HomeMy WebLinkAboutC2017-337 - 5/12/2017 - NA rL.
AGREEMENT
for
Construction Materials Testing and Engineering Services
This AGREEMENT is between the City of Corpus Christi, Texas, a Texas home-rule municipal
corporation CCITY'), acting through its duly authorized City Manager or designee("City Engineer),and ROCK
ENGINEERING&TESTING LABORATORY.INC. a Texas corporation or partnership CLAS'), acting through
its duly authorized representative who Is Curtis A Rork. Chief Ooeratna Officer which agree as follows:
1. DECLARATIONS: City desires to engage Lab to provide services In connection with City's project
described as follows: Klnnw Street&Ida.Erosion Rewire IProleot No. E13116)('PROJECT,.
2. SCOPE OF WORK: Lab shall provide services to the Project in accordance with the accompanying
Scope of Services and Fee Schedule attached as Exhibit A and the Terms and Conditions to Agreement
attached as WOMB.
3. FEE: The City agrees to pay the Lab for services provided in accordance with Exhibit"A" Scope of
Services and Fee Schedule under this Agreement, a total fee not to exceed $3.781. Monthly invoices will be
submitted In accordance with Exhibit C.
4. CITY'S DISCLOSURE OF HAZARDOUS & TOXIC MATERIALS AND CONDITIONS AT THE
PROJECT SITE: To the beet of the Citys knowledge, based upon cursedly available information, the only
hazardous or toxic materials, as defined by the laws and regulations of the Federal government,the state, and
city which exist at the PROJECT SITE are as follows: None.
5. OWNERSHIP OF DOCUMENTS: At documents including contract documents (plans and
spedfications), record drawings, contractor's field data and submittal data will be the sole property of the City
and may not be used again by Lab withal the express tens written consent of the City Engineer. However,
Lab may use standard details that are not specific to this Project.
CITY OF • - 'U. Cj RISTI ROCK ENGINEERING&TESTING
LABORATORY,INC.
H ,,
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(Thu 04-78-17
L1! H. c P.E. r TT,- A file Date
Chief Operating Officer
8817 Leopard Street
Corpus Christ,TX 78409
(381)883.4555 Office
APPROVED AS TO LEGAL FORM
Project No. E13118
�. / t Aimee Alcorn-Peed
()unix - 2020502172259-05'00' Accounting Unit 3495-043
Assistant City Attorney Date Account: 1311 0
Activity: E13118013495EXP
Account Category:
Fund Name:Storm Water CLP 20126 Revfd
Encumbrance No.
2017-337
5/12/17 owe•t It MeV MEET SOME EROSION 1pAMAQCAanimus TESTIS,1a1®YR.000
ti tbtana
Rock Engineering& Testing
INDEXED
pp ds •GEOTECHNICAL ENGINEERING
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'44 i• •CONSTRUCTION MATERIALS ENGINEERING TESTING
`, C .o •SOILS•ASPHALT•CONCRETE
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Thursday,April 20,2017
City of Corpus Christi
1201 Leopard St
Corpus Christi,TX 78401
Attn: Jeffey Edmonds,P.E.
SUBJECT: ESTIMATED TESTING BUDGET FOR THE PROPOSED
E13116 Kinney Street Bridge Erosion Repairs
Corpus Christi,TX
RETL Proposal Number: P022417B
Dear Jeffey Edmonds,P.E.
Rock Engineering and Testing Laboratory,Inc. (RETL) (TBPE Firm No.2101)is pleased to be selected to perform the
Construction Materials Testing for the above referenced project.The Construction Materials Testing for the proposed
construction project is based upon quantities as derived from the Plans made available to RETL as of the date of this
proposal.
The estimated testing for this project is $3,761.00
We understand that we have been chosen to provide these services for this publicly funded project. Therefore,by
providing cost information we are not in violation of the Texas Professional Services Procurement Act.
The estimated construction materials testing budget is based on a review of the information provided to RETL.An
estimated breakdown of field and laboratory testing required is included as an attachment.
In order to best respond to the project testing needs and schedules,please schedule testing a minimum of 48 hours in
advance in order to defer any potential delays.
RETL strives to accommodate all testing requests as they are received and can make accommodations with
advanced notice to schedules
Please make note that the actual fees invoiced for this project will be based on the actual testing performed.The total
fee assessed will be dependent on the contractor's construction techniques,number of trips made to the jobsite,
elapsed time from technician arrival to commencement of testing activities,and any time the technician is required to
be on-site but not performing testing activities.
