A21_Subcontractor_Payment_Substantiation_Form_WY_1510-1.doc
DOC document 34 KB Posted
- Attached to
- 1500 TONS OF HAY Federal contract opportunity
- Solicitation number
- 140L6221Q0033
About this file
This document is a subcontractor payment substantiation form for contract number KA________________________ related to contract title ___________________________. The form requires the prime contractor to provide details including the original and modified subcontract amounts, amounts previously paid to the subcontractor, amounts requested in the current progress payment, and amounts that will have been paid to the subcontractor upon receipt of the progress payment. Additionally, it requires the prime contractor to list the remaining subcontract amount.
The related federal contract opportunity is solicitation number 140L6221Q0033 for 1500 tons of hay from the Department of the Interior Bureau of Land Management Wyoming Region. It provides an opportunity type of solicitation and general description but no other details regarding pricing, response dates, awardees, or product/service requirements.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Questions_Addressed_0001.docx | DOCX document | |
| Sol_140L6221Q0033_Amd_0001.pdf | ||
| A21_Statement_of_Acknowledgement_SF1413.pdf | ||
| Sol_140L6221Q0033.pdf | ||
| A06_Bid_Schedule.xlsx | XLSX spreadsheet | |
| A04_Statement_of_Work.docx | DOCX document |
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Text version
SUBCONTRACTOR PAYMENT SUBSTANTIATION
Contract number:
KA________________________
Contract title:
Prime Contractor (name, address, ZIP):
Progress PAYMENT NUMBER: ________
Progress Payment invoice amount:
Subcontract number: ____________________
Subcontractor (name, address, ZIP):
1. Original subcontract amount:
2. Changes by modification:
Mod. No. ___
3. Total subcontract amount:
4. Subcontract amount previously paid:
5. Subcontract amount in current progress payment request:
6. Total subcontractor amount which will have been paid on receipt of this progress payment:
7. Subcontract amount remaining:
Name & Title of person signing Signature
Date
(prime contractor)
Form WY 1510-1
(01/05)
File details come from the government source that posted it. Updated .