Claim for progress payment: PWGSC-TPSGC 1111
Note
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Instructions for fillable PDF forms
Contractor
Used only if you want to compute “Amount due” from % completed at row-level values.
Period
Check the box if the claim is being made with respect to advance payment provisions.
Contractor’s Report of Work Progress
Description: Expenditures must be claimed in accordance with the basis/method of payment of the contract.
| Description / Description | Line Value (optional) |
% Completed | Previous Claims | Current Claim | Total to Date | Amount due |
|---|
Total (A) — sum of Current Claims
$0.00
Less holdbacks (taxes excluded)
Enter rate OR amount (amount wins).
Subtotal (B) A − holdbacks
$0.00
Applicable taxes
GST%
QST%
GST amount: $0.00 · QST amount: $0.00
Total Amount of Claim (incl. taxes)
$0.00
Previous Claims Total
$0.00
Total to Date (Previous + Current)
$0.00
Total to Date incl. taxes (prev incl. taxes not tracked)
$0.00
Certificates
CERTIFICATE OF CONTRACTOR
Contractor’s Signature
PWGSC Contracting Authority
Contracting Authority Signature
Scientific / Project / Inspection Authority
Signature
Client’s Authorized Signing Officer
Client Signature
If necessary, use form PWGSC–TPSGC 1112 to record detail costs