Print Form

Intermediate

Recommendation of Project Acceptance

Final

Project Information

Project Name (Section)

Contract No.

Highway

Federal Aid No.

Contractor

Second Notification Date

Contract Time Elapsed

Contract Work Completed

Inspection Date

Inspected by

Contract Work in Progress

Contract Work Quality

Date Contractor's Final Inspection

Request Recieved

In Company With

Remarks
(scope of inspection, finding, recommendations, instructions, etc.)

Distribution

All on-site work has been completed in accordance with the contract.

Original: To Construction Section

Project Manager

Copies

Print

I recommend acceptance.

Date

District Manager
Sign

FHWA (FFO projects only)

Consultant and Local Agency (if applicable)

Area Manager

I recommend acceptance.

Scanned copy to ODOT Contract Services mailbox

Print

Date

Sign
734-1384 (06-2013)

http://www.oregon.gov/ODOT/HWY/CONSTRUCTION/hwyConstForms1.shtml

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