INDEX OF FORMS

QBS Selections Unit

0000 Manuals & Guidelines

1000 Project Initiation & Consultant Selection

2000 Contract Forms

3000 Design Phase Forms

4000 Request For Proposal Documents

5000 General Conditions & General Requirements

00 30 00 Available Information

00 40 14 Certificate (of Authority)

00 72 00 General Conditions - Design-Bid-Build and CMR

Division 01 General Requirements - DBB Major Capital Projects

Division 01 General Requirements - DBB Minor Capital Projects

Division 01 General Requirements - CMR Major Capital Projects

Division 01 General Requirements - D-B Capital Projects

6000 Bid Phase Forms

7000 Construction Phase Forms

8000 Technical Service Information

9000 Administrative Policies & Forms

Affidavits, Certifications, and Notifications

PM Web

		0000 Manuals and Guidelines
	Number	Name	Form	Last Revised
	0330	On-Call Consultant Services Selections & Task Assignment Procedure Manual..		05/13/13
	0350	Design-Build (D-B) Total Cost - Best Value Selection Procedure Manual...........		11/11/11
	0370	CMR GMP Best Value Selection Procedure Manual.........................................		12/30/11
	0450	Capital Projects High Performance Buildings Guidelines.................................		06/18/12
		Consultant's Procedure Manual..................................................................		in process
		Selection and Bidding Manual....................................................................		07/07/07
	0500	Agency Administered Projects Procedure Manual...........................................		05/05/10
Top		1000 Project Initiation and Consultant Selection
	Number	Project Initiation Forms	Form	Last Revised
	1105	Capital Project Initiation Request and B-100 Supplement..............................		04/30/13
	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
		Consultant Selection Forms
	1205	A/E Consultant Services Selection RFQ Web Advertisement............................		03/23/12
	1206	CA/OR Consultant Services Selection RFQ Web Advertisement.......................		03/23/12
	1210	QBS - Guidelines for Selection and Contract Limits....................................... (for solicitations posted after 05/15/13)		05/13/13
	1212	QBS Submittal Booklet Requirements......................................................... (for solicitations posted after 05/15/13)		05/13/13
	1210	RFQ Web Advertisement Transmittal To DCS Selection Services.....................		03/19/12
		On-Call Consultant Selection Forms
	1300	RFQ Web Advertisement For On-Call Consultant Services..............................		05/13/13
	1301	RFQ Web Advertisement For On-Call MBE Architect - Minor Capital Projects......		05/13/13
	1302	RFQ Web Advertisement For On-Call MBE Civil Engineering - Minor Capital Projects		05/13/13
		Design-Build Total Cost - Best Value Selection Forms
	1500	RFQ Web Advertisement For D-B Criteria Architect Services............................		01/11/13
	1500.1	RFQ Web Advertisement Addendum For D-B Criteria Architect Services...........		11/27/12
	1505	RFQ Web Advertisement For D-B Services...................................................		01/11/13
	1505.1	RFQ Web Advertisement Addendum For D-B Services...................................		11/27/12
	1530	D-B Supplement - QBS Submittal Booklet Requirements...............................		01/17/12
		CMR Best Value Selection Forms
	1705	CMR Services Selection RFQ Web Advertisement..........................................		01/17/12
	1730	CMR QBS Submittal Booklet Requirements..................................................		03/05/12
Top		2000 Contract Forms   For contract forms, go to:   G: Drive/ DPWPublic / Financial Management / Contract Forms   or contact the legal unit
	Number	Name	Form	Last Revised
	2205	Checklist of Materials For On-Call Task Letters............................................		09/15/11
Top		3000 Design Phase Forms
	Number	Name	Form	Last Revised
	3001	Notice To Proceed To Architect's Contract Work............................................		06/06/12
	3005	Preconstruction Phase Meeting Attendance Log............................................		12/22/11
	3010	Code Unit Plan Review Request.................................................................		06/27/12
	3011	Building Information For Code Analyses......................................................		12/02/11
	3020	Life Cycle Cost Anaylsis Determination Request...........................................		12/29/11
	3030	Checklist For Permits Certifications And Approvals........................................		06/29/12
	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...............................		12/22/11
	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
Top		4000 Request for Proposal Documents
		(coming soon?)
Top		5000 General Conditions & General Requirements
		Name	Form	Last Revised
		00 30 00 Available Information
		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)
		00 40 14 Certificate (of Authority)..............................................................		06/06/12
Top		00 72 00 General Conditions 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...............................		12/02/11
		00 72 23 General Conditions CMR Standard For All CMR Projects....................		07/23/12
		00 72 23.1 Supplementary General Conditions for CMR................................		12/02/11
Top		Division 01 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......................................................................		05/09/12
		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
Top		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
Top		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
Top		Division 01 General Requirements   Design-Build Capital Projects
		Division 01 General Requirements - D-B Capital Projects...............................		07/19/12