Please be advised that Weekend/Holiday/Overtime Laboratory and field Testing will be billed at an addtlonai
$33.00 j
RETL appreciates your consideration of our firm to assist you during the construction phase of your project. If you agree
with this proposal,please sign the attached Laboratory Testing Services Agreement,submit the Distribution List and
provide billing information. Please do not hesitate to contact me at(361)883-4555 extension 415 if you have any
questions regarding the proposal or would like to discuss further.
Sincerely,
Pablo Schmitt
Estimator
Rock Engineering and Testing
ROCK ENGINEERING TESTING LABORATORY,INC
6817 LEOPARD STREET•CORPUS CHRISTI,TEXAS,78409
OFFICE: (361)883-4555•FAX (361)883-4711•www.,ocktesting.cum
Thursday,Apra 20,2017 Page 1 of 3
IEXHIBIT "A"
Page 1 of 3
P`�o,e r P022417B
6 Fs,� E13116 Kinney Street Bridge Erosion Repairs
4•
<,q� QOPP`�� City of Corpus Christi
Ar
Corpus Christi,TX
Jeffey Edmonds,P.E.
01.LABORATORY LIFTS/MIN QTYFREQ QTY RATE AMOUNT
P.PERSONNEL
Administration Fee
LS-Lump Sum
ADMINISTRATION FEE(1 time per project) 1 1 1 Is $79.00 $79.00
01.LABORATORY SUBTOTAL $79.00
02.SOILS LIFTS/MIN QTYFREQ QTY RATE AMOUNT
A.SOILS-SUBGRADE
Subgrade
Densities 1 per 5000 SF;1 per 200 LF
MATERIALS SAMPLING CHARGE 1 1 1 ea $60.00 $60.00
PROCTOR-STANDARD ASTM 0698 1 1 1 ea $226.00 $226.00
NUCLEAR FIELD DENSITY Min 3(ASTM D6938) 1 6 6 ea $47.00 $282.00
VEHICLE 1 3 3 trip $48.00 $144.00
E.SOILS-BACKFILL
Trench Backfill
Densities 1 per 200 LF Trench/Lift
MATERIALS SAMPLING CHARGE 1 1 1 ea $60.00 $60.00
PROCTOR-STANDARD ASTM 0698 1 1 1 ea $226.00 $226.00
NUCLEAR FIELD DENSITY Min 3(ASTM D6938) 1 3 3 ea $47.00 $141.00
VEHICLE 1 2 2 trip $48.00 $96.00
02.SOILS SUBTOTAL $1,235.00
03.FLEX BASE LIFTS/MIN QTYFREQ QTY RATE AMOUNT
C.SOILS-FLEX BASE
Desnities(see freq on plans)
MATERIALS SAMPLING CHARGE 1 1 1 ea $60.00 $60.00
ATTERBERG LIMITS/PLASTICITY INDEX(with Aggregate)ASTM 04318 1 1 1 ea $99.00 $99.00
GRADATION(Sieve Analysis) 1 1 1 ea $99.00 $99.00
PROCTOR-MODIFIED ASTM D1557 1 1 1 ea $266.00 $266.00
WET BALL MILL 1 1 1 ea $338.00 $338.00
NUCLEAR FIELD DENSITY Min 3(ASTM 06938) 1 6 6 ea $47.00 $282.00
VEHICLE 1 2 2 trip $48.00 $96.00
03.FLEX BASE SUBTOTAL $1,240.00
Thursday,April 20,2017 Page 2 of 3
EXHIBIT"A"
Page 2 of 3
04 PO22417B
.06 rP:
� E13116 Kinney Street Bridge Erosion Repairs
49
4eoA4ro City of Corpus Christi
�` ` Corpus Christi,TX
Jeffey Edmonds,P.E.
