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

What Is Form 700-020-02?

This is a legal form that was released by the Florida Department of Transportation - a government authority operating within Florida. Check the official instructions before completing and submitting the form.

Form Details:

  • Released on December 1, 2016;
  • The latest edition provided by the Florida 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 700-020-02 by clicking the link below or browse more documents and templates provided by the Florida Department of Transportation.

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

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STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
700-020-02
CONSTRUCTION
CONSTRUCTION COMPLIANCE WITH
12/16
2
SPECIFICATIONS AND PLANS
Page 1 of
FIN PROJECT I.D.(s)
DATE:
CONTRACT NO:
Monthly:
Final:
, Prime Contractor for the
above referenced contract, hereby verifies based on personal knowledge or reasonable investigation and good faith
belief, all Quality Control functions and Quality Control sampling and testing results are in substantial compliance with the
contract specification requirements and the approved Quality Control Plan for this project. This includes the input of test
MAC
results into the Department’s
database within 24 hours of results being received. This represents work done
and
requirements are listed
between
. Exceptions to these
below.
1.)
Item No.:
Exception:
2.)
Item No.:
Exception:
3.)
Item No.:
Exception:
4.)
Item No.:
Exception:
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
700-020-02
CONSTRUCTION
CONSTRUCTION COMPLIANCE WITH
12/16
2
SPECIFICATIONS AND PLANS
Page 1 of
FIN PROJECT I.D.(s)
DATE:
CONTRACT NO:
Monthly:
Final:
, Prime Contractor for the
above referenced contract, hereby verifies based on personal knowledge or reasonable investigation and good faith
belief, all Quality Control functions and Quality Control sampling and testing results are in substantial compliance with the
contract specification requirements and the approved Quality Control Plan for this project. This includes the input of test
MAC
results into the Department’s
database within 24 hours of results being received. This represents work done
and
requirements are listed
between
. Exceptions to these
below.
1.)
Item No.:
Exception:
2.)
Item No.:
Exception:
3.)
Item No.:
Exception:
4.)
Item No.:
Exception:
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
700-020-02
CONSTRUCTION
CONSTRUCTION COMPLIANCE WITH
12/16
2
SPECIFICATIONS AND PLANS
Page 2 of
5.)
Item No.:
Exception:
6.)
Item No.:
Exception:
A false statement or omission made in connection with this certification is sufficient cause for suspension, revocation, or
denial of qualification to bid, and a determination of non-responsibility, and may subject the person and/or entity making
the false statement to any and all civil and criminal penalties available pursuant to applicable Federal and State Law.
State of Florida
County of
Quality Control Manager
Sworn to and subscribed before me this
day
of
,
, by
(Print name of person signing Certification)
Company
Notary Public
(Not Required when Digital)
Signed
By
Commission Expires
Personally Known
or Produced Identification
Type of Identification Produced
State of Florida
County of
Contractor
Sworn to and subscribed before me this
day
of
,
, by
(Print name of person signing Certification)
Title
Notary Public
(Not Required when Digital)
Commission Expires
Signed
By
Personally Known
or Produced Identification
Type of Identification Produced
Page of 2