PROGRESS BILLINGS BOOKLET

Similar documents
Please complete and return to: University of Central Florida Florida Solar Energy Center Attn: Jeremy Nelson 1679 Clearlake Rd.

Form W-9 (Rev. December 2014) Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification Give Fo

Request for Taxpayer Identification Number and Certification

GIFT ANNUITY APPLICATION

Karen Greer Models & Talent TALENT INFO & SIZE SHEET

Note: forms may be faxed to our accounting department at (239)

Instructions for the Requester of Form W-9 (Rev. December 2000)

CONFIDENTIAL CREDIT APPLICATION

315 Lincoln Street, Suite Lincoln Street, Ste. 300 Sitka, Alaska Tel (907) Fax (907)

CHENANGO BROKERS, LLC.

Request for Taxpayer Identification Number and Certification

From: Secretary/Treasurer Snediker. To whom this may concern:

FIRST STREET COMMON AREA MAINTENANCE (CAM) SUBSIDY PROGRAM. Community Redevelopment Agency Fort Myers Redevelopment Agency

Request for Taxpayer Identification Number and Certification

Pirelli World Challenge Prize Money

Subcontractor Pre-Qualification Form

The Ultimate Travel Solution SSN/EIN CHANGE FORM

WASHINGTON PRODUCER APPOINTMENT PACKAGE

MASSACHUSETTS STATE LOTTERY COMMISSION 60 Columbian Street Braintree, Massachusetts SALES AGENT APPLICATION (781)

MEA Charitable Foundation Operation Roundup. Application for Grant. Matanuska Electric Association Charitable Foundation

Name of Company: Manager who referred and requested work? Are you a member of Peninsula Housing & Builders Association?

All Rental Assistance Payments will be processed in accordance with the rules and regulations of the Housing Choice Voucher Program.

SHIP P.O. Box St. Paul, MN 55164

Subcontractor Current Data Requirements

Mailing Address City State Zip. Is organization/agency requesting funding a tax exempt I.R.C. Section 501(c)(3) organization or a government entity?

CLAIM FORM. UNITED STATES DISTRICT COURT EASTERN DISTRICT OF CALIFORNIA CASE NO. 1:16-cv LJO-JLT

BROKER TO BROKER AGREEMENT

HARTFORD SPRINGFIELD AUCTION CO-OP, LLC 49 Russell Road East Granby, Ct Office Fax

Request for Taxpayer Identification Number and Certification. Go to for instructions and the latest information.

REQUEST FOR TAXPAYER IDENTIFICATION NUMBER AND CERTIFICATION OWNER IS:

mentorapplication Due August 31, 2016

Please complete the form using the exact same information you use for filing taxes.

VENDOR AGREEMENT Insurance employees 1,000,000 Tax information Workmanship Vehicles Work Orders

NEW AGENCY INFORMATION

Snoqualmie Indian Tribe Education Department Adult Educational Enrichment Activities Benefit Application Packet Cover Page

EMERGENCY MEDICAL ASSISTANCE FORM

Stipend Volunteer Agreement

AMENDMENT TO CODE OF LAWS SECTION (B) RELEASE AND INDEMINITY AGREEMENT

ACTION REQUIRED BY <<due date>>

NAME CHANGE NOTIFICATION FORM DOMINI IMPACT INVESTMENTS

Along with your application, please submit a copy of the following:

University of South Florida Request for Taxpayer Identification Number and Certification Substitute IRS Form W-9

Request for Taxpayer Identification Number and Certification

General Instructions Section references are to the Internal Revenue Code unless otherwise noted.

ACKNOWLEDGEMENT OF ADDENDUM

VANDERBURGH COUNTY W-9 SUBSTUTE FOR PROPERTY ACQUISITION

CHECKLIST FOR DOCUMENTS

Training Grant Guidelines Wisconsin

All Certificates must have the following wording under Description of Operations/Locations/Vehicles:

CONTRACTOR S CHECKLIST RENEWAL. PREQUALIFICATION APPLICATION Click link to access prequalification application:

Kindly note, if you would like to establish credit for your company, this process can take 3-5 business days.

Subcontractor Application. Page Highway 51 Wilsonville, AL ClementsDean.com

Marketing & Promotions Grant Application Checklist

AMERIGROUP OF VIRGINIA ERA PRE-ENROLLMENT INSTRUCTIONS IHP02

Request for Taxpayer Identification Number and Certification

CONSULTANT / INDEPENDENT CONTRACTOR SERVICES

Next Step! You will receive an from - Subject: Welcome to. BenaVest - Next Steps. Please follow the steps in this )

New Vendor Application

Form W-9: Request for Taxpayer Identification Number and Certification

and indicate what address you would like the full packet mailed to.

Restaurant Recruitment Grant Program FACT SHEET

E-VERIFY DOCUMENTS AND/OR YOUR COMPANY PROVIDES PRODUCTS; THE PHYSICAL PERFORMANCE OF SERVICES.

