Forms and Resources
Forms
301-Written Amendment to Agreement Between SDA & Design Consultant
302-Design Phase Scope Modification Request
311-Written Amendment to Agreement Between SDA & PMF/CM
500-Contract Change Request/Authority (CCR/A)
503-Change Order (CO) For Construction Contract
506-Construction Change Directive (CCD) For Construction Contract
Form AA201-Project Workforce Report
Form AA201A-Sub Contractor Projection Form
Form AA202-(PRIME)-Monthly Workforce Tracking Report
Form AA202-(PRIME)-Monthly Workforce Tracking Report
Form AA202-(PRIME)-Monthly Workforce Tracking Report Instructions
Form AA202-(SUBCONTRACTOR)-Monthly Workforce Tracking Report
Form AA202-(SUBCONTRACTOR)-Monthly Workforce Tracking Report
Form AA202-(SUBCONTRACTOR)-Monthly Workforce Tracking Report Instructions
Form 203-Weekly Certified Payroll
Form AA204-Good Faith Documentation
SBE Form A-Schedule of SBE Participation for General Contractors
SBE Form B-Schedule of SBE Participation for Goods & Services Vendors
SBE Form C-Confirmation of SBE Status
SBE Form D-Schedule of SBE Participation for Design Consultants
Policy on Subcontractor and Subconsultant Substitution & Request for SBE Substitution Form
321_HP-Assignment To Historic Preservation Consultant Services Agreement
701-Certificate of Substantial Completion
702-Confirmation of Contract Compliance
710-Construction Contract Final Completion Checklist
711- Design Contract Final Completion Checklist
713-CMF/PMF Close-Out Folder Checklist
802- Allowance Authorization for Construction Contract
802CA- Allowance Authorization For Consultant Agreement
803B/804B-Subcontractor/Subconsultant Verification Form
803C/804C-Subcontractor/Subconsultant Verification Form (3 page)
803C/804C-Subcontractor/Subconsultant Verification Form (4 page)
805ATO-Consultant Project Breakout
805(HP)-Historic Preservation Invoice
807-Legal Services Invoice Statement
810-Schedule of Amounts of Monthly Payments to Contractor
810B-Contract Allowance Tracking Form
811-Certification of Prime Contractor & Consultant
812-Agreement and Bill of Sale Certification for Stored Materials
813-Contractor Summary of Stored Materials (Off-Site)
814-Consent of Surety to Reduction in/or Partial Release of Retainage
815-Consent of Surety to Final Payment
816-Request for Reduction in Retainage
820-Partial Waiver and Release
830-Request for Second Party Check Form
ST-13-ST-13 Contractor's Exempt Purchase Certificate
* Please note you may download these documents, type on
them and print, but the data cannot be saved. You must print it before you exit
out of it.
* The NJSDA Form 803 no longer requires a notarized
signature
* Please note the 803A, 804A, & 805A Forms are only required if the Invoice is for more than one school.
OCIP IV Insurance Procedures and Enrollment Manual
1108A-Workers’ Compensation Employer’s First Report of Injury/Illness Form
1108B-Workers’ Compensation Follow Up Investigation Report Form
1109-3rd Party (General Liability) Incident Reporting Form
1110-Property During Construction (Builders’ Risk) Incident Reporting Form
Form 101-NJSDA Prequalification Application
Please note the special instructions below when completing the newly revised NJSDA Prequalification Application:
• Download/save the document
• Close/exit the document
• Reopen the document
• Complete the application
• Electronically sign, save and email the document
Professional Services Forms
Form W-9 Request for Taxpayer Identification Number and Certification
Confirmation Statement of SBE/DVOB Status
Form AA302 Employee Information Report Instructions
Form AA302 Employee Information Report
Source Disclosure Certification Form (formerly E.O. 129)
State of New Jersey – Division of Purchase and Property Ownership Disclosure Form
Certification of Non-Debarment Form
Disclosure of Investment Activities in Iran Form
Disclosure of Prohibited Activites in Russia Belarus
Construction Forms
Form W-9 Request for Taxpayer Identification Number and Certification
Confirmation Statement of SBE/DVOB Status
Form AA302 Employee Information Report Instructions
Form AA302 Employee Information Report
Source Disclosure Certification Form (formerly E.O. 129)
State of New Jersey – Division of Purchase and Property Ownership Disclosure Form
Certification of Non-Debarment Form
Disclosure of Investment Activities in Iran Form
Disclosure of Prohibited Activites in Russia Belarus
Letter of Assent – NJSDA Project Labor Agreement
Contractor Signature Page – NJSDA Project Labor Agreement
Form AA201 – Initial Project Workforce Report - Construction
Form AA201a – Subcontractor Projection Form
Sample Certificate of Insurance – Enrolled
Sample Certificate of Insurance – Excluded
Form 1 Sample Site Specific Safety Program Form
Form 2 Project Safety Inspection Checklist
Form 4 Confined Space Pre-Evaluation and Permit Form
Form 6 Job Hazard Analysis (JHA) Form
Form 7 Acceptance of Site-Specific Health and Safety Plan (SSHASP) Form