Contractor Name and Logo
- Project name
- Owner
- Contractor
- Project location or service area
- Contract or work order reference
- Prepared by
- Date prepared
- Revision
Scope
- Work included
- Work excluded
- Routes, areas or locations covered
Deliverables
- What the owner receives when the work is done: installed plant, records and reports
Milestones
- Each milestone and the event that marks it complete
- Hold points the owner must release before work continues
Responsibilities
- Owner responsibilities
- Contractor responsibilities
- Who arranges permits, make-ready and traffic control
- Who arranges design locates and private-line locates. Each excavator stays responsible for its own one-call request, per state one-call law
Acceptance
- How the owner inspects and accepts the work
- Tests and records required for acceptance, per owner spec
Changes
- How a change to the scope is requested, priced and approved, as the contract sets out
Records
- Records the contractor keeps and hands over, and in what format, per owner spec
Sign-Off
Owner Representative
- Name
- Signature
- Date
Contractor Representative
- Name
- Signature
- Date
