Ejcdc C 620 Form PDF Details

Ejcdc c 620 form is a tax form used to report certain payments made to an employee. This form is used to report wages, salaries, tips, and other compensation. The ejcdc c 620 form must be filed by the employer of the employee receiving the payment. The deadline for filing this form is January 31st of the following year. Penalties may apply for late filings. Make sure you are familiar with the ejcdc c 620 form and its requirements to avoid penalties. Check out our blog post for more information on this topic.

QuestionAnswer
Form NameEjcdc C 620 Form
Form Length7 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 45 sec
Other namesget the ejcdc c 620 pages 1 4 form, ejcdc c 620 contractors application for payment, ejcdc documents no No Download Needed needed, ejcdc c 620 contractor's application for payment page 2 0f 4

Form Preview Example

Contractor's Application for Payment No.

 

Application Period:

Application Date:

 

 

 

To (Owner):

From (Contractor):

Via (Engineer):

 

 

 

Project:

Contract:

 

 

 

 

Owner's Contract No.:

Contractor's Project No.:

Engineer's Project No.:

 

 

 

Application For Payment

Change Order Summary

Approved Change Orders

Number

Additions

Deductions

TOTALS

NET CHANGE BY

CHANGE ORDERS

Contractor's Certification

The undersigned Contractor certifies that to the best of its knowledge: (1) all previous progress payments received from Owner on account of Work done under the Contract have been applied on account to discharge Contractor's legitimate obligations incurred in connection with Work covered by prior Applications for Payment; (2) title of all Work, materials and equipment incorporated in said Work or otherwise listed in or covered by this Application for Payment will pass to Owner at time of payment free and clear of all Liens, security interests and encumbrances (except such as are covered by a Bond acceptable to Owner indemnifying Owner against any such Liens, security interest or encumbrances); and (3) all Work covered by this Application for Payment is in accordance with the Contract Documents and is not defective.

By:

Date:

 

 

1.

ORIGINAL CONTRACT PRICE

 

$

 

2.

..................................................................Net change by Change Orders

.

$

 

3.

.........................................................Current Contract Price (Line 1 ± 2)

.

$

 

4.

TOTAL COMPLETED AND STORED TO DATE

 

 

 

(Column F on Progress Estimate)

 

$

 

5.

RETAINAGE:

 

 

 

 

 

 

 

 

a.

 

X

 

 

Work Completed

$

 

 

b.

 

X

 

 

Stored Material

$

 

 

c. Total Retainage (Line 5a + Line 5b)

$

 

6.

..............................AMOUNT ELIGIBLE TO DATE (Line 4 - Line 5c)

$

 

7.

.........LESS PREVIOUS PAYMENTS (Line 6 from prior Application)

$

 

8.

...................................................AMOUNT DUE THIS APPLICATION

 

$

 

9. BALANCE TO FINISH, PLUS RETAINAGE

 

 

 

(Column G on Progress Estimate + Line 5 above)

$

 

 

Payment of:

$

 

 

 

 

 

 

 

 

 

 

(Line 8 or other - attach explanation of the other amount)

 

is recommended by:

 

 

 

 

 

 

 

 

 

 

 

 

(Engineer)

 

(Date)

 

Payment of:

$

 

 

 

 

 

 

 

 

 

 

(Line 8 or other - attach explanation of the other amount)

 

is approved by:

 

 

 

 

 

 

 

 

 

 

 

 

(Owner)

 

(Date)

 

Approved by:

 

 

 

 

 

 

 

 

 

 

 

Funding Agency (if applicable)

 

(Date)

Endorsed by the Construction Specifications Institute.

EJCDC C-620 Contractor's Application for Payment

©2007 National Society of Professional Engineers for EJCDC. All rights reserved. Page 1 of 4

Progress Estimate

 

 

 

 

 

Contractor's Application

 

 

 

 

 

 

 

 

 

For (contract):

 

 

 

Application Number:

 

 

 

 

 

 

 

 

 

 

 

 

 

Application Period:

 

 

 

Application Date:

 

 

 

 

 

 

 

 

 

 

 

 

 

A

 

B

Work Completed

E

F

 

G

 

 

 

 

 

 

 

 

 

Item

 

 

C

D

Materials Presently

Total Completed

%

Balance to Finish

 

 

 

 

 

 

 

 

Specification Section

 

Scheduled Value

From Previous Application

This Period

Stored (not in C or D)

and Stored to Date

(F)

(B - F)

No.

