Form DC-20  10/10	New Jersey Department of Transportation
CERTIFICATE OF COMPLETION	
 - REVISED	
Final Acceptance	

Route & Section or Project Name:
     	

Region:

Federal Project No.:
 
     	
Job No.:

     	
DP File No.:

     	
Date:

     	

Local Name of Project:

     	

Type of Work:

     	

:

     	
Address:

     	

Contract Starting Date

     	
Substantial Completion Date

     	
Final Inspection Date

     	
Completion Date

     	
RECOMMENDED FOR ACCEPTANCE:	SIGNATURE / EXECUTIVE APPROVAL	DATE	
 , Resident Engineer		     	
 , Supervising/Project Engineer		     	
 , Regional Elect. Maintenance Supv.		     	
 , Regional Maintenance Engineer		     	
 , Regional Construction Engineer		     	
 ,  		     	
 , 		     	

CERTIFICATION OF COMPLETION:

In compliance with Subsection 105.23 of the Standard Specifications, I certify that to the best of my knowledge, information and belief, and on the basis of observations and inspections, that the Work has been completed with the terms and conditions of the contract. The subject project is recommended for acceptance.

:				
			Show Individual's Name Here		Date

:				
			Show Individual's Name Here		Date	

CONCURRENCE:

Assistant Commissioner, :				
					Date

State Transportation Engineer:				
					Date	

RECORDED BY SECRETARY, NJDOT:

			Jacqueline Trausi		Date	

GUARANTY BOND (IF APPLICABLE):

	Surety Corporation			Effective Date			Auditor			Date	
DISTRIBUTION BY REGION / BUREAU MANAGER
		
Contractor /
Developer	Prior to Commissioner Concurrence,
The Original Signature Copy	Commissioner /
Designee	The remaining three (3) copies (or four (4) for Certification Acceptance Projects), with dates and original signatures.