Checklist Executed Contract 03-18

OMB Number: 0610-0096
Expiration Date: 11/30/2021

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ECONOMIC DEVELOPMENT ADMINSTRATION
EXECUTED CONSTRUCTION CONTRACT DOCUMENT CHECKLIST

EDA Award Number:

Date:

Recipient:
Co-Recipient(s):
Recipient’s Authorized Representative:

Name & Phone Number

The recommended contractor is:

Project/Contract
Description

Contractor Name/Address

Contract
Total Contract EDA Funded
Award Date
Amount
Amount
$

$

* Non-EDA
Funded Amount

Current A/E
Estimate

$

$

* Construction components not part of the EDA Grant Project and do not include EDA funds nor local match funds.

Y

1. The submitted contract documents include a complete set of executed contract
documents (all required sections are completely filled out, signed and dated.)
2. The Performance and Payment Bonds:
a. Are written for 100% of the contract amount.
b. Are completely filled out and properly signed and dated.
c. Date of bond does not precede the date of the contract.
d. Surety company is on the Department of the Treasury’s Listing of
Certified Companies. Link to the Treasury Department Circular 570.
e. All bonds are supported by a signed and dated Power of Attorney,
issued by the Surety Company.
3. Insurance:
a. Public Liability

Expires _______________

b. Property Damage

Expires _______________

c. Vehicular Liability

Expires _______________

d. Workmen’s Compensation
Expires _______________
(as required by State or Local law)
e. Builder’s Risk Insurance *

Expires _______________

* (Building Project Only) Certificate may be from either the Contractor
or Grant Recipient. Insurance on the completed value basis on the
insurable portion of the project.
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N

NA

OMB Number: 0610-0096
Expiration Date: 11/30/2021

Y

N

4. For contract over $100,000, an executed copy of the Certification Regarding
Lobbying, from the contractor as required by Section 1352, Title 31, of the
U.S. Code, if not previously submitted.
5. A copy of the Recipient’s Notification of Award of Prime Contracts letter
to the Director, Office of Federal Contract Compliance Programs (OFCCP),
in response to the requirements of E.O. 11246 and 41 CFR Chapter 60.
The letter includes the following items:
a. Award of all prime contracts within 10 working days of the award.
b. Any subcontracts within 10 working days of the award.
c. Identify the EDA project.
d. Name, address and telephone number of the contractor.
e. Contractor’s employer identification number.
f. Dollar amount of the contract.
g. Estimated start and completion dates of the contract.
h. Geographical area in which the contract is to be performed.

See the link below for the Office of Federal Contract Compliance Program’s Region office
listing http://www.dol.gov/ofccp/contacts/regkeyp.htm.
6. The executed construction contract has been reviewed by the Recipient’s
Attorney.

Prepared By (Signature)

Date

Prepared By (Typed or Written Name & Title)

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NA