NJSDA Form 505
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NJSDA Form 505
Revised: September 2016
Claimant has described the factual, technical, contractual and legal bases supporting the claim. If the claim
includes a "pass-through" claim on behalf of a subcontractor or supplier, this should also be described and
Claimant has summarized the calculations and support for the compensation claimed. Claimant has
also summarized the methodology utilized to calculate these costs.
Claimant has provided all documentation in support of its claim, including, but not limited to, change order
requests, requests for amendment, and all other supporting documents and correspondence relating thereto.
Claimant is required to submit a complete package and cannot include any documentation by reference.
Electronic copies may be submitted in lieu of hard copies.
4. Schedule Data and Updates
Claimant has submitted all schedule updates together with related dates including fragnets and/or networks
with supporting documentation in both scheduled and hard copy and in electronic format. Documentation
should also include any Time Impact Analysis or similar time analysis or reports.
5. Job Cost Reports
Claimant has submitted all job cost report data relevant to its claim in electronic format and hard copy.
6. Employee Pay Records
Claimant has provided all relevant employee pay and time records of its company and its subcontractor,
if the subcontractor is part of the claim.
7. Photos / Videos
Claimant has provided existing photographic or video representations of the nature of the work under
8. Requested Additional Supporting Documentation
Claimant may be required to submit additional documentation upon request by the NJSDA. Failure to
provide the requested applicable, relevent documentation may result in rejection of the claim.
NJSDA FORM 505