Attachment J-0200000-04 NAVFAC 4330 INVOICE FORM.xlsx

XLSX spreadsheet 114 KB Posted Sep 21, 2026

Attached to: NAVAL RESEARCH LABORATORY (NRL) FACILITY SUPPORT SERVICES (FSS)
Solicitation number: N4008027R1001
Issued by: Department of the Navy Naval Facilities Engineering Command

About this file

Written by GovTribe AI · Sep 21, 2026

This file is an instructions document and template for the NAVFAC 4330 Invoice Form, used by contractors to submit invoices and payment vouchers for naval construction contracts. The form comprises four integrated worksheets: Schedule of Prices, Estimate for Voucher, Retentions Summary, and Contractor's Invoice, all protected with the password "password" to prevent unauthorized modifications of calculated fields.

The Schedule of Prices worksheet requires contractors to identify the activity and location (the Navy or government agency), contract title and site location, and contractor information, with signature authorization from a company official with financial and legal authority. Contractors must list line items with field-measurable quantities (using units such as linear feet, square feet, or cubic yards) and separate material and labor unit costs; lump sum quantities should be avoided as they permit payment only upon 100% completion. The Estimate for Voucher worksheet tracks work-in-place quantities comparing previous and current reporting periods, automatically calculating percentage completion and dollar values; contractors must indicate modification numbers and subcontractor retentions. The Retentions Summary worksheet documents amounts withheld from subcontractors and suppliers with justification narratives. The Contractor's Invoice worksheet compiles data from the preceding worksheets and requires certification under FAR 52.232-5 regarding payment accuracy, timely subcontractor payments, and compliance with contract specifications, with signatures from authorized company officials and the project Quality Control Manager. Instructions emphasize sequential invoice numbering, single-line corrections with initials rather than erasures, and consultation with the Contracting Officer regarding material-only payments or bond premium line items.

