| Construction Forms |
| Form No. |
Form Name |
Revised |
|
| 25D-17 |
Alaska Veteran Preference Certification |
07/18 |
|
|
|
| 25D-19 |
Alaska Bidder Preference Certification |
07/18 |
|
|
|
| 25D-20 |
Alaska Product Preference Worksheet |
12/19 |
|
|
|
| 25D-118 |
Assignee's Release |
7/04 |
|
|
|
| |
Bridge Formula Chart for Gross Vehicle Weights |
4/10 |
|
|
|
| 25D-080 |
Temporary Bridge Submittal Checklist |
6/09 |
|
|
|
| |
Building Facilites Form |
7/14 |
|
|
|
| 25D-60 |
Buy America Material Origin Certificate (FHWA) |
11/23 |
- |
|
Use with HSP20-7A |
| 25D-60 |
Buy America Material Origin Certificate (FHWA) |
11/22 |
- |
|
Use with HSP20-7 |
| 25D-62 |
Buy America Compliance |
11/23 |
- |
|
Use with HSP20-7A |
| 25D-62 |
Buy America Compliance |
11/22 |
- |
|
Use with HSP20-7 |
| 25D-154 |
Material Submittal for Buy American Compliance |
1/23 |
|
|
|
| 25D-116 |
Certification of Final Estimate |
1/98 |
|
|
|
| 25D-68 |
Change Order |
6/17 |
|
|
|
| 25D-65 |
Continuation Sheet |
4/12 |
|
|
|
| 25D-42 |
Contractor Self Cert for Subs & Lower Tier Subs |
10/18 |
|
|
|
| 25D-18 |
Contractor Intent to Claim Form |
02/15 |
|
|
|
| 25D-08 |
Contractor's Questionnaire |
8/01 |
- |
|
|
| 25D-117 |
Contractor's Release |
4/97 |
|
|
|
| 25D-196 |
Daily Force Account Summary Sheet |
4/10 |
|
|
|
| 25D-195 |
Daily Report for Time & Materials |
4/97 |
|
|
|
| 25D-69 |
Directive |
4/12 |
|
|
|
| 25A-321A |
DBE Contact Report |
10/16 |
- |
|
|
| 25A-298 |
DBE CUF Monitoring Report |
6/22 |
|
|
|
| 25A-299 |
DBE CUF Verification |
6/22 |
|
|
|
| 25A-336 |
DBE Monthly Summary of DBE Participation |
3/12 |
|
|
|
| 25A-324 |
DBE Subcontractable Items |
8/01 |
- |
|
|
| 25A-325C |
DBE Utilization Report |
3/12 |
|
|
|
| 25A-304 |
EEO-1 Certification |
11/19 |
- |
|
|
| FHWA-1391 |
Federal-aid Highway Construction Contractors Annual EEO Report |
09/13 |
|
|
|
| 25A-303 |
EEO Monthly Employment Utilization Report |
10/10 |
|
|
|
| |
Encumbrance Memo |
3/98 |
|
|
|
| 25D-49 |
Estimate of Cost |
4/12 |
|
|
|
| |
FAA Construction Project Closeout Checklist |
7/14 |
|
|
|
| 7480-1 |
FAA Notice of Landing Area Proposal |
1/93 |
- |
|
|
| |
FAA Notice to Airmen |
8/04 |
|
|
|
| |
FAA Sponsor Certification for Construction
Project Final Acceptance (Attachment 1) |
8/00 |
|
|
|
| |
FAA Sponsor Certification for Equipment/Construction
Contracts (Attachment 2) |
8/00 |
|
|
|
| FHWA-1446C |
FHWA Form 1446C-AKDOT, Final Inspection |
5/99 |
|
|
|
| |
FHWA Project Closeout Checklist |
7/14 |
|
|
|
| |
Final Construction Report Summary Sheet |
7/04 |
|
|
|
| 25D-31 |
