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PAYMENT CHECKLIST

______ % COMPLETE

FACILITY: ________________________________________________________
PROJECT: ________________________________________________________
PROJECT. NO: __________ CONTRACT NO: ________
PAYMENT NO: ____________ AMOUNT OF PAYMENT: $_______________
CONTRACTOR: ________________________________________________________

PAYMENT CHECKLIST:

PROGRESS PAYMENTS:

PAYROLL CERTIFICATION FORM OF PRIME
PAYROLL CERTIFICATION FORM OF SUBS
PAYROLL REPORT FORM OR PAYROLL RECORD
MONTHLY CONTRACTORS COMPLIANCE REPORT
OTHER: _________________________________

REDUCTION IN RETAINAGE: (Cannot be reduced below 2X uncompleted work)

RECOMMENDATION MEMO W/CONCURRENCE
(To include assessment on status of Punchlist items, outstanding CO's, as-builts, warranties)
CONTRACTOR LETTER/REQUEST W/ESTIMATE
PAYROLL & OSHA CERTIFICATION FORM OF PRIME
PAYROLL & OSHA CERTIFICATION FORM OF SUBS
PAYROLL REPORT FORM OR PAYROLL RECORD
MONTHLY CONTRACTORS COMPLIANCE REPORT
OTHER: ___________________________________

MATERIAL STORED OFF SITE:

PAYROLL & OSHA CERTIFICATION FORM OF PRIME
PAYROLL & OSHA CERTIFICATION FORM OF SUBS
PAYROLL REPORT FORM OR PAYROLL RECORD
MONTHLY CONTRACTORS COMPLIANCE REPORT
AGREEMENT FOR MATERIALS STORED OFF SITE
INSURANCE POLICY FOR STORED MATERIALS
OTHER: ____________________________________

FINAL PAYMENT:

NOTIFICATION OF CONSTRUCTION COMPLETION
RELEASE OF CLAIM & CONSENT OF SURETY FORMS
CONTRACTOR EVALUATION
A/E/C EVALUATION
COMMITMENT CLOSEOUT CHECKLIST
PUNCHLIST ITEMS COMPLETED
CHANGE ORDERS APPROVED
PAYROLL & OSHA CERTIFICATION FORM OF PRIME
PAYROLL & OSHA CERTIFICATION FORM OF SUBS
PAYROLL REPORT FORM OR PAYROLL RECORD
CODE COMPLIANCE CERTIFICATE OR APPLICATION
OOP VERIFICATION - CLOSE-OUT AUDIT COMPLETE
OTHER: ______________________________________