Form CEM-4904 "Caltrans Authorization for Using Internet Extra Work Bill System" - California

What Is Form CEM-4904?

This is a legal form that was released by the California Department of Transportation - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on June 1, 2019;
  • The latest edition provided by the California Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CEM-4904 by clicking the link below or browse more documents and templates provided by the California Department of Transportation.

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Download Form CEM-4904 "Caltrans Authorization for Using Internet Extra Work Bill System" - California

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STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
CALTRANS AUTHORIZATION FOR USING INTERNET EXTRA WORK BILL SYSTEM
CEM-4904 (REV 06/2019)
Contract EA
Co/Rte/PM
Contractor Name
The resident engineer should receive a copy of the CEM-4905, "Contractor Authorization for Using Internet Extra Work Bill System." Once received,
submit it along with a copy of this CEM-4904, "Caltrans Authorization for Using Internet Extra Work Bill System," to the EWB Administrator. This
contract will not be added to the contractor's account until the resident engineer is assigned to the contract in the EWB system.
Is the contract a Joint Venture?
Yes
No
Select Markup Type:
Standard
TRO
The markups depend on what type of contract it is. For TRO, there is an item in the contract for Working Days. The markups will be in the Force
Account Payment section of the special provisions. If there is no item for Working Days, then the contract is a Standard contract.
Enter Markups Below:
Prime Contractor Markups
Subcontractor Markups
Equipment
Equipment
%
%
Material
Material
%
%
Labor
%
Labor
%
Subcontractor
%
Project Office Address
Phone
Fax
Authorized Personnel
The following personnel are authorized to review or approve Contractor Daily Extra Work Reports. These reports are sent on the above contract
based on assigned role. See page 2 for a list of roles and actions defined.
Name
Title
Role
Phone
Email
The EWB administrator should be notified in writing promptly if any user is no longer assigned to work on this contract or with the
organization (Caltrans). By completing this form, the resident engineer understands that the above personnel must be trained to use
the system.
SIGNATURE (RESIDENT ENGINEER)
DATE
PRINT NAME
DATE
CONSTRUCTION ENGINEER (OPTIONAL)
DATE
cc: District or Region Administrator
For individuals with sensory disabilities, this document is available in alternate formats. For alternate format information, contact the Forms
ADA Notice
Management Unit at (916) 445-1233, TTY 711, or write to Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
CALTRANS AUTHORIZATION FOR USING INTERNET EXTRA WORK BILL SYSTEM
CEM-4904 (REV 06/2019)
Contract EA
Co/Rte/PM
Contractor Name
The resident engineer should receive a copy of the CEM-4905, "Contractor Authorization for Using Internet Extra Work Bill System." Once received,
submit it along with a copy of this CEM-4904, "Caltrans Authorization for Using Internet Extra Work Bill System," to the EWB Administrator. This
contract will not be added to the contractor's account until the resident engineer is assigned to the contract in the EWB system.
Is the contract a Joint Venture?
Yes
No
Select Markup Type:
Standard
TRO
The markups depend on what type of contract it is. For TRO, there is an item in the contract for Working Days. The markups will be in the Force
Account Payment section of the special provisions. If there is no item for Working Days, then the contract is a Standard contract.
Enter Markups Below:
Prime Contractor Markups
Subcontractor Markups
Equipment
Equipment
%
%
Material
Material
%
%
Labor
%
Labor
%
Subcontractor
%
Project Office Address
Phone
Fax
Authorized Personnel
The following personnel are authorized to review or approve Contractor Daily Extra Work Reports. These reports are sent on the above contract
based on assigned role. See page 2 for a list of roles and actions defined.
Name
Title
Role
Phone
Email
The EWB administrator should be notified in writing promptly if any user is no longer assigned to work on this contract or with the
organization (Caltrans). By completing this form, the resident engineer understands that the above personnel must be trained to use
the system.
SIGNATURE (RESIDENT ENGINEER)
DATE
PRINT NAME
DATE
CONSTRUCTION ENGINEER (OPTIONAL)
DATE
cc: District or Region Administrator
For individuals with sensory disabilities, this document is available in alternate formats. For alternate format information, contact the Forms
ADA Notice
Management Unit at (916) 445-1233, TTY 711, or write to Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
CALTRANS AUTHORIZATION FOR USING INTERNET EXTRA WORK BILL SYSTEM
CEM-4904 (REV 06/2019)
Role Assignments
The following role assignment is done in iEWB and it is used in the ePCR system (the roles below have no privileges in the iEWB system):
ROLE
ACTIONS
CONSTR_MANGR (Construction Manager)
Print, View
CONSTR_ENGR (Construction Engineer)
Create, Save, Print, View, Approve, Reject
Role Assignments
The following role assignments used in the EWB System:
ROLE
ACTIONS
RE (Resident Engineer)
Create, Save, Print, View, Approve, Reject, Revise, Approve, and Correct EWBs
RE Authority
Print, View, Create, Save, Send, Review, Reject, Revise, Approve, and Correct EWBs
EWB Review
Create, Save, Print, View, Send, Review, Reject, Revise EWBs (All actions except Approve)
EWB Entry
Create, Print, View, Save, and Revise EWBs
District Data Entry
Create, Send, Print, View, Save, and Revise EWBs
Staff (Caltrans)
Read only (Print and View)
NOTE: The CONSTR_MANGR (construction manager) and CONSTR_ENGR (construction engineer) must be assigned at the same time with
the RE (resident engineer) role.
For individuals with sensory disabilities, this document is available in alternate formats. For alternate format information, contact the Forms
ADA Notice
Management Unit at (916) 445-1233, TTY 711, or write to Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
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