Appendix_C_Forms-_Eng_Form_93_2014_3_of_7.pdf
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- Dugway Proving Ground Utah HVAC Unit Federal contract opportunity
- Solicitation number
- W911S619B0002
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Appendix C Forms- Eng_Form_93_2014 3 of 7
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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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