<p> CITY OF NEW YORK DEPARTMENT OF DESIGN AND CONSTRUCTION Sheet ____ of ____ APPROVED AND UPDATED INVENTORY AND CONDITION REPORT</p><p>This document is to be completed by the CM and submitted with each payment request on all CM/REI Manage, CM Build, and CM Design Build contracts. (For Requirements Contracts, submit with each payment request per Task Order.) Include all items, including equipment and non-consumable supplies, purchased and/or leased with Miscellaneous Expense Allowance monies with a cost greater than $150.00. Also include all items transferred to this project by DDC and designate all transferred items with an asterisk* in the first column. CMs are to list all items purchased and leased within the last 30 days, as well as all items for which they intend to bill DDC; all other items purchased, leased, and fully requisitioned for by the CM prior to the use of this form (and for which they have been already paid in full) remain the property of the City of New York. The Contractor is required to return to the City upon request all items purchased through this contract. Note: If the CM Build contract contains a requirement that the CM provide a Field Office and related items for a stipulated monthly fee, as set forth in Exhibit E, DO NOT include such items on this list.</p><p>CONTRACT REG. # ______FMS (CAPIS) ID # ______PAYMENT NO. ______TASK ORDER NO. ______TYPE OF CONTRACT: [ ] CM/REI Manage [ ] CM Build [ ] CM Design Build [ ] Requirements + CM/REI Manage [ ] Requirements + CM Build</p><p>DESCRIPTION OF ITEM SERIAL NUMBER ORIGINAL COST DATE OF PURCHASE LOCATION CONDITION* (N/A for transferred items) (N/A for transferred items) (Good, Fair, Poor)</p><p>* Condition to be completed by CM only at time of Substantial Completion Payment Request. I certify that the information provided above is complete and accurate. I understand that the submission of fraudulent information in a requisition for payment may, at a minimum, result in the termination of the contract for cause and may render the firm not responsible for the award of future contracts from the City of New York. By: ______(Print CM Company name) (Print CM Representative’s name) (Title) (Signature) (Date) Approved by: ______(Print DDC RE/EIC/PM name) (Print Program Unit/Borough Office/Section) (Title) (Signature) (Date) cm2invent 04/01/98; rev. 06/04/03 </p>