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  • Certificateforpayment.doc - Roseville Ca

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APPLICATION AND CERTIFICATE FOR PAYMENT TO (OWNER): DOCUMENT G702 APPLICATION NO.: PERIOD TO: FROM (CONTRACTOR): KA# CONTRACT FOR: CONTRACT DATE: CHANGE ORDER SUMMARY ADDITIONS PAGES Distribution.

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How to fill out the CertificateforPayment.doc - Roseville Ca online

Filling out the Certificate for Payment form is an essential step in the payment process for contractors and owners. This guide provides a clear and supportive overview of how to accurately complete this document online.

Follow the steps to complete the Certificate for Payment form online.

  1. Click the ‘Get Form’ button to access the Certificate for Payment document online.
  2. In the ‘TO’ section, enter the name of the owner to whom the application is being submitted. This ensures proper identification and communication regarding the payment request.
  3. Fill in the ‘APPLICATION NO.’ and ‘PERIOD TO’ fields. These are important for tracking payments and should correspond to the specific application number and the timeframe for which payment is being requested.
  4. Under the ‘FROM (CONTRACTOR)’ section, input your name as the contractor applying for payment. This verifies who is making the request.
  5. Complete the ‘CONTRACT FOR’ and ‘CONTRACT DATE’ fields to provide context about the agreement under which you are requesting payment.
  6. In the ‘CHANGE ORDER SUMMARY’, list any approved change orders that may affect the payment amount. Include details of additions, if applicable.
  7. For ‘ORIGINAL CONTRACT SUM’, ‘Net change by Change Orders’, and ‘CONTRACT SUM TO DATE’ entries, ensure you provide accurate amounts as these will determine the financial components of your request.
  8. Detail the payment information by completing the ‘TOTAL COMPLETED & STORED TO DATE’ section to reflect the work performed and its impact on the payment.
  9. Fill out the ‘RETAINAGE’ section to indicate the percentage withheld from payment for completed work and stored materials. This will affect the total payment amount.
  10. Next, calculate the ‘TOTAL EARNED LESS RETAINAGE’ to provide a clear picture of how much you are requesting after accounting for withholdings.
  11. In the final payments section, complete the fields for ‘LESS PREVIOUS CERTIFICATES FOR PAYMENT’ and ‘CURRENT PAYMENT DUE’. This provides a complete summary of your current request.
  12. Sign and date the application in the ‘CONTRACTOR’ section to certify the truthfulness of the information provided. Ensure all entries are correct before finalizing.
  13. Following the completion of the form, users have the option to save changes, download, print, or share the application as needed.

Complete your Certificate for Payment online today to ensure timely processing of your payment request.

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