Fillable Monthly Project Inspection Report (City of Pasadena, Texas)

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Monthly Project Inspection Report (City of Pasadena, Texas)

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BROWSE CITY OF PASADENA, TEXAS (TX) FORMS

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Community Development Department Use ONLY:
Reviewed by: ______________________________ Date: ____________
Monthly Project Inspection Report
This form must be completed & submitted monthly with each Request for Payment for all CDBG funded construction
projects, unless otherwise approved by CDD. (SUBMIT ONE FORM FOR EACH CDBG CONSTRUCTION PROJECT)
*Su
Subrecipient/Recipient Department Name
Ordinance Number
IDIS Number
CDBG Project Name
CDBG Program Year
Construction Contract Period (From: Month/Day/Year – To: Month/Day/Year)
˗
Prime Contractor Name
REPORTING PERIOD (MONTH/YEAR)
/
Inspection Report Prepared By
Percentage of Work Completed to Date
Phone Number
Project Description (description must include any changes to the originally approved description)
List accomplishments to date: (specify the type of accomplishment, i.e., Environmental Review Completed, Request Release of Funds submitted,
Authorization to Use Grant Funds Received, Pre-Bid Meeting Completed, Construction Contract Awarded, Pre-Con Meeting Completed, Notice to
Proceed Issued, Specific Work Completed During This Reporting Period, Final Inspection Completed, Construction Completed)
Have any problems arisen which will delay construction? If yes, explain the problem and the amount of delay.
List work anticipated to be completed in the next 30 days (specific accomplishments and/or specific work items to be completed)
Certified and Approved by the following (as applicable):
PROJECT INSPECTOR SIGNATURE PRINT NAME DATE
X
CHIEF INSPECTOR SIGNATURE PRINT NAME DATE
X
ENGINEER/PROJECT MANAGER SIGNATURE PRINT NAME DATE
X
Select Program Year
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Monthly Project Inspection Report (City of Pasadena, Texas)

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Completed 25 February 2021

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