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Updated: Apr. 19, 14
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DWR No.
Form Name
Revision Date
Pages
File Size
Adobe
MS Excel
Other
3
Application for Approval of Plans and Specifications for the Construction or Enlargement of a Dam and Reservoir
01/09
2
226 KB
3 PDF
Instructions
01/09
1
18 KB
3 PDF instructions
4
Application for Approval of Plans and Specifications for the Repair or Alternation of a Dam and Reservoir
01/09
2
242 KB
4 PDF
Instructions
01/09
1
18 KB
4 PDF instructions
5
Application for Approval of Plans and Specifications for the Removal of a Dam and Reservoir
11/09
2
219 KB
5 pdf
20
Reservation Agreement: Resources Building Auditorium
01/09
2
60 KB
20 Word
33
Encroachment Permit Application
07/12
1
218 KB
33 PDF
33c
Standard Provisions (to Encroachment Permit)
01/09
4
34 KB
33c PDF
38
Public Water System Statistics
(xls file, for Excel 2003 and prior)
08/12
1 of 2
133 KB

38 Excel XLS Page 1

Public Water System Statistics
(xlsx file, for Excel versions newer than 2003)
37 KB

38 Excel XLSX Page 1

Public Water System Statistics, Instructions 01/13
2 of 2
21 KB
38 page 2 PDF
156
Performance Bond
01/09
1
10 KB
156 PDF
330
Travel Expense Claim (This form must be printed on NCR paper only.)
12/13
1 of 2
737 KB
330 PDF Page 1
Travel Expense Claim (Instructions)
08/11
2 of 2
21 KB
330 PDF Page 2
663
Contractor's Lost Time Accident Report
01/09
1
48 KB
663 Word
664
Contractor's Monthly Lost Time Accident Summary
01/09
1
41 KB
664 Word
877
Employee Exit Interview Report (Confidential)
01/09
2
116 KB
877 Word
922
Contractor's Accident Record
01/09
1
64 KB
922 Word
922a
Contractor's Accident Summary
01/09
1
58 KB
922a Word
3306a
Escrow Agreement for Security Disposition in Lieu of Retention (Option A)
01/09
2
226 KB
3306a PDF
3306b
Escrow Agreement for Security Disposition in Lieu of Retention (Option B)
01/09
2
226 KB
3306b PDF
3381
Temporary Permit
01/09
3
230 KB
s3381 PDF
3597
Reproduction Work Order (Please print on NCR paper only.)
11/10
1
45 KB
PDF icon
spacer spacer
3615
Application for a Central Valley Flood Protection Board Encroachment Permit
10/11
2
130 KB
3615 PDF
General Information
10/11
5
67 KB
3615 General Information PDF
3615a
Environmental Assessment Questionnaire for Applications for Central Valley Flood Protection Board Encroachment Permits
10/11
5
167 KB
3615a PDF
3615b
General Information Regarding Applications for Central Valley Flood Protection Board Encroachment Permits
01/09
3
80 KB 3615b PDF Read Only

Exhibit 1

1
506 KB 3615b Example 1 PDF Read Only SAVE

Exhibit 2

1
96 KB 3615b Example 2 PDF Read Only

Exhibit 3

1
1797 KB 3615b Example 3 PDF Read Only SAVE

Exhibit 4

1
1977 KB 3615b Example 4 PDF Read Only SAVE

Sample

2
17 KB 3615b Sample PDF Read Only
4021
Bidders Bond
01/09
1
103 KB
4021 PDF Read Only
4107
Authorization to Use Privately Owned Vehicles on State Business
10/10
1 of 2
48 KB
4107 Excel Page 1
 
Instructions
2 of 2
41 KB
4107 Excel Page 2
 
4185
Volunteer Service Agreement
11/10
1
207 KB
4185 PDF
4197
General Conditions for Public Works Contracts
09/13
2
34 KB
4197 Word
4206
Noncollusion Affidavit
01/09
1
7 KB
4206 PDF Read Only
4214
Urban Streams Restoration Program, Periodic Estimate for Partial Payment: Expenditure Summary
01/09
1 of 2
53 KB
4214 Word Page 1
Urban Streams Restoration Program, Periodic Estimate for Partial Payment: Claims Summary
01/09
2 of 2
54 KB
4214 Word Page 2
4214a

Urban Streams Restoration Program, Periodic Estimate for Partial Payment: Directions for Submitting Invoices

01/09
1
22 KB
4214a Word
4247

Standard Clauses -- Contracts with United States Bureau of Reclamation

01/09
1
183 KB
4247 PDF Read Only
4277
Budget and Expenditure Summary
05/12
1
25 KB
4277 Excel
4277a
Claim for Reimbursement (Public)
01/09
1 of 2
25 KB
4277a Excel Page 1
01/09
2 of 2
12 KB
4277a PDF Page 2
4277b
Claim for Reimbursement (Private)
01/09
1 of 2
26 KB
4277b Excel Page 1
01/09
2 of 2
12 KB
4277b PDF Page 2
4277c
Claim for Reimbursement (Itemized)
01/09
1 of 2
44 KB
4277c Excel Page 1
01/09
1 of 2
39 KB
4277c Excel Page 2
4277j

Budget & Expenditure Summary: Other Source of Funds

01/09
1
23 KB
4277j Excel
4277k
Claim for Reimbursement (Joint)
01/09
1 47 KB  
4277k Excel
 
Instructions for Completing DWR4277k
01/09
1 11 KB
4277k PDF
   
4279
Security Agreement (Deposit Account)
01/09
1 206 KB
4279 PDF
4280
Fiscal Services Agreement
01/09
2
4567 KB
4280 PDF
4282
Security Agreement
01/09
1 223 KB
4282 PDF
4282 Word
9502
Contractor's Disposal Report
01/09
1 of 2
97/44 KB
9502 PDF Page 1
9502 Word Page 1
2 of 2
56/21 KB
9502 PDF Page 2
9502 Word Page 2
9518
Resources Building Security Badge Request for Frequent Courier/Delivery Personnel
01/09
1 of 2
40 KB  
4279 Word
2 of 2
59/28 KB
4277k PDF Page 2
9518 Word
9522
Security Request
02/12 2 126 KB
9522 PDF
9552
Publication Request
01/09 1 29 KB  
9552 Word
9553
DVBE Activity Report Form
06/10 2 335 KB
9522 PDF
9557
Recycled Content Certification Form
02/13 1 44 KB  
9557 Word
9575
Post and Bid Position Announcement (Bargaining Units 1, 4, and 11)
09/10

1

231 KB 9575 PDF
9576
Post and Bid Application (Bargaining Units 1, 4, and 11)
09/10

2

225 KB 9576 PDF
9591
Resources Building Elevator Incident Report
01/09

1

40 KB  
9563 WORD
9620
Proposition 50 Claim for Reimbursement Forms
01/09 1 - 2 618
KB
9620, pages 1 and 2, PDF    

3 - 5

87 KB 9620, pages 3 through 5, PDF
9657
Darfur Contracting Act Form
09/11

1

34 KB
9657 PDF
bk bk