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DCS Library
(Forms & Publications)
 
The following link provides access to Office of State Building Inspector Forms that are available in electronic (PDF and/or Word) versions.  If you cannot find the Form you are seeking, please contact the appropriate OSBI Bureau.   OSBI Forms
 
Office of State Fire Marshal Forms
The following links provide access to Office of State Fire Marshal (OSFM), Bureau of License and Permit Forms that are available in electronic (PDF and/or Word) versions.  If you cannot find the Form you are seeking, please contact the appropriate OSFM unit.
 
 
Office of Education and Data Management Forms
The following link provides access to Office of Education and Data Management Forms that are available in electronic (PDF and/or Word) versions.  If you cannot find the Form you are seeking, please contact the Office of Education and Data Management.  Career Development
 
Office of Design & Construction
The following links identify Forms and Publications that are available for use as part of the DCS Office of Design & Construction Project Planning process.  The forms and publications are available in electronic (Word, Excel, and/or PDF) versions.  If you cannot find the form or publication you are seeking, please contact the DCS Process Management Unit.
 
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OFFICE OF DESIGN & CONSTRUCTION -
INDEX OF FORMS & PUBLICATIONS
 
  QBS Unit  (For use by DCS QBS Unit Only)
  PM Web

 
 
 
 Number
  Name
Form
Last Revised
0100
Project Manager's Manual
 
 
in process
0200
Capital Projects Budget Guidelines
 
 
in process
0310
Selection Procedures & Project Delivery Methods Guidelines
 
 
in process
0320
Consultant Services Selection Procedure Manual
 
 
in process
0330
On-Call Consultant Services Selections & Task Assignment Procedure Manual..
07/03/13
0340
Construction Administration Consultant Services Selection Procedure Manual
 
 
in process
0350
Design-Build (D-B) Total Cost - Best Value Selection Procedure Manual...........
06/18/13
0370
CMR GMP Best Value Selection Procedure Manual.........................................
12/30/11
0400
Consultant's Procedure Manual..................................................................
10/14/08
0450
Capital Projects High Performance Buildings Guidelines.................................
06/18/12
0500
Agency Administered Projects Procedure Manual...........................................
05/05/10
Selection and Bidding Manual....................................................................
07/07/07
 
 
Number
 
 
Form
 
Last Revised
 
 
 
 
1100 Series - Project Initiation Forms
 
 
 
1105
Capital Project Initiation Request and B-100 Supplement..............................
07/01/13
1110
File Folder Headers..................................................................................
07/19/12
1110.1
File Folder Set-Up Request........................................................................
03/23/12
1115
Capital Project Number Request.................................................................
12/12/11
1120
Capital Project Work Plan..........................................................................
12/12/11
1125
Bond Request To State Bonding Commission Worksheets.............................
02/22/13
1130
Project Accounting Worksheets...................................................................
03/05/12
1140
Project Initiation - Scope Meeting Agenda...................................................
02/12/12
1145
Project Initiation Meeting Attendance Log....................................................
08/03/12
1150
Credentials and Insurance Requirements....................................................
10/04/12
1160
Environmental Consultant Disclosure Statement...........................................
12/12/11
1165
Hazardous Material Inspection Request......................................................
07/13/12
1170
DCS PCBs in Caulk Policy..........................................................................
12/12/11
 
1200 Series - Consultant Selection Forms
1201
RFQ Web Advertisement Transmittal to DCS Process Management Unit..........
08/20/13
1205
RFQ Advertising Publications Standards......................................................
07/18/13
1210
QBS - Guidelines for Selection and Contract Limits.......................................
08/01/13
1211
QBS Email Registration.............................................................................
07/03/13
1212
QBS Submittal Booklet Requirements.........................................................
08/20/13
 
1213
QBS - CT 330 Part I.................................................................................
07/03/13
1214
QBS - CT 330 Part II................................................................................
07/03/13
1215
QBS - Certificate (of Authority)..................................................................
09/18/13
1216
QBS - Disclosure Affidavit.........................................................................
07/03/13
1221
Capital Project Selection & Contract Limitation Guidelines
(DO NOT USE FOR RFQ's POSTED AFTER 08/01/13)
07/01/11
1225
QBS Email Registration
(DO NOT USE FOR RFQ's POSTED AFTER 08/01/13)
01/17/12
1230
QBS Submittal Booklet Requirements
(DO NOT USE FOR RFQ's POSTED AFTER 08/01/13)
03/05/12
1235
CT 330 Part I
(DO NOT USE FOR RFQ's POSTED AFTER 08/01/13)
01/17/12
1240
CT 330 Part II
(DO NOT USE FOR RFQ's POSTED AFTER 08/01/13)
01/17/12
 
