Prompt Payment Certification And Supporting …

1 Prompt Payment Certification And Supporting DataFor Contractor Payment invoice (1)Contract No.:(2)Location and Description of Work:(3)Estimate No.:(4) invoice Date:(5)Contractor Official (name and address) to whom Payment is(6)Discount Terms:to be sent:(7)If Notice of Assignment has been filed, enter name of(8)Name, Title, phone number, and mailing address of person to be notified inAssignee to whom Payment is to be sent:event of a defective invoice :(9)(10)(11)(12)(13) **Subcontractor NameTotal AmountPrevious SubcontractorSubcontractorSubcontractor EarningsSubcontractedPaymentsAmount Included in thisDeducted by Contractor(Excluding Deductions) Payment Estimate(Total to Date)(Excluding Deductions)**A written notice of any withholding shall be issued to a subcontractor (with a copy to the Contracting Officer) of any such notice issued by the Contractor,specifying (1) the amount to be withheld, (2) the specific causes for the withholding under the terms of the subcontract, and (3) the remedial actions to betaken by the subcontractor in order to receive Payment of the amounts withheld.

2 Attach copy of notification to pay estimate. Reference FAR (g).I herby 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 bemade from the proceeds of the payments covered by this Certification , in accordance with subcontract agreements and the requirements ofChapter 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 subcontractoror supplier in accordance with the terms and conditions of the subcontract.(4)This Certification is not to be construed as final acceptance of a subcontractor's Name and TitleW912PP-07-C-0010 NAKayenta, ArizonaRMS Training Contract2603/16/2010 Freeman's Funny Farm1895 North Fork RoadSeattle WA 985000 Days0 PercentAero Automatic Sprinkler Co.

3 $430, $376, $5, $5, Construction Co$ $ $ $ Fire & Safety$5, $5, $ $ Fence$153, $121, $ $ Custom Millwork$202, $197, $2, $ , Inc.$122, $122, $ $ Enterprises, Inc; DBA: Tucson Restaurant Equipment &$ $ $ $ of Indian Aff$ $ $ $ of Indian Affairs$ $ $ $ Court Constr$70, $5, $1, $ Products & Equipment$25, $18, $ $ Enterprises$2,188, $2,038, $ $ Structures, Inc$2,864, $2,738, $ $ Decor, Inc.$12, $ $ $ Slab - Albuquer$103, $103, $ $ Albritton, Project ManagerPage 1 of 29 pagesPrompt Payment Certification And Supporting DataFor Contractor Payment invoice (1)Contract No.:(2)Location and Description of Work:(3)Estimate No.:(4) invoice Date:(9)(10)(11)(12)(13) **Subcontractor NameTotal AmountPrevious SubcontractorSubcontractorSubcontractor EarningsSubcontractedPaymentsAmount Included in thisDeducted by Contractor(Excluding Deductions) Payment Estimate(Total to Date)(Excluding Deductions)W912PP-07-C-0010 NAKayenta, ArizonaRMS Training Contract2603/16/2010 Coreslab Structures - PHX$58, $58, $ $ Metro PHX$5, $5, $ $ Mechanical$1,363, $1,267, $ $ Systems$49, $49, $ $ Contracting$24, $ $ $ Pump$115, $ $ $ Constructors, In$ $ $ $ Redmond and As$332, $79, $ $ & G Enterprises$973, $973, $ $ Drilling$543, $540, $ $ Electrical$2,978, $2,525, $ $ , Inc.

