Payment Certificate for Contractor Example [Edit & Download]
Project Information:
- Project Name: Gateway Plaza Redevelopment
- Location: 77 Revival Rd., Uptown, New State
- Contract Number: GP-2025-311
Contractor Information:
- Contractor Name: Vertex Builders LLC
- Address: 908 Industrial Parkway, Suite 500, New State, NS 50123
- Contact Details: Richard Nolan, Project Director, (777) 890-5566
Certificate Number:
- PC-2025-033
Period of Work:
- From: March 1, 2025
- To: March 31, 2025
Description of Work Performed:
- Task 1: Installation of underground utilities and sewer lines across the north section of the site.
- Task 2: Construction of the main lobby and parking structure up to the third level.
- Task 3: Implementation of eco-friendly roofing systems on building A.
Certified Progress:
- Work Certified This Period: 95% completion of scheduled tasks.
- Cumulative Work Certified: 45% of total project work.
Amount Due:
- Total Contract Value: $3,500,000
- Work Done This Period Value: $400,000
- Previous Certificates Total: $1,350,000
- Current Certificate Amount: $400,000
- Retention (5%): $20,000
- Net Amount Due This Period: $380,000
- Notes: Amount reflects adjustments for material cost increases and penalties for one-week delay due to unforeseen weather conditions.
Certifier Details:
- Certifier: Sarah Kim, Lead Contract Administrator
- Signature: [Signature Sarah Kim]
Date of Issue:
- Issued on: April 5, 2025
Additional Information:
- Remarks: The contractor has adhered to all safety and environmental regulations. The delay caused by weather has been noted and accepted as a non-penalizable delay. All work inspected complies with the architectural plans and specifications laid out in the contract.
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Payment Certificate for Contractor Example [Edit & Download]
Project Information:
Project Name: Gateway Plaza Redevelopment
Location: 77 Revival Rd., Uptown, New State
Contract Number: GP-2025-311
Contractor Information:
Contractor Name: Vertex Builders LLC
Address: 908 Industrial Parkway, Suite 500, New State, NS 50123
Contact Details: Richard Nolan, Project Director, (777) 890-5566
Certificate Number:
PC-2025-033
Period of Work:
From: March 1, 2025
To: March 31, 2025
Description of Work Performed:
Task 1: Installation of underground utilities and sewer lines across the north section of the site.
Task 2: Construction of the main lobby and parking structure up to the third level.
Task 3: Implementation of eco-friendly roofing systems on building A.
Certified Progress:
Work Certified This Period: 95% completion of scheduled tasks.
Cumulative Work Certified: 45% of total project work.
Amount Due:
Total Contract Value: $3,500,000
Work Done This Period Value: $400,000
Previous Certificates Total: $1,350,000
Current Certificate Amount: $400,000
Retention (5%): $20,000
Net Amount Due This Period: $380,000
Notes: Amount reflects adjustments for material cost increases and penalties for one-week delay due to unforeseen weather conditions.
Certifier Details:
Certifier: Sarah Kim, Lead Contract Administrator
Signature: [Signature Sarah Kim]
Date of Issue:
Issued on: April 5, 2025
Additional Information:
Remarks: The contractor has adhered to all safety and environmental regulations. The delay caused by weather has been noted and accepted as a non-penalizable delay. All work inspected complies with the architectural plans and specifications laid out in the contract.