1500  Series - Design-Build (DB) Selection Forms
1511
QBS Email Registration for DB Services.......................................................
08/20/13
1512
QBS Supplemental Submittal Booklet Requirements for DB Services...............
08/20/13
1513
QBS DB Team Questionnaire.....................................................................
08/20/13
1514
QBS DB Designer Questionnaire.................................................................
08/20/13
1515
QBS DB Builder Questionnaire....................................................................
08/20/13
 
1700 Series - CMR Selection Forms
1711
QBS Email Registration for CMR Services.....................................................
08/13/13
1712
QBS Submittal Booklet Requirements for CMR Services................................
08/13/13
 
 
 
 
 
 
 
 
 
 
Number
  Name
Form
Last Revised
 
 
For Contract Templates and Forms, go to:
G: / DPWPublic / Financial Management / Contract Forms
2010
Contract Commission Letter Log................................................................
07/19/13
2205
Checklist of Materials For On-Call Task Letters............................................
09/15/11
 
 
 
 
 
 
 
Number
  Name
Form
Last Revised
 
3001
Notice To Proceed To Architect's Contract Work............................................
06/06/12
3005
Preconstruction Phase Meeting Attendance Log............................................
04/01/14
3010
Code Unit Plan Review Request.................................................................
04/01/14
3011
Building Information For Code Analyses......................................................
04/01/14
3020
Life Cycle Cost Anaylsis Determination Request...........................................
04/01/14
3030
Checklist For Permits Certifications And Approvals........................................
08/28/13
3040
Capital Project Building Permit Application Transmittal..................................
12/02/11
3045
Cover Sheet Transfer to Commissioner for Signature Template......................
09/01/11
3055
Preconstruction Phase Agency Change Request........................................... 
06/27/12
3080
Liqudated Damages Calculator..................................................................
05/21/12
3090
Notice To Proceed To Next Preconstruction Phase.........................................
07/17/12
3150
Certificate of Compliance – Part 1 Preconstruction Phase...............................
03/25/14
3910
Consultant's Performance Evaluation - Schematic Design Phase....................
04/22/13
3911
Consultant's Performance Evaluation - Design Development Phase................
04/22/13
3912
Consultant's Performance Evaluation - Construction Documents Phase...........
04/22/13
3920
CA/OR Performance Evaluation - Design Phase............................................
07/19/12
CAD
CTDCS CAD Templates for Coversheet, Project Sign, and Title Block...............
 
07/07/11
State Agency Educational Training Fee Remittance Report For Fiscal Year
7/1/12 through 6/30/12............................................................................
08/23/12
 
 
 
(coming soon?)
 
 
General Requirements
 
 
  Name
Form
Last Revised
 
00 31 19.26 Existing Conditions Survey......................................................
05/09/12
00 31 24.13 Soil Contamination Report......................................................
05/09/12
00 31 26.23 General Survey For ACM and LBP..............................................
05/09/12
00 31 26.29 Existing PCB Information........................................................
05/09/12
00 31 32.13 Subsurface Geotechnical Report...............................................
05/09/12
00 31 33.11 Elevator Agreement................................................................
12/02/11
 
00 40 14 Certificate (of Authority)..............................................................
09/18/13
                      
Top
 
Design-Bid-Build and
CMR
00 72 13 General Conditions For Design-Bid-Build........................................
03/26/12
00 72 13.1 Supplementary General Conditions for D-B-B...............................
08/12/13
00 72 23 General Conditions CMR Standard For All CMR Projects....................
07/23/12
00 72 23.1 Supplementary General Conditions for CMR................................
07/01/13
                            