Description

(C+D)

 

 

(C + D + E)

B

 

 

 

 

 

 

Totals

EJCDC C-620 Contractor's Application for Payment

©2007 National Society of Professional Engineers for EJCDC. All rights reserved. Page 2 of 4

Progress Estimate

 

 

 

 

 

 

Contractor's Application

 

 

 

 

 

 

 

 

 

 

For (contract):

 

 

 

 

 

Application Number:

 

 

 

 

 

 

 

 

 

 

 

 

 

Application Period:

 

 

 

 

 

Application Date:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A

B

C

D

E

F

 

 

 

 

 

 

 

 

 

 

 

 

 

Item

 

Estimated

 

Materials Presently

Total Completed

%

Balance to Finish

 

 

 

 

 

 

 

 

Bid Quantity Unit Price

Bid Value

Quantity

Value

and Stored to Date

(F)

(B - F)

Bid Item No.

Description

 

Installed

 

Stored (not in C)

(D + E)

B

 

 

 

 

 

 

 

 

Totals

EJCDC C-620 Contractor's Application for Payment

©2007 National Society of Professional Engineers for EJCDC. All rights reserved. Page 3 of 4

Stored Material Summary

 

 

 

 

 

Contractor's Application

 

 

 

 

 

 

 

 

 

For (contract):

 

 

 

 

 

Application Number:

 

 

 

 

 

 

 

 

 

 

 

Application Period:

 

 

 

 

Application Date:

 

 

 

 

 

 

 

 

 

 

 

 

 

A

B

C

 

D

 

E

F

 

G

 

Shop Drawing

 

Stored Previously

Stored this Month

Incorporated in Work

Materials Remaining

Invoice No.

Materials Description

Date

Amount

Amount

Subtotal

Date

Amount

in Storage ($)

Transmittal No.

 

 

(Month/Year)

($)

($)

(Month/Year)

($)

(D + E - F)

 

 

 

 

Totals

EJCDC C-620 Contractor's Application for Payment

©2007 National Society of Professional Engineers for EJCDC. All rights reserved. Page 4 of 4

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Design and Construction Related Documents

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So as to finalize this PDF document, ensure you type in the right details in each and every field:

1. It is advisable to complete the c 620 properly, hence be mindful when filling out the segments that contain these particular fields:

Filling in segment 1 of ejcdc pay application form

2. Right after this array of fields is filled out, proceed to type in the relevant details in these - Contractors Certification, The undersigned Contractor, Payment of, is recommended by, Payment of, Line or other attach explanation, Engineer, Date, Line or other attach explanation, is approved by, Owner, Date, Date, Approved by, and Funding Agency if applicable.

Date, Date, and Owner of ejcdc pay application form

3. This next section is all about Progress Estimate, Contractors Application, For contract, Application Period, Item, Specification Section, Application Number, Application Date, Work Completed, Description, Scheduled Value, From Previous Application, This Period, Stored not in C or D, and and Stored to Date - fill in every one of these blank fields.

Step # 3 of completing ejcdc pay application form

As to This Period and For contract, make certain you take a second look in this current part. Both these are the most significant ones in the document.

4. To move ahead, your next step involves filling out a handful of fields. These include Totals, EJCDC C Contractors Application, National Society of Professional, and Page of, which are key to continuing with this particular PDF.

Completing section 4 of ejcdc pay application form

5. As a final point, the following final segment is precisely what you'll want to wrap up prior to submitting the form. The blank fields in this instance include the following: Progress Estimate, For contract, Application Period, Item, Contractors Application, Application Number, Application Date, Bid Item No, Description, Bid Quantity, Unit Price, Bid Value, Estimated Quantity Installed, Value, and Materials Presently.

ejcdc pay application form conclusion process detailed (part 5)

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