ARS-372.pdf
PDF 31 KB Posted
- Attached to
- Demolish Facility Slab, and Outlying Buildings at Biological Control of Insects Research Laboratory (BCIRL)
- Solicitation number
- 12505B24R0014
About this file
This document is a Contractor's Request for Payment Transmittal form (Form ARS-372) used by the U.S. Department of Agriculture (USDA) Agricultural Research Service (ARS) for federal construction contracts. The form is used to request partial or final payments and includes details such as the contract number, project location, payment number, requisition number, period of performance, and various line items for the original contract amount, change orders, completed work, stored materials, retainage, and net amount due to the contractor. The form requires certifications and signatures from the contractor and government representatives.
The related federal contract opportunity is a Request for Proposals (RFP) issued by the USDA ARS for the demolition of a facility slab and outlying buildings at the Biological Control of Insects Research Laboratory in Columbia, Missouri. The solicitation, numbered 12505B24R0014, is set aside for Service-Disabled Veteran-Owned Small Businesses under the NAICS code 238910 with a $19.0 million size standard. The estimated construction value is between $250,000 and $500,000, and the period of performance is 150 days after the notice to proceed. Prospective offerors are required to attend one of two scheduled site visits and submit written questions by the specified deadline. The solicitation is only available electronically through the Contract Opportunities page on SAM.gov.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| SF30 - Amendment 01.pdf | ||
| Site Visit Sign In 04242024.pdf | ||
| RFIs.pdf | ||
| Site Visit Sign In 04252024.pdf | ||
| ARS-371.pdf | ||
| Material Submittal Form.pdf | ||
| SF-1442.pdf | ||
| Past Performance Questionnaire.pdf | ||
| Final Environmental Assessment.pdf | ||
| Utilities Survey.pdf | ||
| Statement of Work and Specifications.pdf | ||
| Wage Determination.pdf |
Show all 12
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 PROGRESS PAYMENT CERTIFICATION
SIGNATURE OF CONTRACTOR'S AUTHORIZED REPRESENTATIVE
RECOMMENDED FOR PAYMENT (Signature of EPM, COR, CM or A-E as appropriate)
CONCUR (Signature of EPM or COR as appropriate)
DATE SIGNED
DATE SIGNED
DATE SIGNED
Form ARS-372 (06/2011) USDA-ARS This form was electronically produced by USDA/ARS/OCIO/EASB.
% retainage
The amounts requested are only for performance in accordance with the specifications, terms, and conditions of the contract;(1)
(2) All payments due to subcontractors and suppliers from previous payments received under the contract have been made, and timely payments will be made from the proceeds of the payment covered by this certification, in accordance with subcontract agreements and the requirements of Chapter 39 of Title 31, United States Code;
(3) This request for progress payments does not include any amounts which the prime contractor intends to withhold or retain from a subcontractor or supplier in accordance with the terms and conditions of the subcontract; and This certification is not to be construed as final acceptance of a subcontractor's performance.(4)
I hereby certify, to the best of my knowledge and belief, that -
Previous edition is not usable.
c:\\docume~1\\admini~1.for\\mydocu~1\\accounts\\usda2\\origin~1\\set3~1\\ars372.wpf Administrator D:20050417122932- 04'00' D:20050426102902- 04'00'
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 PROGRESS PAYMENT CERTIFICATION
SIGNATURE OF CONTRACTOR'S AUTHORIZED REPRESENTATIVE
RECOMMENDED FOR PAYMENT (Signature of EPM, COR, CM or A-E as appropriate) CONCUR (Signature of EPM or COR as appropriate)
DATE SIGNED
DATE SIGNED
DATE SIGNED
Form ARS-372 (06/2011)
USDA-ARS
This form was electronically produced by USDA/ARS/OCIO/EASB.
% retainage The amounts requested are only for performance in accordance with the specifications, terms, and conditions of the contract;
(1) (2) All payments due to subcontractors and suppliers from previous payments received under the contract have been made, and timely payments will be made from the proceeds of the payment covered by this certification, in accordance with subcontract agreements and the requirements of Chapter 39 of Title 31, United States Code;
(3) This request for progress payments does not include any amounts which the prime contractor intends to withhold or retain from a subcontractor or supplier in accordance with the terms and conditions of the subcontract; and This certification is not to be construed as final acceptance of a subcontractor's performance.
(4) I hereby certify, to the best of my knowledge and belief, that - Previous edition is not usable.
| Check if Final payment.: 0 |
| Enter date for period beginning using format MM/DD/YYYY.: |
| Enter date for period ending using format MM/DD/YYYY.: |
| Item. 1. Amount of original contract.: |
| Item 2. Change orders and / or amendments.: |
| Item 3. Total adjusted contract prices.: |
| Item 4. Value of work completed to end of period.: |
| Item 5. Value of material stored at the site (Itemize below).: |
| Item 6. Total value of work completed and stored material (Line 4 plus Line 5). Value of material stored at the site (Itemize below).: |
| Item 7. Enter Percent retainage.: |
| Item 7. Less indicated percentage retainage.: |
| Item 8. Total due contractor thru end of this period.: |
| Item 9. Less previous requests.: |
| Item 10. Net amount due contractor this payment.: |
| Value. Line 1.: |
| Value. Line 2.: |
| Value. Line 3.: |
| Value. Line 4.: |
| Value. Line 5.: |
| Value. Line 6.: |
| Value. Line 7.: |
| Value. Line 8.: |
| Value. Line 9.: |
| Contractor's request for payment transmittal. Enter contract number.: |
| Partial payment number.: |
| Project.: |
| Requisition number.: |
| Location.: |
| Description. Line 1.: |
| Description. Line 2.: |
| Description. Line 3.: |
| Description. Line 4.: |
| Description. Line 5.: |
| Description. Line 6.: |
| Description. Line 7.: |
| Description. Line 8.: |
| Description. Line 9.: |
| Value. Line 10.: |
| Value. Line 11.: |
| Value. Line 12.: |
| Value. Line 13.: |
| Value. Line 14.: |
| Value. Line 15.: |
| Value. Line 16.: |
| Value. Line 17.: |
| Description. Line 10.: |
| Description. Line 11.: |
| Description. Line 12.: |
| Description. Line 13.: |
| Description. Line 14.: |
| Description. Line 15.: |
| Description. Line 16.: |
| Description. Line 17.: |
| Enter date in this format MM/DD/YYYY: |
| Enter date in this format MM/DD/YYYY: |
| Enter date in this format MM/DD/YYYY: |
File details come from the government source that posted it. Updated .