Instructions for RUS Form 159 (10-77)

Summary of Completed Construction

This form is used by Rural Utilities Service ( RUS) telecommunications borrowers participating in the Construction Certification Program depicted in 7 CFR 1753, Subpart J. Telecommunications companies use this form toreport to RUS the contract closeout of engineering, architectural, and construction contracts.

 

Submit the original of the completed form with RUS Form 481 to the respective RUS Engineering Branch Chief.

 

RUS borrowers or their consulting engineers must complete the following items:

Fld Name /
Item No.

Instruction

System Designation

Enter the abbreviation for the State where the telecommunications company is located. Enter the 3 digit RUS identification code that is assigned to the telecommunications company in the box provided. Example: AL 506.

Summary Number

Enter the numerical number assigned by the borrower to indicate the requested encumbrance of funds for the completed construction covered under this numerical number. Example: 2525.

 

Request for Encumbrance of Loan Funds for Completed Construction

Fld Name /
Item No.

Instruction

a. Description of Construction Column

Enter the description for each type of construction that was completed in the column provided.

b. Total Cost of Construction Column

Enter the numerical dollar amount indicating the total cost of completed construction project for each type of completed construction in the column provided. Do not use commas in the dollar amount. Example: 50000.00

c. Reusable Materials Salvaged Column

Enter the numerical dollar amount indicating the cost of reusable materials salvaged from the completed construction project for each type of completed construction less the numerical dollar amount of advances not required for each type of completed construction in the column provided. Do not use commas in the dollar amount. Example: 15000.00 - 10000.00 = 5000.00. Enter 5000.00 in the column.

d. Station Apparatus & Exempt Mat. Column

Enter the numerical dollar amount indicating the cost of station apparatus and exempt materials used in the completed construction project for each type of completed construction less the numerical dollar amount of advances not required for each type of completed construction in the column provided. Do not use commas in the dollar amount. Example: 15000.00 - 10000.00 = 5000.00. Enter 5000.00 in the column.

e. Other (Explain) Column

Enter the numerical dollar amount indicating the cost of other materials used in the completed construction project for each type of completed construction less the numerical dollar amount of advances not required for each type of completed construction in the column provided. Do not use commas in the dollar amount. Example: 15000.00 - 10000.00 = 5000.00. Enter 5000.00 in the column.

Provide a detailed description of other materials use in the completed construction project as an addendum to this form.

f. Net Advances Column

Enter the numerical dollar amount indicating the net advances received for the completed construction project for each type of completed construction in the column provided. Do not use commas in the dollar amount. Example: 10000.00.

Total Column For Total Cost Construction

Enter the numerical dollar amount indicating the total cost of all types of construction completed. This is accomplished by adding the numerical dollar amount associated with each individual completed construction project performed under the assigned summary number. Do not use commas in the dollar amount. Example: 50000.00 + 20000.00 = 70000.00. Enter 70000.00 in the column provided.

Total Column For Reusable Materials Salvaged

Enter the numerical dollar amount indicating the total cost of all reusable materials salvaged from all types of construction completed. This is accomplished by adding the numerical dollar amount of the reusable materials salvaged associated with each individual completed construction project performed under the assigned summary number. Do not use commas in the dollar amount. Example: 15000.00 + 25000.00 = 40000.00. Enter 40000.00 in the column provided.

Total Column For Station Apparatus & Exempt Mat.

Enter the numerical dollar amount indicating the total cost of all station apparatus and exempt materials used for all types of construction completed. This is accomplished by adding the numerical dollar amount of the station apparatus and exempt materials associated with each individual completed construction project performed under the assigned summary number.  Do not use commas in the dollar amount. Example: 15000.00 + 10000.00 = 25000.00. Enter 25000.00 in the column provided.

Total Column For Other (Explain)

Enter the numerical dollar amount indicating the total cost of all other materials used for all types of construction completed. This is accomplished by adding the numerical dollar amount of other material associated with each individual completed construction project performed under the assigned summary number. Do not use commas in the dollar amount. Example: 10000.00 + 5000.00 = 15000.00. Enter 15000.00 in the column provided.

Total Column For Net Advances

Enter the numerical dollar amount indicating the total of all net advances received for all types of construction completed. This is accomplished by adding the numerical dollar amount of the net advances associated with each individual completed construction project performed under the assigned summary number. Do not use commas in the dollar amount. Example: 10000.00 + 10000.00 = 20000.00. Enter 20000.00 in the column provided.

 

Certification

Fld Name /
Item No.

Instruction

Signature

Enter the signature of the authorized corporate officer or manager of the telecommunications company’s in the blank provided.

Date

Enter the month, day and year (4 digits) the authorized corporate officer or manager of the telecommunications company signs the form in the blank provided.

Title (Authorized Corporate Officer or Manager)

Enter the title of the authorized corporate officer or manager of the telecommunications company that signed the form in the blank provided.

Signature of Borrower's Chief Engineer

Enter the signature of the telecommunications company's chief engineer in the blank provided.

Date

Enter the month, day and year (4 digits) the telecommunications company's chief engineer signs the form in the blank provided.

Name of Borrower

Enter the name of the telecommunications company in the blank provided.

 

 

Inspection - Certification

Fld Name /
Item No.

Instruction

Inspection Performed By

Enter the name of the person responsible for performing the inspection of the construction project in the blank provided.

Name of Inspection Firm

Enter the name of the company performing the inspection of the construction project in the blank provided.

Signature of Licensed Engineer

T he licensed engineer representing the inspection firm that performed the inspection of the construction project should sign in the space provided.

Date

Enter the month, day and year (4 digits) the inspection firm signs the form in the blank provided.

License Number

Enter the numerical number representing the license number of the inspection firm that performed the inspection of the construction project in the blank provided.