Form 4: Written Outline of Completed Major Project with Total Costs Above $100,000 (Appendix G to Construction Project Procedures)
To be used after the completion of projects that had total expenses above $100,000.
1. Parish Name
Parish Town
2. Description of work performed.
3. Costs
a. Architectural/Engineering
Budgeted
Actual
Difference
b. Environmental
Budgeted
Actual
Difference
c. Construction Components
i.
Fill in Construction Component.
Budgeted
Actual
Difference
ii.
Fill in Construction Component.
Budgeted
Actual
Difference
iii.
Fill in Construction Component.
Budgeted
Actual
Difference
d. Project Totals
Budgeted
Actual
Difference
4. Explain any difference in costs that exceeds 5% for any line item. Please specifically list any change orders or upgrades to the project.
5. Was the project completed within the timeframe that was indicated at the inception of the project?
Yes
No
If no, please explain indicating (1) how much longer the project took and (2) the reason(s) for the delay.
6. For each vendor used, please provide the following:
Vendor 1
Vendor 1 Name
Work area used for
Strengths
Weaknesses
Whether you believe you were kept informed of project developments
Whether you would recommend the vendor for future DRVC work.
Vendor 2 (if needed)
Vendor 2 Name
Work area used for
Strengths
Weaknesses
Whether you believe you were kept informed of project developments
Whether you would recommend the vendor for future DRVC work.
Vendor 3 (if needed)
Vendor 3 Name
Work area used for
Strengths
Weaknesses
Whether you believe you were kept informed of project developments
Whether you would recommend the vendor for future DRVC work.
Vendor 4 (if needed)
Vendor 4 Name
Work area used for
Strengths
Weaknesses
Whether you believe you were kept informed of project developments
Whether you would recommend the vendor for future DRVC work.
Vendor 5 (if needed)
Vendor 5 Name
Work area used for
Strengths
Weaknesses
Whether you believe you were kept informed of project developments
Whether you would recommend the vendor for future DRVC work.
We hereby certify that the information provided in this form is accurate and complete to the best of our knowledge as of the date of our signatures below.
(NOTE: This is NOT on Form 4 draft...should it stay since it is on the other 3 forms?)
Pastor Name
First Name
Last Name
Pastor Signature
Date
-
Month
-
Day
Year
Date
Trustee Name
First Name
Last Name
Trustee Signature
Date
-
Month
-
Day
Year
Date
Trustee Name
First Name
Last Name
Trustee Signature
Date
-
Month
-
Day
Year
Date
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