PAYMENT_ESTIMATE_CHECKLIST(2016).pdf

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Lake County Raw Water Pump Station Mitigation
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W912P418B0022
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29 June 2016

08535.01 LRD - APPENDIX A

PAYMENT ESTIMATE CHECKLIST

Contract Number: Task Order Number:

Contract Title:

Contract Location:

Pay Estimate Number:

Date:

YES NO N/A

Payrolls up to date Verified insurance certificates are current for prime contractor and subcontractors (when required by specification)

Contractor certification is signed and includes all subcontractor info required by FAR 52.232-5(b)(1)(ii thru iv)

Submittal register current

Monthly adverse weather documented and agreed upon per ER 415-1-15

Approved submittals on installed property (if not which one)

Change order finalized

Progress chart up-date furnished

Project on schedule

Weekly safety meeting held and documented

Quality control reports up to date

Deficiency report current

As-built documents current

LEED Monthly Progress Report Updated/Provided

O&M Manuals completed and submitted

Satisfactory safety conditions on-site

Invoice for stored materials

Work-in-place acceptable

Required tests performed, reports received

Progress %

Recommended Earnings

Recommended retainage withheld

Recommended retainage refunded

Recommended payment

Update Contract Status in RMS

REMARKS:

COE QAR SIGNATURE COE PROJECT ENGINEER SIGNATURE

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