4 $120, $92, $ $ , Inc.$1, $1, $ $ Industries, Inc.$12, $9, $ $ Architectural Signage$37, $ $ $ Tile, Inc.$345, $132, $ $ Bolander & Sons$2, $2, $ $ & K Mechanical$1,833, $1,769, $ $ & Associates$9, $9, $ $ $126, $ $ $ Gas Technologies$66, $66, $ $ Industries$37, $31, $ $ Surveying$142, $127, $ $ Elevator$140, $122, $ $ & Accessories$132, $ $ $ Pest Control$22, $22, $ $ Acoustics$174, $ $ $ Fabricators, Inc.$540, $540, $ $ Line Technolog$ $ $ $ Roofing$929, $787, $ $ E. Nelson$3,578, $3,559, $ $ Building Syste$239, $239, $ $ Cohen Co., LL$78, $58, $ $ Paving$403, $403, $ $ & H Steel$1,310, $1,290, $ $ Juan Glass$484, $457, $ $ Design Concepts$54, $54, $ $ Dor of Phoenix$221, $190, $ $ Installations, Inc.$ $ $ $ Technology, Inc.$33, $ $ $ Construction$188, $188, $ $ 2 of 29 pagesPrompt Payment Certification And Supporting DataFor Contractor Payment invoice (1)Contract No.:(2)Location and Description of Work:(3)Estimate No.:(4) invoice Date:(9)(10)(11)(12)(13) **Subcontractor NameTotal AmountPrevious SubcontractorSubcontractorSubcontractor EarningsSubcontractedPaymentsAmount Included in thisDeducted by Contractor(Excluding Deductions) Payment Estimate(Total to Date)(Excluding Deductions)W912PP-07-C-0010 NAKayenta, ArizonaRMS Training Contract2603/16/2010 USACE$ $ $ $ International LL$56, $ $ $ Technologies$ $ $ $ Floors$458, $353, $ $ $24,410, $21,744, $9, $5, 3 of 29 pagesContractor Requested Earnings(1)Contract No.

5 :(2)Location and Description of Work:(3)Estimate No.:(4) invoice Date:ActivityActivityActivityTotal Previous% EarningTotal DateTo DateThis PeriodW912PP-07-C-0010 NAKayenta, ArizonaRMS Training Contract2603/16/2010 CCKS1000 Change Order No. 1 FFE for COR$2, $2, $2, $ order - Ref: RFP-0009 I$1, $1, $1, $ order - Ref: RFP-0009 I$20, $20, $20, $ Order - Ref: RFP-0009 I$ $ $ $ Order - Ref: RFP-0009 I$5, $5, $5, $ Order - Ref: RFP-0005 -$106, $106, $106, $ Order - RFP-0002 Rock E$91, $91, $91, $ Order - RFP-0010 - Tras$9, $9, $9, $ Order - RFP-0010 - Tras$3, $3, $3, $ Order - RFP-0010-Trash$9, $9, $9, $ Order- RFP-0010 - Trash$2, $2, $2, $ Order - RFP-0012 - Comm$32, $32, $32, $ Order - R-00015 / A0018$55, $55, $55, $ Order - R-00015 / A0018$1, $1, $1, $ Order - R-00015 / A0018$6, $6, $6, $ Line/Water Line Conflict$13, $13, $13, $ Order - R00021/A0009 -$7, $7, $7, $ Order - R00021/A0009 -$2, $2, $2, $ Order - R0022 / A0021 P$96, $4, $4, $ Perimeter Fence$3, $3, $3, $ E Nelson - Move-In$6, $6, $6, $ for Perimeter Fence / La$36, $36, $36, $ Perimeter Fence$19, $19, $19, $ for Temporary Power Off$2, $2, $2, $ for Temporary Power - J$3, $3, $3, $ Temporary Power Office$6, $6, $6, $ Temporary Power to Job$11, $11, $11, $ & Grub Site$45, $45, $45, $ / Compaction Testing$56, $56, $56, $ Sub-Grade Prepreation$169, $169, $169, $ School Sub Grade$5, $5, $5, $ / Process Fill Southwes$120.

