Form CEM-6303 "Final Acceptance Checklist for Federal-Aid Projects of Division Interest (Podi)" - California

What Is Form CEM-6303?

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

Form Details:

  • Released on September 1, 2015;
  • The latest edition provided by the California 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 CEM-6303 by clicking the link below or browse more documents and templates provided by the California Department of Transportation.

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Download Form CEM-6303 "Final Acceptance Checklist for Federal-Aid Projects of Division Interest (Podi)" - California

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STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
FINAL ACCEPTANCE CHECKLIST FOR FEDERAL-AID PROJECTS OF DIVISION INTEREST (PODI)
CEM-6303 (REV 09/2015)
Project Information
EA Number
Federal-Aid Number
Project Description
District/County/Route/PM
Award Date
Approval Date
Time Started
Work Started
Contract Days
Actual Number of Working Days
Original Completion Date
Caltrans Acceptance Date
Liquidated Damages (number of days)
Total dollar amount of Liquidated Damages
Submittals
Submitted?
Date
Material Certification
No
NA
Yes
(Construction Manual, Section 6-108)
Proposed Final Estimate
No
NA
Yes
Last Statement of Working Days
Yes
No
NA
Contractor's Written Statement of Claims
Yes
No
NA
(Submitted separately)
List of Contract Change Orders
Yes
No
NA
Approved and pending
Participating/non-participating noted
No
NA
Yes
List of Time Extensions
No
NA
Yes
FHWA approval noted
No
NA
Yes
Form CEM-2402F Final Report-
Yes
No
NA
Utilization of DBE
Environmental Commitments Record
Yes
No
NA
If available, status of environmental commitments if not completed
Additional Information
Labor compliance problems
Other changes
(Original-Project File, Copy-FHWA, with Proposed Final Estimate)
For individuals with sensory disabilities, this document is available in alternate formats. For information, call (916) 445-1233,
ADA Notice
TTY 711, or write to Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
FINAL ACCEPTANCE CHECKLIST FOR FEDERAL-AID PROJECTS OF DIVISION INTEREST (PODI)
CEM-6303 (REV 09/2015)
Project Information
EA Number
Federal-Aid Number
Project Description
District/County/Route/PM
Award Date
Approval Date
Time Started
Work Started
Contract Days
Actual Number of Working Days
Original Completion Date
Caltrans Acceptance Date
Liquidated Damages (number of days)
Total dollar amount of Liquidated Damages
Submittals
Submitted?
Date
Material Certification
No
NA
Yes
(Construction Manual, Section 6-108)
Proposed Final Estimate
No
NA
Yes
Last Statement of Working Days
Yes
No
NA
Contractor's Written Statement of Claims
Yes
No
NA
(Submitted separately)
List of Contract Change Orders
Yes
No
NA
Approved and pending
Participating/non-participating noted
No
NA
Yes
List of Time Extensions
No
NA
Yes
FHWA approval noted
No
NA
Yes
Form CEM-2402F Final Report-
Yes
No
NA
Utilization of DBE
Environmental Commitments Record
Yes
No
NA
If available, status of environmental commitments if not completed
Additional Information
Labor compliance problems
Other changes
(Original-Project File, Copy-FHWA, with Proposed Final Estimate)
For individuals with sensory disabilities, this document is available in alternate formats. For information, call (916) 445-1233,
ADA Notice
TTY 711, or write to Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.