Yes No N/A 6. Payments to the contractor for this pay period were made in compliance with contract provisions as follows: Payments are verified by the internal audit of contract records kept Sponsor’s by the Resident Engineer, and If appropriate, pay reduction factors required by the specifications are applied in computing this payment and a summary of pay reductions made available to the FAA/IDA upon request. 7. The project will be accomplished without significant deviations, changes, or modifications from the approved plans and specifications, except where approval is obtained from the FAA/IDA. I certify, for the project identified herein, responses to the forgoing items are accurate as marked and have prepared documentation attached hereto that is correct and complete. for any item marked “no” Name of Sponsor Signature of Designated Official Representative Sponsor’s Typed Name of Designated Official Representative Sponsor’s Typed Title of Designated Official Representative Sponsor’s Date *This form was adapted by the Illinois Department of of Aeronautics from the U.S. Department of Transportation’s Division Federal Aviation Administration. Transportation’s
Yes No N/A 6. Payments to the contractor for this pay period were made in compliance with contract provisions as follows: Payments are verified by the Sponsor’s internal audit of contract records kept by the Resident Engineer, and If appropriate, pay reduction factors required by the specifications are applied in computing this payment and a summary of pay reductions made available to the FAA/IDA upon request. 7. The project will be accomplished without significant deviations, changes, or modifications from the approved plans and specifications, except where approval is obtained from the FAA/IDA. I certify, for the project identified herein, responses to the forgoing items are accurate as marked and have prepared documentation attached hereto for any item marked “no” that is correct and complete. Name of Sponsor Signature of Sponsor’s Designated Official Representative Typed Name of Sponsor’s Designated Official Representative Typed Title of Sponsor’s Designated Official Representative Date *This form was adapted by the Illinois Department of Transportation’s Division of Aeronautics from the U.S. Department of Transportation’s Federal Aviation Administration.
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