Final Estimate Review Report |
11/16 |
|
|
|
| 25D-25 |
Final Estimate, Summary of Quantities |
3/98 |
|
|
|
| |
Hazardous Material Control Plan Template |
11/23 |
|
|
|
| 25D-186 |
Inspector's Daily Report |
4/98 |
|
|
|
| 25D-70 |
Interim Work Authorization |
4/12 |
|
|
|
| 25D-40 |
Labor Compliance Interview |
3/06 |
|
|
|
| |
Master Material Certification List |
| 25D-205 |
Materials Inspection Summary |
6/98 |
|
|
|
| 25D-1589 |
Monthly Employment Report, ARRA |
04/09 |
|
|
|
| |
MSGP Aircraft & Airfield Deicing Usage Monthly Report |
10/22 |
|
|
|
| 25D-133 |
MSGP Corrective Action Log |
08/20 |
|
|
|
| 25D-130 |
MSGP Delegation of Signature Authority |
04/20 |
|
|
|
| 25D-139 |
MSGP Material Site Status Change |
04/20 |
|
|
|
| 25D-131 |
MSGP Quarterly Visual Assessment |
07/21 |
|
|
|
| 25D-132 |
MSGP Routine Facility Inspection Report |
05/21 |
|
|
|
| |
MSGP COVID-19 Certification |
7/20 |
|
|
|
| 25D-135 |
MSGP Runway Deicer Tracking Form |
04/20 |
|
|
|
| 25D-137 |
MSGP Significant Spills, Leaks or Other Releases |
04/20 |
|
|
|
| 25D-136 |
MSGP SWPPP Amendment Log |
04/20 |
|
|
|
| 25D-134 |
MSGP Training Record |
04/20 |
|
|
|
| |
Oil & Hazardous Substances Spill Notification |
2/08 |
- |
|
|
| 25A-312 |
OJT Apprentice/Trainee Employment Report |
6/13 |
|
|
|
| 25A-313 |
OJT Monthly Training Report |
6/13 |
|
|
|
| 25A-311 |
OJT Training Utilization Report |
1/16 |
- |
|
|
| 25D-102 |
Periodic Estimate for Partial Payment |
|
|
|
|
| 25D-98 |
Pile Driving Equipment Data |
6/02 |
|
|
|
| 25D-99 |
Pile Driving Record |
3/99 |
|
|
|
| 25D-46 |
Pile Log-Boring Record |
4/98 |
|
|
|
| |
Progress Estimate Template |
4/98 |
|
- |
|
| |
Progress Estimate, Item Template |
|
|
- |
|
| 25D-57 |
Project Construction Report |
4/97 |
|
|
|
| |
Project Materials Certification Letter |
11/20 |
|
|
|
| 25D-58 |
Project Materials Report |
1/10 |
|
|
|
| 25D-173 |
Proof of Construction for ROW |
1/03 |
|
|
|
| 25D-174 |
Proof of Use for Materials Sources |
1/03 |
|
|
|
| 07-6101 |
Report of Occupational Injury or Illness |
5/00 |
- |
|
|
| 25A-42 |
Request for Overtime Authorization |
1/98 |
|
|
|
| 25D-67 |
Request for Proposal |
7/14 |
|
|
|
| 25D-54 |
Scale Diary |
3/06 |
|
|
|
| 25D-101 |
Schedule of Values |
|
|
|
|
| 02-303 |
Stock Request |
1/98 |
|
|
|
| 25D-05 |
Subcontractor List |
5/17 |
|
|
|
| 25D-30 |
Submittal Register |
4/10 |
|
|
|
| |
Supervisor's Accident Investigation Report |
1/04 |
- |
|
|
| 25M-63 |
Supervisor's Safety Meeting Report |
6/15 |
|
|
|
| 25D-66 |
Supplemental Agreement |
1/03 |
|
|
|
| 25D-203 |
Supplier Submitted Concrete Mix Design |
