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1 Page 1 of 6 Home Search Students Faculty & Staff Teaching & Learning Administration Alumni, Parents & Donors Business, Community & Gov't Public Affairs CPDC» Construction Management Contract Documents Contractor Prequalification/Bidding CSU Construction Insurance Programs CSU Labor Compliance Program DLSE Debarments Policy/Reference Documents Project Performance Report Sample Forms Construction Management Sample Forms Sample forms for the following Construction Management documents are contained herein: Appendix D, Project Administrative Reference Manual, and Contract General Conditions. All links on the Construction Management web site to "Sample Forms" will automatically take you to this page. Due to the special nature of the Labor Compliance Program and the CSU Builder's Risk Insurance Program, we are maintaining those sample forms on their individual sites and not here. All of the forms are categorized according to the construction phase for which they are used. The legend defines column headings and provides quick links to the nine main sections of the table. To download sample forms for the construction phase(s) you require, go to that particular column heading, scroll down the page and download any form with an "x" showing in that particular column. In some cases, a specific document may use a different form than the standard form, and it will immediately follow the standard form. The "x" will appear in the appropriate column and adjacent to the non-standard form. For example, the Schedule of Values form is standard for all documents except for the Contract General Conditions, CM at Risk version, so "Schedule of Values" is listed first, and an "x" appears in every column except CMR (CM at Risk). Following "Schedule of Values" is "Schedule of Values_CMR", and the "x" appears on that line in the CMR column. LEGEND : Appendix D : Project Administrative Reference Manual (CGC) Majors: CGC for Design-Bid-Build (Major Capital Outlay) Projects DB: CGC for Design-Build (Major Capital Outlay) Projects CMR: CGC for Construction Manager at Risk with Guaranteed Maximum Price Projects JOC: CGC for Job Order Contracts Minors: CGC for Design-Bid-Build (Minor Capital Outlay) Projects Prebid Prequalification Bid Award Service Agreement Construction Phase Project Performance Report Change Order Claims/Settlement Escrow Agreement Prebid MOU Campus-Auxiliary for Project Using State Funds MOU Campus-Auxiliary for Project Without Use of State Funds Design Filing Guide Construction Filing Guide Approval to Proceed to Bid X Prebid Meeting Agenda X X Construction Bid Information Form Temporary Facilities Checklist X X X Prequalification Prequalification of Prospective Bidders (.pdf) X

2 Page 2 of 6 Technical Prequalification 5-10M Projects PT1 Technical Prequalification 5-10M Projects PT2 Sub-contractor Prequalification PT1 Sub-contractor Prequalification PT Tech X Tech X Sub X Sub X Affidavit of Joint Venture X Bid Statement of Finances Prior to Bids Prevailing Wage Rates Cover Page X X X X X Notice Inviting Bids X Notice to Contractors X Notice to Contractors DB DB X Notice to Contractors CMR CM X Bid Proposal Form Standard X Bid Proposal Form DB DB X Bid Proposal Form CMR CM X Bid Proposal Form NonStandard List of Proposed Subcontractors N X X X X X X X Certification X X X X X X Bidders Bond A X X X X Bidders Bond JOC J702.09A X Noncollusion Affidavit X X X X X X Small Business Preference X X X X X X Certificate of Appropriate License CA Co Bid Proposal Form Signature Page X X X X X X X X X X X X Abstract of Bids X X Abstract of Bids DB DB X Abstract of Bids CMR CM X Abstract of Bids JOC J X Technical Proposal Summary DB Technical Proposal Summary CMR List of Subcontractors Additional Information List of Subcontractors for Design- Build Projects List of Subcontractors for CM at Risk Projects T.DB X T.CM X A X X X X X A.DB X A.CM X DVBE Part Req Transmittal DVBE-T X X X X X X DVBE Att1 Summary of DV- Owned Bus Part DVBE Att2 Bidders Certification DVBE-1 X X X X X X DVBE-2 X X X X X X DVBE Declarations Form (.pdf) STD 843 X X X X X X