 
General Requirements
 
DBB Major Capital Projects
(greater than $5,000,000)
00 01 01 Title Page For Project Manual.......................................................
07/19/12
00 01 07 Seals Page................................................................................
02/22/12
00 01 10 Table of Contents.......................................................................
05/09/12
00 01 15 List of Drawing Sheets.................................................................
02/22/12
01 11 00 Summary of Work......................................................................
08/23/13
01 20 00 Contract Considerations..............................................................
02/22/12
01 23 13 Supplemental Bids......................................................................
05/21/12
01 25 00 Substitution Procedures...............................................................
01/09/13
01 26 00 Contract Modification Procedures..................................................
05/16/12
01 29 76 Progress Payment Procedures......................................................
02/22/12
01 31 00 Project Management & Coordination..............................................
12/02/11
01 31 19 Project Meetings.........................................................................
12/02/11
01 32 16 Construction Progress Schedules..................................................
07/19/12
01 32 16.13 CPM Schedules......................................................................
07/19/12
01 32 33 Photographic Documentation........................................................
12/02/11
01 33 00 Submittal Procedures..................................................................
06/25/12
01 35 16 Alteration Project Procedures........................................................
02/22/12
01 35 26 Government Safety Requirements................................................
02/22/12
01 42 20 Reference Standards and Definitions.............................................
12/02/11
01 45 00 Quality Control.......................................................................... 
05/16/12
01 45 23 Testing For IAQ Baseline IAQ Material...........................................
12/02/11
01 50 00 Temporary Facilities and Controls.................................................
02/22/12
01 57 30 Indoor Environmental Control.......................................................
02/22/12
01 57 40 Construction Indoor Air Quality Management Plan...........................
02/22/12
01 60 00 Product Requirements.................................................................
02/22/12
01 71 23 Field Engineering........................................................................
02/22/12
01 73 29 Cutting and Patching...................................................................
02/22/12
01 74 19 Construction Waste Management & Disposal..................................
02/22/12
01 75 00 Starting and Adjusting.................................................................
02/22/12
01 77 00 Closeout Procedures...................................................................
02/22/12
01 78 23 Operation and Maintenance Data..................................................
02/22/12
01 78 30 Warranties and Bonds.................................................................
02/22/12
01 81 13  Sustainable Design Requirements...............................................
02/22/12
01 91 00 Commissioning..........................................................................
02/22/12
 
 
 
 
 
Division 01
General Requirements
 
DBB Minor Capital Projects
(less than $500,000) or
(between $500,000 and $5,000,000)
00 01 01 Title Page For Project Manual.......................................................
07/19/12
00 01 07 Seals Page................................................................................
10/11/11
00 01 10 Table of Contents (projects less than $500,000)............................
05/09/12
00 01 10 Table of Contents (projects between $500,000 and $5,000,000)......
05/09/12
00 01 15 List of Drawing Sheets.................................................................
12/02/11
01 10 00 Summary of Work......................................................................
05/09/12
01 20 00 Contract Considerations..............................................................
03/12/12
01 30 00 Administrative Requirements.......................................................
07/19/12
01 40 00 Quality Requirements.................................................................
03/12/12
01 50 00 Temporary Facilities and Controls.................................................
03/12/12
01 60 00 Product Requirements.................................................................
03/12/12
01 70 00 Execution and Closeout Procedures..............................................
03/12/12
01 80 00 Performance Requirements.........................................................
03/12/12
01 90 00 Life Cycle Activities.....................................................................
03/12/12
 
 
 
 
Division 01
General Requirements
 
CMR Major Capital Projects
00 01 01 Title Page For Project Manual.......................................................
07/19/12
00 01 07 Seals Page................................................................................
02/22/12
00 01 10 Table of Contents......................................................................
05/09/12
00 01 15 List of Drawing Sheets.................................................................
02/22/12
01 11 00 Summary of Work......................................................................
02/22/12
01 20 00 Contract Considerations..............................................................
02/22/12
01 25 00 Substitution Procedures...............................................................
02/22/12
01 26 00 Contract Modification Procedures..................................................
02/22/12
01 29 76 Progress Payment Procedures......................................................
02/22/12
01 31 00 Project Management and Coordination..........................................
02/22/12
01 31 19 Project Meetings.........................................................................
02/22/12
01 32 16.13 CPM Schedules......................................................................
07/19/12
01 32 33 Photographic Documentation........................................................
02/22/12
01 33 00 Submittal Procedures..................................................................
06/25/12
01 35 16 Alteration Project Procedures........................................................
02/22/12
01 35 26 Government Safety Requirements................................................
02/22/12
01 42 20 Reference Standards and Definitions.............................................
02/22/12
01 45 00 Quality Control...........................................................................
02/22/12
01 45 23.13 Testing For Indoor Air Quality Baseline IAQ and Material.............
02/22/12
01 50 00 Temporary Facilities and Controls.................................................
02/22/12
01 57 30 Indoor Environmental Control.......................................................
02/22/12
01 57 40 Construction Indoor Air Quality Management Plan...........................
02/22/12
01 60 00 Product Requirements.................................................................
02/22/12
01 71 23 Field Engineering........................................................................
02/22/12
01 73 29 Cutting and Patching...................................................................
02/22/12
01 74 19 Construction Waste Management & Disposal..................................
02/22/12
01 75 00 Starting and Adjusting.................................................................
02/22/12
01 77 00 Closeout Procedures...................................................................
02/22/12
01 78 23 Operation and Maintenance Data..................................................
02/22/12
01 78 30 Warranties and Bonds.................................................................
02/22/12
01 81 13  Sustainable Design Requirements...............................................
02/22/12
01 91 00 Commissioning..........................................................................
02/22/12
 
