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Statutory Declaration: of Progress Payment Distribution by Subcontractor CCDC 9B - 2001

The document is a statutory declaration form for a subcontractor to declare that they have paid all costs associated with a construction project. It includes fields for the subcontract details, declarant information, and a statement declaring all project costs have been paid. The declarant signs and dates the form, which is also signed by a witness like a notary.

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287 views1 page

Statutory Declaration: of Progress Payment Distribution by Subcontractor CCDC 9B - 2001

The document is a statutory declaration form for a subcontractor to declare that they have paid all costs associated with a construction project. It includes fields for the subcontract details, declarant information, and a statement declaring all project costs have been paid. The declarant signs and dates the form, which is also signed by a witness like a notary.

Uploaded by

autocadplease6213
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Statutory Declaration Standard Construction Document

of Progress Payment Distribution by Subcontractor CCDC 9B - 2001


To be made by the Subcontractor prior to payment when required as a The last application for progress payment for which the
condition for either:
Declarant has received payment is No._______________
second and subsequent progress payments; or
dated the ________ day of ____________________,
release of holdback.
in the year __________.
Identification of Subcontract
Name of Subcontract (Location and description of the Work as it appears in the Subcontract Documents)

Date of Contract: ________ ____________________ __________


Day Month Year

Name of Contractor Name of Subcontractor

Identification of Declarant
Name of Declarant Position or Title (of office held with Subcontractor)

Declaration
I solemnly declare that, as of the date of this declaration, I am an authorized signing officer, partner or sole proprietor of the Subcontractor
named in the Subcontract identified above, and as such have authority to bind the Subcontractor, and have personal knowledge of the fact
that all accounts for labour, subcontracts, products, services, and construction machinery and equipment which have been incurred directly
by the Subcontractor in the performance of the work as required by the Subcontract, and for which the Contractor might in any way be held
responsible, have been paid in full as required by the Subcontract up to and including the latest progress payment received, as identified
above, except for:
1) holdback monies properly retained,
2) payments deferred by agreement, or
3) amounts withheld by reason of legitimate dispute which have been identified to the party or parties, from whom payment has been
withheld.
I make this solemn declaration conscientiously believing it to be true, and knowing that it is of the same force and effect as if made under
oath.
Declared before me in ______________________________________ this ________ day of _____________________,
City/Town and Province
in the year ________.

_________________________________ _____________________________________________________
Signature of Declarant (A Commissioner for Oaths, Notary Public, Justice of the Peace, etc.)

The making of a false or fraudulent declaration is a contravention Apply a CCDC 9


of the Criminal Code of Canada, and could carry, upon conviction,
penalties including fines or imprisonment. copyright seal here.

Use of this form without a CCDC 9 copyright seal constitutes an infringement of


copyright. Use of this form with a CCDC 9 copyright seal demonstrates that it
is intended by the parties to be an accurate and unamended version of CCDC Copyright 2001
9B - 2001. Canadian Construction Documents Committee

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