Amendment_000001_Section_J_w-atchmts_BARC_Steam_System.pdf

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Beltsville Area Research Center Steam System Repair, Beltsville, MD
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AG-32SC-S-16-0017
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Section J - Wage Decisions Forms

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LIST OF ATTACHMENTS

ATTACHMENT NO. TITLE DATE

I Wage Determination(s) General Decision Number: MD160035 Construction Type: Heavy dated 01/15/2016

I Wage Determination(s) General Decision Number: MD160058 Construction Type: Building dated 02/19/2016

II Performance Bonds, SF-25 III Payment Bonds, SF-25a IV Disclosure of Lobbying Activities, SFLLL (Non response is a negative response)

V Construction Progress and Payment Schedule, ARS-371

11/94

VI Contractor’s Request for Payment Transmittal, ARS-372

11/.94

VII Bid Bond, SF-24 REV 10/98 VIII Statement of Acknowledgement, SF-

1413(Every subcontract award requires this form to be submitted to the Contracting Officer)

REV 04/2013

IX Past/Present Performance Evaluation Form

X BARC Special Conditions

Specifications, BARC Steam System Repair, by RMS Engineering, 481 pages dated 22 April

Drawings USDA Beltsville Agricultural Research Center, BARC STEAM SYSTEM REPAIOR, By RMF Engineering, Inc, 70 pages dated April 22, NOTICES

* Attachment I: If any of the Department of Labor (DOL) wage rates are below the federal Minimum Wage, Fair Labor Standards Act (FLSA) rate, the FLSA rate shall take precedence.

** Attachments II, III, IV, VI, & VII: Can be found online at URL: http://www.gsa.gov, go top right tool bar, click on Forms, then select the correct Forms Type tab.

The following forms will be made available to the awardee at or prior to the pre-construction conference. Construction Authorization Instructions and Application, Submittal Register, Submittal Transmittal,Visitor Parking Permit, Non-Citizen Worker Data Sheet, Open Flame Policy http://www.gsa.gov/

General Decision Number: MD160035 01/15/2016 MD35

Superseded General Decision Number: MD20150035

State: Maryland

Construction Type: Heavy

County: Prince George's County in Maryland.

HEAVY CONSTRUCTION PROJECTS (including sewer/water construction).

Note: Under Executive Order (EO) 13658, an hourly minimum wage of $10.15 for calendar year 2016 applies to all contracts subject to the Davis-Bacon Act for which the solicitation was issued on or after January 1, 2015. If this contract is covered by the EO, the contractor must pay all workers in any classification listed on this wage determination at least $10.15 (or the applicable wage rate listed on this wage determination, if it is higher) for all hours spent performing on the contract in calendar year 2016. The EO minimum wage rate will be adjusted annually. Additional information on contractor requirements and worker protections under the EO is available at www.dol.gov/whd/govcontracts.

Modification Number Publication Date 0 01/08/2016 1 01/15/2016

* CARP0132-016 01/01/2016

Rates Fringes

CARPENTER (Including Form Work)............................$ 27.56 9.18

ELEC0026-019 06/01/2015

Rates Fringes

ELECTRICIAN......................$ 42.80 15.33+a a.PAID HOLIDAYS: New Year's Day, Inauguration Day, Martin Luther King Jr.'s Birthday, Memorial Day, Independence Day, Labor Day, Veterans' Day, Thanksgiving Day, the day after Thanksgiving Day and Christmas Day.

ENGI0077-015 05/01/2015

Rates Fringes

OPERATOR: Bulldozer.............$ 29.30 8.65+a OPERATOR: Crane 35 ton Cranes and Above.....$ 34.36 8.65+a

Cranes Below 35 tons........$ 32.71 8.65+a Tower and Climbing Cranes...$ 35.91 8.65+a Tower Cranes and Cranes 100 tons and Over...........$ 35.91 8.65+a OPERATOR: Drill.................$ 34.36 8.65+a OPERATOR: Excavator.............$ 29.30 8.65+a OPERATOR: Loader Front End Loaders...........$ 29.30 8.65+a OPERATOR: Mechanic..............$ 36.75 8.65+a OPERATOR: Piledriver............$ 32.71 8.65+a a.PAID HOLIDAYS: New Year's Day, Inaugural Day, Decoration Day, Independence Day, Labor Day, Martin Luther King's Birthday, Veterans' Day, Thanksgiving Day, Friday after Thanksgiving and Christmas Day.

