Form Bdc 390.5 - Certificate Of Substantial Completion
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1Design and Construction
AN ISO 9001:2008 CERTIFIED ORGANIZATION
Division of Construction, 34th Floor, Corning Tower
The Governor Nelson A. Rockefeller Empire State Plaza
Albany, New York 12242
Phone: (518) 474-0331
CERTIFICATE OF SUBSTANTIAL COMPLETION
Project No.:
Date of Issuance:
Contractor’s Name and Address:
Project Description:
(Project Title, Facility Name and Address)
Engineer-In-Charge:
Work remaining and designated portion thereof shall include:
The Date of Substantial Completion is hereby established as
(date)
.,
A list of items to be completed or corrected is appended hereto. Corrections or changes called for in this list will be made
within
days from the date of this Certificate. Should the date as stated not be met by the contractor, the contractor
agrees the work is subject to liquidated damages pursuant to Article 13 of the General Conditions of the Contract.
Signing of this Certificate of Substantial Completion by the parties below in no way alters the responsibility of the
Contractor to complete all Work in accordance with the Contract Documents, including untested or deferred Work.
The State accepts the Work or designated portion thereof as substantially complete and will assume possession of all
(date)
other remaining work thereof on
, pursuant to the General Conditions of the Contract, unless additional work is
required during this period as required by an approved order on contract. Should that be the case the Order on contract
shall specify the completion date or completion days accordingly.
Certification of Substantial Completion:
The Contractor certifies, and the Engineer-In-Charge concurs, that the Work under this Agreement has been reviewed
and found to be substantially complete in accordance with the Contract Documents, including Orders on Contract.
Contractor
Print Name
Signature
Date
Engineer-In-Charge
Print Name
Signature
Date
Regional / Area
Supervisor
Print Name
Signature
Date
BDC 390.5 Rev02
V:\DesignAndConstr\Common\Forms\ALL FORMS\Division of
Construction Forms
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