 
 
 
General Requirements
 
Design-Build Capital Projects
Division 01 General Requirements - D-B Capital Projects...............................
07/19/12
 
 
 
 
Number
  Name
Form
Last Revised
6000
Portal Protocols for DCS Construction Bids...................................................
01/25/12
6005
Consultant Bid Data Statement..................................................................
06/06/12
6010
Bid Release Form.....................................................................................
12/12/12
6010.1
Bid Release Form - Instructions.................................................................
03/13/14
6015
Bidding Documents - Quality Assurance Checklist & Instructions.....................
12/12/12
6020
Bid Phase Meeting Attendance Log.............................................................
12/12/11
6025
Pre-Bid Conference Agenda.......................................................................
12/12/11
6030
Bid Addendum.........................................................................................
08/12/13
6035
Bid Addendum Transmittal........................................................................
01/12/12
6040
Request To Substititute Named Subcontractor..............................................
01/09/13
6050
Construction Contract Award Recommendation.............................................
12/12/11
6505
Petition of Alleged Violation.......................................................................
12/12/11
6510
Procedure for Alleged Violation..................................................................
12/12/11
6800
Notice of CMR Invitation to Bid..................................................................
12/17/13
6805
Notice of CMR Addendum.........................................................................
12/17/13
6910
Consultant's Performance Evaluation - 100% Bid Phase................................
07/19/12
6990
Notice Form.............................................................................................
02/11/14
 
 
 
 
 
Number
  Name
Form
Last Revised
7000
Construction Start Date & Notice to Proceed.................................................
06/27/12
7001
Equal or Substitute Product Request...........................................................
01/09/13
7002
Material Testing Request Schedule.............................................................
01/19/12
7003
Daily Field Observation Report...................................................................
08/07/12
7004
Non-Conformance Notice...........................................................................
11/11/11
7005
Construction Phase Meeting Attendance Log................................................
09/13/11
7009
Release Of Liability For On-site Visit...........................................................
10/03/11
7012
Contractors Scope Review Meeting Agenda
(Major Capital Projects Exceeding $5,000,000).............................................
07/17/12
7015
Preconstruction Meeting Agenda.................................................................
05/07/12
7030
Code Inspections Schedule.......................................................................
09/26/13
7031
Code Inspection Sign-Off Form..................................................................
09/26/13
7048
GC Retainage Reduction Request Form.......................................................
12/02/11
7050
CMR Retainage Reduction Request Form....................................................
12/02/11
7055
Construction Phase Agency Change Request...............................................
03/11/14
7070
Subcontractor Payment Questionnaire.........................................................
09/13/11
7099
DCS Ground-Breaking Checklist.................................................................
07/12/12
7150
Certificate of Compliance – Part 2 Construction Phase..................................
03/25/14
7210
Remediation Contractor Certification Form For PCB Abatement.......................
05/16/12
7310
Request for Information...........................................................................
03/11/14
7315
Request for Information Response.............................................................
03/11/14
7320
Supplemental Instructions.........................................................................
03/11/14
7330
Proposal Request.....................................................................................
03/11/14
7340
Change Order Proposal.............................................................................
03/11/14
7341
Change Order Proposal Workbook.............................................................
03/11/14
7350
Construction Change Directive...................................................................
03/11/14
7360
Change Order..........................................................................................
03/11/14
7370
Change Order Transmittal.........................................................................
03/11/14
7380
Change Order Checklist............................................................................
03/11/14
7390
Application and Certification For Payment....................................................
{7390 Application and Certification For Payment}
DRAFT
7600
Off-Site Storage Authorization Request Procedures & Form............................
09/13/11
7810
Certificate of Substantial Completion..........................................................
03/25/14
7820
Certificate of Acceptance...........................................................................
03/25/14
7825
Contractor Reporting Form........................................................................
04/18/12
7840
Transfer of Custody and Insurance Notification to Agency..............................
03/25/14
7850
Subcontractors Partial Lien Waiver Release..................................................
09/13/11
7860
Liquidated Damage Assessment Field Report..............................................
04/18/12
7870
Field Evaluation Report.............................................................................
04/18/12
7899
DCS Ribbon-Cutting Checklist....................................................................
07/12/12
7900
Subcontractors Final Lien Waiver Release....................................................
09/13/11
7910
Consultants Performance Evaluation - Construction Phase............................
04/22/13
7920
CA Performance Evaluation - 50% Construction Phase..................................
09/27/12
7921
CA/OR Performance Evaluation - 100% Construction Phase...........................
04/18/12
DAS Form 745
Contractor Performance Evaluation.............................................................
June 2009
7930
Contractor Performance Evaluation Instructions............................................
04/10/12
7935
Bond Company Release Request Letter......................................................
04/18/12
7940
Building and Land Inventory Change Request..............................................
04/03/12
7950
Asset Valuation Memorandum...................................................................
12/12/11
7990
Construction Closeout for Project Accounting................................................
04/18/12
7995
Archival Data for Project Documents...........................................................
03/27/12
Code
CASE Form 101 - Statement of Special Inspections.......................................
ăCASE 2004
Code
CASE Form 102 - Final Report of Special Inspections....................................
ăCASE 2004
Code
CASE Form 103 - Contractor's Statement of Responsibility.............................
ăCASE 2004
 
