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Division of Local Assistance

Construction Review Checklist

Review Type: Preliminary Construction Oversight Review

Local Agency: e!ie" #ate:

$e%eral Ai% Pro&ect 'o.: Contract 'o.:

Pro&ect #escrition:

Pro&ect location county* city* street+:

Pro&ect ,ye:

$un%ing -ource(s):

Caltrans e!ie"er(s):

Caltrans Construction !ersig/t 0ngineer:

Caltrans #LA0:

$A Particiant(s) (if alicale):

Local Agency Particiant(s):

esi%ent 0ngineer: Local Agency or Consultant

f 0 is Consultant* 'ame of Comany:f 0 is Consultant* 'ame of Local Agency 0mloyee of ecor%:

Contract Information:

$A Construction Aut/ori5ation #ate:

0ngineer6s 0stimate Amount (i% tems nly):

#esign Aro!al #ate: #esign Aro!al y:

P-80 Aro!al #ate: P-80 Aro!al y:

 Alternati!e Contracting et/o% ;es 'o

(f yes* list t/e met/o%)

 A%!ertising #ate: i% ening #ate:

 A"ar% #ate: Aro!al #ate:

Lo" i% Amount: ig/ i% Amount:

Contract i% Amount: Percent o!er

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14. /ere consultant contracts "ill e utili5e% for t/e construction /ase* i%entify t/e follo"ing information:

Consultant %ervice Consultant Company Contract Type

1@. Comments:

&ork %tatus:

f not* Percent "or? comlete (D) 8 ercent time comlete

an%atory or tional

0stimate% or actual %ate of reconstruction conference

i%Ero&ect re!ie" sc/e%ule% %ate:

'ollow up items for ma(or )eficiencies:

#eficiency %escrition Course of action Action %ates

Local Agency Contact:

9. /ere local agency furnis/e% materials are use%* /as t/e local agency ro!i%e% %ocumentations/o"ing a cometiti!e rocess "as use% for rocuring t/ose materials !"#$

1=. #oes t/e contract contain any sole source items !"#$

11. f yes* /as t/e local agency inclu%e% a P$ in t/e ro&ect recor%s co!ering eac/ sole sourceitem !"#$

12. ill t/e local agency e using consultant contract for contract a%ministration* materials testing*sur!eying* en!ironmental monitoring or ot/er facets in suort of t/e contract !"#$

13. f yes* /as t/e local agency ro!i%e% %ocumentation s/o"ing a cometiti!e rocess "as use%

for rocuring t/ose contracts !"#$

Consultant %election Process* Agreement Documentation

on 'ile !"#$

e!ie" ta?ing lace rior to first "or?ing %ay !"#$

PreEi% meeting /el% !"#$

Preconstruction conference /el% or to e /el% !"#$

e!ie" of alicale %etaile% mi%Ero&ect an% afterEaccetance ro&ect sur!ey uestions "it/resi%ent engineer !"#$

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Local Agency Contact Phone #um+er:

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Division of Local Assistance

Construction Review Checklist('on alicale items are to e left lan?)

Review Type: ,i)-Pro(ect Review

Local Agency: e!ie" #ate:

$e%eral Ai% Pro&ect 'o.: Contract 'o.:

Pro&ect #escrition:

Pro&ect location county* city* street+:

Pro&ect ,ye:

$un%ing -ource(s):

Caltrans e!ie"er(s):

Caltrans Construction !ersig/t 0ngineer:

Caltrans #LA0:

$A Particiant(s) (if alicale):

Local Agency Particiant(s):

esi%ent 0ngineer: Local Agency or Consultant

f Consultant* 'ame of Comany:f Consultant* 'ame of Local Agency6s 0mloyee of ecor%:

&ork %tatus:

Percent %ollars comlete (>): Percent time comlete (>):

riginal numer of contract %ays: Calen%ar %ays

$irst "or?ing %ay c/arge%:

,otal time extension %ays to %ate:

Contract c/ange or%er %ays aro!e% to %ate:

0stimate% comletion %ate:

Contract a"ar% amount:

Detaile) .uestions:

Personnel Information:

1. /at is t/e resi%ent engineer6s name

2. /at is t/e resi%ent engineer6s license numer (if alicale)

