In support Application for Payment No. Project No. Period Ending: Contractor: TYPE OF ITEM NO. NAME MATERIAL QUANTITY AMOUNT (Contractor or Subcontractor) (Dollars) TOTALS Prepared by for (Contractor) Date , and certified by him to be a true and accurate statement. Checked: By: Contract Compliance Specialist Date: SUBCONTRACTOR RETAINAGE RELEASE CERTIFICATE (To be Originated by Subcontractor) TO: Board of Regents of the University System of Georgia, Owner Institution Name, Using Agency
In support Application for Payment No. Project No. Period Ending: Contractor: ITEM NO. NAME (Contractor or Subcontractor) TYPE OF MATERIAL QUANTITY AMOUNT (Dollars) TOTALS Prepared by for (Contractor) Date , and certified by him to be a true and accurate statement. Checked: By: Contract Compliance Specialist Date: SUBCONTRACTOR RETAINAGE RELEASE CERTIFICATE (To be Originated by Subcontractor) TO: Board of Regents of the University System of Georgia, Owner Institution Name, Using Agency
dbb_contract_version_070616_gt_held.docx