Attachment 8 - Progress Payment Request - DRAFT.xlsx
XLSX spreadsheet 47 KB Posted
- Solicitation number
- Not on record
About this file
This document contains a draft solicitation for a multiple award construction contract (MACC) indefinite delivery/indefinite quantity (IDIQ) contract to be awarded by the Joint Base San Antonio (JBSA). The Government seeks industry comments on the draft solicitation by May 6, 2021 regarding construction services to be provided at JBSA facilities. The Air Education and Training Command of the Department of the Air Force will award the MACC IDIQ contract for an unspecified period of performance. Interested offerors should provide any comments on the draft solicitation via email only to the identified Contract Specialist and Contracting Officer.
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Text version
Progress Payment Request
| PROGRESS PAYMENT REQUEST | ||
| CONTRACTOR: | CONTRACT | DELIVERY ORDER NUMBER |
DESCRIPTION OF WORK
CONTRACTING OFFICIAL: INVOICE NO. DATE
| 502D Contracting Squadron | PERFORMANCE PERIOD: | |
| 1655 Selfridge Ave., Bldg. 5450 | PHONE: (210) 671-6083 | PAYMENT TERMS |
| JBSA Lackland | FAX: | NET 14 for Monthly Payments or NET 30 for Final Payment |
| I. I hereby certify, to the best of my knowledge and belief , that -- |
(1) The amounts requested are only for performance in accordance with the specifications, terms, and conditions of the contract;
(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
(4) This certification is not to be construed as final acceptance of a subcontractor's performance.
| TYPE OR PRINT NAME AND TITLE | SIGNATURE | DATE | ||||
| NAME / TITLE | ||||||
| IF YOU HAVE ANY QUESTIONS CONCERNING THIS INVOICE, PLEASE CONTACT ME AT: | POC's E-Mail Address | |||||
| COMPLETED BY CONTRACTOR | GOVERNMENT | |||||
| USE ONLY | COMPLETED BY CONTRACTOR | GOVERNMENT |
USE ONLY
| II. Total Amount of Contract: | |||
| (including modifications) | $ - 0 | $ - 0 |
Amount Completed/Percentage of Progress Completed 0.00% $ - 0
| Less Previous Payments | $ - 0 | |||
| Subtotal (Balance) | $ - 0 | |||
| Less Retainage on Payment Request | 0.00% | $ - 0 | ||
| Subtotal (Balance) | $ - 0 | |||
| III. Breakout of CLINS for Invoice: | $ - 0 | |||
| $ - 0 | ||||
| $ - 0 | ||||
| $ - 0 | ||||
| $ - 0 | ||||
| Total Amount for CLINS: | $ - 0 | |||
| Total Amount Due This Progress Payment | $ - 0 | |||
| Government Use Only | ||||
| I certify that the services have been rendered in accordance with the terms and conditions of subject contract | ||||
| Authorize Progress Payment # | 0 | In the Total Amount of | ||
| TYPE OR PRINT NAME AND TITLE | SIGNATURE | DATE | ||
| Contracting Officer |
Subcontractors Payment Info
| SUBCONTRACTORS PAYMENT INFORMATION | |||
| CONTRACTOR: | CONTRACT | DELIVERY ORDER NUMBER | |
| 0 | |||
| 0 | DESCRIPTION OF WORK | ||
| 0 | ERROR:#VALUE! | ||
| CONTRACTING OFFICIAL: | INVOICE NO. | DATE | |
| 0 | 0 | ERROR:#VALUE! | |
| 502D Contracting Squadron | PERFORMANCE PERIOD: | ERROR:#VALUE! | |
| 1655 Selfridge Ave., Bldg. 5450 | PHONE: | PAYMENT TERMS | |
| JBSA Lackland | FAX: | ERROR:#VALUE! | |
| I. I hereby certify, to the best of my knowledge and belief , that -- |
(1) The amounts requested are only for performance in accordance with the specifications, terms, and conditions of the contract;
(2) Payments to subcontractors and suppliers have been made from previous payments received under the contract, and timely payments will be made from the proceeds of the payment covered by this certification, in accordance with the subcontract agreements and the requirements of chapter 39 of Title 31, United States Code; and
(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.
| SUBCONTRACTORS AND AMOUNT OF CONRACT | ||||||||
| SUBCONTRACTORS | WORK | |||||||
| ELEMENT | CONTRACT AMOUNT | AMOUNT PAID | ||||||
| TO DATE | AMOUNT TO BE PAID THIS PERIOD | PERCENTAGE RETAIN | ||||||
| $ - 0 | $ - 0 | $ - 0 | 0.00% | $ - 0 | ||||
| $ - 0 | $ - 0 | $ - 0 | 0.00% | $ - 0 | ||||
| $ - 0 | $ - 0 | $ - 0 | 0.00% | $ - 0 | ||||
| $ - 0 | $ - 0 | $ - 0 | 0.00% | $ - 0 | ||||
| $ - 0 | $ - 0 | $ - 0 | 0.00% | $ - 0 | ||||
| $ - 0 | $ - 0 | $ - 0 | 0.00% | $ - 0 | ||||
| $ - 0 | $ - 0 | $ - 0 | 0.00% | $ - 0 | ||||
| $ - 0 | $ - 0 | $ - 0 | 0.00% | $ - 0 | ||||
| $ - 0 | $ - 0 | $ - 0 | 0.00% | $ - 0 | ||||
| $ - 0 | $ - 0 | $ - 0 | 0.00% | $ - 0 | ||||
| $ - 0 | $ - 0 | $ - 0 | 0.00% | $ - 0 | ||||
| $ - 0 | $ - 0 | $ - 0 | 0.00% | $ - 0 | ||||
| $ - 0 | $ - 0 | $ - 0 | 0.00% | $ - 0 | ||||
| $ - 0 | $ - 0 | $ - 0 | 0.00% | $ - 0 | ||||
| TYPE OR PRINT NAME AND TITLE | SIGNATURE | DATE | ||||||
| NAME / TITLE | 31-Dec-99 | |||||||
| 502 CONS/JBKAD (15 Sep 11) |
File details come from the government source that posted it. Updated .