3 Page 3 of 6 Disabled Veteran Business Enterprise Subcontractor Activity Report Bid Overrun Analysis Policy No. 2 (.pdf) X X X X X Award Approval to Award a Contract Memo Statement of Finances After Receipt of Bids Notice of Intent to Accept Bid Agreement Bonds Certification Forms Agreement Bonds Certification Forms DB Agreement Bonds Certification Forms CMR Agreement Bonds Certification Forms JOC Agreement Bonds Certification Forms Minors X X DB X CM X J X M X Payee Data Record STD204 (.pdf) STD 204 X X X X X X Contract Award Report STD16 Extract of PW Contract Award DAS Form 13 (.pdf) STD 16 X DAS 13 X Notice to Proceed X X X X X Notice to Proceed DB DB X Preconstruction Mtg Letter X Preconstruction Mtg Agenda Preconstruction Mtg Package Contents A X X C X X Service Agreement Service Agreement X Payee Data Record STD204 (.pdf) STD 204 X Contract Award Report STD16 Service Agreement Amendment Proposal Campus Inspector Job Description Responsibilities Requirements Instructions Weekly-Monthly Activity Reports STD 16 X X Weekly Activity Report X X Monthly Construction Progress Rept X X Construction Daily Diary X X Payment Request for Service Agreement Payment Request for PM IOR X X P X X Authorization for Extra Hours

4 Page 4 of A X X Construction Phase Site Survey and Acceptance X X X X X X X Fair Employment Practices Compliance Report Subcontractor Status Report Subcontractor Status Report CMR Contractors Payment Request Contractors Payment Request DB Contractors Payment Request CMR Request for Payment of Materials on Hand X X X X X X X S X X X X X X S.CM X X X X X X DB X CM X X X X X X X X Schedule of Values X X X X X X Schedule of Values CMR CM X Contractors Construction Waste and Recycling Plan Contractors Reuse Recycling and Disposal Report Contractors Building Demolition Waste and Recycling Plan Building Demolition Contractors Reuse Recycling and Disposal Report Uniformat Building Systems Breakdown by Discipline 01151A X X X X X X X 01151B X X X X X X X 02060A X X X X X X X 02060B X X X X X X X A X X X X X X X Correction Notice X X X X X X Inspectors Memorandum X X Request for Special Inspection X X X X X X X Inspection Request Form X X X X X X X Time and Material Daily Log X X Report of Injury X X Stop Notice Release Bond X X X X Guarantee Quality and Performance X X X Notice of Completion X X X X X X X New Location Questionnaire X Punch List X X X Certification of Completion C X X Project Closeout Checklist P X X Contractor Performance Evaluation Non-Responsible Contractor Performance Evaluation for Minors X X X X X X X X Project Performance Report (PPR) Instructions (.pdf)

5 Page 5 of 6 Flowchart (.pdf) Questionnaire Project Data Entry Workbook None X Change Order Change Order Procedures (.pdf) P X Field Instruction X X X X X X Hourly Labor Rate Worksheet Contractor Change Order Request Summary Contractor Change Order Request Summary DB Subcontractor Change Order Request Summary Subcontractor Change Order Request Summary X X X X X X X X X X X X X DB X S X X X X X X S.DB X Cost Request Bulletin X X X X X X X Change Proposal X X Change Order X X X X X X X Change Order Cost Summary Worksheet W X X Contingency Status Report C X X Change Order Log L X X Claims/Settlement One-Way Global Settlement Change Order Two-Way Mutual Release Global Settlement Change Order X X X X Milestone Change Order M X X Simple Global Settlement Change Order Agreement Re Inadmissible Settlement Negotiations Claims Review Board Procedures Part I Claims Review Board Procedures Part II Claims Review Board Data Sheet Claims Review Board Sign-in Sheet S X X X X X X X X Construction Claims Manual (.pdf) Escrow Agreement Escrow Procedures X Escrow Agreement X Escrow Fee Schedule X New Account Request X Trustees Authorized Signatures

6 Page 6 of 6 Ltr to STO X Trustees Contact Sheet to STO Request for Securities Transaction Request for Payment of Retention to Contractor X X R X Content Contact: cocm@calstate.edu Last Updated: December 10, 2010 Technical Contact: webmaster@calstate.edu

