Attachment_D_Price_Schedule_Certification_for_Payment.pdf

PDF 42 KB Posted

Attached to
USGS FLAGPOLE LIGHTING INSTALLATION Federal contract opportunity
Solicitation number
140G0126R0006
Issued by
Department of the Interior US Geological Survey Office of Acquisitions and Grants

About this file

This is a Certification for Payment form that must be submitted with all invoices under a federal contract. The certifying party attests to three key requirements: (1) all amounts requested are solely for performance in accordance with the contract's specifications, terms, and conditions; (2) payments to subcontractors and suppliers have been made from previous payments received under the contract, with timely future payments guaranteed in compliance with subcontract agreements and Chapter 39 of Title 31, United States Code; and (3) the progress payment request excludes any amounts the prime contractor intends to withhold or retain from subcontractors or suppliers according to subcontract terms and conditions.

The form requires completion of signature, name, title, company name, date, and purchase order number fields. This certification ensures payment integrity and compliance with federal flow-down requirements for subcontractor payments in federal contracting relationships.

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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 .