Instructions for RUS Form 771 (Rev. 10-75)

Summary of Work Orders

This form is used by RUS telecommunications borrowers to summarize the costs of completed work orders when the construction is inspected by a RUS General Field Representative.

The borrower or its consultant prepares three copies of the form as explained below. †When funds are requested for work order construction, the signed original RUS Form 771 should be sent to the respective RUS Area Office along with the Financial Requirement Statement (RUS Form 481). †In addition, a description of each work order needs to be attached to the RUS Form 771.

 

Field Name or Item No.

Instruction

System Designation

Enter the borrower designation as assigned by RUS.

Summary Number

Enter the borrower assigned sequential summary number.

Work Order No. (a)

Enter the borrower assigned sequential work order number.

Labor and Other (b)

Enter the actual cost for labor and other costs associated with the work order construction.

Material (c)

Enter the cost of materials used on the project.

Total Cost (d)

Enter the sum of labor and materials for the completed work order: Columns b+c.

Reusable Materials Salvaged (e)

Enter the cost of salvaged reusable materials.

Station Apparatus & Exempt Matíl (f)

Enter the cost of station apparatus and exempt materials.

Other (g)

Enter any other costs for which an advance will not be required and provide an explanation of such costs.

Net Advances Required (h)

Enter the net advance required for each work order: cost of construction less advances not required.

Total

Enter the sum of the items in Columns b, c, d, e, f, g, and h.

 

Certification

 

An authorized official of the borrower must sign and date the form.† Enter the title of the authorized official and the legal name of the organization.

Approval of Construction

 

RUS General Field Representative should sign and date the form to signify approval of the completed work order construction.