Attachment 1 "Sponsor Certification for Construction Project Final Acceptance" - Alaska

What Is Attachment 1?

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

Form Details:

  • Released on August 9, 2000;
  • The latest edition provided by the Alaska Department of Transportation and Public Facilities;
  • Easy to use and ready to print;
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  • Fill out the form in our online filing application.

Download a fillable version of Attachment 1 by clicking the link below or browse more documents and templates provided by the Alaska Department of Transportation and Public Facilities.

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Download Attachment 1 "Sponsor Certification for Construction Project Final Acceptance" - Alaska

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Attachment 1: Sponsor Certification for Construction Project Final Acceptance
Sponsor's Name
Airport
Project Number
Project Description
Section 47105(d) of the Federal Aviation Reauthorization Act of 1996, as amended (herein called the
Act), authorizes the Secretary to require certification from sponsors that they will comply with statutory
and administrative requirements. The following list of certified items includes major requirements for
this aspect of project implementation. However, the list is not comprehensive, nor does it relieve
sponsors from fully complying with all applicable statutory and administrative standards. Every certified
item must be marked. Each certified item with a "no" response must be fully explained in an
attachment to this certification. If the item is not applicable to this project, mark the item “N/A”. General
requirements for final acceptance and close-out of Federally funded construction projects are in 49
CFR 18.50. The sponsor shall determine that project costs are accurate and proper in accordance with
specific requirements of the Grant Agreement and contract documents.
1. The personnel engaged in project administration, engineering supervision, and
Yes
construction inspection and testing (were/will be) determined to be qualified and
No
competent to perform the work.
N/A
2. Daily construction records (were/will be) kept by the resident engineer/construction
inspector. These records document work in progress, quality and quantity of
Yes
materials delivered, test locations and results, instructions provided the contractor,
No
weather, equipment use, labor requirements, safety problems, and changes
N/A
required.
3. Weekly payroll records and statements of compliance (were/will be) submitted by
Yes
the prime contractor and reviewed by the sponsor for Federal Labor And Civil
No
Rights Requirements (Advisory Circulars 150/5100-6 and 150/5100-15).
N/A
Yes
4. Complaints regarding the mandated Federal provisions set forth in the contract
No
documents (have been/will be) submitted to FAA.
N/A
5. All tests specified in the plans and specifications (were/will be) performed and the
Yes
test results documented. A summary of test results (has been/will be) available to
No
FAA.
N/A
Yes
6. For any test results outside allowable tolerances, appropriate corrective actions
No
(were/will be) taken.
N/A
Airport Improvement Program Sponsor’s Guide
FAA Alaskan Region
Attachment 1: Sponsor Certification for Construction Project Final Acceptance
Page 1 of 2
August 9, 2000
Attachment 1: Sponsor Certification for Construction Project Final Acceptance
Sponsor's Name
Airport
Project Number
Project Description
Section 47105(d) of the Federal Aviation Reauthorization Act of 1996, as amended (herein called the
Act), authorizes the Secretary to require certification from sponsors that they will comply with statutory
and administrative requirements. The following list of certified items includes major requirements for
this aspect of project implementation. However, the list is not comprehensive, nor does it relieve
sponsors from fully complying with all applicable statutory and administrative standards. Every certified
item must be marked. Each certified item with a "no" response must be fully explained in an
attachment to this certification. If the item is not applicable to this project, mark the item “N/A”. General
requirements for final acceptance and close-out of Federally funded construction projects are in 49
CFR 18.50. The sponsor shall determine that project costs are accurate and proper in accordance with
specific requirements of the Grant Agreement and contract documents.
1. The personnel engaged in project administration, engineering supervision, and
Yes
construction inspection and testing (were/will be) determined to be qualified and
No
competent to perform the work.
N/A
2. Daily construction records (were/will be) kept by the resident engineer/construction
inspector. These records document work in progress, quality and quantity of
Yes
materials delivered, test locations and results, instructions provided the contractor,
No
weather, equipment use, labor requirements, safety problems, and changes
N/A
required.
3. Weekly payroll records and statements of compliance (were/will be) submitted by
Yes
the prime contractor and reviewed by the sponsor for Federal Labor And Civil
No
Rights Requirements (Advisory Circulars 150/5100-6 and 150/5100-15).
N/A
Yes
4. Complaints regarding the mandated Federal provisions set forth in the contract
No
documents (have been/will be) submitted to FAA.
N/A
5. All tests specified in the plans and specifications (were/will be) performed and the
Yes
test results documented. A summary of test results (has been/will be) available to
No
FAA.
N/A
Yes
6. For any test results outside allowable tolerances, appropriate corrective actions
No
(were/will be) taken.
N/A
Airport Improvement Program Sponsor’s Guide
FAA Alaskan Region
Attachment 1: Sponsor Certification for Construction Project Final Acceptance
Page 1 of 2
August 9, 2000
7. Payments to the contractor (were/will be) made in compliance with contract
provisions and verified by the sponsor’s internal audit of contract records kept by
Yes
the resident engineer. If appropriate, pay reduction factors required by the
No
specifications (were/will be) applied in computing final payments and a summary of
N/A
pay reductions (has been/will be) available to FAA.
8. The project (was/will be) accomplished without significant deviations, changes, or
Yes
modifications from the approved plans and specifications, except where approval
No
(was/will be) obtained from FAA.
N/A
9. A final project inspection (was/will be) conducted with representatives of the
Yes
sponsor and the contractor. Project files (contain/will contain) documentation of the
No
final inspection.
N/A
10. Work in the Grant Agreement (was/will be) physically completed, and corrective
Yes
actions required as a result of the final inspection (were/will be) completed to the
No
satisfaction of the sponsor.
N/A
11. The as-built plans and an equipment inventory, if applicable, (have been/will be)
Yes
submitted to FAA. If requested, a revised airport layout plan (was/will be) made
No
available to FAA.
N/A
Yes
12. Applicable close-out financial reports (have been/will be) submitted to FAA.
No
N/A
I certify that, for the project identified herein, the responses to the forgoing items are correct as marked,
and that the attachments, if any, are correct and complete.
Signed:
Dated:
Sponsor's Authorized Representative
Typed Name and Title of Sponsor's Representative
Airport Improvement Program Sponsor’s Guide
FAA Alaskan Region
Attachment 1: Sponsor Certification for Construction Project Final Acceptance
Page 2 of 2
August 9, 2000
Page of 2