payment certificate

State of Kuwait Ministry of Defence Military Engineering Projects PROJECT : _________________________________________________ CLIENT : _________________________________________________ CONTRACTOR : _________________________________________________ KD. Fils KD. Fils KD. Fils 1. Value of Original Contract 2. Variations : 2.1 Additions : (+) 2.2 Deductions : (-) 3. Final Contract Value : 4. Contractor’s Dues Todate : 4.1 Value of completed works 4.2 80% of Value of material stored at site 4.3 Gross Total 5. Deductions : 5.1 Contract retention 5.2 Previous payments as per Payment Certificate No. ____ 5.3 Advance Payment Recovery (Full) 5.4 Penalty for delay 5.5 Others 5.5.1 5.5.2 5.5.3 5.6 Sub Total, Deductions 6. Nett to be paid to Contractor (4.3 minus 5.6) Contractor’s Representative G.C. Representative Owner’s Representative PAYMENT CERTIFICATE No. _________________ FOR WORKS COMPLETED TILL _________________ SUBMITTED ON _________________ PAGE ___ OF ___ Payment Certificate

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State of Kuwait Ministry of Defence

Military Engineering Projects

PROJECT : _________________________________________________ CLIENT : _________________________________________________ CONTRACTOR : _________________________________________________ KD. Fils KD. Fils KD. Fils 1. Value of Original Contract 2. Variations : 2.1 Additions : (+) 2.2 Deductions : (-) 3. Final Contract Value : 4. Contractors Dues Todate : 4.1 Value of completed works 4.2 80% of Value of material stored at site 4.3 Gross Total 5. Deductions : 5.1 Contract retention 5.2 Previous payments as per Payment Certificate No. ____

5.3 Advance Payment Recovery (Full) 5.4 Penalty for delay 5.5 Others 5.5.1 5.5.2 5.5.3 5.6 Sub Total, Deductions

6. Nett to be paid to Contractor (4.3 minus 5.6) Contractors Representative G.C. Representative Owners Representative

PAYMENT CERTIFICATE No. _________________

FOR WORKS COMPLETED TILL _________________

SUBMITTED ON _________________

PAGE ___ OF ___

Payment Certificate
State of Kuwait Ministry of Defence

Military Engineering Projects

CONTRACTOR'S PAYMENT CERTIFICATE NO. ____ CONSULTANT : CONTRACTOR : Original Contract Sum Variation Orders Adjusted Contract Sum

A. TOTAL WORK DONE AND MATERIALS ON SITE Gross Value of Works executed to day-month-year Value of works Executed Against Provisional Sums Value of Works Executed Against Site Work Instructions Value of Works Executed Against Variation Order Materials on Site

Net value of work done and Materials on Site Sub-total

B. RETENTION Less Retention Withheld (10% of A) Add Release of Retention Net Retention Value Certified to Date Sub-total C. ADVANCE PAYMENT Total Advance paid (____% of Contract Less) Recovery to date (____% of A)

Sub-total D. ADJUSTMENTS Works by Others (As attached) Sub-total

E. PREVIOUS PAYMENTS (P.C. NO. 1 TO ____)

F. NET PAYMENT DUE (Amount in Words

__________________________________________________________________________) Prepared by Resident Engineer/GC Accepted by Approved by Project Manager/Contractor Owner Representative

Payment Certificate