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.