Interim Payment Certificate No.
For The Period Ending
Project No. & Title:
The Employer:
The Engineer: Dar Al-Handasah Consultants (Shair & partners)
The Contractor:
Contract value:
Advance payment:
Contract Commencement date:
Completion date:
Revised Completion date:
1. Approx. value of : (Currency)
a) Work executed to date
b) Variations
c) Daywork
d) Materials on site ( __% Certified)
e) Fluctuation (under Clause _______)
f) Others (as listed below)
Gross amount due to date 0.00
2. Deductions:
a) 10 % Retention / retention Limit
b) Advance payment recovery
c) Previous payment certificate/s
d) Others (as listed below)
Total deductions 0.00
===========
3. Net amount to be paid in interim certificate no. US $ 0.00
For the Engineer For the Employer
Date: For the Contractor
S-PRC-SS-02(F8) Rev 2 page 1 of 1