Colonial Pipeline Company - New Supplier/Consignee Checklist

INDEPENDENT CONTRACTOR AGREEMENT

Checklist for Contractor. FHA 203Ks Program

Organization. W-9 (attached) List of VEEP, EECBG & START communities

REQUEST FOR TAXPAYER IDENTIFICATION NUMBER AND CERTIFICATION OWNER IS:

Fax #: Website: Note: All Commissions and Invoices will be sent to the above mailing address, unless otherwise specified in writing.

Welcome to Atlas Logistics

Section references are to the Internal Revenue Code unless otherwise noted.

Bill Shoemaker Managing Agent

Owner s Name: Contract Number: Owner s Phone Number:

Revised 04/2014 FISCAL SERVICES REGISTRATION PACKET FISCAL SERVICES DIVISION 2100 PONTIAC LAKE ROAD WATERFORD MI

PAYMENT FOR SERVICES REQUEST

Broker Questionnaire

Broker/Agent Application

UNITED STATES DISTRICT COURT DISTRICT OF COLUMBIA SEC v. J.P. MORGAN SECURITIES LLC, ET AL. CASE NO. 12-CV-1862 (RLW)

Subcontractor Pre-Qualification

Small and Service-Disabled Veteran Business Program LOCAL SMALL BUSINESS APPLICATION

Mayor s Office of Housing and Community Development City and County of San Francisco

Area Damaged (Attach Property Map) Yield: % of Loss (Attach Documentation) Total Claim (Acres x Yield Loss X Price)

MUSCOGEE (CREEK) NATION SCHOOL CLOTHING PROGRAM

WASHINGTON TOWNSHIP MUNICIPAL UTILITIES AUTHORITY Morris County, NJ

Revised 01/2015 FISCAL SERVICES REGISTRATION PACKET FISCAL SERVICES DIVISION 2100 PONTIAC LAKE ROAD WATERFORD MI

BROKERAGE APPLICATION

One bank reference (including account number) along with their bank contact name, phone, and fax.

MONTE ALTO INDEPENDENT SCHOOL DISTRICT CONSULTANT/CONTRACTOR SERVICE CONTRACT

Insurance Claim Process. Your guide to accessing funds to repair your home.

E-Billing, E-Attendance & EFT Payment Processing Agreement

ACCOUNTS PAYABLE Phone: (601) Fax: (601) SUPPLY CHAIN: Phone: (601) Fax: (601) Business or Individual s Name dba

Once we receive your paperwork, we ll send you the banners and a unique link to use on your website.

Fax: (512) If you have any questions, please call our Information Service Center at (800) or visit us online at texasmutual.com.

TEL: TOLL FREE FAX: TOLL FREE ICC MC : FEDERAL ID:

Special Insurance Services, Inc Dallas Parkway, Suite 100 Plano, Texas (972)

Agency Profile Questionnaire

VENDOR/ PAYEE INFORMATION FORM

Birdville Independent School District VENDOR INFORMATION FORM

Exhibit A. Applicant/Property Owner Address Phone Number. Address City State Zip Code

EMPLOYER INFORMATION SHEET

VENDOR PACKET. We have enclosed pertinent information regarding PCS for your review.

Transcription:

PROGRESS BILLINGS BOOKLET Return the following form with your contract Invoice Affidavit W9 Subcontractor & Material Supplier List MONTHLY PROGRESS BILLINGS PROCEDURES APPLICATION & CERTIFICATE FOR PAYMENT FORM LIEN RELEASES W-9 INVOICE AFFIDAVIT SUBCONTRACTOR & MATERIAL LIST EXHIBIT 6

Straub Construction, Inc. Information Booklet Book No. 4 PROCEDURES FOR MONTHLY PROGRESS BILLINGS Your pay application will be returned without consideration if you have not already provided a current W-9 Form, insurance information and any other documentation required by your contract. 1. Provide Schedule of Values to the Project Manager after award of project. 2. Progress Payment Draws will be opened in Textura on the 25 th day of each month (confirm with your Project Manager for changes to this deadline). a. Project Manager and Owner will review percentage of completion. Project Manager will notify subcontractor if any changes are needed. Operations Administrative Manager, Danielle Murillo daniellem@straubinc.com 3. Regarding Section 01330 page 2 of Contract specification book: In accordance with FAR 52.232-5, Payments Under Fixed-Price Construction Contracts, the Government shall make progress payments to the Contractor monthly based on estimates of work accomplished which meets the standards of quality established under the contract. On items for which submittals must be approved by the Contracting Officer, payment cannot be made for the item until the Government establishes that the item meets the standards of quality required by the contract. The Contractor shall not invoice for, nor shall the Government make payment for any item, for which submittal and approval is required, until the item has been submitted and approved. 4. SUBCONTRACTOR agrees that all special payment requests, such as joint checks and special payment dates, may be subject to administrative fees. 5. All Subcontract Documents must be executed by SCI prior to payment. Missing documentation will result in delays in payment 6. The following documents must be current through the payment application period in order to avoid delays in payment for the subcontractor and all tier subcontractors & suppliers: a. Certified Payroll b. Insurance General Liability, Auto & Workers Compensation c. Unconditional releases from prior period d. Conditional releases for current application period

