Public Works and Government Services Canada
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Request for Progress Payment - Construction Contracts

NOTE: All amounts are to be entered without taxes.

Progress Claim - Contractor This Period Total to Date
Contract Amount Claimed: $ $
$ $
TOTALS $ $

This claim is submitted in accordance with the Terms of Payment of the above contract for work completed and material delivered to the site but not incorporated into the work, the whole as described in the attached "Cost Breakdown".

Progress Report - PWGSC Total Amount (Less) Holdback Net Amount
Totals to Date: $ $ $
Less Previous Payments $
Contract Amount Payable $
Applicable taxes $
TOTAL $

I hereby certify that the work done and material delivered to site up to the date of this request for payment are as listed on the attached cost breakdown. Work and material are according to plans, specifications and contract, that the prices are according to contract or, if not specified by contract, are reasonable.

The value of the portion of the work completed and material delivered to site, described in the above Progress Claim, is as shown in the Progress Report. Certified pursuant to Section 34 of the Financial Administration Act.

NOTE: Complete the following part for contracts subject to a Unit Price Arrangement once the portion of the Work subject to a Unit Price Arrangement is complete.

Final Certificate of Measurement

The quantities shown on the attached cost breakdown are the final measurement of this contract.

Cost Breakdown

Cost Breakdown
Item
No.
Description Unit of Measure
(Unit Prices
Only)
Quantities a Unit Price/
Value of Item b
Value to Date
Enter Quantity or %
(e.g. 0.25)
This Period To Date
Item No.1
Item No.2
Item No.3
Item No.4
Item No.5
Item No.6
Item No.7
Item No.8
Item No.9
Item No.10
Item No.11
Item No.12
Item No.13
Item No.14
Item No.15
Item No.16
Item No.17
Item No.18
Item No.19
Item No.20
Item No.21
Item No.22
Item No.23
Item No.24
Item No.25
Item No.26
Item No.27
Item No.28
Item No.29
Item No.30
Item No.31
Item No.32
Item No.33
Item No.34
Item No.35
Item No.36
Item No.37
Item No.38
Item No.39
Item No.40
Item No.41
Item No.42
Item No.43
Item No.44
Item No.45
Item No.46
Item No.47
Item No.48
Item No.49
Item No.50
Item No.51
Item No.52
Item No.53
Item No.54
Item No.55
Item No.56
Item No.57
Item No.58
Item No.59
Item No.60
Item No.61
Item No.62
Item No.63
Item No.64
Item No.65
Item No.66
Item No.67
Item No.68
Item No.69
Item No.70
Item No.71
Item No.72
Item No.73
Item No.74
Item No.75
Item No.76
Item No.77
Item No.78
Item No.79
Item No.80
Item No.81
Item No.82
Item No.83
Item No.84
Item No.85
Item No.86
Item No.87
Item No.88
Item No.89
Item No.90
Item No.91
Item No.92
Item No.93
Item No.94
Item No.95
Item No.96
Item No.97
Item No.98
Item No.99
Item No.100
Item No.101
Item No.102
Item No.103
Item No.104
Item No.105
Item No.106
Item No.107
Item No.108
Item No.109
Item No.110
Item No.111
Item No.112
Item No.113
Item No.114
Item No.115
Item No.116
Item No.117
Item No.118
Item No.119
Item No.120
Item No.121
Item No.122
Item No.123
Item No.124
Item No.125
Item No.126
Item No.127
Item No.128
Item No.129
Item No.130
Item No.131
Item No.132
Item No.133
Item No.134
Item No.135
Item No.136
Item No.137
Item No.138
Item No.139
Item No.140
Item No.141
Item No.142
Item No.143
Item No.144
Item No.145
Item No.146
Item No.147
Item No.148
Item No.149
Item No.150
Item No.151
Item No.152
Item No.153
Item No.154
Item No.155
Item No.156
Item No.157
Item No.158
Item No.159
Item No.160
Item No.161
Item No.162
Item No.163
Item No.164
Item No.165
Item No.166
Item No.167
Item No.168
Item No.169
Item No.170
Item No.171
Item No.172
Item No.173
Item No.174
Item No.175
Item No.176
Item No.177
Item No.178
Item No.179
Item No.180
Item No.181
Item No.182
Item No.183
Item No.184
Item No.185
Item No.186
Item No.187
Item No.188
Item No.189
Item No.190
Item No.191
Item No.192
Item No.193
Item No.194
Item No.195
Item No.196
Item No.197
Item No.198
Item No.199
Item No.200
Item No.201
Item No.202
Item No.203
Item No.204
Item No.205
Item No.206
Item No.207
Item No.208
Item No.209
Item No.210
Item No.211
Item No.212
Item No.213
Item No.214
Item No.215
Item No.216
Item No.217
Item No.218
Item No.219
Item No.220
Item No.221
Item No.222
Item No.223
Item No.224
Item No.225
Item No.226
Item No.227
Item No.228
Item No.229
Item No.230
Item No.231
Item No.232
Item No.233
Item No.234
Item No.235
Item No.236
Item No.237
Item No.238
Item No.239
Item No.240
Item No.241
Item No.242
Item No.243
Item No.244
Item No.245
Item No.246
Item No.247
Item No.248
Item No.249
Item No.250
Item No.251
Item No.252
Item No.253
Item No.254
Item No.255
Item No.256
Item No.257
Item No.258
Item No.259
Item No.260
Item No.261
Item No.262
Item No.263
Item No.264
Item No.265
Item No.266
Item No.267
Item No.268
Item No.269
Item No.270
Item No.271
Item No.272
Item No.273
Item No.274
Item No.275
Item No.276
Item No.277
Item No.278
Item No.279
Item No.280
Item No.281
Item No.282
Item No.283
Item No.284
Item No.285
Item No.286
Item No.287
Item No.288
Item No.289
Item No.290
Item No.291
Item No.292
Item No.293
Item No.294
Item No.295
Item No.296
Item No.297
Item No.298
Item No.299
Item No.300
Item No.301
Item No.302
Item No.303
Item No.304
Total

Table note a For unit price items, enter the quantity.
For lump sum items, enter % in decimals (e.g. 0.25); for 100% enter 1.

Table note b For unit price items, enter the unit price.
For lump sum items, enter the total amount of the item.