PAYMENT CERTIFICATE NO.

CONTRACT NO:
CLIENT:

DATE OF VALUATION:
PROJECT:

TOURISM DEVELOPMENT & INVESTMENT COMPANY, PJSC., ABU DHABI

CONSULTANT:

PARSONS INTERNATIONAL LIMITED

CONTRACTOR:

CONTRACT START DATE:

ORIGINAL COMPLETION DATE:

EXTENDED COMPLETION DATE:

ORIGINAL CONTRACT SUM:

ADDITIONS/OMISSIONS:

AUTHORIZED CONTRACT SUM:

BOND HELD:

Performance
Advance Payment

AMOUNT:

INSURANCE POLICY HELD:

Current Valuation

BANK:

INSURANCE PROVIDER:

EXPIRY DATE:

EXPIRY DATE:

Authorized Contract Sum

Gross Value of Work Done
b)
Contract Outstanding Balance (a-b)
c)
Gross Value of Material On Site (not applicable)
d)
Gross Valuation (b+d)
e)
Retention on Work Done (bx%)
Retentions
f)
g ) Retention on Material on Site (%)
h ) Other Retention
Total Retention (f+g+h)
i)
Advance Payment Recovery (bx%,)
Deductions
j)
k ) Liquidated Damages
Supervision Fees
l)
Other Deductions
m)
Total Deductions (j+k+l+m)
n)
Payments Made
Initial Advance
o)
Previous Progress Payment
p)
Other Payments
q)
Total Payments Made (o+p+q)
r)
Re Advance
Reissue of Advance Payment
s)
Net Amount Certified for Payment (e-i-n-r+s)
a)

( AED --------- Only)

For Engineer:
Prepared by

Quantity Surveyor

Certified by

Construction Manager