Instructions for Form 700-020-02 "Construction Compliance With Specifications and Plans" - Florida

This document contains official instructions for Form 700-020-02, Construction Compliance With Specifications and Plans - a form released and collected by the Florida Department of Transportation. An up-to-date fillable Form 700-020-02 is available for download through this link.

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Instructions for Construction Compliance with Specifications and Plans
(Form # 700-020-02)
Financial Project Number(s): List all financial project numbers on the contract.
Date: Show the date the certification is completed.
Contract No.: Show the contract number the certification represents.
Monthly/Final: Indicate which type of estimate this certification represents, monthly or final.
Prime Contractor: In this field, show the Prime Contractor’s full company name.
Date Began: Show the beginning date the certification represents. For a monthly or progress estimate, show the
beginning date for the estimate period. For a final certification, show the date the contract work began.
Date Ended: Show the ending date for the estimate period. For final certification, show the final acceptance date.
Item No.: Show the pay item number the exception is associated with.
Exceptions:
For the monthly certification, list the following:
1. QC samples that did not compare with VT samples and had VT results upheld by RT samples.
2. Any samples that had Engineering Analysis Report or Delineation Test(s) performed.
3. Any failed QC samples.
4. Any QC samples that do not have results entered into MAC.
5. Any QC samples that were performed by unqualified technicians or laboratories.
6. Any materials placed without an approved QC Plan or when the QC Plan is suspended.
7. Any materials provided from an unapproved producer or supplier.
8. Results of any failing Chloride content limits as defined in Specification 346-4.2.
The following would not be listed as an exception on the subject form:
1. QC samples that have been tested but not verified.
2. QC samples that have been tested and had verification test results that did not compare.
For the final certification, all exceptions to QC sampling and testing must be shown on the certification.
Notary Information: The Notary of the Public completes this section. This certification must be notarized.
Quality Control Manager: Name of the Quality Control Manager that will sign the certification.
Company: Enter the name of the company the Quality Control Manager is employed by.
Signed By: To be signed by the "Quality Control Manager".
Contractor: Name of an officer or director of the Contractor with an authority to bind the Contractor.
Title: Enter the title of the person signing the certification.
Signed By: To be signed by the person's name under the "Contractor" section.
It is not the Department’s intent for Contractors to list as exceptions samples and results for which they are not
responsible, such as verification and independent verification samples and test results. Additionally, the Department will
accept exports of the Sample Search Results in MAC, as an attachment, to assist in documenting the status of samples.
Instructions for Construction Compliance with Specifications and Plans
(Form # 700-020-02)
Financial Project Number(s): List all financial project numbers on the contract.
Date: Show the date the certification is completed.
Contract No.: Show the contract number the certification represents.
Monthly/Final: Indicate which type of estimate this certification represents, monthly or final.
Prime Contractor: In this field, show the Prime Contractor’s full company name.
Date Began: Show the beginning date the certification represents. For a monthly or progress estimate, show the
beginning date for the estimate period. For a final certification, show the date the contract work began.
Date Ended: Show the ending date for the estimate period. For final certification, show the final acceptance date.
Item No.: Show the pay item number the exception is associated with.
Exceptions:
For the monthly certification, list the following:
1. QC samples that did not compare with VT samples and had VT results upheld by RT samples.
2. Any samples that had Engineering Analysis Report or Delineation Test(s) performed.
3. Any failed QC samples.
4. Any QC samples that do not have results entered into MAC.
5. Any QC samples that were performed by unqualified technicians or laboratories.
6. Any materials placed without an approved QC Plan or when the QC Plan is suspended.
7. Any materials provided from an unapproved producer or supplier.
8. Results of any failing Chloride content limits as defined in Specification 346-4.2.
The following would not be listed as an exception on the subject form:
1. QC samples that have been tested but not verified.
2. QC samples that have been tested and had verification test results that did not compare.
For the final certification, all exceptions to QC sampling and testing must be shown on the certification.
Notary Information: The Notary of the Public completes this section. This certification must be notarized.
Quality Control Manager: Name of the Quality Control Manager that will sign the certification.
Company: Enter the name of the company the Quality Control Manager is employed by.
Signed By: To be signed by the "Quality Control Manager".
Contractor: Name of an officer or director of the Contractor with an authority to bind the Contractor.
Title: Enter the title of the person signing the certification.
Signed By: To be signed by the person's name under the "Contractor" section.
It is not the Department’s intent for Contractors to list as exceptions samples and results for which they are not
responsible, such as verification and independent verification samples and test results. Additionally, the Department will
accept exports of the Sample Search Results in MAC, as an attachment, to assist in documenting the status of samples.