Fillable Printable Price Construction Contracts, I Hereby Ce

Price Construction Contracts, I Hereby Ce

7. CERTIFICATION

In accordance with the clause at FAR 52.232-5, Payments Under Fixed-

Price Construction Contracts, I hereby certify, to the best of my knowledge

and belief, that --

(1) The amounts requested are only for performance in accordance with the

specifications, terms, and conditions of the contract;

(2) Payments to subcontractors and suppliers have been made from

previous payments received under the contract, and timely payments will

be made from the proceeds of the payment covered by this certification,

in accordance with subcontract agreements and the requirements of

Chapter 39 of title 31, United States Code; and

(3) This request for progress payments does not include any amounts which

the prime contractor intends to withhold or retain from a subcontractor or

supplier in accordance with the terms and conditions of the subcontract.

1. PROJECT NAME

CERTIFICATION OF PROGRESS PAYMENTS

UNDER FIXED-PRICE CONSTRUCTION CONTRACTS

2. CONTRACT NUMBER/TASK ORDER NUMBER

3. PROJECT LOCATION 4. CONTRACT DATE

5. NAME AND ADDRESS OF CONTRACTING OFFICER (Number, Street, City, State and ZIP code)

INSTRUCTIONS

Type or print all entries on this form

except Item 8.

Please sign and return the original;

keep a copy for your records.

8. CERTIFIED BY (Signature)

9. DATE

10. TYPE OR PRINT NAME AND TITLE OF CERTIFYING OFFICER

11. NAME AND ADDRESS OF CONTRACTOR (Number, Street, City, State and ZIP Code)

GENERAL SERVICES ADMINISTRATION

GSA 2419 (REV. 3/2015)

OMB Control Number: 9000-0102

Expiration Date: 6/30/2019

GS-

(4) This certification is not to be construed as final acceptance of a

subcontractor's performance.

6. INVOICE NUMBER