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Instructions

INSTRUCTIONS FOR COMPLETING
SCHEDULE OF PRICES, ESTIMATE FOR VOUCHER, RETENTIONS SUMMARY, AND CONTRACTOR'S INVOICE
1.	Print out these instructions first, then follow them in completing the worksheets.
Schedule of Prices
2.	The Schedule of Prices worksheet is password-protected. Cells shaded light yellow allow data to be inputted. All other cells (unshaded) are protected against modification. If revisions are necessary to any of the worksheets, the password to unprotect each worksheet is "password".
3.	Click on the Schedule of Prices worksheet tab to begin.
4.	Complete blocks no. 1, 2, and 3 in PART I.
5.	Block no. 1, the ACTIVITY AND LOCATION, should indicate the actual Navy or other Government agency which will ultimately use the construction. Generally, the appropriate agency name can be found in the main contract title. For instance, "Naval Station Pearl Harbor", "Naval Shipyard Pearl Harbor", "Fleet Industrial Supply Center Pearl Harbor", etc.
6.	Block no. 2, the TITLE OF CONTRACT AND SITE LOCATION is self-explanatory and can be easily identified from the contract plans or specification documents.
7.	Block no. 3, the NAME AND ADDRESS OF CONTRACTOR, is also self-explanatory.
8.	A company official (one who can commit the contractor financially and legally) shall sign the Schedule of Prices in Block no. 4. Indicate the signer's title or position as well.
9.	Do not complete blocks no. 1 thru 11 in PART II.
10.	Remember these basic "rules":
	a. If you wish to be paid for your bond premiums separately, identify it as a separate line item and indicate the actual cost of the bond premium unburdened by profit, overhead, taxes, etc.
	b. If you wish to be paid for materials delivered to the site or at another secured location, discuss this with the Contracting Officer first. On nearly all Government contracts, permission to be paid for materials only (when not yet physically incorporated into the construction) can be granted, but only at the sole discretion of the Contracting Officer. If you obtained approval to invoice for materials only, you should separately list these in the Schedule of Prices unburdened by profit, overhead, etc.; however, sales taxes and delivery charges can be included. Often, the amount you "schedule" will not reflect the final total of your material "invoices". If your schedule exceeds invoice totals, the remainder can not be paid until final payment. If your schedule is less than invoice totals, only the scheduled amount will be paid. If you wish to correct these at any time, submit a revised Schedule of Prices for approval.
	c. Avoid using the quantity unit "LUMP SUM", "ONE JOB", or any other singular quantity unit. If you include such line items, you may not request partial payment for that item. Singular quantity items will be paid for when that item is 100% compete.
	d. For scheduled items, use quantities and units that enable the Government Construction Representative to physically measure progress such as "LINEAR FEET", "SQUARE FEET", "CUBIC YARDS", etc. This will allow for actual measuring of work quantities in place which in turn will permit your obtaining progress payments for partial completions.
	e. It is not necessary to revise your original Schedule of Prices whenever a contract modification is issued. List all Modifications on the bottom of the Estimate for Voucher worksheet. Enter the labor and material costs for each mod. Mods listed as Lump Sums or Each will only be paid when the Mod is 100% complete.
11.	Indicate line item numbers in block 12a using any convention you are comfortable with. Some firms will indicate spec section numbers in the line item number identification. Others use a simple 1-2-3 sequence.
12.	Provide a brief description of the work in block 12b for each item. Keep it concise, preferably not exceeding one line's space.
13.	Indicate field-measurable quantities in block 12c. You may approximate these quantities and round them as you feel necessary. Avoid extreme precision such as hundredths of a foot, etc. Identify the quantity unit such as "LF", "CY", "SF", EA", etc.
14.	Identify material unit cost and labor unit cost in blocks no. 12d and 12e respectively. You may use any degree of precision you see fit. The total material COST, total labor COST, and TOTAL COST for each line item will be computed automatically.
15.	The worksheet will automatically provide totals at the bottom of the sheet.
16.	If you need additionl pages (this is common-place), you may insert rows in the worksheets as necessary. Doing so should not affect the built in formulas, but pay close attention just in case.
Estimate for Voucher
17.	The Estimate for Voucher worksheet is password-protected. Password is "password". Cells shaded light yellow are for Contractor's input. All other cells (unshaded) are protected against modification. You must complete the Schedule of Prices before you work on the Estimate for Voucher.
18.	Click on the Estimate for Voucher worksheet tab to begin.
19.	Provide the date for which the invoicing period ends.
20.	In the Work-In-Place columns, provide the previous report WIP quantities and this report (current) WIP quantities. The to date (total) WIP quantities and percentage complete will be automatically computed. Also, the total dollar-value of WIP will be automatically computed and carried over onto your invoice worksheet.
21.	In the appropriate yellow boxes, indicate the modification ID numbers through which the invoice considers. For instance if 8 mods have been incorporated, input "1" and "8" in the boxes.
22.	Indicate the total amount you are withholding (retention) from your subcontractors and suppliers. You must summarize your retentions in the Retentions Summary worksheet. Indicate the amount of previous payments in the appropriate yellow box near the bottom of the form. Please use the amount you were paid subject to Government-held retentions and adjustments.
23.	If you need more than one page (this is common-place), you can insert additional rows. Formulas should adjust accordingly, but double check to be sure.
Summary of Retention on SubContractors by Prime Contractor
24.	The Retentions Summary worksheet is password-protected. Password is "password". Cells shaded light yellow are for Contractor's input. All other cells (unshaded) are protected against modification. This sheet does not rely upon completion of other worksheets. You must complete the Schedule of Prices before you work on the Contractor's Invoice.
25.	Click on the Retentions Summary worksheet tab to begin.
26.	List individual subcontractors and suppliers from whom you are withholding payment retentions.
27.	Indicate the amount of each subcontractor's or supplier's invoice and the amount being retained. The retentions total will be carried over automatically onto your invoice worksheet. Include the release of any subcontractor retainage on a separate line as a positive value on this worksheet. The total at the bottom on the worksheet should be an indication of the total subcontractor retainage currently being withheld.
28.	Provide brief narrative reason for each retention (e.g. "Late payrolls", "Subcontract agreement", "Purchase Order agreement", etc.).
Contractor's Invoice
29.	The Contractor's Invoice worksheet is password-protected. Cells shaded light yellow are for Contractor's input. All other cells (unshaded) are protected against modification. You must complete the Schedule of Prices before you work on the Contractor's Invoice.
30.	Click on the Contractor's Invoice worksheet tab to begin.
31.	Provide the date of the invoice.
32.	Provide the invoice number (MUST be sequential).
33.	Some data will be automatically shown from the completed Schedule of Prices and Estimate for Voucher, and Retentions Summary worksheets.
34.	Insert the amount of governemnt retainage to be released this invoice if applicable. Amount should be based on prior agreement with governemnt representative.
35.	Do NOT manually erase, use "white-out", or otherwise manually correct any entries from a hard-copy printout of the Invoice. If manual corrections become necessary, simply draw a single line through the entry and have the authorized Contractor employee initial (acknowledge) the correction.
36.	Provide the title of your company official signing the invoice. This person must be a company owner, corporate officer, or someone authorized to sign the invoice on behalf of the Contractor.
37.	Provide the name and title of your company official certifying the invoice pursuant to contract clause FAR 52.232-5. This person must be a company owner, corporate officer, or someone authorized to certify the invoice on behalf of the Contractor.
38.	Provide the name of your QC Manager certifying the payment pursuant to contract specification section 01200. This person must be the project QC Manager.
39.	Print out the invoice form and have it signed by an authorized Contractor employee.
40.	GOOD LUCK! If you have any questions, please contact your Contracting Officer!