6 $120, $120, $ / Process Fill Northwes$317, $317, $317, $ / Process Fill Northeas$239, $239, $239, $ / Process Fill Southeas$205, $205, $205, $ School Subgrade$6, $6, $6, $ Backstop - East$3, $3, $3, $ Backstop - West$3, $3, $3, $ Dormitory Subgrade$5, $5, $5, $ / Process Fill South Wi$154, $154, $154, $ / Process Fill North Wi$102, $102, $102, $ Dormatory Subgrade$7, $7, $7, $ Storm Channel$6, $6, $6, $ 4 of 29 pagesContractor Requested Earnings(1)Contract No.:(2)Location and Description of Work:(3)Estimate No.:(4) invoice Date:ActivityActivityActivityTotal Previous% EarningTotal DateTo DateThis PeriodW912PP-07-C-0010 NAKayenta, ArizonaRMS Training Contract2603/16/2010 FGKS1160 Excavate Storm Channel$90, $90, $90, $ / Process Site Fill Sou$345, $345, $345, $ / Process Site Fill Nor$475, $475, $475, $ / Process Site Fill Sou$450, $450, $450, $ / Process Site Fill Nor$514, $514, $514, $ for Site Fill$3, $3, $3, $ / Process Site Fill No$6, $6, $6, $ / Process Site Fill So$6, $6, $6, $ / Process Site Fill So$6, $6, $6, $ / Process SIte Fill No$6, $6, $6, $ / Move in Office$120, $120, $120, $ Perimeter Fence, Eauipm$3, $3, $3, $ Chain Link Perimeter F$127, $120, $120, $ Overflow Parking Grave$10, $10, $10, $ Surface - Sheet C105$6, $6, $6, $ Flag Poles$2, $2, $2, $ Bike Rack at School Bu$4, $4, $4, $ Rip-Rap at Storm Drain H$ $ $ $ Rip-Rap at South Side of$ $ $ $ Rip-Rap at North West$ $ $ $ Bike Rack at Domitory$4, $4, $4, $ Gravel Surface at New$1, $1, $1, $ Propane Tank$8, $8, $8.

7 $ Cantiliver Rolling Gat$29, $28, $28, $ Striping$2, $2, $2, $ Site Light Poles$11, $11, $11, $ play ground$3, $3, $3, $ Basketball Goals$ $ $ $ Asphalt Paving at Stati$6, $6, $6, $ Curb and Gutter$6, $6, $6, $ Sub-Grade$1, $1, $1, $ Road to Sub- Grade$26, $26, $26, $ 6" Sub-Grade Compactio$12, $12, $12, $ old school road subgra$3, $3, $3, $ Geogrid Soil Reinforce$ $ $ $ 6" Sub-Base Placement$25, $25, $25, $ AB$25, $25, $25, $ old school road AB$3, $3, $3, $ / Form / Place Concre$20, $20, $20, $ / Form / Place Concre$37, $37, $37, $ / Form / Place Concre$44, $44, $44, $ / Place Wheel Chair Ramps$12, $12, $12, $ Asphalt Prime Coat at$5, $5, $5, $ 5 of 29 pagesContractor Requested Earnings(1)Contract No.:(2)Location and Description of Work:(3)Estimate No.:(4) invoice Date:ActivityActivityActivityTotal Previous% EarningTotal DateTo DateThis PeriodW912PP-07-C-0010 NAKayenta, ArizonaRMS Training Contract2603/16/2010 OSRKS1150 Overlay Pavement Old School Ro$43, $43, $43, $ and Insurance$108, $108, $108, $ Sewer Manholes Shipme$6, $6, $6, $ Drain Inlet Delivery$9, $9, $9, $ Pipe Delivery$4, $4, $4, $ Drain Pipe Delivery$18, $18, $18, $ Ppipe/fittings Delivery$59, $59, $59, $ Procurement$ $ $ $ of Geo Grid Materials$54, $54, $54, $ of Benches and Trash$41, $41, $41, $ Receives Submittals - Site$ $ $ $ Review Assemble and Review$4, $3, $3, $ Receives Submittal of As-B$ $ $ $ Review and Completion of A$5, $2, $2, $ Receives Submittal of 1354$ $ $ $ Reviews Submittal for Elev$57, $57, $57, $ Shipment to Site (12-$83, $83, $83, $ for Parking Lot Sub-Gr$2, $2, $2, $ 6" Sub-Base Compaction$52, $52, $52, $ top Parking sub grade$5, $5, $5, $ Geogrid Soil Reinforce$1, $1, $1, $ 6" Sub-Base$7, $7, $7, $ ABC B103$19, $19, $19.)