04.HOT MIX ASPHALT LIFTS/MIN QTYFREQ QTY RATE AMOUNT
L ASPHALT
Asphalt Full Series
ASPHALT FULL SERIES 1 1 1 ea $667.00 $667.00
SAMPLE PREPARATION CHARGE 1 1 1 ea $72.00 $72.00
ROLLING PATTERN 1 1 1 hr $74.00 $74.00
VEHICLE 1 1 1 trip $48.00 $48.00
04.HOT MIX ASPHALT SUBTOTAL $861.00
OS.CONCRETE LIFTS/MIN QTYFREQ QTY RATE AMOUNT
J.CONCRETE
Headwall only(Slump Included in cylinder rate)
See plans for fres
CONCRETE CYLINDERS(4"x 8"/Min 4) 4 1 4 ea $47.00 $188.00
AIR CONTENT 1 1 1 ea $16.00 $16.00
CUBES/CYLINDERS PICK UP FEE 1 1 1 pour $46.00 $46.00
VEHICLE 1 2 2 trip $48.00 $96.00
05.CONCRETE SUBTOTAL $346.00
GRAND TOTAL $3,761.00
This proposal does not include any special inpsections such as rebar inspection,floor levelness,etc
Thursday,April 20,2017 Page 3 of 3
EXHIBIT"A"
Page 3 of 3
EXHIBIT B
TERMS AND CONDITIONS TO TESTING AGREEMENT
ARTICLE 1. SERVICES: Lab will:
1.1 Provide only those services requested by City Engineer that, in the opinion of Lab, lie within the
technical or professional areas of expertise of Lab and which Lab is adequately staffed and
equipped to perform.
1.2 Perform technical services under the supervision of a licensed professional engineer and in
compliance with the basic requirements of the appropriate standards of the American Society for
Testing and Materials, where applicable, and other standards designated in writing by the City
Engineer.
1.3 Promptly submit formal reports (printed and electronic copies) of tests, inspections and services
performed indicating, where applicable, compliance with the Project specifications or other
contract documents. Such reports must be complete and factual, citing the tests performed,
methods employed, values obtained and parts of the structure of the Project area subjected to
any testing.
1.4 Utilize testing equipment which has been calibrated according to applicable standards and, upon
request, submit to the City Engineer or designee documentation of such calibration.
Secure representative samples of those materials that the City's contractor proposes to use
which require testing, together with relevant data concerning such materials including the point of
origin and supplier.
1.5 Consider reports to be confidential and distribute reports only to those persons, organizations or
agencies specifically designated in writing by the City Engineer.
1.6 Retain records relating to services performed for City for a period of two years following
submission of any reports, during which period the records will be made available to the City at all
reasonable times.
1.7 Pay salaries, wages, expenses, social security taxes, federal and state unemployment taxes and
any other similar payroll taxes relating to the services.
ARTICLE 2. CITY RESPONSIBILITIES: City Engineer or designee will:
2.1 Provide Lab with all plans, specifications, addenda, change orders, approved shop drawings and
other information for the proper performance of services by Lab.
2.2 Issue authorization in writing giving Lab free access to the Project site and to all shops or yards
where materials are prepared or stored.
2.3 Designate in writing those persons or firms which will act as the City's representative with respect
to Lab's services to be performed under this Agreement and which must be promptly notified by
Lab when it appears that materials tested or inspected are in non-compliance. Only the City
Engineer or designee has authority to transmit instructions, receive information and data and/or
interpret and define the City's policies and decisions with respect to the Project. Lab
acknowledges that certain City representatives may have different types of authority concerning
the Project.
2.4 Advise Lab sufficiently in advance of any operations so as to allow for assignment of personnel
by Lab for completion of the required services. Such advance notice will be in accordance with
that established by mutual agreement of the parties.
EXHIBIT"B"
Page 1 of 6
•
EXHIBIT B
2.5 Direct the Project contractor, either by the Construction Contract or direct written order, to:
(a) Stop work at the appropriate times for Lab to perform contracted services;
(b) Furnish such labor and all facilities needed by Lab to obtain and handle samples at the
Project and to facilitate the specified inspection and tests;
(c) Provide and maintain for use of Lab adequate space at the Project for safe storage and
proper curing of test specimens that must remain on the Project site prior to, during and up to
60 days after testing.
ARTICLE 3. GENERAL CONDITIONS
3.1 Lab, by the performance of services covered hereunder, does not in any way assume, abridge or
abrogate any of those duties, responsibilities or authorities with regard to the Project that, by
custom or contract, are vested in the Project architects, design engineers or any other design
agencies or authorities.
3.2 Lab is not authorized to supervise, alter, relax, enlarge or release any requirement of the Project
specifications or other contract documents nor to approve or accept any portion of the work. Lab
does not have the right of rejection or the right to stop the work. City Engineer will direct the
Project contractor to stop work at appropriate times for Lab to conduct the sampling, testing or
inspection of operations covered by the Agreement.