Schedule of Prices

SCHEDULE OF PRICES (CONSTRUCTION CONTRACT)

NAVFAC 4330/4 (REV. Dec 2012)

with rounding

PART I (To be completed by contractor)

1. ACTIVITY AND LOCATION

2. TITLE OF CONTRACT AND SITE LOCATION

3. NAME AND ADDRESS OF CONTRACTOR

4. SIGNATURE AND TITLE OF CONTRACTOR'S AGENT

PART II (To be completed by ROICC)
1. CONTRACT NO.	2. DATE OF CONTRACT	3. CONTRACT PRICE	4. 2ND LOW BID	5. HIGH BID

7. ALLOTMENT OR ALLOCATION NO. 8. APPROPRIATION TITLE 6. NO. OF BIDDERS

9. TIME FOR COMPLETION (Days) 10. REVIEWED BY DATE 11. APPROVED BY DATE

12a. ITEM NO.	12b. DESCRIPTION OF ITEM	12c. QUANTITIES		12d. MATERIAL COST		12e. LABOR COST		12f. TOTAL COST
		NO. OF UNITS	UNIT	UNIT COST	COST	UNIT COST	COST

SUBTOTAL	- 0	- 0	- 0
BALANCE FORWARD	- 0	- 0	- 0

SUBTOTAL	- 0	- 0	- 0
BALANCE FORWARD	- 0	- 0	- 0

SUBTOTAL	- 0	- 0	- 0
BALANCE FORWARD	- 0	- 0	- 0

TOTAL - 0 - 0 - 0

Estimate for Voucher

ESTIMATE FOR VOUCHER

NAVFAC-4330/54 (Rev Dec 2012)

