Contractor Concurrence Form printable pdf download

Contractor Concurrence Form

Form 100.05

CONTRACTOR CONCURRENCE FORM

Unique ID:

Status:

Date:

File No:

Project No:

Contractor:

Estimate:

I have reviewed the above referenced estimate and agree with the quantities submitted with the following exceptions. I reserve the right to dispute these

quantities at a later date provided documentation is submitted to substantiate the dispute.

Item Description

Current

Total

Contract

Remarks



Please make adjustments for the exceptions shown on this sheet for this construction estimate and resubmit the revised estimate to me for concurrence.



Process this estimate as it is and address any exceptions as listed above in the next construction estimate for this contract. Also, I certify that all

sub-contractors have been paid for work covered by previous estimated according to the "prompt payment clause" supplemental specification

dated June 14, 2000.

Contractor Rep:

Signature: _________________________________________________

Date: ______________________

100.05 Pg 1