Partial Payment Estimate

Instructions for RD1924-0018

Partial Payment Estimate

Contractors may be required to complete this form.  Rural Development (RD) provides this form to be used by contractors to request partial payments for labor and materials on construction work completed.  RD uses the form to approve partial payments to the contractors.  Contact your RD servicing office before preparing it.  All parties must sign the form including RD�s local official accepting the partial payment.

 

Features for transmitting the form electronically are available to those customers with access credentials only.  If you would like to establish online access credentials with USDA, follow the instructions provided at the USDA eForms web site.

 

Contractors must complete all of the items specified in the following table.

Fld Name / Item No.	Instruction
1 Contract No	Enter the contract number relating to the partial payment request.
2 Partial Payment Estimate No	Enter the number of the current partial payment being requested.
3 Page	Enter page numbers as appropriate.
4 Owner	Enter the borrower�s name.
5 Contractor	Enter the contractor�s name.
6 Period of Estimate	Enter the period: month, day, and year as appropriate, reflective of the current partial payment request.
7 Contract Change Order Summary	Enter information requested for all change orders previously approved for this project.

 

The following items are in reference to the estimate table:

Estimate	Instructions
8 Original Contract	Enter the original contract amount.
9 Change Orders	Enter the amount of the change orders approved.
10 Revised Contract	Enter the total of the original contract amount plus the processed change orders.
11 Work Completed	Enter the total of the work completed to date from the detailed lump sum price breakdown worksheet section.
12 Stored Materials	Enter the amount of stored materials reflective at the end of this payment period itemized on a stored materials and retainage breakdown worksheet section.
13 Subtotal	Enter the total of the work completed and the stored materials.
14 Retainage	Enter the amount of retainage itemized on a retainage breakdown worksheet section.
15 Previous Payments	Enter the amount of previous partial payments approved.
16 Amount Due	Enter the difference of the subtotal less the retainage and previous payments made.

 

The following section is reflective of the contract time and certifications necessary to process the partial payment request.

Fld Name / Item No.	Instruction
17 Contract Time	Enter the information requested for the original and revised contract time and the number of days remaining.  Indicate whether or not the work is on schedule.  Show the starting date and projected completion date of the work.
18 Contractor�s Certification	Enter the appropriate name, signature, and date for the contractor.
19 Architect or Engineer�s Certification	Enter the appropriate name, signature, and date for the architect or engineer.
20 Borrower�s Signature	Enter the appropriate name, signature, and date for the borrower.
21 Accepted by Agency	Enter the appropriate name, signature, and date for the RD representative.

 

The following section is reflective of the typical unit price breakdown, typical lump sum price breakdown, and the typical stored materials and retainage breakdown.

Fld Name / Item No.	Instruction
22 Typical unit price breakdown	Enter the information requested for the typical unit price breakdown for the entire contract, this period, and total to date, if applicable.
23 Typical lump sum price breakdown	Enter the information requested for the typical lump sum price breakdown for the scheduled values, work completed this period, and total to date and percentages of completion, if applicable.
24 Typical stored materials and retainage breakdown	Enter the information requested for the typical stored materials and retainage breakdown for materials stored at the end of this payment period.