CONTRACT NO.	ACTIVITY AND LOCATION		CURRENT CONTRACT AMOUNT
0	0		- 0
INSPECTOR	CHECKED BY	APPROVED BY	PERIOD ENDING

FROM SCHEDULE OF PRICES				UNITS OF WORK IN PLACE				TOTAL SCHEDULE COST		TOTAL AMOUNT DUE FOR WIP THIS VOUCHER	TOTAL AMOUNT DUE TO DATE
NO.	ITEM	SCHED QTY	UNIT	PREV VOUCH	THIS VOUCH	TO DATE	%comp	MATERIAL	LABOR
	BASIC CONTRACT
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
	SUBTOTAL							- 0	- 0	- 0	- 0
	BALANCE FORWARD							- 0	- 0	- 0	- 0
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
	SUBTOTAL							- 0	- 0	- 0	- 0
	BALANCE FORWARD							- 0	- 0	- 0	- 0
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
	SUBTOTAL							- 0	- 0	- 0	- 0
	BALANCE FORWARD							- 0	- 0	- 0	- 0
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
0	0	0	0			0	0%
	BASE CONTRACT TOTAL							- 0	- 0	- 0	- 0
	BALANCE FORWARD							- 0	- 0	- 0	- 0
	MODIFICATIONS
						0	0%
						0	0%
						0	0%
						0	0%
						0	0%
						0	0%
						0	0%
						0	0%
						0	0%
						0	0%
						0	0%
						0	0%
						0	0%
						0	0%
						0	0%
						0	0%
						0	0%
						0	0%
						0	0%
						0	0%
						0	0%
						0	0%
						0	0%
						0	0%
						0	0%
						0	0%
						0	0%
						0	0%
	MODIFICATIONS TOTAL							- 0	- 0	- 0	- 0
			GROSS AMOUNT DUE TO DATE INCLUDING MODIFICATIONS		THRU					$0.00	$0.00

% CONTRACT COMPLETED	LESS: SUBCONTRACTOR RETENTIONS (See Retentions Summary)	0.00
	SUBTOTAL	0.00
PAYMENT NO.	LESS: TOTAL PREVIOUS PAYMENTS
	NET AMOUNT THIS VOUCHER (not including release of gov't held retention if applicable)	0.00

Retentions Summary

SUMMARY OF RETENTION ON SUBCONTRACTORS BY PRIME CONTRACTOR

NAVFAC 4330/54A (Dec 2012)

CONTRACT NO.		ACTIVITY AND LOCATION		GROSS AMOUNT DUE
0		0		$0.00
INSPECTOR		CHECKED BY	APPROVED BY	PERIOD ENDING
				31 Dec 99
	SUBCONTRACTOR / SUPPLIER NAME	INVOICE AMOUNT	RETENTION AMOUNT	REASON

TOTALS - 0 - 0

Contractor's Invoice

NAVAL FACILITIES ENGINEERING COMMAND

CONTRACTOR'S INVOICE

NAVFAC 7300/30 (Dec 2012)

INVOICE DATE

INVOICE NUMBER

FROM:	0
TO:	(Enter FEAD/ROICC Name)

1. Below is a Statement of Performance under Contract	0	at (Station)	0
The enclosure provides breakdown of this statement of performance.

A.	Total value of contract through change	A00000	0.00
B.	Percentage of performance complete
C.	Value of completed performance		$0.00
D.	Less: Retention held from subcontractors and suppliers (if applicable)		$0.00
E.	Less: Total of previous payments		$0.00
F.	Subtotal		$0.00
G.	Release of Government Retention (if applicable)		$0.00
H.	Amount of this invoice		$0.00

		Signature	Title
CONTRACTOR'S CERTIFICATION
52.232-5 PAYMENTS UNDER FIXED-PRICE CONSTRUCTION CONTRACTS (MAY 1997)
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 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.

Signature Date

	Name	Title
(The above certification applies to all contracts awarded on or after 01 April 1989.)

QUALITY CONTROL MANAGER'S CERTIFICATION

I hereby certify that the as-built drawings are current and the work for which payment is requested, including stored material, is in compliance with the contract requirements.

Signature	Date
	Quality Control Manager
Name	Title

Sheet6

File details come from the government source that posted it. Updated Sep 21, 2026.