B. Comments:

%afety Information:

2. Comments:

-tan%ar%"or?ing %ays

$iel% !isit erforme% !"#$

3. s t/e resi%ent engineer in resonsile c/arge of t/e contract !"#$

4. s t/ere a listing of all names of staff on file !"#$ inclu%es consultant ersonnel+

@. f t/e resi%ent engineer is not registere%* "/o is t/e registere% engineer"/o /as %elegate% rofessional engineering to resi%ent engineer ('amean% License F)

1. s t/e emergency contact information s/eet on file containing names an% contact informationfor local agency

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/eneral Pro(ect Recor)s:

B. Comments:

Resi)ent 0ngineer an) Inspector Daily Diaries:

. Comments:

.uality Assurance Program .AP$:

3. /at entity is erforming accetance testing for t/is ro&ect

7. f no* exlain "/y

11. Comments:

,aterial Testing Review:

1. Are ro&ect recor%s eing ?et in an organi5e% manner "it/ an in%ex t/at %escries eac/ filecategory !"#$

2. #oes t/e local agency use a single met/o% of ro&ect recor% ?eeing (e.g. in%ex of categories)for ot/ contracts "it/ fe%eral fun%s an% t/ose "it/out !"#$

3. s t/ere a coy of t/e %etaile% estimate in t/e ro&ect recor%s !"#$

4. s t/ere a coy of t/e finance letter in t/e ro&ect recor%s !"#$

@. Can t/e resi%ent engineer oint to t/e amount of fe%eralEai% fun%s encumere% for t/is ro&ect

!"#$

1. Are %aily %iaries uEtoE%ate !"#$ i.e. no more t/an a "ee? ga+

2. #o %aily %iaries contain names of laor* euiment i%entification an% emloyer i%entification !"#$

3. #o %aily %iaries contain laor classification (e.g. laorer* carenter* oerator* etc.) an%euiment classification (e.g. ma?e an% mo%el) necessary for roer %ocumentation !"#$

4. #o %aily %iaries segregate t/e "or? /ours for laor an% euiment y eac/ item* extra "or?(CC F) an% %isute ('PCF) !"#$

@. /ere contractor6s laor an% euiment "ere %o"n or i%le* /as t/e local agency note% t/ereason for %o"n or i%le time an% segregate% t/e "or? /ours to uantify t/e imact !"#$

B. #o %aily %iaries a%euately cature %aily occurrences in t/e fiel% (e.g. con!ersations "it/ t/econtractor* "eat/er con%itions* etc.) !"#$

7. #o t/e %aily %iaries clearly i%entify t/e aut/or an% "/en %e!eloe% (e.g. aut/or6s rinte% name*aut/or6s signature an% %ate) !"#$

1. #oes t/e local agency /a!e a coy of t/eir GAP in t/e ro&ect recor%s !"#$

2. s t/e aro!al %ate on t/e GAP less t/an @ years ol% !"#$

4. Are coies of t/e accetance testers6 an% laoratory certifications uEtoE%ate an% aroriatefor t/e accetance testing for t/is contract !"#$

@. /at entity is erforming in%een%ent assurance on t/e accetancetesting (e.g. samlers* testers* laoratory an% euiment)

B. as t/e in%een%ent assurance entity

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13. Comments:

Contract Change Or)er Review:

12. Comments:

1. Are t/ere accetance samling an% accetance tests in t/e ro&ect files !"#$

2. Are accetance samling an% accetance testing conforming to t/e freuency reuirements int/e GAP !"#$ an%omly c/ec? samling an% test results of at least t"o significant itemscontaining materials i%entifie% in t/e freuency tales an% comare against uantities lace% to%ate.+

3. s t/e freuency of accetance samling an% accetance testing eing monitore% !"#$

4. Are t/e samling an% testing eing erforme% y in%i!i%uals certifie% for t/ose items (i.e. sotEc/ec? ersons erforming samling an% testing !s. certifications on file) !"#$

@. #oes t/e resi%ent engineer see coies of t/e test results in a timely manner !"#$B. Are recor%s of testing euiment calirations eing maintaine% !"#$