IRON0201-006 05/01/2015

Rates Fringes

IRONWORKER, REINFORCING..........$ 27.50 18.58

LABO0657-020 06/01/2015

Rates Fringes

LABORER (Common or General)......$ 23.67 7.31 LABORER: Mason Tender - Cement/Concrete..................$ 24.06 7.31

PAIN0051-020 06/01/2013

Rates Fringes

PAINTER: Steel..................$ 32.66 8.91

PLAS0891-006 02/01/2014

Rates Fringes

CEMENT MASON/CONCRETE FINISHER...$ 27.15 9.61

TEAM0639-009 06/01/2015

Rates Fringes

TRUCK DRIVER (DUMP TRUCK)........$ 21.15 2.30+a a.VACATION: Employees will receive one (1) week's paid vacation after one (1)year of service.

SUMD2010-074 07/08/2010

Rates Fringes

IRONWORKER, STRUCTURAL...........$ 24.00 10.16

LABORER: Flagger................$ 15.71 8.58

LABORER: Grade Checker..........$ 14.62 3.08

LABORER: Landscape..............$ 17.72 8.58

LABORER: Mason Tender - Brick...$ 15.93 7.83

LABORER: Pipelayer..............$ 15.50 0.00

OPERATOR: Backhoe...............$ 19.15 4.05

OPERATOR: Bobcat/Skid Steer/Skid Loader................$ 16.41 5.15

OPERATOR: Gradall...............$ 20.50 8.89

OPERATOR: Grader/Blade..........$ 19.00 5.00

OPERATOR: Paver (Asphalt, Aggregate, and Concrete).........$ 17.53 9.07

OPERATOR: Roller................$ 16.95 5.61

OPERATOR: Trackhoe..............$ 18.98 7.32

PAINTER: Brush, Roller and Spray............................$ 24.32 6.91

PIPEFITTER.......................$ 21.25 5.31

TRUCK DRIVER: Lowboy Truck......$ 17.17 9.98

WELDERS - Receive rate prescribed for craft performing operation to which welding is incidental.

Unlisted classifications needed for work not included within the scope of the classifications listed may be added after award only as provided in the labor standards contract clauses (29CFR 5.5 (a) (1) (ii)).

The body of each wage determination lists the classification and wage rates that have been found to be prevailing for the cited type(s) of construction in the area covered by the wage determination. The classifications are listed in alphabetical order of "identifiers" that indicate whether the particular rate is a union rate (current union negotiated rate for local), a survey rate (weighted average rate) or a union average rate (weighted union average rate).

Union Rate Identifiers

A four letter classification abbreviation identifier enclosed in dotted lines beginning with characters other than "SU" or "UAVG" denotes that the union classification and rate were prevailing for that classification in the survey. Example:

PLUM0198-005 07/01/2014. PLUM is an abbreviation identifier of the union which prevailed in the survey for this classification, which in this example would be Plumbers. 0198 indicates the local union number or district council number where applicable, i.e., Plumbers Local 0198. The next number, 005 in the example, is an internal number used in processing the wage determination. 07/01/2014 is the effective date of the most current negotiated rate, which in this example is July 1, 2014.

Union prevailing wage rates are updated to reflect all rate changes in the collective bargaining agreement (CBA) governing this classification and rate.

Survey Rate Identifiers

Classifications listed under the "SU" identifier indicate that no one rate prevailed for this classification in the survey and the published rate is derived by computing a weighted average rate based on all the rates reported in the survey for that classification. As this weighted average rate includes all rates reported in the survey, it may include both union and non-union rates. Example: SULA2012-007 5/13/2014. SU indicates the rates are survey rates based on a weighted average calculation of rates and are not majority rates. LA indicates the State of Louisiana. 2012 is the year of survey on which these classifications and rates are based. The next number, 007 in the example, is an internal number used in producing the wage determination. 5/13/2014 indicates the survey completion date for the classifications and rates under that identifier.

Survey wage rates are not updated and remain in effect until a new survey is conducted.

