DCP 14 Request for Final Payment
DCP 14 Request for Final Payment. Front Page Bottom of Sheet Do not submit an incomplete packet Ledger questions to John Fox (651-366-4854) DCP 14 questions.
Dec 27, 2015
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DCP 14
Request for Final Payment
Front Page
Bottom of Sheet
Do not submit an incomplete packet Ledger questions to John Fox (651-366-4854) DCP 14 questions to Mark Channer (651-366-3828)
Certified to Date
Total Due
Total Due + BR Bond/Misc Approp = Certified to Date
Total Due under the Certified to Date Must Equal Reimbursement Request
No hand-written edits
Retainage
Retainage MUST be set to ZERO
Required Checklist
Required if applicable
Mark ALL lines.
Indicate those that do not apply.
Page 2 – Sample Final Contract Voucher
Page 3 – Sample SA Payment Request
Must be “Final” Include all
accompanying documents
Page 4 – DCP 12
Submit to DSAE for Approval
DCP 12 – Top of Sheet
DCP 12 – Middle of Sheet
DCP 12 – Bottom of Sheet Total
Increased costs cannot exceed actual cost increase
Participation %
Additional Federal Increased Costs.
Do not submit if incomplete.
Pages 5 & 6 – Sample SA
Page 7 – Sample CO
Page 8 – Sample Work Order
Work Orders are not mandatory, but should be included if they support the SA’s or CO’s.
Page 9 – Sample Overrun Justification
Any time there are overruns, an Overrun Justification should be sent.
The Feds what to see why there were overruns, whether you ask for additional funds or not.
Page 10 – Sample Material Certification Exception Summary
Must be included even if there are no exceptions.
Page 11 – Certificate of Performance
If the Final estimate voucher contains a similar statement by the engineer in charge of the work, the Certificate of Performance will not be required.
State Statutes require that this Certificate is to be signed by the Engineer in Charge.
Pages 12 & 13 – Final Inspection Report
Pages 14 and 15 – Sample Certificate of Final Acceptance
MUST BE NOTARIZED!MUST BE NOTARIZED!
Page 16 - Sample of the Certificate of Final Acceptance
Copies Available
An electronic (PDF) copy of the Request for Final Payment sample packet is available on the DCP Checklist page.
http://www.dot.state.mn.us/stateaid/dcp/dcpchecklist.htm
Questions?
THANK YOU!
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