ARTICLE 4. FIELD MONITORING AND TESTING
4.1 City and Lab agree that Lab will be on-site to perform inspections for contracted services. The
City and Lab also agree that Lab will not assume responsibility for Project contractor's means,
methods, techniques, sequences or procedures of construction, and it is understood that the final
services provided by Lab will not relieve the Project contractor of its responsibilities for performing
the work in accordance with the Project plans and specifications. For the purposes of this
Agreement, the word "inspection" is used to mean periodic observation of the work and the
conducting of tests by Lab as specified in the Agreement. Continuous monitoring by Lab or its
subcontractors does not mean that Lab is approving placement of materials. Inspection is not and
should not be construed to be a warranty by Lab to the City or any other party.
4.2 Samples collected or tested by Lab remain the property of the City while in the custody of the
Lab. Lab will retain the samples for a period of 60 days following the date of submission of any
report related to the sample. Following the retention period, Lab will dispose of non-hazardous
samples, and return hazardous, acutely toxic or radioactive samples and samples'containers and
residues to City. City agrees to accept such samples and samples' containers.
ARTICLE 5. STANDARD OF CARE AND WARRANTY
Services-performed by Lab will be conducted in a manner consistent with that level of care and skill
ordinarily exercised by reputable members of the profession currently practicing under similar conditions
in the same locality. No other warranty either expressed or implied is made or intended by the Agreement
or any reports. Lab will not be responsible for the interpretation or use by others of data developed by
Lab.
ARTICLE 6. INDEMNIFICATION
Lab shall fully indemnify and hold harmless the City of Corpus Christi and its
officials, officers, agents, employees, or other entity, excluding the engineer or
architect or that person's agent, employee or subconsultant, over which the City
EXHIBIT"B"
Page 2 of 6
•
EXHIBIT B
exercises control ("Indemnitee") from and against any and all claims, damages,
liabilities or costs, including reasonable attorney fees and court costs, to the
extent that the damage is caused by or results from an act of negligence,
intentional tort, intellectual property infringement or failure to pay a
subcontractor or supplier committed by Lab or its agent, Lab under contract or
another entity over which Lab exercises control while in the exercise of rights or
performance of the duties under this agreement. This indemnification does not
apply to any liability resulting from the negligent acts or omissions of the City or
its employees, to the extent of such negligence.
Lab shall defend Indemnitee, with counsel satisfactory to the City Attorney, from
and against any and all claims, damages, liabilities or costs, including reasonable
attorney fees and court costs, if the claim is not based wholly or partly on the
negligence of, fault of or breach of contract by Indemnitee. If a claim is based
wholly or partly on the negligence of, fault of or breach of contract by Indemnitee,
the Lab shall reimburse the City's reasonable attorney's fees in proportion to the
Lab's liability.
Lab must advise City in writing within 24 hours of any claim or demand against
City or Lab known to Lab related to or arising out of Lab's activities under this
Agreement.
ARTICLE 7. INVOICES AND PAYMENT
7.1 Lab will submit progress invoices to City Engineer monthly and final invoice upon completion of
services. Each invoice is due and payable by City within 30 days of receipt and approval to pay
by the City Engineer.
7.2 All funding obligations of the City under this Agreement are subject to the appropriation of funds
in its annual budget.
ARTICLE 8. INSURANCE REQUIREMENTS
8.1 Consultant must not commence work under this agreement until all required insurance
has been obtained and such insurance has been approved by the City. Consultant must not
allow any subcontractor to commence work until all similar insurance required of any
subcontractor has been obtained.
8.2 Consultant must furnish to the Director of Engineering Services with the signed
agreement a copy of Certificates of Insurance (COI) with applicable policy endorsements
showing the following minimum coverage by an insurance company(s) acceptable to the City's
Risk Manager. The City must be listed as an additional insured on the General liability and
Auto Liability policies, and a waiver of subrogation is required on all applicable policies.
Endorsements must be provided with COI. Project name and or number must be listed in
Description Box of COI.
EXHIBIT"B"
Page 3 of 6
EXHIBIT B
TYPE OF INSURANCE MINIMUM INSURANCE COVERAGE
30-written day notice of cancellation, Bodily Injury and Property Damage
required on all certificates or by Per occurrence - aggregate
applicable policy endorsements
Commercial General Liability including: $1,000,000 Per Occurrence
1. Commercial Broad Form $2,000,000 Aggregate
2. Premises—Operations
3. Products/Completed Operations
4. Contractual Liability
5. Independent Contractors
6. Personal Injury-Advertising Injury
AUTO LIABILITY (including) $500,000 Combined Single Limit
1. Owned
2. Hired and Non-Owned
3. Rented/Leased
PROFESSIONAL LIABILITY $1,000,000 Per Claim
(Errors and Omissions)
If claims made policy, retro date must be
prior to inception of agreement, have
extended reporting period provisions and
identify any limitations regarding who is
insured.
