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APPLICATION FOR PAYMENT for valuation Nbr.

4
Author:
Insert applicable valuation number
Valuation
INTERIM CERTIFICATE nbr. .. Breakdown of Contract Sum Nbr…. % completion
Author:
Preliminaries Insert amounts for previous
– fixed costs ( set up and dismantle ) valuation
- time related costs
Measured Work ( ref Bill sections ) Author:
- Demolitions/Alterations Insert - cost data here
- Groundwork
- Insitu concrete / large pre-cast concrete 100%
Author:
- Masonry Insert sections/components 100%
applicable to your project
- Structural / carcassing metal / timber 90%
- Cladding / coverings 90%
- Waterproofing
- Linings / sheathings / partitioning 20%
- Windows / doors / stairs
- Surface finishes
- Furniture / Equipment
- Building fabric / Sundries
- Paving /Planting /Fencing /Site furniture
- Disposal Systems
- Mechanical Systems
- Electrical systems
- Lift
Sub Total 0
Profit and Overheads 4% 0 4%
Contract Sum
Author:
Materials on Site (roof trusses) Include materials on site
amount if applicable

Architect’s Instructions

Gross
Valuation
Author:
Less Retention @ Adjust retention amount
0.05 if
5% applicable.
Net
Total
Less amount certified
previously

Due date: 17 February Notified Sum

Final date for payment: 03 March


Valuation
Note
No….

0.00
Author:
Work out amount for
current valuation. Please
note that this is a
cummulative value

0
0

erials on site Windows


pplicable

Author:
Include amount for
instructions if application -
ntion amount if i.e. variations

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