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Forms and Documents
Bulletin Board Bulletin Board Inspection Checklist Bulletin Board Diagram Bulletin Board Poster/Information Packet Receipt Affidavit FCO Poster - Doug Potter FCO Poster - Susan Dearborn FHWA 1022 New Hampshire Labor Law Posters Federal Labor Law Posters DBE Forms DBE Commitment Form for Prime Contractors DBE Letter of Intent DBE Reports DBE Awards/ Commitments and Payments Report October - March 2010 DBE Awards/ Commitments and Payments Report April-September 2010 DBE Awards/ Commitments and Payments Report October - March 2011 DBE Awards/ Commitments and Payments Report April-September 2011 OJT Forms OJT 1 - Acknowledgement - Letter of Intent OJT Form 2 - Registration-Enrollment OJT Form 3 - OJT Weekly Training Report OJT 4 - Transfer - Modification Request OJT Program Manual Monthly Reports OFC Form 1 - Monthly Utilization Report OFC Form 18 - NH DOT Monthly Prompt Pay Certification Other Documents OFC Form 6 - Log of Applicants OFC Form 21 - CUF Review OFC Form 22: Company Information Shee t Labor Compliance Brochure - 2-2013 Superintendent/Foreman Checklist Local Public Agency (LPA) Contract Checklist Daily Sign-In Record OFC Form 11- Labor Standards Interview OFC Form 13 -LPA Project & Information Status Report OFC Form 19: Consultant Evaluation Required Contract Documents Package - A 41-page document. These documents are required to be incorporated into all NHDOT funded projects. Revised 12-10-2012 Responsibilities Guide for LPA's - Local Sponsors and their Consultants will use this document as a guideline for their responsibilities.	Payroll Documents OFC Form 3 - Payroll Log Sheet (LPA) Resident Engineer or Town Representative will use this form to track all work on site and when payrolls have been received. OFC Form 3 - Payroll Log Sheet (State) NHDOT CA will use this form to track all work on site and when payrolls have been received OFC Form 3 Instructions OFC Form 4 - Payroll Form (Front and Back) Payroll Instructions (Side A) Payroll Instructions (Side B) Guide to completing the Certified Payrolls OFC Form 8 - Restitution Requirements Sample Fringe Benefit Breakout Sample Request for Additional Work Classification and Additional Work Classification Checklist Payroll Q&A Checklist Sub-Contractor Approval Packets OFC Form 15a - Subcontractor Request for Consent to Sublet - State OFC Form 15b - Subcontractor Request for Consent to Sublet - LPA OFC Form 14 - Contractor Acknowledgement Certification Please note there are mandatory documents that must be included in, and made part of, each subcontractor agreement/contract. OFC Form 14a - PRE-AWARD PARTICIPATION ASSURANCES OFC Form 14b - Out of State Contractor Assurances OFC Form 2 - EEO Officer Notification and Program Compliance Certification OFC Form 26 - Work Certificate for Contractors Attachments to be included in each subcontractor packet NH DOT Subcontracting Procedures FHWA Form 1273 - Required Contact Provisions for Federal-Aid Construction Contracts 41 CFR 60-4.2 Solicitation 41 CFR 60-4.3 Equal Opportunity Clauses Disadvantaged Business Enterprise (DBE) Policy and DBE Program Requirements (Standard Spec 103.06) NHDOT 21-Day Prompt Pay Supplemental Specification to Standard Specification 109.09 Frequently Ask Q & A's FHWA Q & A's Office of Federal Compliance Q & A's - in construction
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