Form CEM-6205 "Dispute Resolution Board (Drb) - Completion Report" - California

What Is Form CEM-6205?

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 February 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-6205 by clicking the link below or browse more documents and templates provided by the California Department of Transportation.

ADVERTISEMENT
ADVERTISEMENT

Download Form CEM-6205 "Dispute Resolution Board (Drb) - Completion Report" - California

Download PDF

Fill PDF online

Rate (4.5 / 5) 62 votes
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
DISPUTE RESOLUTION BOARD (DRB) — COMPLETION REPORT
Page 1 of 2
CEM-6205 (REV 02/2019)
Resident engineer shall complete this form within 20 days of the project acceptance and email it to the alternative dispute resolution (ADR) engineer at ADR.Engineer@dot.ca.gov.
1. PROJECT INFORMATION
Contract Number:
Current Date:
Contractor:
Resident Engineer:
Phone:
Contract Acceptance Date:
2. DRB MEETINGS
MEETING TYPE (INITIAL, PROGRESS, OR
DID DRB TOUR
DISPUTE IDENTIFICATION
DATE
DISPUTE -Traditional/Informal)
PROJECT SITE?
(if applicable)
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
3. DISPUTE OUTCOMES (REFERRED TO DRB ONLY)
Potential
Recommendation
Original
Original
Resolution
Resolution
Change
Dispute Status
Claim
in Favor of
Dispute Description
Dollar
Time
Dollar
Time
Order
(9)
Record
(5)
(1)
Amount
Claimed
Amount
Amount
Number
Number
(3)
(4)
(6)
(7)
(8)
(2)
Caltrans Contractor
Both
Resolved Unresolved
Partial
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
DISPUTE RESOLUTION BOARD (DRB) — COMPLETION REPORT
Page 1 of 2
CEM-6205 (REV 02/2019)
Resident engineer shall complete this form within 20 days of the project acceptance and email it to the alternative dispute resolution (ADR) engineer at ADR.Engineer@dot.ca.gov.
1. PROJECT INFORMATION
Contract Number:
Current Date:
Contractor:
Resident Engineer:
Phone:
Contract Acceptance Date:
2. DRB MEETINGS
MEETING TYPE (INITIAL, PROGRESS, OR
DID DRB TOUR
DISPUTE IDENTIFICATION
DATE
DISPUTE -Traditional/Informal)
PROJECT SITE?
(if applicable)
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
3. DISPUTE OUTCOMES (REFERRED TO DRB ONLY)
Potential
Recommendation
Original
Original
Resolution
Resolution
Change
Dispute Status
Claim
in Favor of
Dispute Description
Dollar
Time
Dollar
Time
Order
(9)
Record
(5)
(1)
Amount
Claimed
Amount
Amount
Number
Number
(3)
(4)
(6)
(7)
(8)
(2)
Caltrans Contractor
Both
Resolved Unresolved
Partial
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
DISPUTE RESOLUTION BOARD (DRB) — COMPLETION REPORT
Page 2 of 2
CEM-6205 (REV 02/2019)
4. DISPUTE DETAILS
DRB DEPARTMENTS EXPENDITURES (DRB CHANGE ORDER COST):
TOTAL NUMBER OF POTENTIAL CLAIM RECORDS RECEIVED:
TOTAL NUMBER OF POTENTIAL CLAIM RECORDS RESOLVED PRIOR TO REFERRAL TO DRB:
TOTAL NUMBER OF DISPUTES REFERRED TO DRB:
TOTAL NUMBER OF DISPUTES DRB ISSUED RECOMMENDATION ON:
TOTAL NUMBER OF POTENTIAL CLAIM RECORDS RESOLVED AFTER REFERRAL TO DRB:
TOTAL NUMBER OF POTENTIAL CLAIM RECORDS UNRESOLVED AT CONTRACT ACCEPTANCE:
TOTAL NUMBER OF NEW DISPUTES LISTED AS EXCEPTIONS TO THE PFE
5. DRB PROCESS EVALUATION
Circle the appropriate response. Resident engineer's response unless otherwise noted.
DRB's VALUE IN RESOLVING DISPUTES (RE's Opinion):
No Value
Extremely Valuable
1 2 3 4 5 6 7 8 9
DRB's VALUE IN RESOLVING DISPUTES (CE's Opinion):
No Value
Extremely Valuable
1 2 3 4 5 6 7 8 9
DRB's VALUE IN RESOLVING DISPUTES (Structure Rep's Opinion):
No Value
Extremely Valuable
1 2 3 4 5 6 7 8 9
DRB's VALUE IN RESOLVING DISPUTES (BCE's Opinion):
No Value
Extremely Valuable
1 2 3 4 5 6 7 8 9
DRB's VALUE IN RESOLVING DISPUTES (Contractor's Opinion):
No Value
Extremely Valuable
1 2 3 4 5 6 7 8 9
DRB's PERCEIVED BIAS:
Very Biased
Very Objective
1 2 3 4 5 6 7 8 9
REASONABLENESS OF DRB RECOMMENDATIONS:
Unreasonable
Reasonable
1 2 3 4 5 6 7 8 9
RECOMMENDED IMPROVEMENTS IN DRB PROCESS OR PROCEDURES:
OTHER COMMENTS:
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.
Page of 2