Project:
|
P.C. for works done up to:
|
|||||||
Contractor's Payment Request Date:
|
||||||||
Employer's Received Date:
|
||||||||
INTERIM
PAYMENT CERTIFICATE #
|
Payment Due Date:
|
|||||||
Planned % of work progress:
|
||||||||
Actual % of works progress:
|
||||||||
Contract Price :
|
AED
|
Duration:
|
||||||
Less Provisional Sums / Day work :
|
AED
|
Commencement date:
|
||||||
AED
|
Completion Date:
|
|||||||
Variations ( Add - Less ) :
|
AED
|
Extension of Time:
|
||||||
Claims :
|
AED
|
Extended Completion Date:
|
||||||
Adjustment :
|
AED
|
Performance Bond Amount:
|
||||||
Day work :
|
AED
|
Expiry Date:
|
||||||
Revised Contract Price :
|
AED
|
Issuing Bank:
|
||||||
In accordance with the Conditions
of Contract, ######Consult hereby certifies the payment of (AED
xxxxxxxxxxxxxxxxxxxxxx) to the
Contractor M/s XXXXXXXXXXX as per the
following details :
|
||||||||
Gross Value Of Work Done &
Material on Site :
|
||||||||
Value of executed works ( Appendix
- I )
|
AED
|
|||||||
Preliminaries ( Appendix - II )
|
AED
|
|||||||
Material on site ( Appendix - III
)
|
AED
|
|||||||
Variations ( Appendix - IV )
|
AED
|
|||||||
A
- Total Gross Value
|
AED
|
|||||||
Payments :
|
||||||||
Advance Payment Received
|
AED
|
|||||||
Additional Payment due to approved
Extension of Time
|
AED
|
|||||||
Other Payments (if any)
|
AED
|
|||||||
B
- Total Gross Value
|
AED
|
|||||||
Deductions :
|
||||||||
Retention
|
AED
|
|||||||
Recovery of Advance Payment
|
AED
|
|||||||
Other Deductions ( if any )
|
AED
|
|||||||
C
- Total Deductions
|
AED
|
|||||||
Total ( A + B - C )
|
AED
|
|||||||
Less : Previous Payments Certified
( Appendix - V )
|
AED
|
|||||||
Net Amount Certified for Payment :
|
AED
|
|||||||
The Engineer :
Stamp Signature Date |
||||||||
Employer's
Adjustment / Action
|
||||||||
Employer's Adjustment - Addition /
Deduction
|
AED
|
|||||||
Total Amount Due For Payment
|
AED
|
|||||||
The Employer :
Signature Date |
||||||||
Hindi & other language Love story,Romantic story ,Pepper Document with New Project related for easily Changed any Language
INTERIM PAYMENT CERTIFICATE
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