Project No. / Contract No.
/ Title / Date
Contractor:
Section 1 - INSPECTION AND ACCEPTANCE
This Acceptance of Completed Work applies to: / Complete Scope / Partial Scope
(Define Scope if Partial):
NOTICE is hereby given to the above named Contractor that the Work performed by Contractor pursuant to the above Contract as of the below stated date for and only for: (check applicable)
Fully accepted without exceptions.
Acceptance of this work is contingent upon Contractor completing uncompleted or discrepant work identified on exceptions list (attached).
Battelle Construction Manager / Battelle Project Manager / Battelle Engineering & Inspection
Battelle Facility Operations (as applicable) / DOE (as applicable) / Other
Section 2 – TRANSFER (For Beneficial Occupancy)
Battelle accepts from the Contractor, Care, Custody and Control for the completed work as follows:
Fully accepted without exceptions.
Acceptance of this work is contingent upon Contractor completing uncompleted or discrepant work identified on exceptions list (attached).
Battelle Construction Manager / Battelle Project Manager / Battelle Engineering & Inspection
Battelle Facility Operations / DOE (as applicable) / Other
Section 3 – FINAL ACCEPTANCE (Closeout of Exceptions)
Battelle acknowledges from the Contractor, Final Acceptance of the Work as follows:
Fully Accepted without Exceptions. / All Exceptions Removed
Battelle Construction Manager / Battelle Project Manager / Battelle Engineering & Inspection
Battelle Facility Operations / DOE (as applicable) / Other
EXCEPTIONS LIST
(Attach Supplemental Pages as Required)
ITEM NO. / DESCRIPTION OF EXCEPTION / PLANNED ACTION / ITEM ACCEPTED / RESOLVED
NAME / INITIAL / DATE
Page 1 of _____