Information
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General Contractor
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Rehab manager
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Construction Field Supervisor
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Address
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Client / Owner
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Start Date
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Due Date
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Date fully completed (QC and Muni passed)
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Days to Complete
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Overage Charge
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Bonus available to invioce
Job Completion Form
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Initial scope of work and Approved Change Orders are complete?
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Initial scope of work and Approved Change Orders are complete?
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All mechanical, electrical, and plumbing have been tested and passed quality assurance?
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All Affinity punch items are completed?
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Date of passed municipal inspection:
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Date of passed QC list:
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All applicable permits have been opened, passed, and closed.
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All thermostat settings have bene verified. (Set at 60 in the winter and 75 in the summer)
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Touch up paint cans in kitchen cabinets.
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All appropriate final documents submitted. (QC list signed along with property info worksheet)
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Contractor has no knowledge of work comp. claims on this job.
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By signing this completion certificate to submit for final payment, the signing Affinity field supervisor and general contractor have personally reviewed and verified, onsite together, all labor and materials invoices to the Owner/Affinity Building Solutions, LLC for this job. Furthermore, the field supervisor and general contractor hereby represent all labor and materials charged to owner for this project are 100% accounted for and installed in accordance with the terms of the contract. In the event something is charged and found missing or uninstalled at a later date, the field supervisor and general contractor acknowledge their responsibility for such missing work to which the payment was authorized and charged. The signers to this statement understand their responsibility to ensure the accuracy of all completed work and respective charges paid on this job. Any false statements will be prosecuted in accordance of State Federal laws as applicable.
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Field Supervisor:
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Signature of General Contractor:
