WORK PERFORMED TO DATE In support of Application for Payment No. For the period from , through inclusive. Project No. Name and location of Project Contractor's Name and Address WORK INCLUDED IN ORIGINAL CONTRACT DETAILED ESTIMATE WORK PERFORMED TO DATE CSI Category and Description Number Amount Earned Value of Percent Item No. and Designation & Kind Unit Price Estimated No. of to Date Incomplete Complete (1) of Units (3) Cost Units (6) Work (8) (2) (4) (5) (7) A. Contracting Requirements: * a. b. c, 1. Division 1 General Requirements: * – a. b. c. 2. Division 2 Site Construction: ** – (i) Building a. b. c. (ii) Infrastructure a. b. c. 3. Division 3 Concrete: * – a. b. c. 4. Division 4 Masonry: ** – (i) Building a. b. c. (ii) Infrastructure a. b. c. 5. Division 5 Metals: * – a. b. c.
WORK PERFORMED TO DATE In support of Application for Payment No. For the period from , through inclusive. Project No. Name and location of Project Contractor's Name and Address WORK INCLUDED IN ORIGINAL CONTRACT DETAILED ESTIMATE WORK PERFORMED TO DATE CSI Category and Description Item No. and Designation (1) Number & Kind of Units (2) Unit Price (3) Estimated Cost (4) No. of Units (5) Amount Earned to Date (6) Value of Incomplete Work (7) Percent Complete (8) A. Contracting Requirements: * a. b. c, 1. Division 1 – General Requirements: * a. b. c. 2. Division 2 – Site Construction: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 3. Division 3 – Concrete: * a. b. c. 4. Division 4 – Masonry: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 5. Division 5 – Metals: * a. b. c.
Form_Section-Supplementary_GCs.docx