Project Manual 11-210C - Ramapo College of New Jersey

SECTION 01 29 00 – PAYMENT PROCEDURES
ATTACHMENT TO
APPLICATION FOR PAYMENT
Project Name: PHASE II HOUSING REHABILITATION
RCNJ Project No: 09-270.1C
Application for Payment Number
I, __________________________________________, a prime contractor working for Ramapo
College of New Jersey on the above mentioned project, hereby certify as required by P.L 1991,
c. 507 of the State of New Jersey that (check all appropriate paragraphs):
( ) all my subcontractors and suppliers have been paid all amounts due from all previous progress
payments I have received from Ramapo College of New Jersey for my work on this project;
( ) all my subcontractors and suppliers shall be paid all amounts due from this progress payment;
( ) all my subcontractors and suppliers shall be paid all amounts due from this progress payment with the
exception of those listed below for which payment is being withheld as there exists a valid basis for
those subcontractors and suppliers listed below under the terms of their contract(s) to withhold payment
from each such subcontractor and supplier:
1. _________________________________________________________________________
2. _________________________________________________________________________
3. _________________________________________________________________________
4. _________________________________________________________________________
For each such subcontractor and supplier for which payment is being withheld, I further certify that written notice
detailing the specific reason(s) for withholding payment has been provided
to each such subcontractor and supplier with copies thereof provided to my performance bond
company and Ramapo College of New Jersey.
___________________
Date
_______________________________________
Signature
_______________________________________
Print Name
________________________________________
Company Name
Ramapo College of New Jersey
01 29 00 PAYMENT PROCEDURES
E-Wing Renovation for Teacher’s Education Page 6 of 6
RCNJ Project No. 11-210C
Prepared by:
Cambridge Construction Management