Schedule 3 Payment Claim Worksheet Refer to clause 58 of the GC21 General Conditions of Contract. The Contractor: ...…………………….………….………………… ABN ……………………………………….…… The Contract: The contract between the Principal and the Contractor Contract Name: » Contract Number: » 1 2 3 4 5 Activity (& to suit schedule of Value of Activity Activity (or Milestone) Milestone prices and/or activities & activity activity (or (or Milestone) number $ completed Milestone) value $ % (col 3 x col 4) Amount brought forward from previous sheet $ Amount carried forward to next sheet $ 1 2 3 4 5 Item or activity to suit Item or Price or rate Quantity Item Schedule of Rates activity for item or completed or activity number activity $ completed value $ (col 3 x col 4) Amount brought forward from previous sheet $ Amount carried forward to next sheet $ Complete this section on the last sheet only Subtotal for any items $ Schedule of Rates Subtotal for any lump sum items $ $ $ $ $ $ Value Completed Less payments already made $ Less retention for the under clause 60, if applicable $ Completion Amount Claimed Amount $
Schedule 3 Payment Claim Worksheet Refer to clause 58 of the GC21 General Conditions of Contract. The Contractor: ...…………………….………….………………… ABN ……………………………………….…… The Contract: The contract between the Principal and the Contractor Contract Name: » Contract Number: » 1 2 3 4 5 Activity (& Milestone) to suit schedule of prices and/or activities Milestone & activity number Value of activity (or Milestone) $ Activity (or % Activity (or Milestone) completed value $ (col 3 x col 4) Amount brought forward from previous sheet $ Amount carried forward to next sheet $ 1 2 3 4 5 Item or activity to suit Schedule of Rates Item or activity number Price or rate for item or activity $ Quantity completed Item or activity completed value $ (col 3 x col 4) Amount brought forward from previous sheet $ Amount carried forward to next sheet $ Complete this section on the last sheet only Subtotal for any Schedule of Rates items $ Subtotal for any lump sum items $ $ $ $ $ Value Completed $ Less payments already made $ Less retention for the Completion Amount under clause 60, if applicable $ Claimed Amount $
gc21_edition_2_general_conditions_2017_10_5.docx