ENG_FORM_93_-_Pay_Estimate_-_Sample.pdf

ENG Form PDF 96 KB Posted

Attached to
GELBERMAN Dry Docking 2016
Solicitation number
W912BU-16-B-0002
Issued by

About this file

ENG Form 93 accompanying amendment 0002.

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Other versions and copies of ENG Form 93

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
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
Tab_25e_Attach_F_Eng_Form_93.pdf Revision not stated Maintenance and Repair to Tie-Back Anchors at DSCC
_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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Who attaches ENG Form 93

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File Type Posted
W912BU-07-G-0006_0011.pdf PDF
W912BU-16-B-0002_SF1409signed.pdf PDF
16B0002-0002.pdf PDF
16-B-0002_Amend_0001.pdf PDF
Drawings_3.zip ZIP file
W912BU-16-B-0002_-_Gelberman.pdf PDF
Drawings_2.zip ZIP file
Drawings_1.zip ZIP file

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Text version

2. CONTRACTOR AND ADDRESS:

8. LOCATION

10. JOB ORDER NO. 11. ESTIMATE NO.

FROM : THRU:

QUANTITY AND UNIT UNIT PRICE AMOUNT QUANTITY AND UNIT AMOUNT

a c d e f g

100% $0.00 100% $0.00 100% $0.00 100% $0.00 100% $0.00 100% $0.00 100% $0.00 100% $0.00 100% $0.00 100% $0.00 100% $0.00

INCLUDES MODIFICATIONS THROUGH TOTAL CONTRACT TOTAL EARNINGS TO DATE

PAYEE

B. PREVIOUS RETAINED PERCENTAGE $0.00

$0.00

. $0.00 DATE: Vice-President

$0.00

RETAINED PERCENTAGE FOR

$0.00

$0.00 $0.00

$0.00 $0.00

TOTALRETAINED PCTG. (B+F-I) $ TOTAL PAID (C+L) $0.00

ENG FORM 93 PREVIOUS EDITION OF THIS FORMIS OBSOLETE

14. A. PREVIOUS DEDUCTIONS OTHER THAN

$0.00

$0.00

C. PREVIOUS PAYMENTS

D. PREVIOUS EARNINGS (A+B+C)

E. EARNINGS THIS PERIOD (TOTAL

EARNINGS TO DATE MINUS D)

$0.00

H. TOTAL DEDUCTION THIS PERIOD (F+G)

I. RETAINED REFUND

F. LESS RETAINED PERCENTAGE

G. LESS DEDUCTION OTHER THAN

SIGNATURE TITLE DATE

PER

DESCRIPTION

13. APPROVED FOR PAYMENT

I CERTIFY that I have checked the quantities covered by this bill or estimate: that the work was actually peformed; that the quantities are correct amd 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.

ITEM NO.

b

12. PRESENTED FOR PAYMENT

CONTRACTING OFFICER APPROVAL (Signature) DATE

L. AMOUNT DUE CONTRACTOR (E-H+K)

15. RECAPITULATION:

J. OTHER REFUNDS

K. TOTAL REFUNDS THIS PERIOD

6. APPROPRIATION AND PROJECT

3. CONTRACT NO.

5. DESCRIPTION OF WORK

4. DISTRICT

7. REQUIRED COMPLETION DATE

9. PERIOD COVERED BY THIS ESTIMATE

RETAINED PERCENTAGE

CONTRACT TOTAL TO DATE

PAYMENT ESTIMATE - CONTRACT PERFROMANCE

For use of this form, see ER 37-2-10 and ER 37-345-10

1. DATE

SHEET 1 of 4

SHEET OF

FROM THRU

(2)

UNIT PRICE

f. TOTAL EARNINGS >

TO DATE THIS PAGE 0

ENG FORM 93‐1, MAY 2013 REPLACES ENG FORM 93A, 1 MAR 1975, WHICH IS OBSOLETE. VERSION 1.3

d. INCLUDES MODIFICATION THRU (YYYYMMDD)

US ARMY CORPS OF ENGINEERS

PAYMENT ESTIMATE ‐ CONTRACT PERFORMANCE (Continuation)

For use of this form, see ER 37‐11‐30; the proponent agency is CERM‐FC

e. TOTAL CONTRACT THIS PAGE > c.

TOTAL TO DATE

(2)

AMOUNT

1. CONTRACT NUMBER

(1)

QUANTITY AND UNIT

DATE (YYYYMMDD)

4. PERIOD COVERED BY THIS ESTIMATE (YYYYMMDD)

(3)

AMOUNT

CONTRATOR AND ADDRESS

(1)

QUANTITY AND UNIT

5.

ITEM

NUMBER

b.

CONTRACTa.

DESCRIPTION

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