General Construction Specifications
SECTION 01027
APPLICATIONS FOR PAYMENT
PART 1 - GENERAL
1.1 Section Includes
A. Procedures for preparation and submittal of Applications for Payment.
1.2 Related Sections
A. Section 01310 - Progress Schedules.
B. Section 01700 - Contract Closeout Procedures: Final Payment.
1.3 Format
A. Use form furnished or approved equal (form must have a column for each item listing: item number, description of work, scheduled value, previous applications, work in place, stored material, authorized change orders, total completed (and stored) to date of application; percent of completion; balance to finish; and retainage).
1.4 Preparation of Applications
A. Present required information in type written form or on electronic media printout.
B. Execute certification by signature of authorized officer.
C. This form to be executed will serve as the source of the approved Schedule of Values prior to any application for payment. Include percentage Allowances for Contractor's overhead and profit.
D. List each authorized change order as an extension on the continuation sheet(s), listing change order number and dollar amount as for an original item of work.
E. Prepare application for final payment as specified in Section 01700.
1.5 Submittal Procedures
A. Submit 7 copies of each Application for Payment.
B. Submit an updated Construction Schedule with each Application for Payment.
C. Payment Period: Submit at intervals stipulated in the Agreement.
D. Sequentially number Application for Payments. Note: Owner's payments from retainage account to Contractor's escrow account are considered as an Application for Payment and application numbers must reflect this.
E. When the Engineer determines that the Application for Payment is proper and correct, he will transmit certificate for payment to the Owner with copy to the Contractor.
1.6 Substantiating Data
A. When Engineer requires substantiating information, submit data justifying dollar amounts in question.
B. Provide one copy of data with cover letter for each copy of submittal. Show application and date and line item by number and description.
PART 2 - PRODUCTS
A. Not used.
PART 3 - EXECUTION
A. Not used.
END OF SECTION
CERTIFICATE OF THE CONTRACTOR OR HIS DULY AUTHORIZED REPRESENTATIVE
To the best of my knowledge and belief, I certify that all items, units quantities, and prices of work and materials shown on the face of Sheet (s) of this Periodical Estimate are correct and all work has been performed and materials supplied in full accordance with the terms and conditions of the corresponding construction contract documents between the undersigned as Contractor and the Metropolitan Government of Nashville and Davidson County as Owner, dated: , and all authorized changes thereto; that the following is a true and correct statement of the contract amount up to and including the last day of the period covered by this estimate and that no part of the "Total Amount Due" as been received:
Original Contract Amount $
Plus/Minus Approved Change Orders:
No. Dated:
No. Dated:
No. Dated:
No. Dated:
No. Dated:
No. Dated:
Contract Amount To Date $
(a) Amount Earned To Date . . . . . . . . . . . . . . . . . . . . . . . . $
Stored Materials . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total Amount Earned . . . . . . . . . . . . . . . . . . . . . . . . . .
(b) Retainage: 10% . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total Retainage . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(c) Total Due Less Retainage . . . . . . . . . . . . . . . . . . . . . . . . .
(d) Less Total Previously Approved . . . . . . . . . . . . . . . . . . . . . .
(e) Liquidated Damages . . . . . . . . . . . . . . . . . . . . . . . . . .
(f) Bonus for Early Completion . . . . . . . . . . . . . . . . . . . . . . . .
(h) TOTAL AMOUNT DUE THIS ESTIMATE . . . . . . . . . . . . . . . . . . $
I further certify that all claims outstanding as of this date against the undersigned as Contractor for labor, materials, and expendable employed in the performance of said contract up to this date have been paid in full in accordance with the requirements of said contract. PROJECT NAME: EST. No.
CONTRACTOR: BY: , Title: Date:
ENGINEER'S CERTIFICATE FOR PAYMENT
I certify that I have verified this Periodical Estimate and that to the best of my knowledge and belief it is a true and correct statement of work performed and materials supplied under the Contract and that the Contractor's certified statement of his account and the amount due him is correct and just, and that all work and materials included in this periodical estimate have been performed in full accordance with the terms and conditions of the corresponding construction contract documents and authorized changes thereto.
Name: Name:
By: By:
Date Date
OWNER'S RECOMMENDATION FOR PAYMENT
APPROVED AND PAYMENT RECOMMENDED:
OWNER: DATE:
BY: TITLE:
* SUPPLEMENT TO PERIODICAL ESTIMATE FORM
PROJECT AND LOCATION CONTRACT NO. PROJECT NO.
PARTIAL PAYMENT NO. CONTRACTOR
DETAIL OF MATERIALS STORED ON SITE
ITEM
NO.
DESCRIPTION OF
ITEM
SPEC
SECTION
INVOICE
NO.
NO. OF
UNITS
COST PER UNIT
AMOUNT
TOTAL
$
ORIGINAL CONTRACT AMOUNT: PROJECT NAME: CONTRACTOR:
PROJECT NO.(S): PAY ESTIMATE NO.
FOR PERIOD TO
PAGE OF
[ APPROVED QUANTITIES ]
ITEM
NO.
DESCRIPTION
CONTRACT QUANTITY
UNIT
UNIT PRICE
CONTRACT AMOUNT
CURRENT
PREVIOUS
TOTAL
AMOUNT TO DATE
