Sub / Vendor Name:

 Your Name:

 Project/Location:

 Your E-Mail Address:

 Phone:

 Fax:

 Date of Inquiry:

  Today

 Work Completed thru date:

 To determine billing period

 Your Invoice Number:

 To determine billing period

 Date of Invoice:

 To determine billing period

 Are all Certified Payrolls submitted including up to the last payroll period:

Check YES or NO

YES NO

 Failure to submit payrolls can cause government to withhold entire contract billings! (NOT A VENDOR Question)

 Have you returned all notarized interim lien waiver(s) for all  previous payments:

YES NO

 This was mailed along with the check!

 Have you returned the notarized final waiver for the FINAL payment:

YES NO

 Only on a FINAL payment request

 If previously requested, have you furnished the names & phone  nos., for us to verify that materials have been paid for:

YES NO

 Enables us to make sure that there will be no claims against us for  unpaid subs and vendors. Not generally required for bonded subcontractors, or VENDORS.

 Have your subcontractors and vendors been paid from previous payments and their waivers been provided to us:

YES NO

 Enables us to make sure that there will be no claims against us for  unpaid subs and vendors. (NOT A VENDOR QUESTION)

 Have you signed and returned all change orders for which you are  requesting payment:

YES NO

 You cannot invoice for a change order that has not been modified to  your subcontract.

 Have you submitted and received approval on a schedule of values upon  which your billing is based:

YES NO

Must be submitted and approved prior to any  payments! Not required if contact is less that $3,000

 Was your invoice submitted in triplicate before the contractual due date:

YES NO

 This enables us to bill the owner the proper amount in our billing.

 Have you read and understand the payment terms of the subcontract/PO and not assumed that it is your 'standard terms' :

YES NO

 Terms are generally 'Pay when paid'. See Purchase Orders for terms  for vendors.