8 $ Testing - Site$4, $4, $4, $ / Form / Place Curb a$78, $78, $78, $ Flag Pole Footings$4, $4, $4, $ / Form / Compact / Pl$66, $66, $66, $ Testing - Site$6, $6, $6, $ parking AB$4, $4, $4, $ Asphalt Prime Coat - S$22, $22, $22, $ Asphalt Paving - B103$186, $186, $186, $ for Parking Lot Sub-Gr$1, $1, $1, $ 6" Sub-grade Compactio$20, $20, $20, $ Geogrid Soil Reinforce$1, $1, $1, $ 6" Sub-Base Placement$11, $11, $11, $ ABC - Sheet B102$11, $11, $11, $ / Form / Place Concre$22, $22, $22, $ / Form / Place Trash$16, $16, $16, $ / Form / Place Concre$6, $6, $6, $ Concrete Swail - Sheet$11, $11, $11, $ / Form / Place Concre$3, $3, $3, $ / Form/ Place Concret$85, $85, $85, $ Asphalt Prime Coat B102$4, $4, $4, $ 6 of 29 pagesContractor Requested Earnings(1)Contract No.:(2)Location and Description of Work:(3)Estimate No.:(4) invoice Date:ActivityActivityActivityTotal Previous% EarningTotal DateTo DateThis PeriodW912PP-07-C-0010 NAKayenta, ArizonaRMS Training Contract2603/16/2010 RPKS1210 Install Asphalt Paving - Sheet$34, $34, $34, $ Curb and Gutter - Sheet$3, $3, $3, $ Overflow Parking - Sheet$1, $1, $1, $ Over Flow Parking$16, $16, $16, $ 6" Sub-grade Compactio$6, $6, $6, $ Geogrid Soil Reinforce$ $ $ $ 6" SubGrade Placement$14, $14, $14, $ Aggergate Base Course$14, $14, $14, $ overflow parking subgr$3, $3, $3, $ / Form / Place Curb a$6, $6, $6, $ / Form / Place Concre$14, $14, $14, $ Asphalt Prime Coat - S$2, $2, $2, $ Asphalt Paving - Sheet$20, $20, $20, $ / Form / Place Mainte$9, $9, $9, $ 6" Sub-Grade Compactio$120, $120, $120, $ Geogrid Soil Reinforce$ $ $ $ 6" Subgrade Placement$90, $90, $90, $ ABC - Sheet B105$90, $90, $90, $ Curb and Gutter - Sheet$3, $3, $3, $ / Form / Place Curb a$52, $52, $52, $ / Form / Place Sidewa$146, $146, $146, $ / Form / Place Basket$141, $141, $141.

