Rd 1924 18 Form PDF Details

In the realm of construction and rural development, accurate and timely payments are crucial for maintaining project momentum and ensuring that contractors are compensated for their work. Enter FORM RD 1924-18, a document endorsed by the United States Department of Agriculture (USDA) specifically designed to facilitate partial payments in construction contracts within rural areas. This form epitomizes the structured approach to financial management in construction projects, providing a standardized method for estimating and authorizing partial payments. It encompasses a broad spectrum of details, including a summary of contract change orders, a meticulous breakdown of work completed, and materials stored, alongside the revised contract totals. Furthermore, it incorporates certifications from contractors and architects or engineers, attesting to the accuracy of the work reported and its compliance with the contract documents. The inclusion of original, revised, and remaining contract times, coupled with agency approval, adds another layer of oversight and ensures that all parties are aligned on the project's progression and payment schedules. Ensuring compliance with the Paperwork Reduction Act of 1995, the form also presents a clear and transparent approach to information collection, emphasizing its importance in efficient project management and financial disbursements in rural development projects.

QuestionAnswer
Form NameRd 1924 18 Form
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesusda rd 1924 18 form, rd 1924 18 form, usda partial form, rd payment form

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FORM APPROVED OMB NO. 0575-0042

FORM RD 1924-18

UNITED STATES DEPARTMENT OF AGRICULTURE

(REV. 6-97)

RURAL DEVELOPMENT

 

FARM SERVICE AGENCY

 

PARTIAL PAYMENT ESTIMATE

CONTRACT NO.

PARTIAL PAYMENT ESTIMATE NO.

PAGE

 

OWNER:

 

 

 

CONTRACTOR:

 

 

PERIOD OF ESTIMATE

 

 

 

 

 

 

 

 

FROM _________ TO _________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CONTRACT CHANGE ORDER SUMMARY

ESTIMATE

No.

Agency Approval

 

Amount

Date

Additions

Deductions

 

 

 

 

 

TOTALS

NET CHANGE

1.

Original Contract

__________________________

2.

Change Orders

__________________________

3.

Revised Contract (1 + 2)

__________________________

4.

Work Completed*

__________________________

5.

Stored Materials*

__________________________

6.

Subtotal (4 + 5)

__________________________

7.

Retainage*

__________________________

8.

Previous Payments

__________________________

9.

Amount Due (6-7-8)

__________________________

*

Detailed breakdown attached

 

CONTRACT TIME

Original (days) _______________________________

Revised _____________________________________

Remaining __________________________________

On Schedule

Yes

No

Starting Date ___________________________________

Projected Completion ____________________________

CONTRACTOR’S CERTIFICATION:

The undersigned Contractor certifies that to the best of their knowledge, information and belief the work covered by this payment estimate has been completed in accordance with the contract documents, that all amounts have been paid by the contractor for work for which previous payment estimates was issued and payments received from the owner, and that current payment shown herein is now due.

Contractor _______________________________________________

By __________________________________________________

Date _________________________________________________

APPROVED BY OWNER:

Owner _______________________________________________

ARCHITECT OR ENGINEER’S CERTIFICATION:

The undersigned certifies that the work has been carefully inspected and to the best of their knowledge and belief, the quantities shown in this estimate are correct and the work has been performed in accordance with the contract documents.

Architect or Engineer ______________________________________

By __________________________________________________

Date _________________________________________________

ACCEPTED BY AGENCY:

The review and acceptance of this estimate does not attest to the correctness of the quantities shown or that the work has been performed in accordance with the contract documents.

By ____________________________________________________

By __________________________________________________

Title ____________________________________________________

Date _________________________________________________

Date ___________________________________________________

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0575-0042. The time required to complete this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

RD 1924-18 (REV. 6-97)

ITEM

 

 

TYPICAL UNIT PRICE BREAKDOWN *

 

 

 

 

 

CONTRACT (revised)

 

THIS PERIOD

TOTAL TO DATE

%

DESCRIPTION

UNIT

 

 

 

 

 

COM-

 

QUANTITY

PRICE

AMOUNT

QUANTITY

AMOUNT

QUANTITY

AMOUNT

PLETE

 

 

 

 

 

 

 

$

$

 

 

$

 

$

 

TOTALS

 

TYPICAL LUMP SUM PRICE BREAKDOWN *

 

 

 

 

TYPICAL STORED MATERIALS

 

 

 

 

 

AND RETAINAGE BREAKDOWN *

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SCHEDULED

WORK COMPLETED

%

 

MATERIALS STORED AT END OF THIS PAYMENT PERIOD

ITEM

DESCRIPTION

THIS PERIOD

TO DATE

COM-

 

 

 

 

UNIT

 

VALUE

 

DESCRIPTION

 

QUANTITY

AMOUNT

 

 

PLETE

 

 

VALUE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

$

$

 

 

 

 

 

$

$

 

 

 

 

 

 

 

 

 

 

 

 

RETAINAGE

THIS ESTIMATE

PERCENT

RETAINED

$

% $

 

WORK COMPLETED:

STORED MATERIALS:

OTHER (explain)

TOTALS

TOTAL

* AS A MINIMUM, DETAILED BREAKDOWNS SHOULD CONTAIN THIS INFORMATION.

RD 1924-18

REVERSE

FORM S M ANUAL INSERT

FORM RD 1 9 2 4 -1 8

Used by Contractor to request partial payment on construction work completed. Submitted to loan approval official for disbursement.

 

 

(SEE REVERSE)

PROCEDURE FOR PREPARATION

:

RD Instruction 1924-A.

PREPARED BY

:

Contractor.

NUMBER OF COPIES

: Original and three, plus additional copies as appropriate.

SIGNATURES REQUIRED

:

Original and all copies will be signed by: Contractor; Architect/Engineer;

 

 

Borrower representative; Agency representative; other funding agency

 

 

representative as appropriate.

DISTRIBUTION OF COPIES

: Original to Borrower; copy to District and County Office file; copy to

 

 

Architect/Engineer; copy to Contractor; copies to State Office and other

 

 

funding agencies as appropriate.