 
 
 
 
 
 
 
  Name
 
Form
 
Last Revised
 
 
2008 Consultant's Manual - Boundary and Topographic Survey Requirements..
06/02/08
2008 Consultant's Manual - Environmental Policy Act....................................
06/02/08
2008 Consultant's Manual - Permits, Certifications, and Approvals.................
06/02/08
2008 Consultant's Manual - Storm Water Discharges Standards.....................
06/02/08
2008 Consultant's Manual - Subsurface Investigation Requirements...............
06/02/08
 
2008 Consultant's Manual - Underground Storage Tanks..............................
06/02/08
DCS Connecticut Environmental Policy Act Manual.........................................
January 2012
Generic Environmental Classification Document (ECD)...................................
10/05/10
Water Intrusion Management Plan.............................................................
09/27/05
 
Boiler Installation, Registration, and Inspection:
      Installer-Boiler Registration and Inspection Request...............................
08/04/11
      Installer-Boiler Registration and Inspection Request (fillable form)..........
08/04/11
      Boiler Installation Report I-1 (Form NB-365)..........................................
      NBIC Guide for Completing National Board Boiler Installation Report.........
 
 
 
 
 
 
 Number
 
  Name
 
Form
 
Last Revised
 
9000
DCS Transmittal Form Template................................................................
07/01/13
9005
DCS Transmittal to DAS Project Accounting..................................................
07/01/13
9010
DCS Letterhead Template.........................................................................
07/01/13
9010
DCS Letterhead Template.........................................................................
07/01/13
9020
DCS Memorandum Template.....................................................................
07/01/13
9022
DCS Meeting Memorandum.......................................................................
07/01/13
9025
DCS Fax Transmittal Template..................................................................
07/01/13
9100
State Agencies Served by CT DAS-Division of Construction Services..............
07/01/13
 
 
 
Number/
Website
   Name
 
Form/
Link
Last Revised
 
 
DAS
 
 
DAS Business Friendly Initiatives (affidavit and nondiscrimination uploads).....
 
 
 
DAS
 
 
DAS
 
A Guide for Agencies and Municipalities to Accessing Uploaded Affidavits
and Nondiscrimination Forms.....................................................................
 
 
OSE
 
Guide to the Code of Ethics For Current or Potential State Contractors.............
 
 
 
OPM
 
Affirmation of Receipt of State Ethics Laws Summary (Form 6).......................
 
 
 
OPM
 
Gift and Campaign Contribution Certification (Form 1)..................................
 
 
 
OPM
 
Consulting Agreement Affidavit (Form 5).....................................................
 
 
 
OPM
 
Nondiscrimination Certifications..................................................................
 
 
 
SEEC
 
State Elections Enforcement Commission - Contractor Forms.........................
 
 
 
 
 
List of Forms Found on PM Web:
 
712F
 
Application and Certificate for Payment (including Schedule of Values)
 
735F
 
Change Order Proposal Workbook
 
         
   
   
   
   
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Content Last Modified on 4/2/2014 8:17:20 AM