7 AGREEMENT CSU Vendor ID No. Contract No. Counterpart No. THIS AGREEMENT, made on Date, BY AND BETWEEN THE TRUSTEES OF THE CALIFORNIA STATE UNIVERSITY, acting in behalf of the State of California, hereinafter designated the Trustees, and Contractor Address City, ST Zip Phone No.; Fax No. hereinafter designated the Contractor. WITNESSETH 1. That the Contractor, in consideration of the covenants and agreements herein contained on the part of the Trustees, covenants, promises and agrees with the Trustees, at his, her, its or their own proper cost and expense, to furnish all labor, materials, and equipment, and to perform all Work necessary to construct and complete in a good workmanlike and substantial manner, and to the satisfaction of the Trustees, the Project Number, Project Name Campus in accordance with the Contract Documents (as defined in the Contract General Conditions, Article 1, Definitions) as approved by and on file with the Trustees and are made a part of this agreement by this reference. The Contractor agrees to receive and accept the sum of: {figures used herein are examples only} One Hundred Twenty-Three Million, Four Hundred Fifty-Six Thousand, Seven Hundred Eighty-Nine Dollars and No Cents ($123,456,789.00)* as full compensation therefor, and also, unless expressly excepted in the Contract Documents, as full compensation for the following: all loss or damage, arising out of the nature of the Work, or from the action of the elements or from any unforeseen difficulties or obstructions which may arise or be encountered in the prosecution of the Work until its acceptance by the Trustees and for all risks of every description connected with the Work, and for all expenses incurred by or in consequence of the suspension or discontinuance of Work, and for well and faithful completion of the Work in the manner and according to the Contract Documents and the requirements of the Trustees under them. Payment will be made in accordance with the Contract General Conditions, Article 8, Payment and Completion. 2. That the Trustees hereby promise and agree with the Contractor to employ, and do hereby employ, the Contractor to provide the materials and do the Work according to the terms and conditions herein contained and referred to, for the price aforesaid, and hereby agree to pay the same at the time, in the manner and upon the conditions set forth herein, and the said parties for themselves, their heirs, executors, administrators, successors and assigns, do hereby agree to the full performance of the covenants herein contained. 3. That the Trustees will fix the starting date of the Contract and issue a Notice to Proceed after the date of approval of the Contract by the Office of General Counsel, California State University. The Contractor shall fully complete all the Work of the Contract, in first class working order and ready for acceptance by the Trustees, on or before the expiration of 100 calendar days from the starting time so fixed. The Contractor will pay to the Trustees the sum of [for example: Three Thousand Dollars ($3,000.00) ] for each day completion is delayed beyond the time prescribed, in accordance with the Contract General Conditions, Article 7.02, Delay in Completion Liquidated Damages. If awarding Alternatives insert asterisk after Contract amount above and insert the following language here: *Basis of award is Base Bid ($123,156,789) plus Additive Alternative No. 1 ($300,000) for a total Contract amount of $123,456, Construction Mgmt /10

8 Project No. Contract No. Counterpart No. 4. That if there is a conflict between the terms of the Proposal Form and the other Contract Documents, the other Contract Documents shall control, and nothing contained herein shall be considered as an acceptance of any terms of the Proposal Form in conflict herewith. 5. That contractors are required by law to be licensed and regulated by the Contractor s State License Board. Any questions concerning a contractor may be referred to the registrar of the Board. 6. That any notice to the Trustees may be served effectually upon the Trustees by mailing or delivering it in writing, addressed to the Trustees of the California State University, attention of the official executing this Agreement for the Trustees, at <insert campus name and full address>. IN WITNESS WHEREOF, the parties to these presents have hereto set their hands the year and date first above written. CONTRACTOR (State full legal name of business entity; check appropriate box below.) Contractor s Federal ID No. Sole Proprietorship Partnership Corporation Limited Liability Co. Other (specify) Contractor s License No. Name, Title TRUSTEES I hereby certify that I have examined the written contract and find the same to be in accordance with the requirements of the California State University Contract Law. CHRISTINE HELWICK GENERAL COUNSEL Name, Title Department Approved as to Funds: Date: Approved as to Scope: UNIVERSITY ACCOUNTING FUNDING CERTIFICATION Appropriation/Fund/Item: [insert info here] PS Chart Field String: [insert string here] Amount of Agreement: $ [insert contract amount here] Accounting Officer Name, University Facility Planner Construction Mgmt /10

