CERTIFICATE OF FINAL COMPLETION OF WORK
CONTRACT NO.

AGREEMENT DATE:

CONTRACT DESCRIPTION:

COMPLETION DATE PER AGREEMENT AND CHANGE ORDERS:
FINAL CERTIFICATION OF CONTRACTOR
I hereby certify that the WORK as identified in the Final Estimate of Payment for construction
CONTRACT WORK dated
, represents full compensation for the actual value of
WORK completed. All WORK completed conforms to the terms of the AGREEMENT and authorized
changes.
CONTRACTOR
DATE
Signature
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 Estimate
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. This certification
is provided in accord with the terms of the GENERAL CONDITIONS.
ENGINEER
DATE
Signature
Title
FINAL ACCEPTANCE OF OWNER
I, as representative of the OWNER, accept the above Final Certifications and authorize Final Payment in
the amount of $
, and direct the CONTRACTOR’S attention to the
GENERAL CONDITIONS. The guaranty for all WORK completed subsequent to the date of
SUBSTANTIAL COMPLETION, expires one (1) year from the date of this Final Acceptance.

OWNER

Authorized Representative

DATE

B-18