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Acquisitions

Acquisitions Forms

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Form Number Form Title File

Karen Bellemare
Disposition Officer
Library and Archives Canada

Telephone: 613-954-4178
Fax: 613-952-3973
E-mail:
Karen.bellemare@lac-bac.gc.ca

Request For Non-Accessioned Disposal ARC 0203
(PDF 46KB)
PWGSC-TPSGC 1111

If you require additional information about this form, please contact:

Veronica Nazareth
Telephone: 819-956-5024
Facsimile: 819-956-0355
E-mail: veronica.nazareth@pwgsc.gc.ca

Claim for Progress Payment PWGSC-TPSGC 1111
 (PDF 349KB)
PWGSC-TPSGC 1112

If you require additional information about this form, please contact:

Veronica Nazareth
Telephone: 819-956-5024
Facsimile: 819-956-0355
E-mail: veronica.nazareth@pwgsc.gc.ca

Supplementary Claim

To be used for recording costs in support of progress payment, Form PWGSC-TPSGC 1111.

PWGSC-TPSGC 1112
(PDF, 170KB)
PWGSC-TPSGC 1686

If you require additional information about this form, please contact:

Alan Lenarduzzi
Marine Systems Directorate
Ship Construction
6C2, Phase III, Place du Portage
11 Laurier Street
Gatineau, Quebec
K1A 0S5

Telephone: 819-956-5950
Facsimile: 819-956-0897
E-mail: alan.lenarduzzi@pwgsc.gc.ca

Quotation for Design Change or Additional Work

Form is used for describing agreed design changes, identifying time and cost revisions and providing authorization to the Contractor to proceed with the Work

PWGSC-TPSGC 1686
 (PDF 192KB)
PWGSC-TPSGC 5116

If you require additional information about this form, please contact:

Veronica Nazareth
Telephone: 819-956-5024
Facsimile: 819-956-0355
E-mail: veronica.nazareth@pwgsc.gc.ca

Information on Incumbent Employees

To be used when information is to be provided by the Contractor in accordance with the requirements of Ontario's Employment Standards Act for janitorial, food catering and security service contracts.

PWGSC-TPSGC 5116
 (PDF 946KB)
PWGSC-TPSGC 9038

If you require additional information about this form, please contact:

Veronica Nazareth
Telephone: 819-956-5024
Facsimile: 819-956-0355
E-mail: veronica.nazareth@pwgsc.gc.ca

Design Change/Deviation

Form is to identify design changes and/or deviations.

PWGSC-TPSGC 9038
 (PDF 8.4KB)
PWGSC-TPSGC 9143

If you require additional information about this form, please contact:

Veronica Nazareth
Telephone: 819-956-5024
Facsimile: 819-956-0355
E-mail: veronica.nazareth@pwgsc.gc.ca

Contract Plan and Report Form

Form to be used for planning and estimating the cost of work and reporting actual progress and cost against the plan during contract performance.

PWGSC-TPSGC 9143
 (PDF  79KB)
PWGSC-TPSGC 9411

If you require additional information about this form, please contact:

Veronica Nazareth
Telephone: 819-956-5024
Facsimile: 819-956-0355
E-mail: veronica.nazareth@pwgsc.gc.ca

Claim for Exchange Rate Adjustments

Form is to identify the value in foreign funds of the foreign currency component.

PWGSC-TPSGC 9411
 (PDF  11KB)
Top of page

Construction Contract Administration Forms
Real Property Contracting

Form Number Form Title File
PWGSC-TPSGC 357

If you require additional information about this form, please contact:

Julie Mineault

Telephone: 819-956-6051
Facsimile: 819-956-3920
E-mail: julie.mineault@pwgsc.gc.ca

Insurer's Certificate of Insurance

To be filled out by the Contractor's insurer and submitted to the contracting officer as a proof of insurance, in accordance with the insurance coverage requirements of the Insurance Terms.

PWGSC-TPSGC 357
 (PDF 283KB)
PWGSC-TPSGC 504

If you require additional information about this form, please contact:

Julie Mineault

Telephone: 819-956-6051
Facsimile: 819-956-3920
E-mail: julie.mineault@pwgsc.gc.ca

Bid Bond

This is the standard form to be completed for construction bids when bid security is required and is being provided in the format of a bid bond.

PWGSC-TPSGC 504
 (PDF 509KB)
PWGSC-TPSGC 505

If you require additional information about this form, please contact:

Julie Mineault

Telephone: 819-956-6051
Facsimile: 819-956-3920
E-mail: julie.mineault@pwgsc.gc.ca

Performance Bond

This is the standard form to be completed for construction contracts where performance security is required and is being provided in the format of a performance bond.

PWGSC-TPSGC 505
 (PDF 714KB)
PWGSC-TPSGC 506

If you require additional information about this form, please contact:

Julie Mineault

Telephone: 819-956-6051
Facsimile: 819-956-3920
E-mail: julie.mineault@pwgsc.gc.ca

Labour and Material Payment Bond

This is the standard form to be completed for construction contracts where labour and material payment security is required and is being provided in the format of a labour and material payment bond.

