Exhibit F - FS Form 94_PAYMENT ESTIMATE - CONTRACT PERFORMANCE.pdf
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- Attached to
- Fort Sill MATOC - Solicitation Federal contract opportunity
- Solicitation number
- W9124L-23-B-0001
About this file
This document is a payment estimate form for a construction contract at Fort Sill, Oklahoma. The form provides payment details for contract line items including quantities, unit prices, and amounts for work completed to date. It specifies the contract is for maintenance, repair, and minor construction affecting real property at Fort Sill, with work categories including demolition, HVAC, civil, structural, mechanical and other general construction disciplines. The total contract value is unspecified on this payment form. The contracting agency is the Department of the Army Materiel Command Mission and Installation Contracting Command at Fort Eustis.
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PREVIOUS EDITIONS ARE OBSOLETE
PAYMENT ESTIMATE - CONTRACT PERFORMANCE
Sheet 1 of 1
7. Location: Fort Sill, Oklahoma
8. Period Covered for this estimate: (YYYYMMDD)
11. Item No.
11a. Description
1. Quantity & Unit 11b. CONTRACT % of job
2. Unit Price
3. Amount
3. Amount
1. Quantity & Unit 11c. TOTAL TO DATE % of job % of job % of job % of job % of job % of job % of job % of job % of job % of job 11d. Includes Modification thru (YYYYMMDD) 11e. TOTAL CONTRACT $ 11f. TOTAL EARNINGS TO DATE $ 100%
12. Presented for payment 14a. Previous deduction other than retained percentage
13. Approved for Payment $ I hereby certify that the above request is in accordance Federal Acquisition Regulation Clause 52.232-5 as incorporated into subject contract.
I certify that I have checked the quantities covered by this estimate; that the work was actually performed; and the quantities are correct; that the quantities and amounts are wholly consistent with the requirements of the contract or other instruments involved.
14b. previous retained %
15. Contracting Officer Approval Signature 14g. Amount Due Contractor this pay estimate 14f. Total other deductions 14e. Earnings this Period (Total earnings TD to date minus d) 14d. Total previous earnings (a+b+c) 14c. previous payments % of job % of job
DIRECTORATEOF PUBLIC WORKS
FS FORM 94, MAY 2016
PAYMENT ESTIMATE - CONTRACT PERFORMANCE
CONTINUATION SHEET
of
16. Amount
15. Quantity & Unit
14. Amount
13. Unit Price
12. Quantity & Unit
11. Description
10. Item No.
DIRECTORATEOF PUBLIC WORKS
FS FORM 94, MAY 2016
10.0.2.20120224.1.869952.867557
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File details come from the government source that posted it. Updated .