ARS372.pdf

PDF 24 KB Posted

Attached to
Building Automation System Control Upgrades Federal contract opportunity
Solicitation number
AG-32SC-S-17-0044
Issued by
Department of Agriculture Agricultural Research Service Central Program Planning Coordination and Support

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ARS 372

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Brand_Name_-_Siemens_Cntrls_CCRU_BAS_Upgrades_Redacted.pdf PDF
AG-32SC-S-17-0044.pdf PDF
RCx_FINAL_REPORT_A.v.pdf PDF
ARS371.pdf PDF
RCx_FINAL_REPORT_A.iii.pdf PDF
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Text version

CONTRACTOR'S REQUEST FOR PAYMENT TRANSMITTAL

CONTRACT NO.

PROJECT

LOCATION

PARTIAL PAYMENT NO.

REQUISITION NO.

FOR PERIOD BEGINNING ENDING

FINAL PAYMENT

ITEM AMOUNT

1. Amount of original contract

2. Change orders and/or amendments

3. Total adjusted contract prices

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 thru end of this period

9. Less previous requests

10. Net amount due contractor this payment

7. Less

MATERIAL STORED AT THE SITE (See Item 5 above)

Description Value

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

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

CONCUR (Signature of EPM or COR as appropriate)

DATE SIGNED

DATE SIGNED

DATE SIGNED

Form ARS-372 (11/84) Replaces SEA-372 (1/79) which may be used. USDA-ARS This form was electronically produced by USDA/ARS/OCIO/ADB.

% retainage

RFP - TOC USNA FH.pdf
SECTION B - SUPPLIES OR SERVICES AND PRICE/COSTS

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