Capital Projects Contractor Forms
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View and print commonly needed Capital Projects contractor forms. These forms are to be used only by contractors currently working on capital projects.
All documents are posted in PDF format. You may type directly onto the form on the screen and print the completed form. Unless noted, the documents are a standard letter (8 1/2" x 11") size. Adobe Acrobat is needed to view and print the files.
If you experience difficulties in viewing a PDF in your web browser, please right-click on the link and save the file to your computer.
| Change Orders | |
|---|---|
| FORM 22A: | Construction Change Order Form (PDF, 105 KB) |
| FORM 28: | Wage/Rate
Breakdown List (PDF,
117 KB) Use legal size paper (8 1/2" x 14") when printing |
| Contractor Payments | |
| FORM 32: | Checklist detailing all forms that must be included for payment (PDF, 131 KB) |
| FORM 39-1: | Contractor
Contract Work Payment Summary (PDF,
90 KB) Use legal size paper (8 1/2" x 14") when printing |
| FORM 39-2: | Contractor
Change Order Payment Summary (PDF,
82 KB) Use legal size paper (8 1/2" x 14") when printing |
| FORM 39A: | Contract Work Requisition w/ Quantity Breakdown (PDF, 105 KB) |
| FORM 39B: | Change Order Work Requisition w/ Quantity Breakdown (PDF, 109 KB) |
| FORM 40-SC: | Non-Discrimination Statement (PDF, 85 KB) |
| FORM 42: | Certificate
of Contractor to Comptroller PDF,
107 KB) Use legal size paper (8 1/2" x 14") when printing |
| FORM 43: | Certificate
of Subcontractor to Comptroller (PDF,
81 KB) Use legal size paper (8 1/2" x 14") when printing |
| FORM 44A: | LBE Compliance Report (PDF, 90 KB) |
| Time Extensions | |
| FORM 47: | Contractor's
Request (Form A) to Waive Right to Claim a Time
Extension (PDF, 108
KB) Use legal size paper (8 1/2" x 14") when printing |
| FORM 48: | Contractor's
Request (Form B) to Reserve Right to Claim a Time
Extension (PDF,
95 KB) Use legal size paper (8 1/2" x 14") when printing |
| FORM 49: | Contractor's
Request (Form C) to Final Time Extension w/ Claims
& Bill Particulars(PDF,
100 KB) Use legal size paper (8 1/2" x 14") when printing |
| Subcontractors | |
| FORM 65 A: | Subcontractor Profile Form (PDF, 110 KB) |
| Prevailing Wage | |
| FORM 112: | Employee Prevailing Wage Acknowledgment (PDF, 71 KB) |
| FORM 113: | Prevailing Wage Guidelines (PDF, 16 KB) |
| FORM 114: | Acknowledgment of Prevailing Wage Document (PDF, 10 KB) |

