SBA Performance & Payment Request

SBA Performance & Payment Request

SBA Performance and Payment Request [PDF]

Please Complete ALL Information and Send a Copy of your Contract and/or Award Letter.




COST BREAKDOWN FOR ENTIRE BID AMOUNT OR 100%

Sub Contractor Work

OR

Labor

OR

Materials

OR

Equipment

OR

Bonds

OR

Overhead

OR

Gross Profit

OR


Contract Date



Type of Bond Form (please provide bond form if you checked GC's or Other):

GC'sAIAGov Form 25Other

Percentage of Performance Bond:

50%100%Other


Percentage of Payment Bond:

50%100%Other




Contractor is Prime ContractorSub Contractor

Project Similar to Previous Work YesNo

Pertains to an 8(a) Contract YesNo

Job has Started YesNo

If Final Bond, was the contract: NegotiatedBid


HAZARDOUS SUBSTANCE (If yes, please submit HAZMAT specifications)

DESIGN/EFFICIENCY GUARANTEES (If yes, please submit specifications)



CURRENT WORK ON HAND


PLEASE SPECIFY THE NUMBER OF ORIGINAL BONDS NEEDED