HomeMy WebLinkAboutCORRESPONDENCE - GENERAL CORRESPONDENCE - VERTICALAPPLICATION FOR PAYMENT
PROJECT:
PAY ESTIMATE NO:
DATE:
CONTRACTOR:
ADDRESS:
CONTRACT FOR:
PARTIAL TO
The undersigned Contractor certifies that to
the best of his knowledge, information and
belief the work covered by this application
for Payment has been completed in
accordance with the Contract Documents,
that all accounts have been paid by him for
Work for which previous Certificates for
Payment were issued and payments
received, in this current payment shown
herein is now due.
CONTRACTOR:
IZiT.r3
FINAL TO
In accordance with the Contract Documents,
based on site observations and the data
comprising the above application, the
Architects Certifies to the Owner that the
Work has progressed to the point indicated;
that the best of his knowledge, information
and belief, the quality of the Work is in
accordance with the Contract Documents,
and that the Contractor is entitled to payment
of the AMOUNT CERTIFIED.
ENGINEER:
Application is made for Payment, as shown below, in connection with the Contract. Schedule of Values is
attached.
The present status of the account for this Contract is as follows:
ORIGINAL CONTRACT AMOUNT
APPROVED CHANGE ORDERS TO DATE
ADJUSTED CONTRACT AMOUNT
TOTAL WORK COMPLETED AND MATERIALS USED
RETAINAGE (10% OF TOTAL)
TOTAL EARNED LESS RETAINAGE
LIQUIDATED DAMAGES WITHHELD
TOTAL EARNED LESS LIQUIDATED DAMAGES
LESS PREVIOUS PAYMENTS
CURRENT PAYMENT DUE
APPROVED BY:
(Title)
cc: Accounting City Clerk
Contractor Engineer
Project File
DATE:
DATE OF ISSUANCE
OWNER
CONTRACTOR
Contract:
Project:
OWNER's Contract No.
WORK CHANGE DIRECTIVE
No.
EFFECTIVE DATE
ENGINEER's Project No.
You are directed to proceed promptly with the following change(s):
Description:
Purpose of Work Change Directive:
Attachments: (List documents supporting change)
If OWNER or CONTRACTOR believe that the above change has affected Contract Price any Claim for a
Change Order based thereon will involve one or more of the following methods as defined in the
Contract Documents.
Method of determining change in
Contract Price:
Unit Prices
Lump Sum
Cost of the Work
Estimated increase (decrease) in Contract Price: Estimated increase (decrease) in Contract
$ Times:
If the change involves an increase, the estimated Substantial Completion: days;
amount is not to be exceeded without further Ready for final payment: days.
authorization.
RECOMMENDED: AUTHORIZED:
ENGINEER OWNER.
By: By:
EJCDC No. 1910-8-F (1996 Edition)
Meprred by the Engineers Mint Contract 0ocuments'Committee and endorsed by The Associated General Contractors. of America and the. Construction Specifications
Inginde.
WORK CHANGE DIRECTIVE
INSTRUCTIONS
A. GENERAL INFORMATION
This document was developed for use in situations involving changes in the Work which, if not processed
expeditiously, might delay the Project. These changes are often initiated in the field and may affect the
Contract Price or the Contract Times. This is not a Change Order, but only a directive to proceed with Work
that may be included in a subsequent Change Order.
For suppleni euta I instructions and minor changes not involving a change in the Contract Price or the Conti -act
Times a Field Order should be used,
& COMPLETING TUF WORK CHANGE DIRECTIVE FORM
Engineer initiates the form, including a description or the items involved and attachments.
Based on conversations between Engineer and Contractor, Engineer completes the following:
METHOD 017 DETERMINING CHANGE, IF ANY, IN CONTRACT PRICE: Mark the method to
Ere used in determining the final cost of Work involved and the estimated net effect on the Contract
Price. If the change involves an increase in the Contract Price and the estimated amount is
approached before the additional or changed Work is completed, another Work Change Directive
must be issued to change the estimated price or Contractor may stop the changed Work when the
estimated time is reached. If the Work Change Directive is not likely to change the Contract Price,
the space for estimated increase (decrease) should be marked "Not Applicable".
Once E ugineer has completed and signed the form, all, copies should be sent to Owner for authorization
bemuse Engineer alone does no( have authority to authorize changes in Price or Times. Once authorized
by Owner, a copy should be sent by Engineer to Contractor. Price and Times may only be changed by
Change Order signed by Owner and Contractor with Engineer's recommendation.
Paragraph 10.03 -A-2 of the General Conditions requires that a Change Order be initiated and processed to
cover• any undisputed sum or amount of time for Work actually performed pursuant to this Work Change
Directive.
Once the Work covered by*tbis directive is completed or final cost and times are determined, Contractor
should submit documentation for inclusion in a Change Order.
THIS IS A DIRECTIVE TO PROCEED WITH A CHANGE THAT MAY AFFECT THE CONTRACT
PRICE OR CONTRACT11MES. A CHANGE ORDER, IF ANY, SHOULD BE CONSIDEMD
PROMPTLY.
W
Advancement
of Construction
Technology REQUEST FOR
INTERPRETATION
Project: R.F.I. Number:
From:
To: Date:
A/E Project Number:
Re: Contract For:
Specification Section: Paragraph: Drawing Reference: Detail:
Request:
Signed by: Date:
Response:
❑ Attachments
Response From: To: Date Rec'd: Date Ret0d:
Signed by: Date:
Copies: ❑ Owner ❑ Consultants ❑ ❑ ❑ ❑ ❑ File
Copyright 1994, Construction Specifications Institute, Page of July 1994
99 Canal Center Plaza, Suite 300 Alexandria, VA 22314 CS] Form 13.2A
Advancement
of Construction
Technology CLARIFICATION
NOTICE
Project: Clarification Notice Number:
To:
From:
Date:
A/E Project Number:
Re: ContractFor:
This Clarification Notice is issued for the purpose of clarifying the Contract Documents based on an interpretation reasonably inferable
from the Contract Documents, and therefore has no effect on the Contract Sum or Contract Time. Proceeding with Work in accordance
with this Clarification Notice indicates acceptance with no change in the Contract Sum or Contract Time.
Specification Section:
Description:
Paragraph:
Drawing Reference:
Detail:
❑ Attachments
Signed by: Date:
Copies: ❑ Owner ❑ Consultants ❑
Copyright 1994, Construction Specifications Institute,
99 Canal Center Plaza, Suite 300 Alexandria, VA
22314
_ ❑ Cl ❑ ❑ File
Page of July 1994
CSI Form 13.3A
Advancement
of ConstructionrV 7�
Technology - FIELD
Project:
Field Order Number:
From:
To: Date.
A/E Project Number:
Re: Contract For:
You are hereby directed to execute promptly this Field Order which interprets the Contract Documents or orders minor changes in the
Work without change in Contract Sum or Contract Time.
If you consider that a change in Contract Sum or Contract Time is required, submit a Change Order Request to the A/E immediately and
prior to proceeding with this Work.
Specification Section: Paragraph: Drawing Reference: Detail:
Description of Interpretation or Change:
❑ Attachments
Signed by:
Date:
Copies: ❑ Owner ❑ Consultants ❑ ❑ ❑ ❑ ❑ File
Copyright 1994, Construction Specification Institute, Page of July 1994
99 Canal Center Plaza, Suite 300 Alexandria, VA 22314 CSI Form 13.4A