CERTIFICATE / file no.
supplier code
identification
contractor name / PROJECT Name
address: / PROJECT and/or contract nO.
contract
dated / y / m / d / contract value THIS fiscal: / TOTALCONTRACT value:
$ / $
contract performance summary
Payment
period / y / m / D / TO / y / m / d / EXAMINED BY: / date of / y / m / d / Percent complete
examination / on date of examination / %
payment No: Progress Payment;
or
Final Payment / ATTACHMENTS: (number and list e.g. invoice c/w number, amendment, etc.); / CONTRACT EXPIRY DATE
Y / M / D
item
no. / description
(List work or service and any reduction(s) for contract deficiency/contravention, etc. see page 2) / unit OF MEASURE / A
(from contract)
estimated
quantity OR
$ AMOUNT / B
total authorized quantity / payment to date / c
total previously authorized quantities / pmts / d (b - c)
basic payment
or / E
(from contract)
unit price / f (d x e)
basic payment
$
OR
net quantity
PAYMENT RECOMMENDATION
BASICPAYMENT (TOTAL COLUMN D OR TOTAL COLUMN F, which includes deficiency reductions if applicable) / $
minus HOLDBACK 1 if applicable, e.g. 3rd party claims (RATE N/A 10 5 15 % x TOTAL BASIC PAYMENT) / $-
minus HOLDBACK 2 if applicable, e.g. warranty (RATE N/A 5 % x TOTAL BASIC PAYMENT) / $-
SUBTOTALPAYMENT / $
Add Goods and Services TAX (rate 5% x SUBTOTAL PAYMENT) / $
Add Provincial Sales TAX (rate 7% x SUBTOTAL PAYMENT) / $
minus EARLY PAYMENT DISCOUNT (EPD = RATE N/A 2 % x SUBTOTALPAYMENT) / $-
minus CHARGES FOR GOODS / SERVICES PROVIDED TO THE CONTRACTOR / $-
minus OTHER DEDUCTIONS (SPECIFY) / $-
$-
NET AMOUNT PAYABLE TO CONTRACTOR / $
accounting information
Type of PAYMENT – specify (e.g. FEES, EXPENSES,GST, PST, HOLDBACK ACCOUNT CREDIT, EPD) / $ Amount of PAYMENT / CLIENT / VOTE / Response / location / Service line / STOB / Project no. / PURCHASE
ORDER No.
$
$
$
$
$
progress payment AUTHORIZATION
voucher no. / SIGNATURE & PRINTED NAME OF QUALIFIED RECEIVER authorizING PAYMENT: / DATE SIGNED:
information for final payment only
PERFORMANCE SECURITY / HOLDBACK(S)
SEE NOTES ON PAGE 2
Qualified receiver’s recommendationas to return of SECURITY
return SECURITY(see contract for release timing and conditions)
FORFEIT SECURITY(attach Qualified Receiver’s reason for forfeit recommendation.)
Authorization to FORFEIT (Expense Authoritysignature & PRINTED NAME): / SCHEDULEDAmount(s)
release date(S)IF TaxWAS APPLIED TO CONTRACT
PAYMENt(S), ENSURE Tax is also added to the final holdback amount prior to its release
y / m / d
10%N/A / $
5%N/A / $
Holdback Release Timing & Requirements – General Information
The following holdback release timing details apply to the most common types of NRS contracts (i.e. consulting & general services, minor works, major works, and operational services). There are normally conditions that have to be met prior to release (e.g. WorkSafe BC clearance, Statutory Declaration for Major Works, etc.). See the specific contract to confirm actual holdback release timeframes and conditions.
- 10% holdback for 3rd party claims (and other uses where allowed under the contract):
release holdback after 55 days from date of Substantial Performance or Total Performance (whichever iscertified) (e.g. NRS625, NRS780)
Service Contracts:
Release holdback after 40 days from (total) contract completion (e.g. GSA, FS1, FS1000).
- 5% warranty holdback is releasedupon successful completion of warranty period.
- Must list holdbacks on a “holdback release list” and / or mark their calendar for scheduled holdback release dates;
- Must obtain any necessary confirmations that release conditions have been met prior to releasing; and
- May want to print a CAS report (e.g. by Holdback STOB and your response centre) periodically to review existing holdbacks to confirm that those eligible for release are processed.