TO: All Subcontractors Attached please find form W-9, which you must complete and return as soon as practicable. Please review the following information regarding the enclosed W-9 form. 1. If you indicate you are not subject to backup withholding, Straub Construction, Inc. can approve the progress payment request without the deductions listed below. 2. If you indicate you are subject to backup withholding, (by not checking the block in Part II), Straub Construction would withhold 28% from each payment. This 28% would then be paid to the IRS on a quarterly basis. 3. If you fail to return a completed form W-9, Straub Construction must then withhold 28% from any payments and would then pay the 28% to the IRS on a quarterly basis. 3

Substitute Form W-9 Straub Construction, Inc. Name (as shown on your income tax return): Request for Taxpayer Identification Number and Certification Return to: Straub Construction, Inc. {LegalDocInfo.ContrAddr1} {LegalDocInfo.ContrAddr2} Business name, if different from above (DBA): Print or Type Corporation Partnership Check appropriate box: Individual/Sole Proprietor Limited Liability Company. Enter the tax classification (D=disregarded entity, C=corporation, P=partnership) Other (enter business name as it appears of federal tax documents Name line) Legal Address (number, street, and apt or suite no): Mailing Address, if different from Legal Address: Exempt payee City, state, and ZIP code: City, state, and ZIP code: List account number(s) here (optional): Part I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on Line 1 to avoid backup withholding. For individuals, this is your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions of the IRS Form W-9 (Rev. 10-2007). For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3 of the IRS Form W-9 (Rev. 10-2007). Note: If the account is in more than one name, see the chart on page 4 for guidelines on whose number to enter. Part II Certification Social security number or Employer identification number Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and 2. I am not subject to backup withholding because: (a) I am exempt form backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding and 3. I am a U.S. citizen or other U.S. person (for definitions, please refer to IRS Form W-9 (Rev. 10-2007). Certification Instructions: You must cross out Item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on you tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the Certification, but you must provide your correct TIN. Sign Here Signature of U.S. Person Date Purpose of Form per IRS Form W-9 A person who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) to report, for example, income paid to you, real estate transactions, mortgage interest you paid, acquisition or abandonment of secured property, cancellation of debt, or contributions you made to an IRA. Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN to the person requesting it (the requester) and, when applicable, to: 1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued), 2. Certify that you are not subject to backup withholding, or 3. Claim exemption from backup withholding if you are a U.S. exempt payee. If applicable, you are also certifying that as a U.S. person, your allocable share of any partnership income from a U.S. trade or business is not subject to the withholding tax on foreign partners share of effectively connected income. Note: If a requester gives you a form other than Form W-9 to request your TIN, you must use the requester s form if it is substantially similar to the IRS Form W-9. General Instructions Please complete and sign. Return completed form to the address located in the top right corner. For further instructions on completing this form, please refer to IRS Form W- 9 (Rev. 10/2011) or go to http://www.irs.gov/pub/irs-pdf/fw9.pdf Privacy Act Notice Section 6109 of the Internal Revenue Code requires you to provide your correct TIN to persons who must file information returns with the IRS to report interest, dividends, and certain other income paid to you, mortgage interest you paid, the acquisition or abandonment of secured property, cancellation of debt, or contributions you made to an IRA, or Archer MSA or HSA. The IRS uses the numbers for identification purposes and to help verify the accuracy of your tax return. The IRS may also provide this information to the Department of Justice for civil and criminal litigation, and to cities, states, the District of Columbia, and U.S. possessions to carry out their tax laws. We may also disclose this information to other countries under a tax treaty, to federal and state agencies to enforce federal nontax criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism. You must provide your TIN whether or not you are required to file a tax return. Payers must generally withhold 28% of taxable interest, dividend, and certain other payments to a payee who does not give a TIN to a payer. Certain penalties may also apply. 4

Straub Construction, Inc. Information Booklet Book No. 4 AFFIDAVIT NAMING PERSON AUTHORIZED TO SIGN INVOICES Project Name: This form is in Addition to or Replaces form dated I, do until further notice appoint (Name of owner, partner or corporate officer and title) as paymaster and appoint as designated officer to sign invoices on the construction work of the (Project Name). (Contracting Company or Firm Name) (Owner, Partner or Corporate Officer) DATED 5 Form 4E Invoice Affidavit

SUBCONTRACTOR/SUPPLIER MATERIAL Project Name: Below, please list all of the Material Suppliers or Subcontractors which you plan to be using on the project. Subcontractor: Date: Material Supplier/ Subcontractor Address, Phone & Fax Trade Supplied Estimated Dollar Amount 6