ENG_FORM_93_-_Pay_Estimate_-_Sample.pdf
PDF 96 KB Posted
- Attached to
- GELBERMAN Dry Docking 2016 Federal contract opportunity
- Solicitation number
- W912BU-16-B-0002
About this file
ENG Form 93 accompanying amendment 0002.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| W912BU-07-G-0006_0011.pdf | ||
| W912BU-16-B-0002_SF1409signed.pdf | ||
| 16B0002-0002.pdf | ||
| 16-B-0002_Amend_0001.pdf | ||
| Drawings_2.zip | ZIP file | |
| Drawings_3.zip | ZIP file | |
| W912BU-16-B-0002_-_Gelberman.pdf | ||
| 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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