HomeMy WebLinkAboutIowa Department of Transportation-5/4/2015Form 830435
08-14
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SUMitt I 518P[011 COSTOMS1 DSIYSH
ST TE ENT OF COMPLETION AND FINAL ACCEPTANCE OF WORT
Contractor Vieth Construction Corporation
Work Type PCC Sidewalk / Trail
Accounting ID(s) 30033
Project Niumber(s) SRTS-u-8155(718)--8U-07
Please return this copy to:
Qty Clerk & Finance Dept.
715 Mulberry St.
Waterloo, IA 50703
Letting Date 7/1712012
Contract ID
Type of Contract
Specified Start Date
ElApproximate Start Date
Late Start Date 827/2012
El Completion Date Contract
Actual Start Date
10/08/2012
Field Completion Date 5/10/2013
Site No.is)
00
Working Days Specified:
30
Working Days Charged:
20.5
Closure Days Specified:
Closure Days Charged:
I1eeomene ded f r Acceptance
Iowa DOT Contract A ptrewe
Signature
Date
Signature
Date
District Construction Engineer
Approved and Work Accepted on Behalf of the
Black Hawk
Signature
County this 20 Day of February
¢cayor
2015
Year
For Central Office Use Only
Recorded Finance
Recorded Construction & Materials
NATE: On county administered projects, the County Engineer is required to sign "Recommended for Acceptance" and
"Approved and Work Accepted on Behalf of the Board of Supervisors".
Prolate EnglnSar — Sand oriemai lo Dance District— Fawetd origtrli 10 OlSco 01 Constnic41 n 8 WOO; lass and copy ID Naiad En5lnaar.