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Schedule of Contract Values

(This form must be completed by the Contractor for the Project.)


PROJECT NAME: APPLICATION NO:
PROJECT #: APPLICATION DATE:
CONTRACTOR: PERIOD TO:
PERCENT COMPLETE TO DATE:

A B C D E F G H I J
ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE
NO. VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G ÷ C) TO FINISH (IF VARIABLE
APPLICATION STORED AND STORED (C - G) RATE)
(D + E) (NOT IN TO DATE
D OR E) (D+E+F)
(Fill in & break down contract values)

(Add any change order(s) descriptions)

GRAND TOTALS 0 0 0 0 0 0 0 0

Contract Manager: Minimum performance requirements successfully completed and approved by: _____________________________________________ Date: ____/_____/_____

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