7. s t/ere a summary log of accetance testing results !"#$

. f t/ere is a recor% of a failing material accetance test* is t/ere a correson%ing assingmaterial test or resolution exlanation tie% to t/e failing test !"#$

9. #o ro&ect recor%s contain coies of aro!e% mix %esigns an% aro!al letters !"#$

1=. #o %eli!ery tic?ets

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Payment Review:

. o" many of t/e contract items /a!e een comlete% as of t/e last rogress ayment

12. Comments:

La+or Compliance * 01ual 0mployment Opportunity:

. Comments:

D20"3D20:

1. /at is t/e I#0 goal for t/is contract (>)

2. /at is t/e I#0 commitment for t/is contract (>)

7. Comments:

Training Re1uirements:

2. f yes* "/at is t/e goal for t/is contract

1. as t/e local agency rocesse% a rogress ayment to t/e Contractor on t/is contract !"#$

2. f yes* %oes t/e rogress ayment ro!i%e a suitale accounting trail to suort %ocumentationfor contract "or? (e.g. items* CCs* etc.) ac? to a source %ocument (e.g. G s/eet) !"#$ -otc/ec? only+

3. Are "eig/master certificates eing !ali%ate% y t/e a%ministering agency at oint of %eli!ery !"#$

4. Are t/ere searate uantity ay s/eets for eac/ item eing ai% on eac/ rogress ayment  !"#$

@. Are uantity ay s/eets signe% an% %ate% !"#$

B. Are uantity ay s/eet calculations eing c/ec?e% y a searate in%i!i%ual !"#$

7. Are uantities ai% to %ate eing monitore% an% c/ec?e% against estimate% uantities !"#$

9. as retainage een release% on t/e comlete% contract items !"#$

1=. s t/e local agency conforming to t/eir selection (tion 1* 2 or 3) for romt ayment !"#$

11. #oes t/e local agency /a!e an estalis/e% met/o% to ensure sucontractors recei!e romtayment or resol!e relate% comlaints !"#$

1. Are "age rates %etermine% y t/e I- #eartment of Laor inclu%e% in t/e contract !"#$

2. Are ayrolls certifie% y t/e contractor !"#$

3. Are ayrolls c/ec?e% an% initiale% y t/e local agency !"#$

4. Are %iaries an% ayrolls eing sotEc/ec?e% an% comare% y t/e local agency !"#$

@. Are reuire% fe%eral osters (/tt:

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4. Comments:

0nvironmental:

3. Comments:

Other:

9. Comments:

 AfterEaccetance re!ie" sc/e%ule% %ate (estimate%):

'ollow up items for ma(or )eficiencies:

#eficiency %escrition Course of action Action %ates

A))itional Items for 2ri)ge Pro(ects:

Concrete Recor)s:

1. s t/e en!ironmental %ocument for t/is ro&ect on file !"#$

2. s t/e construction ro&ect a%/ering to mitigation reuirements in t/e en!ironmental%ocuments !"#$

1. #oes t/e agency /a!e a means to trac?* monitor an% reort on contract time !"#$

2. s t/e agency trac?ing* monitoring an% reorting contract time in accor%ance "it/ t/eirroce%ure !"#$

3. #oes t/e ro&ect /a!e a roce%ure for sumitting an% filing a H'otice of aterials to e Ise%Htye %ocument !"#$

4. as t/is roce%ure een follo"e% !"#$

@. #oes t/e ro&ect /a!e a roce%ure for sumitting an% filing certificates of comliance formaterials !"#$

B. as t/is roce%ure een follo"e% !"#$

7. #oes t/e ro&ect /a!e traffic control lan reuirements !"#$

. Are t/e traffic control lan reuirements eing follo"e% !"#$

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4. Comments:

2ri)ge CCOs:

2. Comments:

Approve) 'alsework Plans:

9. Comments:

Prestressing:

1=. Comments:

1. Are all aro!e% concrete mixes on file !"#$

2. Are all letters of concrete mix aro!als on file !"#$

3. Are samles an% testing notations inclu%e% on our recor%s or %iaries !"#$

1. $or ri%ge %esign c/anges* /as t/e ri%ge %esigner aut/ori5e% t/e c/ange !"#$

1. s t/ere a false"or? log on file s/o"ing false"or? sumittal /istory !"#$

2. Are t/e false"or? lans roerly stame% !"#$

3. #o t/e false"or? lans inclu%e erection an% striing oerations !"#$

4. Are t/e false"or? calculations on file an% comlete !"#$

@. Are t/ere recor%s of camer an% false"or? %eflection calculations erforme% y a registere%engineer !"#$

