Centerre Portal ND Daily Report

• Centerre Construction Inc.
  4100 E. Mississippi Ave, Suite 1225, Denver, CO 80246
  Phone: 303-220-9400
  Fax: 303-220-9893

• Project Name: Portal, ND LPOE Envelope Repair Project

• Project Address: 301 W. Railway Avenue, Portal, ND 58722

• Solicitation No: GS-08P-14-JF-C-0008

• Daily Report No.

• Prepared by

• Conducted on

  Date

• Report Day:

  Date

Work Hours

• Work-Day Start:

  Date

• Work-Day End:

  Date

Weather

• Weather Was Recorded At:

  Date

• Temperature:

• Precipitation:

• Wind:

• Were there any weather delays today?

  Yes

  No

• Delay Details:

WORK ACTIVITY / FIELD FORCE

• Centerre Construction

  On-Site

  Not On-Site

• Work Area:

• Work Activity Details:

• Photos of This Work:

  Media

• Personnel

• Ken Gerondale - Foreman

  Yes

  No

• Jesse LeHew - Carpenter

  Yes

  No

• Remarks

• Matsuo Engineering

  On-Site

  Not On-Site

• Work Area:

• Work Activity Details:

• Photos of This Work:

  Media

• Personnel

• Joseph Silva - Carpenter

  Yes

  No

• Remarks

• Were there any additional subcontractors on site?

  Yes

  No

• Additional Sub-Contractors:

Sub-Contractor

• Sub-Contractor Name:

• Trade (GC, Electrical, Mechanical, Carpet etc.):

• Work Area:

• Work Activity Details:

• Photos of This Work:

  Media

• Personnel

• Enter name and work class of sub-contractor personnel.

• Remarks

EQUIPMENT

• Was there any equipment on site?

  Yes

  No

• Equipment:

On-Site Equipment

• Source/Sub-Contractor

• No. of Men

• Equipment Type:

• Work Area:

• Photos:

  Media

• Remarks

VISITORS

• Were there any visitors on-site today?

  Yes

  No

• Visitors:

Visitor

• Arrival Time:

  Date

• Visitor Name:

• Company:

• Company Represented:

• Remarks

MATERIALS/DELIVERIES

• Were there any material deliveries to the site today?

  Yes

  No

• Deliveries:

Delivery

• Delivery Time:

  Date

• Source/Sub-Contractor

• Material Name:

• Description:

• Quantity:

• Location:

• Ticket Number:

• Photos:

  Media

• Remarks:

POTENTIAL CHANGE ORDERS (PCOs)

• Did anything occur today that could be a change order to either the owner or to MC?

  Yes

  No

• Potential Change Orders:

PCO

• Source/Sub-Contractor

• Description:

• Initiated Date:

  Date

• Photos illustrating PCO:

  Media

• Remarks:

DELAYS

• Did anything occur today that caused a schedule delay?

  Yes

  No

• Delays:

Delay

• Activity ID:

• Title:

• Start of Delay:

  Date

• Description of Delay:

• Photos Illustrating Delay:

  Media

• Resolved Date:

  Date

• Would you like to have a sub-contractor representative sign below to indicate that they read this delay report and that it is accurate?

  Yes

  No

• Add all Sub-Contractors related to this schedule delay.

Sub-Contractor

• Sub-Contractor Company:

• Sub-Contractor Representative Signature: I hereby agree that all of the information above regarding this delay is accurate to the best of my knowledge.

  Sign

• Remarks:

SAFETY

• Were there any safety-related incidents or concerns today?

  Yes

  No

  See Safety Report

• Safety Issues:

Safety Issue

• Location:

• Source/Sub-Contractor(s)

• Item:

• Photo Documentation:

  Media

• Would you like to have a sub-contractor representative sign below to indicate that they read this report and that it is accurate?

  Yes

  No

• Add all Sub-Contractors related to safety issue above here.

Sub-Contractor

• Sub-Contractor Company:

• Sub-Contractor Representative Signature: I hereby agree that all of the information above regarding this safety issue is accurate to the best of my knowledge.

  Sign

• Remarks:

QUALITY CONTROL

• Were there any quality-control issues today?

  Yes

  No

  See QC Report

• QC Items:

QC Item

• Source/Sub-Contractor(s)

• Location:

• Spec. Reference:

• Test Required?

  Yes

  No

• Description:

• Photos of QC Item:

  Media

• Resolution:

• Would you like to enter into a signed agreement with sub-contractor(s) regarding the resolution stated above?

  Yes

  No

• Centerre Representative Signature Approving Resolution Above

  Sign

• Add all Sub-Contractors that agree to this resolution here.

Sub-Contractors

• Sub-Contractor Company:

• Sub-Contractor Representative Signature: I hereby agree that all of the information above regarding this QC item is accurate to the best of my knowledge. I also agree to perform any work (applicable to my scope of work) required by the above resolution in the agreed upon time frame. If there is no time frame specified, I agree to complete the work before it effects the schedule or project completion.

  Sign

• Remarks:

SCHEDULE

• Are there any schedule items to update today?

  Yes

  No

• Schedule Items:

Schedule Item

• Worked On:

• Activity ID:

• Title:

• Start Date:

  Date

• Finish Date:

  Date

• Percentage Complete:

• Remarks:

MEETINGS

• Were there any field related meetings today?

  Yes

  No

  See Separate Meeting Minutes

• Meetings:

Meeting

• Time Of Meeting

  Date

• Meeting Name/Description:

• Meeting Minutes:

• Meeting Attendees:

• Would you like to have attendees sign meeting minutes?

  Yes

  No

• Add all attendees that agree to the meeting minutes as written above here.

Sub-Contractor

• Attendee Company:

• Attendee Signature: I hereby approve the meeting minutes as written above.

  Sign

• Remarks:

MISCELLANEOUS NOTES

• Additional Photos:

  Media

• Sketch:

  Drawing

APPROVAL

• ON BEHALF OF THE CONTRACTOR, I (WE) CERTIFY THAT THIS REPORT IS COMPLETE AND CORRECT AND EQUIPMENT AND MATERIAL USED AND WORK PERFORMED DURING THIS REPORTING PERIOD IS IN COMPLIANCE WITH THE CONTRACT DRAWINGS AND SPECIFICATIONS TO THE BEST OF MY KNOWLEDGE, EXCEPT AS NOTED IN THIS REPORT.

• Field Report Prepared By:

  Sign

• Superintendent Approval (If Required)

  Sign