Union Average Rate Identifiers

Classification(s) listed under the UAVG identifier indicate that no single majority rate prevailed for those classifications; however, 100% of the data reported for the classifications was union data. EXAMPLE: UAVG-OH-0010 08/29/2014. UAVG indicates that the rate is a weighted union average rate. OH indicates the state. The next number, 0010 in the example, is an internal number used in producing the wage determination. 08/29/2014 indicates the survey completion date for the classifications and rates under that identifier.

A UAVG rate will be updated once a year, usually in January of each year, to reflect a weighted average of the current negotiated/CBA rate of the union locals from which the rate is based.

WAGE DETERMINATION APPEALS PROCESS

1.) Has there been an initial decision in the matter? This can be:

* an existing published wage determination

* a survey underlying a wage determination

* a Wage and Hour Division letter setting forth a position on a wage determination matter

* a conformance (additional classification and rate) ruling

On survey related matters, initial contact, including requests for summaries of surveys, should be with the Wage and Hour Regional Office for the area in which the survey was conducted because those Regional Offices have responsibility for the Davis-Bacon survey program. If the response from this initial contact is not satisfactory, then the process described in 2.)

and 3.) should be followed.

With regard to any other matter not yet ripe for the formal process described here, initial contact should be with the Branch of Construction Wage Determinations. Write to:

Branch of Construction Wage Determinations Wage and Hour Division U.S. Department of Labor 200 Constitution Avenue, N.W.

Washington, DC 20210

2.) If the answer to the question in 1.) is yes, then an interested party (those affected by the action) can request review and reconsideration from the Wage and Hour Administrator (See 29 CFR Part 1.8 and 29 CFR Part 7). Write to:

Wage and Hour Administrator U.S. Department of Labor 200 Constitution Avenue, N.W.

Washington, DC 20210

The request should be accompanied by a full statement of the interested party's position and by any information (wage payment data, project description, area practice material, etc.) that the requestor considers relevant to the issue.

3.) If the decision of the Administrator is not favorable, an interested party may appeal directly to the Administrative Review Board (formerly the Wage Appeals Board). Write to:

Administrative Review Board U.S. Department of Labor

200 Constitution Avenue, N.W.

Washington, DC 20210

4.) All decisions by the Administrative Review Board are final.

END OF GENERAL DECISION

General Decision Number: MD160058 02/19/2016 MD58

Superseded General Decision Number: MD20150058

State: Maryland

Construction Type: Building

County: Prince George's County in Maryland.

BUILDING CONSTRUCTION PROJECTS (does not include single family homes or apartments up to and including 4 stories).

Note: Under Executive Order (EO) 13658, an hourly minimum wage of $10.15 for calendar year 2016 applies to all contracts subject to the Davis-Bacon Act for which the solicitation was issued on or after January 1, 2015. If this contract is covered by the EO, the contractor must pay all workers in any classification listed on this wage determination at least $10.15 (or the applicable wage rate listed on this wage determination, if it is higher) for all hours spent performing on the contract in calendar year 2016. The EO minimum wage rate will be adjusted annually. Additional information on contractor requirements and worker protections under the EO is available at www.dol.gov/whd/govcontracts.

Modification Number Publication Date 0 01/08/2016 1 01/15/2016 2 02/19/2016

ASBE0024-007 10/01/2015

Rates Fringes

ASBESTOS WORKER/HEAT & FROST

INSULATOR........................$ 34.33 13.92

Includes the application of all insulating materials, protective coverings, coatings and finishes to all types of mechanical systems

ASBE0024-010 10/01/2015

Rates Fringes

ASBESTOS WORKER: HAZARDOUS

MATERIAL HANDLER (Removal of hazardous material from ceilings, floors, mechanical systems, and walls)..............$ 21.61 5.54

BRMD0001-006 05/03/2015

TILE SETTER......................$ 26.75 10.68

BRMD0001-011 05/03/2015

Rates Fringes

BRICKLAYER (Excluding Pointing, Caulking and Cleaning)........................$ 30.36 9.69

BRMD0001-012 05/03/2015

Rates Fringes

MASON - STONE....................$ 35.19 16.17

BRMD0001-013 05/03/2015

Rates Fringes

TERRAZZO WORKER/SETTER...........$ 26.75 10.68

CARP0132-017 01/01/2016

Rates Fringes

CARPENTER (Including Acoustical Ceiling Installation, Drywall Hanging, Metal Stud Installation and Form Work)......$ 27.56 9.18

