Tab_25e_Attach_F_Eng_Form_93.pdf

ENG Form PDF 50 KB Posted

Attached to
Maintenance and Repair to Tie-Back Anchors at DSCC
Solicitation number
SP4702-19-R-0024
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Solicitation SP4702-19-R-0024 Attachment F - Engineering Form 93

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File Revision Posted Attached to
Section J Attachment 6 - ENG Form 93 Instructions_SDVOSB PRAC MATOC 02March2021.pdf Mar 2, 2021 MEGA Service Disabled Veteran Owned Small Business (SDVOSB) Pre-Place Remedial Action Contract (PRAC)
Attachment 6 - Eng_Form_93_2014Mar.pdf 2014 Mooring Eyes Repair & Installation at Dirab & KAA
Appendix_C_Forms-_Eng_Form_93_2014_3_of_7.pdf Same revision and size as this file 2014 Dugway Proving Ground Utah HVAC Unit
Attachment 2-ENG FORM 93.pdf Revision not stated Project: CSC-20049 Water Heater (Solar) Improvements Bldg 11
Attachment 02-ENG FORM 93.pdf Revision not stated Project: CSC-20007 Maintenance & Repair Building 22
Attachment 8-ENG FORM 93.pdf Revision not stated CSC-21501 Maintenance of HVAC, Plumbing and and emergency power supply (EPS) systems
Attachment 6 - ENG Form 93.pdf Revision not stated CSC-20019; DSCC BLDG 27 Boiler Conversion
Attachment 02-ENG FORM 93.pdf Revision not stated Project: CSC-21010 Maintenance & Repair Building 20, FY 21
Attachment 2-ENG FORM 93.pdf Revision not stated Project: CSC-20001 Safety Improvements, FY21
Section J Attachment 5_ENG Form 93 Instructions.pdf Revision not stated Environmental Consulting Services IDIQ MATOC
Attachment 2-ENG FORM 93.pdf Revision not stated Project: CSC-19731 M&R Sanitary Lines SIte Wide
Attachment 2 ENG FORM 93.pdf Revision not stated Project: CSC-20009 Structural wall repairs and paint
AT-2-ENG FORM 93.pdf Revision not stated Installation of Infared Heaters Bldg 43 Defense Supply Center Columbus
Attachment 6 - ENG Form 93.pdf Revision not stated CSC-20013; Gutter and Roof Repair
Attachment 2-ENG FORM 93.pdf Revision not stated CSC-20099 Resurface Playgrounds at Child Development Center
_2_ENG_FORM_93.pdf Revision not stated CSC-19718 Security Enhancements
ENG_FORM_93.pdf Revision not stated CSC-18761 Repair & Seal Floors Building 9 & 30
_2_ENG_FORM_93.pdf Revision not stated CSC-19719 M&R Building 20
AT-2-ENG_FORM_93.pdf Revision not stated Building Renovation and HVAC
_2_ENG_FORM_93.pdf Revision not stated Project: CSC-19723 M&R Pavement
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ENG FORM 93, MAR 2014

REPLACES ENG FORM 93, JAN 2014 AND JUN 2013, AND ENG FORM 93-1, OCT 2013, WHICH ARE OBSOLETE.

Page of

ENG FORM 93, MAR 2014

Page of

US ARMY CORPS OF ENGINEERS

PAYMENT ESTIMATE - CONTRACT PERFORMANCE

For use of this form, see ER 37-1-30; the proponent agency is CERM-FC.

9. PERIOD COVERED BY THIS ESTIMATE (YYYYMMDD)

FROM

THRU

12.

a

b. CONTRACT

c. TOTAL TO DATE

ITEM

NUMBER

DESCRIPTION

(1)

QUANTITY AND UNIT

(2)

UNIT PRICE

(3)

AMOUNT

(1)

QUANTITY AND UNIT

(2)

AMOUNT

d. INCLUDES MODIFICATION THRU (YYYYMMDD):

e. TOTAL CONTRACT >

f. TOTAL EARNINGS TO DATE >

13. PRESENTED FOR PAYMENT

14. APPROVED FOR PAYMENT

I CERTIFY THAT I HAVE CHECKED THE QUANTITIES COVERED BY THIS BILL OR ESTIMATE; THAT THE WORK WAS ACTUALLY PERFORMED; AND THE QUANTITIES ARE CORRECT AND CONSISTENT WITH ALL PREVIOUS COMPUTATIONS AS ACTUALLY CHECKED; THAT THE QUANTITIES AND AMOUNTS ARE WHOLLY CONSISTENT WITH THE REQUIREMENTS OF THE CONTRACT OR OTHER INSTRUMENT INVOLVED.

16a. PREVIOUS DEDUCTIONS OTHER THAN RETAINED PERCENTAGE** (**Page 2)

b. PREVIOUS RETAINED PERCENTAGE

c. PREVIOUS PAYMENTS

d. PREVIOUS EARNINGS (a+b+c)

e. EARNINGS THIS PERIOD (Total Earnings to date minus d)

f. LESS RETAINED PERCENTAGE

h. TOTAL DEDUCTIONS FOR THIS PERIOD (f + g)

g. LESS DEDUCTIONS OTHER THAN

RETAINED PERCENTAGE FOR

i. RETAINAGE REFUNDED

j. OTHER REFUNDS

k. TOTAL REFUNDS THIS PERIOD (i + j) SECTION 16 (Continuation)

l. AMOUNT DUE CONTRACTOR (e-h+k)

17. RECAPITULATION:

a. TOTAL RETAINED PCTG. (b + f - i)

b. TOTAL PAID (c + l) 2.0 mark.a.cooper@usace.army.mil 2014-03-25 Form Design Team CEIT-OPI ENG FORM 93 Payment Estimate Contract Performance JUN 2013 Mark Cooper/Darwin Chen ENG FORM 93 Payment Estimate Contract Performance JUN 2013 2014-03-25

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