Project Progress Certificate

• Date

  Date

• Progress Claim Number

  Select 1 2 3 4 5 Other

  • 1
  • 2
  • 3
  • 4
  • 5
  • Other

• Enter progress claim number:

• Project Number

• Contract Number

• Project Address
  Address

• Contractor

• Prepared by

Progress Payment

• Original Contract Sum

• % Percentage of Work Completed To Date

• Amount

• % Percentage Increase Since Previous Certificate

• Amount

Project Time

• Original Date of Practical Completion

  Date

• Has an EOT been granted?

  Yes

  No

• Revised Date of Practical Completion

  Date

• Forecast Date of Practical Completion

  Date

• Is this claim for Practical Completion?

  Yes

  No

• Actual Date for Practical Completion

  Date

Variation Orders

• Are variations required?

  Yes

  No
Variation Orders

• Variation Number

  Select 1 2 3 4 5 6 7 8 9 10

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10

• Description

• Deduction

• Addition

• Yes

  No

Certified by Inspector of Works / Superintendent Representative

• Signature

  Sign

• Name

• Date

  Date

• Comments

Photos

• Upload photos if required

  Media