DMS Form AE10 "Final Pay Request Checklist" - Florida

What Is DMS Form AE10?

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

Form Details:

  • Released on October 31, 2017;
  • The latest edition provided by the Florida Department of Management Services;
  • 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 DMS Form AE10 by clicking the link below or browse more documents and templates provided by the Florida Department of Management Services.

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Download DMS Form AE10 "Final Pay Request Checklist" - Florida

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4050 Esplanade Way
Tallahassee, Florida 32399-0950
Tel: 850.488.2786 | Fax: 850.922.6149
Rick Scott, Governor
Erin Rock, Secretary
FINAL PAY REQUEST CHECKLIST
Project Number:
_________________________________________________________
Project Name:
_________________________________________________________
Substantial Completion Date:
_________________________________________________________
Final Punch List Inspection Date: _________________________________________________________
_______________________________________________________________________________________
The following items need to be submitted with the Contractor’s request for Final Payment:
___ Form CM02 – RUSH Contractor’s Payment Routing Submittal (revision 5/20/17)
___ Form CM03 – Pay Request (4 copies noted as Final)
___ Final Schedule of Contract Values
___ Consent of Surety to Final Payment (bonded projects only)
___ Power of Attorney from Surety for Release of Final Payment (bonded projects only)
___ Notice of Release of Lien from each subcontractor who has filed Notices to Owner
___ Contractor’s Affidavit of Contract Completion - Form CM07 (original plus 3 copies)
___ Certificate of Contract Completion Form AE11 completed by A/E (original plus 3 copies)
___ Contractor’s Guarantee of Construction for one year from the date of Substantial Completion
___ List of Subcontractors, with addresses, telephone numbers and email addresses
___ Manufacturer’s warranties as required by specifications in the name of the State or Client Agency
___ Fully executed Roof Warranty, if applicable, in the name of the State or Client Agency
___ Shop drawings and brochures
___ Attendance lists of training of State Agency personnel in the operation of new equipment for each
system: HVAC, controls, fire alarm, etc.
___ Submission of all Operation & Maintenance Manuals (2 hard copies; one electronic copy)
___ Certificate of Occupancy from Building Permit Authority
___ Certificate of Specification No Prohibited Hazardous Materials - Form AE14
___ ADA Compliance Certificate - Form AE18
___ Submission of all contractually-required attic stock and spare parts
___ Submission of “As-built” plans and specifications (2 hard copies)
___ Submission of CAD and PDF files of “As-Built” Documents
___ Submission of Construction Documents (2 hard copies)
_______________________________________________________________________________________
Please submit an electronic copy of all close-out documents, in addition to the hard copies.
Project Manager’s Signature: _________________________________________ Date:_________________
Project Architect/Engineer’s Signature: _________________________________ Date:_________________
Contractor’s Signature: ______________________________________________ Date:_________________
DMS Form AE10 Revised 10/31/2017
4050 Esplanade Way
Tallahassee, Florida 32399-0950
Tel: 850.488.2786 | Fax: 850.922.6149
Rick Scott, Governor
Erin Rock, Secretary
FINAL PAY REQUEST CHECKLIST
Project Number:
_________________________________________________________
Project Name:
_________________________________________________________
Substantial Completion Date:
_________________________________________________________
Final Punch List Inspection Date: _________________________________________________________
_______________________________________________________________________________________
The following items need to be submitted with the Contractor’s request for Final Payment:
___ Form CM02 – RUSH Contractor’s Payment Routing Submittal (revision 5/20/17)
___ Form CM03 – Pay Request (4 copies noted as Final)
___ Final Schedule of Contract Values
___ Consent of Surety to Final Payment (bonded projects only)
___ Power of Attorney from Surety for Release of Final Payment (bonded projects only)
___ Notice of Release of Lien from each subcontractor who has filed Notices to Owner
___ Contractor’s Affidavit of Contract Completion - Form CM07 (original plus 3 copies)
___ Certificate of Contract Completion Form AE11 completed by A/E (original plus 3 copies)
___ Contractor’s Guarantee of Construction for one year from the date of Substantial Completion
___ List of Subcontractors, with addresses, telephone numbers and email addresses
___ Manufacturer’s warranties as required by specifications in the name of the State or Client Agency
___ Fully executed Roof Warranty, if applicable, in the name of the State or Client Agency
___ Shop drawings and brochures
___ Attendance lists of training of State Agency personnel in the operation of new equipment for each
system: HVAC, controls, fire alarm, etc.
___ Submission of all Operation & Maintenance Manuals (2 hard copies; one electronic copy)
___ Certificate of Occupancy from Building Permit Authority
___ Certificate of Specification No Prohibited Hazardous Materials - Form AE14
___ ADA Compliance Certificate - Form AE18
___ Submission of all contractually-required attic stock and spare parts
___ Submission of “As-built” plans and specifications (2 hard copies)
___ Submission of CAD and PDF files of “As-Built” Documents
___ Submission of Construction Documents (2 hard copies)
_______________________________________________________________________________________
Please submit an electronic copy of all close-out documents, in addition to the hard copies.
Project Manager’s Signature: _________________________________________ Date:_________________
Project Architect/Engineer’s Signature: _________________________________ Date:_________________
Contractor’s Signature: ______________________________________________ Date:_________________
DMS Form AE10 Revised 10/31/2017