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Ic Construction Progress Payment Template
Ic Construction Progress Payment Template
TO OWNER:
APPLICATION NUMBER:
PROJECT:
TENANT
IMPROVEMENTS
PHASE 1
SMITH BUILDING
PERIOD ENDING:
10/31/2015
CONTRACT WORK:
CABINETRY
CONTRACT NO:
102015
PREPARED BY:
K. ANTHONY
FROM CONTRACTOR
JOE CONTRACTOR
CONTRACTOR'S CERTIFICATION:
The undersigned Contractor to the best of his knowledge, information and believe of the Work covered by this
Application for Payment has been completed in accordance with the Contract Documents, that all amounts
have been paid to him for Work for which previous Certificates for Payment were issues and payments
received from the Owner, and that current payment shown herein is now due.
$
$
20,000.00
600.00
$
$
20,600.00
15,000.00
5 Retainage:
a.
15% of Completed Work
Total Retainage:
CONTRACTOR:
State:
DATE:
Country:
2,250.00
12,750.00
5,000.00
7,750.00
The Engineer hereby confirms that based on site observations & to the best of his/her knowledge, this
payment application accurately reflects the progression of work and that this work meets contract
requirements sufficient enough to justify payment in the amount certified below:
7,850.00
AMOUNT CERTIFIED:
ADDITIONS
DELETIONS
Provide explanation below or attached if amount certified does not match this application amount. Initial all
figures & markups to agree with certified amount.
1,000.00 $
400.00
ENGINEER:
DATE:
Total:
Net Changes:
$
$
1,000.00 $
400.00
600.00
CONTRACTOR OR
SUBCONTRACTOR
CONTRACT
SUM
WORK
AMOUNT
COMPLETE VALUED
(%)
CONTRACTOR'S AMOUNT
CLAIM
PAYABLE
1,000.00
15% $
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
150.00 $
-
500.00
15% $
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
500.00
500.00
150.00
REASON FOR
DIFFERENCE
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
150.00
150.00
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
75.00 $
-
75.00 $
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
75.00
75.00
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
10% $
5% $
$
$
$
$
50.00 $
25.00 $
-
50.00 $
25.00 $
$
$
$
$
$
50.00
25.00
75.00
n/a
n/a
n/a
n/a
n/a
n/a
800.00
15% $
$
$
$
$
$
$
$
$
$
$
120.00 $
-
$
$
$
$
$
$
$
$
$
$
$
$
120.00
120.00
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
10.00
15% $
$
$
$
$
$
$
$
$
$
$
$
$
$
1.50 $
-
1.50 $
$
$
$
$
$
$
$
$
$
$
$
$
$
$
1.50
1.50
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
10.00
15% $
$
$
$
$
$
$
$
$
1.50 $
-
1.50 $
$
$
$
$
$
$
$
$
$
1.50
1.50
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
10.00
15% $
$
$
$
$
$
$
$
1.50 $
-
10.00 $
$
$
$
$
$
$
$
$
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
10.00
15% $
$
$
1.50 $
-
10.00 $
$
$
n/a
n/a
n/a
120.00
TOTAL
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
10.00
15% $
$
$
$
$
$
$
$
$
$
1.50 $
-
10.00 $
$
$
$
$
$
$
$
$
$
$
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
10.00
15% $
$
$
$
$
$
$
$
$
1.50 $
-
10.00 $
$
$
$
$
$
$
$
$
$
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
10.00
15% $
$
$
$
1.50 $
-
10.00 $
$
$
$
$
n/a
n/a
n/a
n/a
10.00
15% $
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
1.50 $
-
10.00 $
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
10.00
15% $
$
$
$
$
$
$
$
$
$
$
$
1.50 $
-
10.00 $
$
$
$
$
$
$
$
$
$
$
$
$
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
10.00
15% $
1.50 $
10.00 $
$
$
$
$
n/a
n/a
n/a
n/a
10.00
15% $
1.50 $
10.00 $
$
$
$
$
$
$
n/a
n/a
n/a
n/a
n/a
n/a
423.00