8.3 In the event of accidents of any kind related to this agreement, Consultant must furnish
the City with copies of all reports of any accidents within 10 days of the accident.
8.4 Consultant shall obtain and maintain in full force and effect for the duration of this
Contract, and any extension hereof, at Consultant's sole expense, insurance coverage written
on an occurrence basis, by companies authorized and admitted to do business in the State of
Texas and with an A.M. Best's rating of no less than A-VII. Consultant is required to provide
City with renewal Certificates.
8.5 Consultant shall be required to submit a copy of the replacement certificate of insurance
to City at the address provided below within 10 days of the requested change. Consultant shall
pay any costs incurred resulting from said changes. All notices under this Article shall be given
to City at the following address:
City of Corpus Christi
Attn: Engineering Services
P.O. Box 9277
Corpus Christi, TX 78469-9277
8.6 Consultant agrees that with respect to the above required insurance, all insurance
policies are to contain or be endorsed to contain the following required provisions:
EXHIBIT"B"
Page 4 of 6
EXHIBIT B
8.6.1 List the City and its officers, officials, employees and elected representatives as
additional insured by endorsement, as respects operations, completed operation
and activities of, or on behalf of, the named insured performed under contract
with the City with the exception of the professional liability/Errors & Omissions
policy;
8.6.2 Provide for an endorsement that the "other insurance" clause shall not apply to
the City of Corpus Christi where the City is an additional insured shown on the
policy;
8.6.3 Provide thirty (30) calendar days advance written notice directly to City of any
suspension, cancellation or non-renewal of coverage, and not less than ten (10)
calendar days advance written notice for nonpayment of premium.
8.7 Within five (5) calendar days of a suspension, cancellation or non-renewal of coverage,
Consultant shall provide a replacement Certificate of Insurance and applicable endorsements to
City. City shall have the option to suspend Consultant's performance should there be a lapse in
coverage at any time during this contract. Failure to provide and to maintain the required
insurance shall constitute a material breach of this contract.
8.8 In addition to any other remedies the City may have upon Consultant's failure to provide
and maintain any insurance or policy endorsements to the extent and within the time herein
required, the City shall have the right to order Consultant to remove the exhibit hereunder,
and/or withhold any payment(s) if any, which become due to Consultant hereunder until
Consultant demonstrates compliance with the requirements hereof.
8.9 Nothing herein contained shall be construed as limiting in any way the extent to which
Consultant may be held responsible for payments of damages to persons or property resulting
from Consultants or its subcontractor's performance of the work covered under this agreement.
8.10 It is agreed that Consultant's insurance shall be deemed primary and non-contributory
with respect to any insurance or self-insurance carried by the City of Corpus Christi for liability
arising out of operations under this agreement.
8.11 It is understood and agreed that the insurance required is in addition to and separate
from any other obligation contained in this agreement.
ARTICLE 9. TERMINATION OF AGREEMENT
The City may, at any time, with or without cause, terminate this Agreement upon seven days written
notice to Lab at the address of record. Lab will be compensated for services performed up to termination.
ARTICLE 10. CONTROLLING LAW
This Agreement is governed by the laws of the State of Texas without regard to its conflicts of laws.
Venue for legal proceedings lie exclusively in Nueces County, Texas.
ARTICLE 11. DISCLOSURE OF INTERESTS
11.1 Lab agrees to comply with City of Corpus Christi Ordinance No. 17112 and complete the
Disclosure of Interests form as part of this Agreement, if required.
EXHIBIT"B"
Page 5 of 6
EXHIBIT B
11.2 Lab agrees to comply with section 2252.908 of the Texas Government Code and complete Form
1295 Certificate of Interested Parties as part of this Agreement, if required. For more information,
please review the information on the Texas Ethics Commission website at
https://www.ethics.state.tx.us.
11.3 Lab agrees to comply with Chapter 176 of the Texas Local Government Code and file Form CIQ
with the City of Corpus Christi City Secretary's Office, if required. For more information and to
determine if you need to file a Form CIQ, please review the information on the City Secretary's
website at http://www.cctexas.com/government/city-secretary/conflict-disclosure/index.
