CDOT Form 473-M "Final Materials Certification for a CDOT Maintenance Project" - Colorado

What Is CDOT Form 473-M?

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

Form Details:

  • Released on April 1, 2019;
  • The latest edition provided by the Colorado 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 CDOT Form 473-M by clicking the link below or browse more documents and templates provided by the Colorado Department of Transportation.

ADVERTISEMENT
ADVERTISEMENT

Download CDOT Form 473-M "Final Materials Certification for a CDOT Maintenance Project" - Colorado

1686 times
Rate (4.6 / 5) 84 votes
CDOT Region
Project No.
Contract ID
Acceptance date
Project Location
CDOT MAINTENANCE
Contractor
This is to Certify that:
The results of the tests on the acceptance samples indicate that the material incorporated in the
construction work, and the construction operations controlled by sampling and testing, were in
conformity with the approved plans and specifications; and such results compare favorably with
the results of the Independent Assurance sampling and testing.
All results from the Independent Assurance sampling and testing are within tolerance limits of the
results of sampling and testing that are used in the acceptance program.
Exceptions to the plans and specifications are explained on
Explanation of Exceptions, #474. A
CDOT Form #474 is always required to be attached to the #473.
The referenced documents below are attached with applicable signatures to this form in the
order indicated.
Explanation of Exceptions, Form #474, (as many pages as required.)
K Yes
K No
K Yes
K No
Explanation of Exceptions, Supplemental Documents.
Materials Documentation Record, Form #250
K Yes
K No
.
Project Independent Assurance Sampling & Testing Schedule, Form #379.
K Yes
K No
K Yes
K No
Finals Materials Documentation Checklist, (Project Closure) Form #1199, page 1.
K Yes
K No
Finals Materials Documentation Checklist, (Review or Audit) Form #1199, page 2.
Evaluation of Materials Testing, Form #1324. Attach only if Consultant Testing.
K No
K Yes
Approved by: Project Manager
Title:
(printed name and signature)
Approved by: Maintenance Superintendent
Title:
(printed name and signature)
Distribution:
Maintenance Superintendent
K
o:
State Maintenance Engineer
xc:
K
Region Materials Engineer
K
Regions Final Engineer
K
cdot_pavement.design@state.co.us
K
ProjectWise
4/19
CDOT Form #473 M
Previous editions are obsolete and may not be used.
CDOT Region
Project No.
Contract ID
Acceptance date
Project Location
CDOT MAINTENANCE
Contractor
This is to Certify that:
The results of the tests on the acceptance samples indicate that the material incorporated in the
construction work, and the construction operations controlled by sampling and testing, were in
conformity with the approved plans and specifications; and such results compare favorably with
the results of the Independent Assurance sampling and testing.
All results from the Independent Assurance sampling and testing are within tolerance limits of the
results of sampling and testing that are used in the acceptance program.
Exceptions to the plans and specifications are explained on
Explanation of Exceptions, #474. A
CDOT Form #474 is always required to be attached to the #473.
The referenced documents below are attached with applicable signatures to this form in the
order indicated.
Explanation of Exceptions, Form #474, (as many pages as required.)
K Yes
K No
K Yes
K No
Explanation of Exceptions, Supplemental Documents.
Materials Documentation Record, Form #250
K Yes
K No
.
Project Independent Assurance Sampling & Testing Schedule, Form #379.
K Yes
K No
K Yes
K No
Finals Materials Documentation Checklist, (Project Closure) Form #1199, page 1.
K Yes
K No
Finals Materials Documentation Checklist, (Review or Audit) Form #1199, page 2.
Evaluation of Materials Testing, Form #1324. Attach only if Consultant Testing.
K No
K Yes
Approved by: Project Manager
Title:
(printed name and signature)
Approved by: Maintenance Superintendent
Title:
(printed name and signature)
Distribution:
Maintenance Superintendent
K
o:
State Maintenance Engineer
xc:
K
Region Materials Engineer
K
Regions Final Engineer
K
cdot_pavement.design@state.co.us
K
ProjectWise
4/19
CDOT Form #473 M
Previous editions are obsolete and may not be used.