B. Are t/ere recor%s of false"or? soffit an% %ec? gra%es sulie% to t/e contractor y t/e0ngineer* "/ic/ accommo%ate false"or? settlements an% %eflections an% ri%ge camerreuirements !"#$

7. s t/ere a letter from t/e contractor certifying t/at t/e erecte% false"or? sustantially meetsaro!e% false"or? lans %ate% rior to concrete ours of ri%ge soffit an% %ec?  !"#$

. Are t/ere any recor%s of oser!e% false"or? settlement %uring an% after t/e concrete our!"#$

1. Are t/e initial s/o %ra"ings for restressing (sumitte% y t/e contractor) on file !"#$

2. Are t/e initial lans roerly stame% !"#$

3. s t/e final set of s/o %ra"ings for restressing on file !"#$

4. Are t/e final lans roerly stame% !"#$

@. s t/ere a recor% in t/e %iaries to in%icate t/at t/e restressing %ucts "ere c/ec?e% for anyostruction after t/e soffit

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3. Comments:

%horing Plans if there is"was shoring on the pro(ect$:

3. Comments:

&el)ing if there is wel)ing in the contract$

3. Comments:

2. Are all t/e rofilogra/ recor%s on file !"#$

1. Are t/e s/oring lans roerly stame% !"#$

2. #o t/e ro&ect recor%s inclu%e comlete s/oring calculations !"#$

1. #oes t/e contract reuire t/e contractor to /a!e a Guality Control Plan for "el%ing !"#$

2. f yes* is t/e contractor6s "el%ing Guality Control Plan on file !"#$

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Division of Local Assistance

Construction Review Checklist('on alicale items are to e left lan?)

Review Type: Post Construction Review

Local Agency: e!ie" #ate:

$e%eral Ai% Pro&ect 'o.: Contract 'o.:

Pro&ect #escrition:

Pro&ect location county* city* street+:

Pro&ect ,ye:

$un%ing -ource(s):

Caltrans e!ie"er(s):

Caltrans Construction !ersig/t 0ngineer:

Caltrans #LA0:

$A Particiant(s) (if alicale):

Local Agency Particiant(s):

esi%ent 0ngineer: Local Agency or Consultant

f Consultant* 'ame of Comany:f Consultant* 'ame of Local Agency6s 0mloyee of ecor%:

&ork %tatus:

riginal numer of contract %ays: Calen%ar %ays

$irst "or?ing %ay c/arge%:

,otal time extension %ays to %ate:

Contract c/ange or%er %ays aro!e% to %ate:

Contract accetance %ate:

'umer of %ays o!er

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/eneral Pro(ect Recor)s:

B. Comments:

Resi)ent 0ngineer an) Inspector Daily Diaries:

. Comments:

.uality Assurance Program .AP$:

3. /at entity is erforming accetance testing for t/is ro&ect

7. f no* exlain "/y

11. Comments:

,aterial Testing Review:

1. Are ro&ect recor%s eing ?et in an organi5e% manner "it/ an in%ex t/at %escries eac/ filecategory !"#$

2. #oes t/e local agency use a single met/o% of ro&ect recor% ?eeing (e.g. in%ex of categories)for ot/ contracts "it/ fe%eral fun%s an% t/ose "it/out !"#$

3. s t/ere a coy of t/e %etaile% estimate in t/e ro&ect recor%s !"#$

4. s t/ere a coy of t/e finance letter in t/e ro&ect recor%s !"#$

@. Can t/e resi%ent engineer oint to t/e amount of fe%eralEai% fun%s encumere% for t/is ro&ect  

!"#$

1. Are %aily %iaries uEtoE%ate !"#$ i.e. no more t/an a "ee? ga+

2. #o %aily %iaries contain names of laor* euiment i%entification an% emloyer i%entification !"#$