CARP1831-002 04/01/2013

Rates Fringes

MILLWRIGHT.......................$ 31.59 8.58

ELEC0026-021 09/01/2014

Rates Fringes

ELECTRICIAN (Communication and Sound Equipment).............$ 27.05 8.58

ELEC0026-022 06/01/2015

Rates Fringes

ELECTRICIAN (Including low voltage wiring for and installation of alarms, HVAC controls)........................$ 42.80 15.33+a a.PAID HOLIDAYS: New Year's Day, Inauguration Day, Martin Luther King Jr.'s Birthday, Memorial Day, Independence Day, Labor Day, Veterans' Day, Thanksgiving Day, the day after Thanksgiving Day and Christmas Day.

ELEV0010-001 01/01/2016

Rates Fringes

ELEVATOR MECHANIC................$ 41.90 29.985+a+b

a. PAID HOLIDAYS: New Year's Day, Memorial Day, Independence Day, Labor Day, Veterans' Day, Thanksgiving Day, Christmas Day and the Friday after Thanksgiving.

b. VACATIONS: Employer contributes 8% of basic hourly rate for 5 years or more of service; 6% of basic hourly rate for 6 months to 5 years of service as vacation pay credit.

ENGI0077-017 05/01/2013

Rates Fringes

POWER EQUIPMENT OPERATOR:

Backhoe.....................$ 32.40 8.45+a Bulldozer...................$ 31.65 8.45+a

a. PAID HOLIDAYS: New Year's Day, Inaugural Day, Decoration Day, Independence Day, Labor Day, Martin Luther King's Birthday, Veterans' Day, Thanksgiving Day, Friday after Thanksgiving and Christmas Day.

IRON0005-005 06/01/2015

Rates Fringes

IRONWORKER, STRUCTURAL AND

ORNAMENTAL.......................$ 30.65 18.135

IRON0201-006 05/01/2015

Rates Fringes

IRONWORKER, REINFORCING..........$ 27.50 18.58

LABO0657-021 06/01/2015

Rates Fringes

LABORER (Common or General)......$ 14.93 7.31 LABORER: Mason Tender - Cement/Concrete..................$ 22.63 7.31 LABORER: Pipelayer..............$ 22.63 7.31

PAIN0051-014 06/01/2014

GLAZIER

Glazing Contracts $2 million and under...........$ 24.77 9.85 Glazing Contracts over $2 million.....................$ 28.61 9.85

PAIN0051-019 06/01/2014

Rates Fringes

PAINTER

Brush, Roller, Spray and Drywall Finisher/Taper......$ 24.89 9.05 Industrial..................$ 29.60 9.05

PLAS0891-005 07/01/2013

Rates Fringes

PLASTERER........................$ 28.33 5.85

PLAS0891-006 02/01/2014

Rates Fringes

CEMENT MASON/CONCRETE FINISHER...$ 27.15 9.61

PLAS0891-008 08/01/2014

Rates Fringes

PLASTERER (Fireproofing Including Sprayer, Mixer, and Handler) Handler.....................$ 16.50 4.24 Mixer/Pump..................$ 18.50 4.24 Sprayer.....................$ 23.00 4.24

PLUM0005-010 08/01/2015

Rates Fringes

PLUMBER..........................$ 39.67 16.60+a

a. PAID HOLIDAYS: Labor Day, Veterans' Day, Thanksgiving Day and the day after Thanksgiving, Christmas Day, New Year's Day, Martin Luther King's Birthday, Memorial Day and the Fourth of July.

PLUM0602-011 08/01/2015

PIPEFITTER (Including HVAC

Pipe and System Installation)....$ 38.89 19.97+a

a. PAID HOLIDAYS: New Year's Day, Martin Luther King's Birthday, Memorial Day, Independence Day, Labor Day, Veterans' Day, Thanksgiving Day and the day after Thanksgiving and Christmas Day.