ARTICLE 12. CLAIMS
12.1 Claims arising from this Agreement shall be made in writing, sworn to and signed by an
authorized representative. The responsibility to substantiate a claim rests with the party making
the claim.
12.2 All negotiations pursuant to this Article are confidential and shall be treated as compromise and
settlement negotiations for purposes of applicable rules of evidence.
ARTICLE 13. EXTENT OF AGREEMENT
13.1 This Agreement, including Exhibit "A" and these Terms and Conditions, represents the entire
Agreement between City and Lab and supersedes all prior negotiation, representations or
agreements, written or oral. This Agreement may be amended only by a written instrument signed
by duly authorized representatives of City and Lab. If any conflict occurs between these Terms
and Conditions and any other part of this Agreement, these Terms and Conditions are controlling.
13.2 In the event that any one or more of the provisions contained in this Agreement are for any
reason held invalid, illegal or unenforceable in any respect, the remaining terms will be in full
effect and this Agreement will be construed as if the invalid or unenforceable matters were never
included in this Agreement. No waiver of any default will be a waiver of any future default.
13.3 Neither party will assign this Agreement without the express written approval of the other, but Lab
may subcontract laboratory procedures as Lab deems necessary to meet the obligations of this
Agreement.
ARTICLE 14. SAFETY
City and Lab agree that, in accordance with the generally accepted construction practice, the Project's
general contractor will be solely and completely responsible for working conditions on the Project,
including safety of all persons and property during the performance of the work and for compliance with
all municipal, state and federal laws, rules and regulations, including OSHA. The duty of Lab in providing
services is not, therefore, to include any review of, or responsibility for, the adequacy of the Project's
general contractor's safety measures in, on or near the Project site.
0
I
I
IEXHIBIT "B"
Page 6 of 6
Basic Services:
Preliminary Phase
Design Phase
Bid Phase
Construction Phase
Subtotal Basic Services
Additional Services:
Permitting
Warranty Phase
Inspection
Platting Survey
O & M Manuals
SCADA
Subtotal Additional Services
Summary of Fees:
Basic Services Fees
Additional Services Fees
Total of Fees
Contract
Amd No. 1
COMPLETE PROJECT NAME
Project No. XXXX
Invoice No. 12345
Invoice Date 01/01/2017
Amd No. 2
Total
Contract
$1,000.00
$0.00
$0.00
$1,000.00
$2,000.00
$1,000.00
$0.00
$3,000.00
$500.00
$0.00
$250.00
$750.00
$2,500.00
$0.00
$1,000.00
$3,500.00
$6,000.00
$1,000.00
$1,250.00
$8,250.00
$0.00
$2,000.00
$0.00
$0.00
$2,000.00
$0.00
$1,120.00
$0.00
$1,120.00
$0.00
$0.00
$1,627.00
$1,627.00
TBD
TBD
TBD
TBD
TBD
TBD
TBD
TBD
TBD
TBD
TBD
TBD
$2,000.00
$1,120.00
$1,627.00
$4,747.00
$6,000.00
$1,000.00
$1,250.00
$8,250.00
$2,000.00
$1,120.00
$1,627.00
$4,747.00
$8,000.00
$2,120.00
$2,877.00
$12,997.00
Sample form for:
Payment Request
AE Contract
Revised 02/01/17
Current Previous Total Remaining Percent
Invoice Invoice Invoice
$0.00
$1,000.00
$1,000.00
$1,000.00
$500.00
$1,500.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$1,000.00
$1,500.00
$2,500.00
0.0%
$500.00
$0.00
$500.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TBD
TBD
TBD
TBD
TBD
TBD
TBD
TBD
TBD
$500.00
$0.00
$500.00
$1,000.00
$1,500.00
$2,500.00
$500.00
$0.00
$500.00
$1,500.00
$1,500.00
$3,000.00
Balance Complete
$0.00
100.0%
$1,500.00
50.0%
$750.00
0.0%
$3,500.00
0.0%
$5,750.00
30.3%
$1,500.00
25.0%
$1,120.00
0.0%
$1,627.00
0.0%
TBD
TBD
TBD
TBD
TBD
TBD
$4,247.00
10.5%
$5,750.00
30.3%
$4,247.00
10.5%
$9,997.00
23.1%
Notes:
If needed, update this sample form based on the contract requirements.
If applicable, refer to the contract for information on what to include with time and materials (T&M).