Top		6000 Bid Phase Forms
	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.................................................................		12/12/12
	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.........................................................................................		03/21/12
	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..................................................................		12/07/12
	6805	Notice of CMR Addendum.........................................................................		12/07/12
	6910	Consultant's Performance Evaluation - 100% Bid Phase................................		07/19/12
	6990	Notice Form.............................................................................................		08/24/12
Top		7000 Construction Phase Forms
	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.......................................................................		01/05/12
	7031	Code Inspection Sign-Off Form..................................................................		11/26/12
	7036	Construction Change Directive...................................................................		01/30/12
	7048	GC Retainage Reduction Request Form.......................................................		12/02/11
	7050	CMR Retainage Reduction Request Form....................................................		12/02/11
	7055	Construction Phase Agency Change Request...............................................		03/14/13
	7070	Subcontractor Payment Questionnaire.........................................................		09/13/11
	7099	DCS Ground-Breaking Checklist.................................................................		07/12/12
	7150	Certificate of Compliance – Part 2 Construction Phase..................................		12/21/11
	7210	Remediation Contractor Certification Form For PCB Abatement.......................		05/16/12
	7320	Supplemental Instructions.........................................................................		04/18/12
	7330	Proposal Request.....................................................................................		10/25/12
	7360	Change Order..........................................................................................		08/07/12
	7600	Off-Site Storage Authorization Request Procedures & Form............................		09/13/11
	7810	Certificate of Substantial Completion..........................................................		04/18/12
	7820	Certificate of Acceptance...........................................................................		09/13/11
	7825	Contractor Reporting Form........................................................................		04/18/12
	7840	Transfer of Custody and Insurance Notification to Agency..............................		04/18/12
	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.......................................		ãCASE 2004
	Code	CASE Form 102 - Final Report of Special Inspections....................................		ãCASE 2004
	Code	CASE Form 103 - Contractor's Statement of Responsibility.............................		ãCASE 2004
Top		8000 Technical Service Information
		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.........
Top		9000 Administrative Policies & Forms
	Number	Name	Form	Last Revised
	9000	DCS Transmittal Form Template................................................................		11/07/12
	9005	DCS Transmittal to DAS Project Accounting..................................................		07/17/12
	9010	DCS Letterhead Template.........................................................................		09/17/12
	9020	DCS Memorandum Template.....................................................................		04/10/12
	9025	DCS Fax Transmittal Template..................................................................		04/10/12
	9100	State Agency List for CT DCS Design and Construction..................................		01/20/12
		Affirmative Action Policy............................................................................		03/01/10
		Americans With Disabilities Act Policy..........................................................		05/30/09
		DPW Employee Handbook.........................................................................		March 2009
		DPW Employee Handbook - Summary of Changes from 2008 to 2009............		March 2009
		DPW Employee Handbook - Acknowledgement of Receipt..............................		March 2009
		HIV Aids Policy.........................................................................................		05/30/08
		Sexual Harassment Policy.........................................................................		05/30/08
		Affidavits, Certifications, and Notifications
	Number/ Website	Name	Form/ Link	Last Revised
	1297	Certificate (of Authority) - Consultant Selection............................................		07/20/12
	1298	Disclosure Affidavit...................................................................................		03/09/12
	DAS	DAS Business Friendly Initiatives (affidavit and nondiscrimination uploads).....	DAS
	DAS	Vendor Guide to Uploading Affidavits and Nondiscrimination Forms Online.......
	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.............	OSE
	OPM	Affirmation of Receipt of State Ethics Laws Summary (Form 6).......................	OPM
	OPM	Gift and Campaign Contribution Certification (Form 1)..................................	OPM
	OPM	Consulting Agreement Affidavit (Form 5).....................................................	OPM
	OPM	Nondiscrimination Certifications..................................................................	OPM
	SEEC	State Elections Enforcement Commission - Contractor Forms.........................	SEEC
		PM Web
		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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