ROOF0030-016 05/01/2015

Rates Fringes

ROOFER...........................$ 28.50 11.04

* SFMD0669-001 01/01/2016

Rates Fringes

SPRINKLER FITTER (Fire Sprinklers)......................$ 32.40 18.52

SHEE0100-015 01/01/2016

Rates Fringes

SHEET METAL WORKER (Including HVAC Duct Installation)..........$ 39.79 16.77+a

a. PAID HOLIDAYS: New Year's Day, Martin Luther King's Birthday, Memorial Day, Independence Day, Labor Day, Veterans Day, Thanksgiving Day and Christmas Day

SUMD2010-092 08/04/2010

Rates Fringes

LABORER

Grade Checker...............$ 16.00 2.90 Landscape...................$ 9.23 0.00 Mason Tender - Brick........$ 13.28 2.95 Mason Tender - Stone........$ 14.03 0.00 Mason Tender for Pointing, Caulking and Cleaning.......$ 14.15 0.00 Mortar Mixer................$ 16.61 9.08

POINTER, CAULKER, CLEANER,

Includes pointing, caulking, cleaning of existing masonry, brick, stone and cement structures (restoration work); excludes pointing, caulking, cleaning of new or replacement masonry, brick, stone or cement...........................$ 19.14

POWER EQUIPMENT OPERATOR:

Asphalt Roller..............$ 21.35 5.38 Bobcat/Skid Loader..........$ 18.05 8.78 Boom........................$ 21.44 8.29 Crane.......................$ 20.95 6.18 Excavator...................$ 20.00 0.00 Forklift....................$ 16.00 5.12 Gradall.....................$ 20.50 8.42 Grader/Blade................$ 14.50 5.18 Loader......................$ 24.00 5.40 Paver.......................$ 17.47 6.36 Roller excluding Asphalt....$ 17.60 3.88

TILE FINISHER....................$ 17.87 7.32

TRUCK DRIVER

Dump Truck..................$ 15.90 1.12 Tractor Haul Truck..........$ 17.87 9.98

WELDERS - Receive rate prescribed for craft performing operation to which welding is incidental.

Unlisted classifications needed for work not included within the scope of the classifications listed may be added after award only as provided in the labor standards contract clauses (29CFR 5.5 (a) (1) (ii)).

The body of each wage determination lists the classification and wage rates that have been found to be prevailing for the cited type(s) of construction in the area covered by the wage determination. The classifications are listed in alphabetical order of "identifiers" that indicate whether the particular rate is a union rate (current union negotiated rate for local), a survey rate (weighted average rate) or a union average rate (weighted union average rate).

Union Rate Identifiers

A four letter classification abbreviation identifier enclosed in dotted lines beginning with characters other than "SU" or "UAVG" denotes that the union classification and rate were prevailing for that classification in the survey. Example:

PLUM0198-005 07/01/2014. PLUM is an abbreviation identifier of the union which prevailed in the survey for this classification, which in this example would be Plumbers. 0198 indicates the local union number or district council number where applicable, i.e., Plumbers Local 0198. The next number, 005 in the example, is an internal number used in processing the wage determination. 07/01/2014 is the effective date of the most current negotiated rate, which in this example is July 1, 2014.

Union prevailing wage rates are updated to reflect all rate changes in the collective bargaining agreement (CBA) governing this classification and rate.

Survey Rate Identifiers

Classifications listed under the "SU" identifier indicate that no one rate prevailed for this classification in the survey and the published rate is derived by computing a weighted average rate based on all the rates reported in the survey for that classification. As this weighted average rate includes all rates reported in the survey, it may include both union and non-union rates. Example: SULA2012-007 5/13/2014. SU indicates the rates are survey rates based on a weighted average calculation of rates and are not majority rates. LA indicates the State of Louisiana. 2012 is the year of survey on which these classifications and rates are based. The next number, 007 in the example, is an internal number used in producing the wage determination. 5/13/2014 indicates the survey completion date for the classifications and rates under that identifier.

Survey wage rates are not updated and remain in effect until a new survey is conducted.

Union Average Rate Identifiers

Classification(s) listed under the UAVG identifier indicate that no single majority rate prevailed for those classifications; however, 100% of the data reported for the classifications was union data. EXAMPLE: UAVG-OH-0010 08/29/2014. UAVG indicates that the rate is a weighted union average rate. OH indicates the state. The next number, 0010 in the example, is an internal number used in producing the wage determination. 08/29/2014 indicates the survey completion date for the classifications and rates under that identifier.