9 PAYMENT BOND Know All Persons by These Presents: Counterpart No. Contract No. Project No. THAT WHEREAS, the State of California acting by and through the Trustees of the California State University, hereinafter called the Trustees, has awarded to Contractor Address City, ST Zip as Principal, hereinafter designated as the Contractor, a Contract for the Work described as follows: Project No.: Project Name: Campus: AND WHEREAS, the Contractor is required to furnish a bond in connection with said Contract, to secure the payment of claims of laborers, mechanics, and other persons, as provided by law: NOW, THEREFORE, we the undersigned Contractor and Surety are held and firmly bound unto the State of California through the said Trustees in the amount required by law, in the sum of: {figures used herein are examples only} One Hundred Twenty-Three Million, Four Hundred Fifty-Six Thousand, Seven Hundred Eighty-Nine Dollars and No Cents ($123,456,789.00)* for which payment well and truly to be made we bind ourselves, our heirs, executors and administrators, successors and assigns, jointly and severally, firmly by these presents. THE CONDITION of this obligation is such, That if the Contractor, his, her, or its heirs, executors, administrators, successors or assigns, or subcontractors shall fail to pay any of the persons referred to in Civil Code Section 3181 or amounts due under the Unemployment Insurance Code with respect to work or labor performed by any such claimant, that the Surety or Sureties herein will pay for the same, in an amount not exceeding the sum specified in this bond, otherwise the above obligation shall be void. In case suit is brought on this bond, the said Surety will pay a reasonable attorney s fee to be fixed by the court. This bond shall inure to the benefit of any of the persons referred to in Civil Code Section 3181 so as to give a right of action to such persons or their assigns in any suit brought upon this bond. Any such right of action shall be subject to the provisions of Civil Code Section IN WITNESS WHEREOF, We have hereunto set our hands and seals on this day of, 20 CONTRACTOR Contractor Name: AS PRINCIPAL Contractor Address: (SEAL) SURETY Surety Name: Surety Address: (SEAL) Signatures executed in behalf of the Surety must be properly acknowledged. Construction Mgmt /10

10 PERFORMANCE BOND Know All Persons by These Presents: Counterpart No. Contract No. Project No. THAT WHEREAS, the State of California acting by and through the Trustees of the California State University, hereinafter called the Trustees, has awarded to Contractor Address City, ST Zip as Principal, hereinafter designated as the Contractor, a Contract for the Work described as follows: Project No.: Project Name: Campus: AND WHEREAS, the Contractor is required to furnish a bond in connection with said Contract, guaranteeing the faithful performance thereof: NOW, THEREFORE, we the undersigned Contractor and Surety are held and firmly bound unto the State of California through the said Trustees in the sum of: {figures used herein are examples only} One Hundred Twenty-Three Million, Four Hundred Fifty-Six Thousand, Seven Hundred Eighty-Nine Dollars and No Cents ($123,456,789.00)* to be paid to the said Trustees, State or its certain attorney, its successors and assigns: for which payment, well and truly to be made, we bind ourselves, our heirs, executors and administrators, successors and assigns, jointly and severally, firmly by these presents. THE CONDITION of this obligation is such, That if the above bounden Contractor, his, her, or its heirs, executors, administrators, successors or assigns, shall in all things stand to and abide by, and well and truly keep and perform the covenants, conditions and agreements in the foregoing contract and any alteration thereof made as therein provided, on his, her, its or their part to be kept and performed at the time and in the manner therein specified, and in all respects according to their true intent and meaning, and shall indemnify and save harmless the State of California, its officers and agents, as therein stipulated, then this obligation shall become and be null and void; otherwise, it shall be and remain in full force and virtue. IN WITNESS WHEREOF, We have hereunto set our hands and seals on this day of, 20 CONTRACTOR Contractor Name: AS PRINCIPAL Contractor Address: (SEAL) SURETY Surety Name: Surety Address: (SEAL) Signatures executed in behalf of the Surety must be properly acknowledged. Construction Mgmt /10

11 CERTIFICATION Counterpart No. Contract No. Project No. This is to certify that I am the (Insert title such as Secretary or Assistant Secretary) of (Insert name of corporation) ; and that the attached resolution is a true and accurate copy, as the same appears in the Minutes of the Board of Directors of the Corporation; and that said resolution was duly adopted by the Board of Directors of the Corporation at its meeting on. Dated: (Insert date) Signature Title of person making certification IMPORTANT NOTE (Be sure that a copy of the resolution authorizing a person to execute Contract Documents or to execute a bid submittal is attached to this certification. If more than one resolution is attached, the form must be modified to reflect that fact.) Construction Mgmt /10