PWGSC-TPSGC 506
 (PDF 541KB)
PWGSC-TPSGC 599

If you require additional information about this form, please contact:

Julie Mineault

Telephone: 819-956-6051
Facsimile: 819-956-3920
E-mail: julie.mineault@pwgsc.gc.ca

On Site Instruction

Should be used by the Departmental Representative for any formal instructions given to the Contractor on site. On site instructions are to ensure and facilitate compliance with the contract requirements.

PWGSC-TPSGC 599
 (PDF 120KB)
PWGSC-TPSGC 610

If you require additional information about this form, please contact:

Julie Mineault

Telephone: 819-956-6051
Facsimile: 819-956-3920
E-mail: julie.mineault@pwgsc.gc.ca

Change Order

Should be used where a change in the scope of work (increase or decrease) has been approved.

PWGSC-TPSGC 610
 (PDF 427KB)
PWGSC-TPSGC 611

If you require additional information about this form, please contact:

Julie Mineault

Telephone: 819-956-6051
Facsimile: 819-956-3920
E-mail: julie.mineault@pwgsc.gc.ca

Contemplated Change Notice

Should be issued every time a Contractor is asked to price a potential change in the scope of the work.

PWGSC-TPSGC 611
 (PDF 346KB)
PWGSC-TPSGC 1792

If you require additional information about this form, please contact:

Julie Mineault

Telephone: 819-956-6051
Facsimile: 819-956-3920
E-mail: julie.mineault@pwgsc.gc.ca

Request for Progress Payment

Should be submitted by the Contractor only for work that has been successfully completed and any materials delivered to the site but not yet installed. This form includes a cost breakdown.

PWGSC-TPSGC 1792
 (PDF 2.1MB)
PWGSC-TPSGC 1793 Cost Breakdown for Unit Price or Combined Price Contract

REPLACED by form 1792, which now includes a cost breakdown that applies to combined price or lump sum contracts.

 
PWGSC-TPSGC 1794 Cost Breakdown for Lump Sum Contract

REPLACED by form 1792, which now includes a cost breakdown that applies to combined price or lump sum contracts.

 
PWGSC-TPSGC 1795 Inspection and Acceptance

CANCELLED - the signature fields for the inspection and the acceptance of the work are now found in forms 1796 and 1797.

 
PWGSC-TPSGC 1796

If you require additional information about this form, please contact:

Julie Mineault

Telephone: 819-956-6051
Facsimile: 819-956-3920
E-mail: julie.mineault@pwgsc.gc.ca

Certificate of Substantial Performance (Interim)

Issued by the Departmental Representative when the work, as described in the contract documents and any amendments, has reached substantial completion, in accordance with GC 5.5 or GC44. The signature fields for the inspection and the acceptance of the work are included in this form.

PWGSC-TPSGC 1796
 (PDF 482KB)
PWGSC-TPSGC 1797

If you require additional information about this form, please contact:

Julie Mineault

Telephone: 819-956-6051
Facsimile: 819-956-3920
E-mail: julie.mineault@pwgsc.gc.ca

Certificate of Completion (Final)

Issued by the Departmental Representative once satisfied that the work, as described in the contract documents and any amendments, is 100% complete. The signature fields for the inspection and the acceptance of the work are included in this form.

PWGSC-TPSGC 1797
 (PDF 280KB)
PWGSC-TPSGC 1801

If you require additional information about this form, please contact:

Julie Mineault

Telephone: 819-956-6051
Facsimile: 819-956-3920
E-mail: julie.mineault@pwgsc.gc.ca

Extension of Time on Contracts

Should be used by the Contractor when submitting an application for an extension of time, in accordance with GC6.5 or GC36.

PWGSC-TPSGC 1801
 (PDF 338KB)
PWGSC-TPSGC 2835

If you require additional information about this form, please contact:

Julie Mineault

Telephone: 819-956-6051
Facsimile: 819-956-3920
E-mail: julie.mineault@pwgsc.gc.ca

Statutory Declaration

Must accompany each request for payment (including the first and final payment) received from the Contractor. It is required for all construction contracts of $25,000 or more.

PWGSC-TPSGC 2835
 (PDF 315KB)
PWGSC-TPSGC 2913

If you require additional information about this form, please contact:

Julie Mineault

Telephone: 819-956-6051
Facsimile: 819-956-3920
E-mail: julie.mineault@pwgsc.gc.ca

SELECT - Contractor Performance
Evaluation Report Form (CPERF)

Performance of the Contractor during and upon completion of the work shall be evaluated using this form.

PWGSC-TPSGC 2913
 (PDF  97KB)
PWGSC-TPSGC 2913-1

If you require additional information about this form, please contact:

Julie Mineault

Telephone: 819-956-6051
Facsimile: 819-956-3920
E-mail: julie.mineault@pwgsc.gc.ca

SELECT - Consultant Performance Evaluation Report Form (CPERF)

Performance of the Consultant during and upon completion of the work shall be evaluated using this form.

PWGSC-TPSGC 2913-1
 (PDF 244KB)