Attachment_D_Price_Schedule_Certification_for_Payment.pdf

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Attached to
Storm Water Retention Pond Rehabilitation - USGS N
Solicitation number
140G0125Q0221
Issued by

About this file

The document is a Certification for Payment form that must be submitted with all invoices. The form requires the signatory to certify three key points: (1) the amounts requested are only for performance in accordance with contract specifications, terms, and conditions; (2) payments to subcontractors and suppliers have been made from previous payments received, and timely payments will continue in accordance with subcontract agreements and Title 31, Chapter 39 of the United States Code; and (3) the progress payment request does not include any amounts the prime contractor intends to withhold from subcontractors or suppliers per subcontract terms. The form includes blank lines for signature, name, title, company name, date, and purchase order number to be completed by the submitting party.

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Text version

Signature:

Name:
Title:
Company Name:
Date:
Purchase Order No:

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