Common use of Contractor By Clause in Contracts

Contractor By. Date Title STATEMENT OF THE CONTRACT COMPLIANCE SPECIALIST I have checked this Application for Payment and, to the best of my knowledge and belief, the statement of work performed and statement of materials stored on site by the Contractor are supported by my observations Name Contract Compliance Specialist. Date: CERTIFICATE OF THE DESIGN PROFESSIONAL I certify that I have verified this Application for Payment and, to the best of my knowledge and belief, it is a true and correct statement of work performed and statement of materials stored on site by the Contractor and that the Contractor's certified statement of his account and the amount due him is correct and just. I further certify that all work has been performed and materials have been supplied in full accordance with the terms and conditions of the Contract Documents and authorized changes thereto. Name Design Professional. Date: SCHEDULE OF CHANGE ORDERS In support of Application for Payment No. Project No. Period Ending: Contractor: CHANGE ORDERS ADDITIONS DEDUCTIONS Number (1) Date (2) Authorized Amount (3) Amount this Period (4) Completed Previous Periods (5) Authorized Deductions (6)

Contractor By. Date Title STATEMENT OF THE CONTRACT COMPLIANCE SPECIALIST I have checked this Application for Payment and, to the best of my knowledge and belief, the statement of work performed and statement of materials stored on site by the Contractor are supported by my observations Name Contract Compliance Specialist. Date: CERTIFICATE OF THE DESIGN PROFESSIONAL I certify that I have verified this Application for Payment and, to the best of my knowledge and belief, it is a true and correct statement of work performed and statement of materials stored on site by the Contractor and that the Contractor's certified statement of his account and the amount due him is correct and just. I further certify that all work has been performed and materials have been supplied in full accordance with the terms and conditions of the Contract Documents and authorized changes thereto. Name Design Professional. Date: SCHEDULE OF CHANGE ORDERS In support of Application for Payment No. Project No. Period Ending: Contractor: CHANGE ORDERS ADDITIONS DEDUCTIONS Number (1) Date (2) Authorized Amount (3) Amount this Period (4) Completed Previous Periods (5) Authorized Deductions (6)) In support of Application for Payment Number: For the period from: thru inclusive. Project No. ________________ Project Name and Address: Contractor's Name and Address: