ELECTRICAL QC WORKS @ RELATED : INTERIM PAYMENT CERTIFICATE

INTERIM PAYMENT CERTIFICATE




INTERIM PAYMENT CERTIFICATE







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


 


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