9 $ / Form / Place Basket$3, $3, $3, $ Asphalt Prime Coat - S$5, $5, $5, $ Asphalt Paving - Sheet$45, $45, $45, $ Order # 2 - Install Per$8, $8, $8, $ Roof Line R00017/A002$5, $5, $5, $ Roof Line R00017/A0023$6, $6, $6, $ Roof Line R00017/A0023$5, $5, $5, $ Roof Line R00017/A0023$1, $1, $1, $ Roof Line R00017/A0023$9, $9, $9, $ Fence Slat & Wainscotin-$8, $8, $8, $ Fence Slat & Wainscotin$30, $30, $30, $ Fence Slat & Wainscotin-$12, $12, $12, $ Reinforcing to Deck over S$5, $5, $5, $ & Waste Rebar for Drilled$46, $46, $46, $ to Drilled Caisson-$ $ $ $ and Insurance$106, $106, $106, $ Metal Doors / Frames -$6, $6, $6, $ Protection Shop Drawings$5, $5, $5, $ Plank Shop Drawings$18, $18, $18, $ Steel Shop Drawings$30, $30, $30, $ Extinguishers and Cabinet$7, $7, $7, $ 7 of 29 pagesContractor Requested Earnings(1)Contract No.:(2)Location and Description of Work:(3)Estimate No.:(4) invoice Date:ActivityActivityActivityTotal Previous% EarningTotal DateTo DateThis PeriodW912PP-07-C-0010 NAKayenta, ArizonaRMS Training Contract2603/16/2010SB2065 Entrance Mats and Frames$11, $11, $11, $ Fire Protection Shop$27, $27, $27, $ Review of Pre-Engineered M$14, $14, $14, $ Review of Concrete Submitt$4, $4, $4, $ Review and Approval of Con$7, $7, $7, $ of Vinyl Clad Wood Wi$135, $135, $135, $ and Delivery of Electr$24, $23, $23, $ and Delivery of Electr$431, $431, $431, $ and Delivery of Electr$261, $235, $235, $ Millwork Shop Drawing$7, $7, $7, $ of Fabricated Millwor$148, $148, $148, $ and Insurance - Caissons$11, $11, $11, $ for Test Cassion$ $ $ $ - Caisson Drillin$3, $3, $3, $ and Insurance Caisson Loa$ $ $ $ for Test Cassion$3, $3, $3, $ Testing - School Buil$27, $27, $27, $ Cassion Concrete Cylinder$2, $2, $2, $ Load Test$9, $9, $9, $ Interior Caissons Areas$2, $2, $2, $ School Building Foundati$7, $7, $7, $ / Place Rebar / Place Co$50, $50, $50.

10 $ Interior Caissons - Area$4, $4, $4, $ / Place Rebar / Place Co$55, $55, $55, $ / Place Rebar / Place Co$66, $66, $66, $ / Place Rebar / Place Co$46, $46, $46, $ / Place Rebar / Place Co$35, $35, $35, $ Intermediate Caissons -$2, $2, $2, $ / Place Rebar / Place Co$5, $5, $5, $ Caissons Area E$1, $1, $1, $ / Place Rebar / Place Co$35, $35, $35, $ Caissons Area D$3, $3, $3, $ / Place Rebar / Place Co$14, $14, $14, $ Outside Caissons Area A,$3, $3, $3, $ Material - Plumbing Fix$71, $71, $71, $ Material - Copper Pipe$50, $50, $50, $ Material - DWH-1$25, $25, $25, $ Material - WS-1$10, $10, $10, $ / Place Rebar / Place Co$193, $193, $193, $ / Place Bedding Mater$22, $22, $22, $ Area C - South Inte$7, $7, $7, $ of Grade Beam Precast$50, $50, $50, $ Precast Form / Install Voi$34, $34, $34, $ 8 of 29 pagesContractor Requested Earnings(1)Contract No.:(2)Location and Description of Work:(3)Estimate No.:(4) invoice Date:ActivityActivityActivityTotal Previous% EarningTotal DateTo DateThis PeriodW912PP-07-C-0010 NAKayenta, ArizonaRMS Training Contract2603/16/2010SB3210 Place & Finish Concrete - Are$12, $12, $12, $ Rebar/Place Concre-$116, $116, $116, $ Forms and Backfill at Ar$1, $1, $1, $ Area F - Interior G$8, $8, $8, $ Precast Form / Install Voi$53, $53, $53, $ & Finish Concrete - Area$17, $17, $17, $ Forms and Backfill at Ar$1, $1, $1, $ Area G - Interior G$7, $7, $7, $ Precast Form / Install Voi$46, $46, $46, $ & Finish Concrete - Area$16, $16, $16, $ Forms and Backfill at Ar$1, $1, $1, $