Final Acceptance Report 05 16

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

Back

ECONOMIC DEVELOPMENT ADMINISTRATION
FINAL ACCEPTANCE REPORT
EDA Award Number:
Recipient:
Co-Recipient(s):
Recipient’s Authorized Representative:

Date:

Name & Phone Number

Contract #
of
Project/Contract Description:

Contracts

Contract Award Date:

The following representatives were present during the final inspection (include Name/Title):
Owner:
Architect/Engineer:
Contractor:
EDA Representative (if applicable):
Other:
RECITAL: The work performed under this contract was inspected on
(date)
for the purpose of determining acceptability of construction. The Date of
Acceptance is hereby established as
.
The “Date of Acceptance” is the date which the Owner may occupy and/or use the
facility for the purpose for which it is intended in accordance with the contract
documents and all work for the facility has been completed with the exception of minor
cleanup and minor corrective action as shown in the Architect/Engineer’s list made
during the final inspection.

Architect/Engineer (Print)

Architect/Engineer (Signature)

Date

The Contractor agrees that the Date of Acceptance is also the date of commencement of all
warranties required by the contract documents and that he/she (the Contractor) has released
all liens on the project, including material, men and mechanics liens or others filed by the
Contractor. The Contractor will complete the work on the Architect/Engineer’s list of minor
cleanup and corrective work within
days of the Date of Acceptance.

Contractor (Print)

Contractor Signature

Date

The Owner accepts the work as complete/substantially complete and will assume full
possession thereof on
(date).

Owner (Print)

Owner Signature

Date