For Ministry of Forests, Lands and Natural Resource Operationstree PLANTING contract Payment Certificate use your approved program for statistical data calculations.
PLANTING / JUVENILE SPACING
PAYMENT QUICK REFERENCE GUIDE
This table estimates the percentage of the contract price (PAY %) payable under Clause 4.2 of the Ministry of Forests, Lands and Natural Resource Operations Planting Contract, ScheduleA (form FS767a) and Clause 4.3 of the Ministry of Forests, Lands and Natural Resource Operations Spacing Contract, ScheduleA (form FS751a). Other clauses may affect the final payment. The calculations are based on the Performance/Planting Quality Percent (PQ%) for the payment area, as measured using the ministry's Planting Quality Inspection System and the ministry's Juvenile Spacing Quality Inspection System.PQ % / PAY % / PQ % / PAY % / PQ % / PAY % / PQ % / PAY %
100.00 / 100.00 / 91.10 / 98.06 / 88.50 / 93.14 / 85.90 / 86.24
99.00 / 100.00 / 91.00 / 97.91 / 88.40 / 92.91 / 85.80 / 85.94
98.00 / 100.00 / 90.90 / 97.75 / 88.30 / 92.68 / 85.70 / 85.63
97.00 / 100.00 / 90.80 / 97.60 / 88.20 / 92.44 / 85.60 / 85.32
96.00 / 100.00 / 90.70 / 97.43 / 88.10 / 92.21 / 85.50 / 85.01
95.00 / 100.00 / 90.60 / 97.27 / 88.00 / 91.96 / 85.40 / 84.69
94.00 / 100.00 / 90.50 / 97.10 / 87.90 / 91.72 / 85.30 / 84.37
93.00 / 100.00 / 90.40 / 96.93 / 87.80 / 91.48 / 85.20 / 84.05
92.90 / 100.00 / 90.30 / 96.76 / 87.70 / 91.23 / 85.10 / 83.72
92.80 / 100.00 / 90.20 / 96.58 / 87.60 / 90.97 / 85.00 / 83.40
92.70 / 100.00 / 90.10 / 96.40 / 87.50 / 90.72 / 84.00 / 79.96
92.60 / 100.00 / 90.00 / 96.22 / 87.40 / 90.46 / 83.00 / 76.22
92.50 / 99.90 / 89.90 / 96.03 / 87.30 / 90.20 / 82.00 / 72.20
92.40 / 99.79 / 89.80 / 95.85 / 87.20 / 89.94 / 81.00 / 67.89
92.30 / 99.67 / 89.70 / 95.66 / 87.10 / 89.67 / 80.00 / 63.28
92.20 / 99.55 / 89.60 / 95.46 / 87.00 / 89.40 / 79.00 / 58.38
92.10 / 99.43 / 89.50 / 95.27 / 86.90 / 89.13 / 78.00 / 53.19
92.00 / 99.31 / 89.40 / 95.07 / 86.80 / 88.85 / 77.00 / 47.71
91.90 / 99.18 / 89.30 / 94.86 / 86.70 / 88.57 / 76.00 / 41.94
91.80 / 99.05 / 89.20 / 94.66 / 86.60 / 88.29 / 75.00 / 35.88
91.70 / 98.92 / 89.10 / 94.45 / 86.50 / 88.01 / 74.00 / 29.52
91.60 / 98.78 / 89.00 / 94.24 / 86.40 / 87.72 / 73.00 / 22.87
91.50 / 98.65 / 88.90 / 94.02 / 86.30 / 87.43 / 72.00 / 15.93
91.40 / 98.50 / 88.80 / 93.81 / 86.20 / 87.14 / 71.00 / 8.70
91.30 / 98.36 / 88.70 / 93.59 / 86.10 / 86.84 / 70.00 / 1.18
91.20 / 98.21 / 88.60 / 93.36 / 86.00 / 86.54 / 69.00 / 0.0
NRS606 Contract Payment CertificateCSNR-FSB Rev:March 18, 2014Page 1 of 2