3. #o %aily %iaries contain laor classification (e.g. laorer* carenter* oerator* etc.) an%euiment classification (e.g. ma?e an% mo%el) necessary for roer %ocumentation !"#$

4. #o %aily %iaries segregate t/e "or? /ours for laor an% euiment y eac/ item* extra "or?(CC F) an% %isute ('PCF) !"#$

@. /ere contractor6s laor an% euiment "ere %o"n or i%le* /as t/e local agency note% t/ereason for %o"n or i%le time an% segregate% t/e "or? /ours to uantify t/e imact !"#$

B. #o %aily %iaries a%euately cature %aily occurrences in t/e fiel% (e.g. con!ersations "it/ t/econtractor* "eat/er con%itions* etc.) !"#$

7. #o t/e %aily %iaries clearly i%entify t/e aut/or an% "/en %e!eloe% (e.g. aut/or6s rinte% name*aut/or6s signature an% %ate) !"#$

1. #oes t/e local agency /a!e a coy of t/eir GAP in t/e ro&ect recor%s !"#$

2. s t/e aro!al %ate on t/e GAP less t/an @ years ol% !"#$

4. Are coies of t/e accetance testers6 an% laoratory certifications uEtoE%ate an% aroriatefor t/e accetance testing for t/is contract !"#$

@. /at entity is erforming in%een%ent assurance on t/e accetancetesting (e.g. samlers* testers* laoratory an% euiment)

B. as t/e in%een%ent assurance entity

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13. Comments:

Contract Change Or)er Review:

12. Comments:

1. Are t/ere accetance samling an% accetance tests in t/e ro&ect files !"#$

2. Are accetance samling an% accetance testing conforming to t/e freuency reuirements int/e GAP !"#$ an%omly c/ec? samling an% test results of at least t"o significant itemscontaining materials i%entifie% in t/e freuency tales an% comare against uantities lace% to%ate.+

3. s t/e freuency of accetance samling an% accetance testing eing monitore% !"#$

4. Are t/e samling an% testing eing erforme% y in%i!i%uals certifie% for t/ose items (i.e. sotEc/ec? ersons erforming samling an% testing !s. certifications on file) !"#$

@. #oes t/e resi%ent engineer see coies of t/e test results in a timely manner !"#$B. Are recor%s of testing euiment calirations eing maintaine% !"#$

7. s t/ere a summary log of accetance testing results !"#$

. f t/ere is a recor% of a failing material accetance test* is t/ere a correson%ing assingmaterial test or resolution exlanation tie% to t/e failing test !"#$

9. #o ro&ect recor%s contain coies of aro!e% mix %esigns an% aro!al letters !"#$

1=. #o %eli!ery tic?ets

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Payment Review:

. o" many of t/e contract items /a!e een comlete% as of t/e last rogress ayment

12. Comments:

La+or Compliance * 01ual 0mployment Opportunity:

. Comments:

D20"3D20:

1. /at is t/e I#0 goal for t/is contract (>)

2. /at is t/e I#0 commitment for t/is contract (>)

7. Comments:

Training Re1uirements:

2. f yes* "/at is t/e goal for t/is contract

1. as t/e local agency rocesse% a rogress ayment to t/e Contractor on t/is contract !"#$

2. f yes* %oes t/e rogress ayment ro!i%e a suitale accounting trail to suort %ocumentationfor contract "or? (e.g. items* CCs* etc.) ac? to a source %ocument (e.g. G s/eet) !"#$ -otc/ec? only+

3. Are "eig/master certificates eing !ali%ate% y t/e a%ministering agency at oint of %eli!ery !"#$

4. Are t/ere searate uantity ay s/eets for eac/ item eing ai% on eac/ rogress ayment  !"#$

@. Are uantity ay s/eets signe% an% %ate% !"#$

B. Are uantity ay s/eet calculations eing c/ec?e% y a searate in%i!i%ual !"#$

7. Are uantities ai% to %ate eing monitore% an% c/ec?e% against estimate% uantities !"#$

9. as retainage een release% on t/e comlete% contract items !"#$

1=. s t/e local agency conforming to t/eir selection (tion 1* 2 or 3) for romt ayment !"#$

11. #oes t/e local agency /a!e an estalis/e% met/o% to ensure sucontractors recei!e romtayment or resol!e relate% comlaints !"#$

