ANNEXURE PART E Annexure to the Australian Standard General Conditions of Contract for Consultants AS4122-2010 Subcontractor Payment Summary (clause 10A.5) Contract for: Subcontractor name: ABN: Subcontractor bank account Name: ACN: BSB: Account Number: Date: Date of Amount Date certified / Amount Date of Date of Payment Payment Payment No. subcontractor claimed this payment certified / payment payment out of instruction instruction instruction Payment Claim claim schedule payment instruction to project bank amount to amount to amount to schedule financial account to Subcontractor retention disputed funds institution subcontractor account trust account Note: Subcontractor Payment Summary to include for all Subcontractor payment claims and all payment instructions
ANNEXURE PART E Annexure to the Australian Standard General Conditions of Contract for Consultants AS4122-2010 Subcontractor Payment Summary (clause 10A.5) Contract for: Subcontractor name: ABN: Subcontractor bank account Name: ACN: BSB: Account Number: Date: No. Date of subcontractor Payment Claim Amount claimed this claim Date certified / payment schedule Amount certified / payment schedule Date of payment instruction to financial institution Date of payment out of project bank account to subcontractor Payment instruction amount to Subcontractor Payment instruction amount to retention account Payment instruction amount to disputed funds trust account Note: Subcontractor Payment Summary to include for all Subcontractor payment claims and all payment instructions
AS4122SpecialConditions.docx