PROJECT CLOSE-OUT FORMS
CERTIFICATE OF FINAL COMPLETION OF WORK
(page 1 of 2)
OWNER'S CONTRACT NO.:: ENGINEER’ PROJECT NO.:
AGREEMENT DATE:
CONTRACT TITLE:
FINAL COMPLETION DATE PER AGREEMENT AND CHANGE ORDERS:
ACTUAL DATE OF FINAL COMPLETION:
FINAL CERTIFICATION OF CONTRACTOR
I hereby certify that the Work as identified in the Final Payment Request dated
for the above-noted construction Contract represents full compensation for the actual
value of work completed. Additionally, all work completed conforms to the terms of the
Agreement and authorized changes.
CONTRACTOR Date
Authorized Representative’s Signature
Name & Title
FINAL CERTIFICATION OF ENGINEER
I have reviewed the Contractor's Final Payment Request dated and hereby
certify that to the best of my knowledge, the cost of the work identified on the Final Payment
Request represents full compensation for the actual value of work completed and that the work
has been completed in accordance with the terms of the Agreement and authorized changes.
ENGINEER Date
Authorized Representative’s Signature
Name & Title
9/07
