SF1443 Progress Payment Request

OMB Control Number: 9000-0010
Expiration Date: 8/31/2024

CONTRACTOR'S REQUEST FOR PROGRESS PAYMENT

IMPORTANT: See Paperwork Reduction Act Statement and complete this form in accordance with instructions on the reverse.

SECTION I - IDENTIFICATION INFORMATION

1. TO: NAME AND ADDRESS OF CONTRACTING OFFICE ADMINISTERING THE

CONTRACT (Include ZIP Code)

2. FROM: NAME AND ADDRESS OF CONTRACTOR (Include ZIP Code)

3. SMALL BUSINESS

PAYING OFFICE

YES

NO

4. CONTRACT NUMBER

A. BASIC CONTRACT NUMBER

B. TASK OR DELIVERY ORDER NUMBER

5. CONTRACT PRICE

$

6. RATES

7. DATE OF INITIAL AWARD

A. PROGRESS PAYMENTS B. LIQUIDATION

%

%

A. YEAR

8A. PROGRESS PAYMENT REQUEST NUMBER

8B. DATE OF THIS REQUEST

B. MONTH

SECTION II - STATEMENT OF COSTS UNDER THIS CONTRACT THROUGH

(Date)

9. RESERVED

10. RESERVED

11. COSTS ELIGIBLE FOR PROGRESS PAYMENTS UNDER THE PROGRESS PAYMENTS CLAUSE

12a. TOTAL CONTRACT COST(S) INCURRED TO DATE

b. ESTIMATED COST TO COMPLETE

13. ITEM 11 MULTIPLIED BY ITEM 6a

14a. FINANCING PAYMENTS PAID TO SUBCONTRACTORS

b. LIQUIDATED FINANCING PAYMENTS TO SUBCONTRACTORS

c. TOTAL ESTIMATED COST OF PERFORMANCE

c. UNLIQUIDATED FINANCING PAYMENTS PAID TO SUBCONTRACTORS (Item 14a less 14b)

d. SUBCONTRACT FINANCING PAYMENTS APPROVED FOR CURRENT PAYMENT

e. ELIGIBLE SUBCONTRACTOR FINANCING PAYMENTS (Item 14c plus 14d)

15. TOTAL DOLLAR AMOUNT (Item 13 plus 14e)

16. ITEM 5 MULTIPLIED BY ITEM 6b

17. LESSER OF ITEM 15 OR ITEM 16

18. TOTAL AMOUNT OF PREVIOUS PROGRESS PAYMENTS REQUESTED

19. MAXIMUM BALANCE ELIGIBLE FOR PROGRESS PAYMENTS (Item 17 less 18)

SECTION III - COMPUTATION OF LIMITS FOR OUTSTANDING PROGRESS PAYMENTS

20. COMPUTATION OF PROGRESS PAYMENT CLAUSE LIMITATION

a. COSTS INCLUDED IN ITEM 11, APPLICABLE TO ITEMS DELIVERED, INVOICED, AND

ACCEPTED TO THE DATE IN HEADING OF SECTION II

b. COSTS ELIGIBLE FOR PROGRESS PAYMENTS, APPLICABLE TO UNDELIVERED ITEMS AND

TO DELIVERED ITEMS NOT INVOICED AND ACCEPTED (Item 11 less 20a)

c. ITEM 20b MULTIPLIED BY ITEM 6a

d. ELIGIBLE SUBCONTRACTOR FINANCING PAYMENTS (Same as Item 14e)

e. LIMITATION (Item 20c plus 20d)

21. COMPUTATION OF PROGRESS PAYMENT CLAUSE LIMITATION

a. CONTRACT PRICE OF ITEMS DELIVERED, ACCEPTED AND INVOICED AS OF THE DATE SHOWN

IN THE HEADING OF SECTION II

b. CONTRACT PRICE OF ITEMS NOT DELIVERED, ACCEPTED AND INVOICED (Item 5 less 21a)

c. ITEM 21b MULTIPLIED BY ITEM 6b

d. UNLIQUIDATED ADVANCE PAYMENTS PLUS ACCRUED INTEREST

e. LIMITATION (Item 21c less 21d)

22. MAXIMUM UNLIQUIDATED PROGRESS PAYMENTS (Lesser of Item 20e or 21e)

23. TOTAL AMOUNT LIQUIDATED AND TO BE LIQUIDATED