U.S. Department of Transportation
Federal Highway Administration
1200 New Jersey Avenue, SE
Washington, DC 20590
202-366-4000


Skip to content U.S. Department of Transportation/Federal Highway AdministrationU.S. Department of Transportation/Federal Highway Administration

Construction

<< PreviousContentsNext >>

Construction Program Management and Inspection Guide

Appendix G (continued)

DOT Logo DIVISION OFFICE
FINAL ACCEPTANCE CHECKLIST
FOR FEDERAL-AID "N" PROJECTS
PROJECT INFORMATION
EA No. Federal-aid No. 
Project Description 
District/County/Route/KP 
Date Awarded Approval Date 
Time Started Work Started 
Contract Days Final No. Working Day 
Original Completion Date State Acceptance Date 
Liquidated Damages (no. of days and total $ amount) 
SUBMITTALSSUBMITTED?DATE
Material Certification (CM 6-1.1)YesNoN/A 
Form FHWA-47MYesNoN/A 
Proposed Final EstimateYesNoN/A 
Last Statement of Working DaysYesNoN/A 
Contractor's Written Statement of Claims (Submitted Separately)YesNoN/A 
List of CCOsYesNoN/A 
(Approved and Pending)YesNoN/A 
(Participating/Non-Participating)YesNoN/A 
List of Time ExtensionsYesNoN/A 
(FHWA Approved/Not Approved)YesNoN/A 
Form CEM-2402 (F) Final ReportYesNoN/A 
Utilization of DBEYesNoN/A 
Environmental Commitments CompletedYesNoN/A 
ADDITIONAL INFORMATION
Labor Compliance Problems
 
 
Any Other Changes
 
 

(ORIGINAL: PROJECT FILE; CC: FHWA, WITH PROPOSED FINAL ESTIMATE)

<< PreviousContentsNext >>
Updated: 11/25/2013
Federal Highway Administration | 1200 New Jersey Avenue, SE | Washington, DC 20590 | 202-366-4000