ Revision Date NEW_12.09.04 NEW_12.09.04 NEW_12.09.04 NEW_12.09.04 NEW_02.18.05 NEW_02.18.05 Rev.3_12.14.06 NEW_03.02.05 NEW_04.07.05 Rev.2_08.31.06 NEW_11.17.05 NEW_11.17.05 See Doing Business With Us / e7 Jobs See Doing Business With Us / e7 Jobs See Doing Business With Us / e7 Jobs See Doing Business With Us / e7 Jobs See Doing Business With Us / e7 Jobs See Doing Business With Us / e7 Jobs See Doing Business With Us / e7 Jobs See Doing Business With Us / e7 Jobs See Doing Business With Us / e7 Jobs User PM, APM, CPM PM, APM, CPM PM, APM, CPM PM, APM, CPM CPM CPM CPM, APM CPM, PM CPM, PM CPM, PM, C CPM, PM, C Master Forms Index Page 9 of 11 Last Rev on 04.19.07 LO S ANGEL ES COMMUNIT Y COLLEG E DIST RICT FACILITIES PLANNING AND DEVELOPMENT PROPOSITION A/AA BOND PROGRAM Forms/Letters Form No. Comments/ Revision Date User Construction Completion/Close-Out Forms/ Letters 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. Punch List Form Notice of Beneficial Occupancy Warranty Request for Service Letter - Ten Day Notice Campus Warranty/Guarantee Instructions Warranty Service Sample Request Letter Warranty Form Warranty Management Log LEED™ Point Documentation LEED™ Point Summary Certificate of Substantial Completion Request for Notice of Completion Consent of Surety/Final Payment Consent of Surety/Release Retainage Construction Project Close-Out Checklist CC-0000 CC-0010 CC-0020 CC-0030 CC-0040 CC-0050 CC-0060 CC-0070 CC-0080 CC-0090 CC-0110 CC-0115 CC-0120 CC-0130 CC-0135 Rev.2_03.21.07 Rev.8_07.25.06 Rev.1_03.06.03 Rev.1_08.25.03 Rev.1_03.06.03 CPM, IOR CPM O O OI C O CPM CPM CPM CPM C C CPM, APM, IOR Outreach Phase 1. 2. 3. 4. 5. PLA Documents Checklist Letter of Assent Letter of Organization Core Employees List Community Economic Development Program Outreach Contractor/Consultant Identification DAS 140-Public Works Contract Award Information CAC 2-Training Fund Contributions-California OR-0000 OR-0040 OR-0070 OR-0075 OR-0110 Rev. 1_12.13.04 Rev. 5_03.27.07 NEW_03.27.07 Rev.4_12.13.04 Rev.8_06.22.06 CPM, PM PM, C C C C OR-0140 6. OR-0141 OR-0142 Rev.1_12.09.04 Rev.1_12.09.04 C C 7. Master Forms Index Page 10 of 11 Last Rev on 04.19.07 LO S ANGEL ES COMMUNIT Y COLLEG E DIST RICT FACILITIES PLANNING AND DEVELOPMENT PROPOSITION A/AA BOND PROGRAM Forms/Letters Apprenticeship Council 8. Community Economic Development Program Outreach Business Categories e7 Intern Request Form e7 Candidate Interest Form Contractor’s Certificate Regarding Workers’ Compensation Form No. Comments/ Revision Date User OR-0150 OR-0160 OR-0170 OR-0180 Rev.12_06.22.06 C 9. 10. 11. Rev.1_08.31.06 NEW_08.31.06 NEW_03.27.07 CPM, C CPM, C Master Forms Index Page 11 of 11 Last Rev on 04.19.07