CDOT Form 65 "Project Financial Statement" - Colorado

What Is CDOT Form 65?

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 May 1, 2017;
  • 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 65 by clicking the link below or browse more documents and templates provided by the Colorado Department of Transportation.

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Download CDOT Form 65 "Project Financial Statement" - Colorado

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COLORADO DEPARTMENT OF TRANSPORTATION
PROJECT FINANCIAL STATEMENT
Project# (SA#):
Date:
Project location:
RE Orgn Code:
PE
Project allotment
Award
Current
23 Transportation Commission Action (TCA)
Budget
Date
1
Award allotment
2
Total adjustments
3
Allotment [1 - 2]
4
Contract Bid Amount
Construction
Award
Surp/(Def)
F/A 1150 funding
5
Total plan F/A - Inc. MCR & anticipated CMO
CMOs
Proj’d to compl
Award
Surp/(Def)
Exp to date
Overs/(Unders) - Inc. Bid Items, CMOs & Plan F/A
6
Total CMOs & Overs/(Unders)
7
Project commitment amount [4 + 5 + 6]
8
Less CE Bid & CE F/A items
9
Documented incidentals (payable to contractor)
10
Subtotal Contractor (3300) [7 + 8 + 9]
11
Third party F/A
12
Furnished materials
13
Subtotal Construction (33xx) [10 + 11 + 12]
Construction Engineering (CE)
CE (Fed Aid - CDOT/CE Pool)
CE (Fed Aid - Inc. Bid, FA & Consultant)
14
Total Fed Aid CE charges (32xx + 3980)
CE (NFA - CDOT/CE Pool)
CE (NFA - Inc. Bid, FA & Consultant)
CE (NFA - Indirects)
15
Total NFA CE charges (32xx + 3980)
16
Other - Inc. Training, Audit, Legal, Eligible Indirects
17
Total Phase C [13 + 14 + 15 + 16]
Non construction costs
Design (CDOT) (Fed Aid - directs & indirects)
Design (CDOT) (NFA - directs & indirects)
Design (Consultants)
18
Total Phase D (30xx)
Right of Way (Fed Aid - directs & indirects)
Right of Way (NFA - directs & indirects)
19
Total Phase R
Third Party-RxR(3987),Util(3988),Audit(3989),Indirects(3999)
20
Total Phase U
21
Total Non-Construction costs [18 + 19 + 20]
22
Total Cost of Project [17 + 21]
Curr Allotment Surp/(Def) [3 - 22]
TCA Allotment Surp/(Def) [23 - 22]
Engineers Estimate:
Bid:
For information only:
Comments:
K
K
Approved by Accounting
no
yes
Alternate Bid:
CDOT Form #65 05/17
COLORADO DEPARTMENT OF TRANSPORTATION
PROJECT FINANCIAL STATEMENT
Project# (SA#):
Date:
Project location:
RE Orgn Code:
PE
Project allotment
Award
Current
23 Transportation Commission Action (TCA)
Budget
Date
1
Award allotment
2
Total adjustments
3
Allotment [1 - 2]
4
Contract Bid Amount
Construction
Award
Surp/(Def)
F/A 1150 funding
5
Total plan F/A - Inc. MCR & anticipated CMO
CMOs
Proj’d to compl
Award
Surp/(Def)
Exp to date
Overs/(Unders) - Inc. Bid Items, CMOs & Plan F/A
6
Total CMOs & Overs/(Unders)
7
Project commitment amount [4 + 5 + 6]
8
Less CE Bid & CE F/A items
9
Documented incidentals (payable to contractor)
10
Subtotal Contractor (3300) [7 + 8 + 9]
11
Third party F/A
12
Furnished materials
13
Subtotal Construction (33xx) [10 + 11 + 12]
Construction Engineering (CE)
CE (Fed Aid - CDOT/CE Pool)
CE (Fed Aid - Inc. Bid, FA & Consultant)
14
Total Fed Aid CE charges (32xx + 3980)
CE (NFA - CDOT/CE Pool)
CE (NFA - Inc. Bid, FA & Consultant)
CE (NFA - Indirects)
15
Total NFA CE charges (32xx + 3980)
16
Other - Inc. Training, Audit, Legal, Eligible Indirects
17
Total Phase C [13 + 14 + 15 + 16]
Non construction costs
Design (CDOT) (Fed Aid - directs & indirects)
Design (CDOT) (NFA - directs & indirects)
Design (Consultants)
18
Total Phase D (30xx)
Right of Way (Fed Aid - directs & indirects)
Right of Way (NFA - directs & indirects)
19
Total Phase R
Third Party-RxR(3987),Util(3988),Audit(3989),Indirects(3999)
20
Total Phase U
21
Total Non-Construction costs [18 + 19 + 20]
22
Total Cost of Project [17 + 21]
Curr Allotment Surp/(Def) [3 - 22]
TCA Allotment Surp/(Def) [23 - 22]
Engineers Estimate:
Bid:
For information only:
Comments:
K
K
Approved by Accounting
no
yes
Alternate Bid:
CDOT Form #65 05/17