1. Are "age rates %etermine% y t/e I- #eartment of Laor inclu%e% in t/e contract !"#$

2. Are ayrolls certifie% y t/e contractor !"#$

3. Are ayrolls c/ec?e% an% initiale% y t/e local agency !"#$

4. Are %iaries an% ayrolls eing sotEc/ec?e% an% comare% y t/e local agency !"#$

@. Are reuire% fe%eral osters (/tt:

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4. Comments:

0nvironmental:

3. Comments:

Other:

1=. Comments:

'ollow up items for ma(or )eficiencies:

#eficiency %escrition Course of action Action %ates

A))itional Items for 2ri)ge Pro(ects:

Concrete Recor)s:

1. s t/e en!ironmental %ocument for t/is ro&ect on file !"#$

2. s t/e construction ro&ect a%/ering to mitigation reuirements in t/e en!ironmental%ocuments !"#$

1. #oes t/e agency /a!e a means to trac?* monitor an% reort on contract time !"#$

2. s t/e agency trac?ing* monitoring an% reorting contract time in accor%ance "it/ t/eirroce%ure !"#$

3. #oes t/e ro&ect /a!e a roce%ure for sumitting an% filing a H'otice of aterials to e Ise%Htye %ocument !"#$

4. as t/is roce%ure een follo"e% !"#$

@. #oes t/e ro&ect /a!e a roce%ure for sumitting an% filing certificates of comliance formaterials !"#$

B. as t/is roce%ure een follo"e% !"#$

7. #oes t/e ro&ect /a!e traffic control lan reuirements !"#$

. Are t/e traffic control lan reuirements eing follo"e% !"#$

9. as t/e ro&ect6s material certificate een comlete% an% roerly file% !"#$

1. Are all aro!e% concrete mixes on file !"#$

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4. Comments:

2ri)ge CCOs:

2. Comments:

Approve) 'alsework Plans:

9. Comments:

Prestressing:

1=. Comments:

2. Are all letters of concrete mix aro!als on file !"#$

3. Are samles an% testing notations inclu%e% on our recor%s or %iaries !"#$

1. $or ri%ge %esign c/anges* /as t/e ri%ge %esigner aut/ori5e% t/e c/ange !"#$

1. s t/ere a false"or? log on file s/o"ing false"or? sumittal /istory !"#$

2. Are t/e false"or? lans roerly stame% !"#$

3. #o t/e false"or? lans inclu%e erection an% striing oerations !"#$

4. Are t/e false"or? calculations on file an% comlete !"#$

@. Are t/ere recor%s of camer an% false"or? %eflection calculations erforme% y a registere%engineer !"#$

B. Are t/ere recor%s of false"or? soffit an% %ec? gra%es sulie% to t/e contractor y t/e0ngineer* "/ic/ accommo%ate false"or? settlements an% %eflections an% ri%ge camerreuirements !"#$

7. s t/ere a letter from t/e contractor certifying t/at t/e erecte% false"or? sustantially meetsaro!e% false"or? lans %ate% rior to concrete ours of ri%ge soffit an% %ec? !"#$

. Are t/ere any recor%s of oser!e% false"or? settlement %uring an% after t/e concrete our!"#$

1. Are t/e initial s/o %ra"ings for restressing (sumitte% y t/e contractor) on file !"#$

2. Are t/e initial lans roerly stame% !"#$

3. s t/e final set of s/o %ra"ings for restressing on file !"#$

4. Are t/e final lans roerly stame% !"#$

@. s t/ere a recor% in t/e %iaries to in%icate t/at t/e restressing %ucts "ere c/ec?e% for anyostruction after t/e soffit

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3. Comments:

%horing Plans if there is"was shoring on the pro(ect$:

3. Comments:

&el)ing if there is wel)ing in the contract$

3. Comments:

1. Are t/e s/oring lans roerly stame%  !"#$

2. #o t/e ro&ect recor%s inclu%e comlete s/oring calculations !"#$

1. #oes t/e contract reuire t/e contractor to /a!e a Guality Control Plan for "el%ing !"#$

2. f yes* is t/e contractor6s "el%ing Guality Control Plan on file !"#$