- Final DCP Payment request--- See following online guide to requesting final payment: DCP Payment Guide
- Overrun Form (If project needs additional federal funds encumbered.) Download form
- Copy of final voucher (Fully signed by Local Agency and Contractor and must contain language certifying that work was completed in accordance with plans and specifications. Contractor must certify specifically that they are accepting this as full and final payment and will make no further claims) If this language is not on the final voucher, a stand alone document needs to be completed and signed by the Contractor. Contractor Certification form
- Copies of all Change Orders, Work Orders, and Supplemental Agreements
- Overrun/Underrun Report--Used to report major overrun/underrun of contract quantities Download sample
- Materials Exception Summary Download form Forms located under "Project Certification"
Please attach the following:
- List of Testers---include name, Mn/DOT Certification #, type of tests performed Download form
- Fax from Mn/DOT Bituminous Office listing any exceptions on file Download form
- Fax from Mn/DOT Concrete Office listing any exceptions on file Download form
- Copies of documents showing reductions to unit price and/or penalties
- If Mn/DOT did not provide Independent Assurance on the project, please provide documentation showing Independent Assurance was completed by others.
- Other documentation that affects exceptions noted on your form.
For projects with no materials, send in anyway and write “NA” on it.
7.Final Inspection Report (signed by Mn/DOT engineer and project engineer and showing any problems as resolved) If project has not been inspected, call Jim Deeny at 651-234-7762 to schedule a final inspection. Download Form
8. Cost Distribution Spreadsheet This spreadsheet needs to show all contract items by cost group and must match the the total shown for each group on the Final DCP payment submittal.
9. State Aid Payment Request (if requesting state aid funds for local match or other state aid eligible costs.) Download form - ( Choose Payment Request Form under "General Forms)
- Backsheet Item Costs (If final voucher shows any costs for things like Bituminous Incentive/Disincentive, Fuel Escalation etc that is not supported by a change document, please submit worksheets showing calculations of how cost was determined.
If you have any questions, please call Sharon LeMay at 651-234-7773, email@example.com