A UAVG rate will be updated once a year, usually in January of each year, to reflect a weighted average of the current negotiated/CBA rate of the union locals from which the rate is based.

WAGE DETERMINATION APPEALS PROCESS

1.) Has there been an initial decision in the matter? This can be:

* an existing published wage determination

* a survey underlying a wage determination

* a Wage and Hour Division letter setting forth a position on a wage determination matter

* a conformance (additional classification and rate) ruling

On survey related matters, initial contact, including requests for summaries of surveys, should be with the Wage and Hour Regional Office for the area in which the survey was conducted because those Regional Offices have responsibility for the Davis-Bacon survey program. If the response from this initial contact is not satisfactory, then the process described in 2.)

and 3.) should be followed.

With regard to any other matter not yet ripe for the formal process described here, initial contact should be with the Branch of Construction Wage Determinations. Write to:

Branch of Construction Wage Determinations Wage and Hour Division U.S. Department of Labor 200 Constitution Avenue, N.W.

Washington, DC 20210

2.) If the answer to the question in 1.) is yes, then an interested party (those affected by the action) can request review and reconsideration from the Wage and Hour Administrator (See 29 CFR Part 1.8 and 29 CFR Part 7). Write to:

Wage and Hour Administrator U.S. Department of Labor 200 Constitution Avenue, N.W.

Washington, DC 20210

The request should be accompanied by a full statement of the interested party's position and by any information (wage payment data, project description, area practice material, etc.) that the requestor considers relevant to the issue.

3.) If the decision of the Administrator is not favorable, an interested party may appeal directly to the Administrative Review Board (formerly the Wage Appeals Board). Write to:

Administrative Review Board U.S. Department of Labor 200 Constitution Avenue, N.W.

Washington, DC 20210

4.) All decisions by the Administrative Review Board are final.

END OF GENERAL DECISION

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1. This form is authorized for use in connection with Government contracts. Any deviation from this form will require the written approval of the Administrator of General Services.

2. Insert the full legal name and business address of the Principal in the space designated "Principal" on the face of the form. An authorized person shall sign the bond. Any person signing in a representative capacity (e.g., an attorney-in-fact) must furnish evidence of authority if that representative is not a member of the firm, partnership, or joint venture, or an officer of the corporation involved.

3. (a) Corporations executing the bond as sureties must appear on the Department of the Treasury's list of approved sureties and must act within the limitation listed therein. Where more than one corporate surety is involved, their names and addresses shall appear in the spaces (Surety A, Surety B, etc.) headed "CORPORATE

SURETY(IES)." In the space designated "SURETY(IES)" on the face of the form, insert only the letter identification of the sureties.

(b) Where individual sureties are involved, a completed Affidavit of Individual Surety (Standard Form 28) for each individual surety, shall accompany the bond. The Government may require the surety to furnish additional substantiating information concerning their financial capability.

4. Corporations executing the bond shall affix their corporate seals.

Individuals shall execute the bond opposite the word "Corporate Seal", and shall affix an adhesive seal if executed in Maine, New Hampshire, or any other jurisdiction requiring adhesive seals.

5. Type the name and title of each person signing this bond in the space provided.

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AMOUNT

USDA-ARS

STARTING DATE COMPLETION DATECONTRACT CALENDAR DAYS

PROJECT CONTRACTOR'S NAME & ADDRESS (Include ZIP Code)

START

C

COMPLETE

D

COMPLETED

THIS PERIOD

E

DESCRIPTION OF

BRANCH WORK

VALUE

A

PROGRESS SCHEDULE

PERCENT

OF WORK

B

U.S. DEPARTMENT OF AGRICULTURE - AGRICULTURAL RESEARCH SERVICE

CONSTRUCTION PROGRESS AND PAYMENT SCHEDULE

IMPORTANT: Read instructions on reverse before completing this form

DATE

LOCATION

DATE

PREVIOUSLY

COMPLETED

F

TOTAL

COMPLETED

G

SCHEDULE OF PAYMENTS

(use in conjunction with ARS Form 372)

Following items to be used for Change Orders, Amendments, and other.