9/24 |
|
|
|
| 25D-64 |
Support Information/Backup Sheet |
3/06 |
|
|
|
| |
SWPPP Guide with Appendices |
4/23 |
|
|
|
| |
SWPPP eDOCS Bundle Coversheet |
4/22 |
|
|
|
| |
SWPPP Template |
3/21 |
|
|
|
| 25D-114 |
SWPPP Amendment Log |
12/15 |
|
|
Instructions |
| 25D-111 |
SWPPP Contractor Certification |
12/15 |
|
|
Instructions |
| 25D-109 |
SWPPP DOT&PF Certification |
12/15 |
|
|
Instructions |
| |
SWPPP Review Checklist |
3/21 |
|
|
|
| 25D-100 |
SWPPP Construction Inspection Report Form |
6/21 |
|
|
Instructions |
| 25D-115 |
SWPPP Daily Record of Rainfall |
12/15 |
|
|
Instructions |
| 25D-113 |
SWPPP Delayed Action Item Report |
12/15 |
|
|
Instructions |
| 25D-108 |
SWPPP Contractor Delegation of Signature for CGP Documents |
12/15 |
|
|
Instructions |
| 25D-107 |
SWPPP DOT&PF Delegation of Signature for CGP Documents |
10/19 |
|
|
Instructions |
| 25D-110 |
SWPPP Grading & Stabilization Activities Log |
12/15 |
|
|
Instructions |
| 25D-112 |
SWPPP Corrective Action Log |
12/15 |
|
|
Instructions |
| 25D-126 |
SWPPP Liquidated Damages Table |
4/23 |
Highways
Airports
Facilities |
| 25D-127 |
SWPPP Project Staff Tracking |
6/16 |
|
|
Instructions |
| 25D-106 |
SWPPP Preconstruction Site Visit |
12/15 |
|
|
Instructions |
| |
SWPPP Non-Joint Inspection Memo |
10/21 |
|
|
|
| |
SWPPP Reduced Inspection Memo-Winter Construction |
10/21 |
|
|
|
| |
SWPPP Reduced Inspection Memo-Unstaffed Site |
10/21 |
|
|
|
| |
SWPPP Reduced Inspection Memo-Staffed Site |
10/21 |
|
|
|
| |
SWPPP Post-Storm Inspection Memo |
10/21 |
|
|
|
| |
SWPPP Winter Shutdown Memo |
10/21 |
|
|
|
| 25D-105 |
SWPPP Subcontractor Certification |
12/15 |
|
|
Instructions |
| 25D-125 |
SWPPP Training Log |
12/15 |
|
|
Instructions |
| 25D-140 |
SWPPP Turbidity Monitoring Form |
12/15 |
|
|
|
| 25D-141 |
SWPPP Turbidity Monitoring Annual Report Form |
12/15 |
|
|
|
| 25D-129 |
SWPPP Visual Monitoring |
12/15 |
|
|
Instructions |
| 25D-143 |
SWPPP CGP Noncompliance Notification |
9/15 |
|
|
Instructions |
| |
SWPPP Hazardous Material Control Plan Template |
5/13 |
|
|
|
| |
Tax Clearance Request Form |
9/10 |
|
|
|
| 25D-104 |
Traffic Control Daily Review |
3/06 |
|
|
|
| 25D-103 |
Traffic Control Signs/Devices Report (Daily) |
6/04 |
|
|
|
| 25D-37 |
Traffic Item 643(15) Flagging |
4/98 |
|
|
|
| 25D-26 |
Waiver Request for Alternate Procurement
Methods |
8/00 |
|
|
|
| 25D-124 |
Worksite Traffic Supervisor Form |
9/22 |
|
|
|
| 25D-123 |
Work Zone Crash Report Form
|
1/24 |
|
|
|
| 25D-128 |
Traffic Enforcement Presence Log |
4/12 |
|
|
|
Construction
Judy Anunciacion, P.E.
907-269-4886