Progress Claim Form 2

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Progress Claim No.
______________________________
Build better.
FORM 2
PROGRESS CLAIM
(Condition 14 of the General Conditions of QBCC Level 1 Renovation, Extension and Repair Contract)
NOTE TO CONTRACTOR: This blank form may be copied for multiple use. Give this form to the Owner, together with
Form 3 and any certificates of inspection relevant to this payment stage.
To: (Owner/s) _________________________________________________________________________________________
(insert name and postal address of Owner/s)
From: (Contractor) ____________________________________________________________________________________
Regarding construction at: ______________________________________________________________________________
(insert Site address)
The Contractor certifies that the Works have reached the Stage described as:
_____________________________________________________________________________________________________
(The Stage must be a Progress Payment Stage as set out in Item 8 of the Contract Schedule)
The Contractor claims payment for the following:
1. The completion of Works to the Stage indicated above in the amount of:
$ ______________
_____________________________________________________________________________________________________
(insert the amount in words and figures)
NOTE: The percentage/amount of the Contract Price that can be claimed is set out at Item 8 of the Contract Schedule.
2. Adjustment (if any) for Prime Cost (PC) Items claimed at this Stage:
(Delete this section if no PC Items in Contract Price)
__________________________________________________________________________________ $ ________________
__________________________________________________________________________________ $ ________________
__________________________________________________________________________________ $ ________________
(insert description of PC Item/s and whether adjustment is + or – compared to allowance stated in the PC Schedule)
NOTE: The Contractor must attach to this progress claim any invoice, receipt or other document showing the cost of any Prime Cost Item.
3. Adjustment (if any) for Provisional Sums (PS) claimed at this Stage:
(Delete this section if no PS Items in Contract Price)
__________________________________________________________________________________ $ ________________
__________________________________________________________________________________ $ ________________
__________________________________________________________________________________ $ ________________
(insert description of PS Item/s and whether adjustment is + or – compared to allowance stated in the PS Schedule)
NOTE: The Contractor must attach to this progress claim any invoice, receipt or other document showing the cost of any Provisional Sum.
4. Adjustment for variations:
(must have been previously recorded in a Variation Document and authorised by Owner)
________________________as set out in QBCC Form 4 – Variation Document dated:
/
/
$ _______________
________________________as set out in QBCC Form 4 – Variation Document dated:
/
/
$ _______________
________________________as set out in QBCC Form 4 – Variation Document dated:
/
/
$ _______________
(insert description of variation/s)
(insert Variation Document date)
(insert amount of increase or decrease due to variation)
TOTAL AMOUNT OF THIS PROGRESS CLAIM:
$
(add or subtract the adjustments in Items 2, 3 & 4 above from the Stage payment stated in Item 1)
(incl. GST)
Signed by the Contractor/Contractor’s Representative:
DATED:
/
/
(day) (month) (year)
NOTE TO CONTRACTOR:
Where claim is for Practical Completion Stage, you must attach a Defects Document in QBCC Form 5.
NOTE TO OWNER: Except for the Practical Completion Stage, you must pay the amount claimed by the Contractor, or
any part of it with which you agree, within 5 business days of receipt of this progress claim. If you dispute all or part of
the Contractor’s progress claim, you must, within 5 business days of receiving the claim, give the Contractor a QBCC Form
3 – Notice of Dispute of Progress Claim or similar written notice stating that you dispute all or part of the progress claim
and your reasons for doing so. For the Practical Completion Stage, you must pay the Contractor immediately after the
Contractor has satisfied Condition 22.2.
When form completed, Contractor to retain original and give 1 legible copy to Owner.
QBCC LEVEL 1 RENOVATION, EXTENSION AND REPAIR CONTRACT_JULY 2015

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