Form ARS-371 (11/94) Previous edition may be used.

TOTAL

REMARKS:

CONTRACTOR'S SIGNATURE DATE CONTRACTING OFFICER'S APPROVAL

The construction Progress - Payment Schedule shall be submitted within 14 calendar days after the date of receipt of the Notice to Proceed.

1. Complete blocks entitled:

Contract Number Amount Calendar Days Starting Date Completion Date Project Location Contractor's Name and Address

2. Complete Column A, Value, indicating a complete breakdown of each branch of work in relation to the whole project.

3. Complete Column B, Percent of Work, showing the percentage of each branch of work in relation to the whole project.

4. Complete Columns C and D to show the approximate dates each branch of work will begin and be completed. Final completion date in Column D must not exceed the completion date at the top of the form.

5. Contractor shall sign the form at the bottom and submit to the Contracting Officer for his approval. An approved copy will be returned to the Contractor for his file.

This form is required even though partial payments are not requested. If partial payments are requested, a copy of the approved Form ARS-371 must accompany each Payment Request (Form ARS-372), and Columns E, F, and G (on Form ARS-371) must be filled in according to the work completed.

INSTRUCTIONS FOR COMPLETION OF FORM ARS-371

CONTRACT NO. PARTIAL PAYMENT NO. FINAL PAYMENT

PROJECT REQUISITION NO.

LOCATION FOR PERIOD BEGINNING

ITEM

1. Amount of original contract $

2. Change orders and/or amendments $

3. Total adjusted contract prices $

7. Less % retainage

USDA-ARS

ENDING

AMOUNT

4. Value of work completed to end of period

5. Value of material stored at the site (Itemize below)

6. Total value of work completed and stored material (Line 4 plus Line 5)

8. Total due contractor through end of this period

MATERIAL STORED AT THE SITE (See Item 5 above)

Description Value

10. Net amount due contractor this payment

9. Less previous requests

CONTRACTOR'S CERTIFICATION OF PAYMENT

By signing this request for payment, I certify that I have made payment from the proceeds of prior payments, and that I will make timely payment from the proceeds of this payment, of amounts due my subcontractors and suppliers in accordance with my contractual arrangements with them.

SIGNATURE OF CONTRACTOR'S AUTHORIZED REPRESENTATIVE DATE SIGNED

FORM ARS-372 (11/84) Replaces SEA-372 (1/79) which may not be used.

CONTRACTOR'S REQUEST FOR PAYMENT TRANSMITTAL

DATE SIGNED

DATE SIGNED

RECOMMENDED FOR PAYMENT (Signature of EPM, COR, CM, or A.E. as appropriate)

CONCUR (Signature of EPM or COR as appropriate)

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INSTRUCTIONS

1. This form is authorized for use when a bid guaranty is required. Any deviation from this form will require the written approval of the Administrator of General Services.

2. Insert the full legal name and business address of the Principal in the space designated "Principal" on the face of the form. An authorized person shall sign the bond. Any person signing in a representative capacity (e.g., an attorney-in-fact) must furnish evidence of authority if that representative is not a member of the firm, partnership, or joint venture, or an officer of the corporation involved.

3. The bond may express penal sum as a percentage of the bid price. In these cases, the bond may state a maximum dollar limitation (e.g., 67$1'$5'�)250�����5(9���������%$&.

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(e.g., 20% of the bid price but the amount not to exceed dollars).

4. (a) Corporations executing the bond as sureties must appear on the Department of the Treasury's list of approved sureties and must act within the limitation listed therein. where more than one corporate surety is involved, their names and addresses shall appear in the spaces (Surety A, Surety B, etc.) headed "CORPORATE SURETY(IES)." In the space designed "SURETY(IES)" on the face of the form, insert only the letter identification of the sureties.

(b) Where individual sureties are involved, a completed Affidavit of Individual surety (Standard Form 28), for each individual surety, shall accompany the bond. The Government may require the surety to furnish additional substantiating information concerning its financial capability.

5. Corporations executing the bond shall affix their corporate seals. Individuals shall execute the bond opposite the word "Corporate Seal";

and shall affix an adhesive seal if executed in Maine, New Hampshire, or any other jurisdiction…

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it. Updated .