Invoice for Compensation Sum Template

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Invoice for Compensation Sum Template Powered By Docstoc
					( Insert CM Name and Address or Letter Head )                                            ( Insert Invoice Date )

CONSTRUCTION MANAGER INVOICE FORM
for form of agreement with compensation for Basic Services as a Stipulated Sum
Engineering Teaching and Research Complex-Phase 1 (ETRC-Phase 1)

For the period :
Invoice Number :

To:            Contract Administration
               Facilities Planning and Management
               General Services Building
               Iowa State University
               Ames, Iowa 50011-4001

ISU Project Manager:                      A. Dean Morton
ISU Construction Manager:                 Mark Stevenson

CM Project Number:
ISU Project Reference Number (from Agreement):
FP&M Project Request Number (from Agreement):


AGREEMENT AMOUNTS
                                             Basic Services      Basic
                                            Preconstruction   Services Reimbursable
                                              Phase (Not to (Stipulated Expenses (Not
                                                    Exceed)       Sum)      to Exceed)     Total
      Original Agreement                               0.00        0.00           0.00     0.00
      Change #1                                        0.00        0.00           0.00     0.00
      etc.                                             0.00        0.00           0.00     0.00
      Total amount payable                             0.00        0.00           0.00     0.00


SERVICES AND EXPENSES FOR THIS INVOICE

      Basic Services Preconstruction Phase
             In-House Services                                          Rate    Hours    Charge
             ( Staff Classification #1 & Names )                        0.00     0.00      0.00
             ( Staff Classification #2 & Names )                        0.00     0.00      0.00
             etc.                                                       0.00     0.00      0.00
             Total In-House Services                                                       0.00

               Outside Services                                         Rate    Hours    Charge
               Mechanical/Electrical Consultant                                            0.00
               Structural Consultant                                                       0.00
               etc.                                                                        0.00
               Total Outside Services                                                      0.00

      Total Basic Services Preconstruction Phase                                                             0.00
  37804edb-1026-47b8-aa40-7a15e21a965e.xls\CM Invoice ETRC, 4/12/2011
                                                                                                   Page 1 of 8
Engineering Teaching and Research Complex-Phase 1 (ETRC-Phase 1)

For the period :
Invoice Number :



    Basic Services Construction Phase
                                                    Percent of      Stipulated
                                                      Services Sum (Including             Amount
                                                   Provided to all Changes to            Earned to
               Phase                                      Date the Agreement)                 Date
               Construction Phase                         0.00             0.00               0.00
               Total Amount Earned for Basic Services                                         0.00

               Prior Billing For Basic Services                                               0.00

    Total Basic Services Construction Phase                                                                    0.00


    Reimbursable Expenses

               Reimbursable Personnel                                   Rate   Hours       Charge
               ( Staff Classification #1 & Names )                      0.00    0.00         0.00
               ( Staff Classification #2 & Names )                      0.00    0.00         0.00
               etc.                                                     0.00    0.00         0.00
               Total Reimbursable Personnel                                                  0.00

               Other Reimbursable Expenses
               Copies                                                                         0.00
               Telephone                                                                      0.00
               Postage                                                                        0.00
               Travel                                                                         0.00
               etc.                                                                           0.00
               Total Other Reimbursable Expenses                                              0.00

    Total Reimbursable Expenses                                                                                0.00

TOTAL OF SERVICES AND EXPENSES FOR THIS INVOICE:                                                               0.00


                                                          SPACE FOR ISU APPROVAL STAMP




  37804edb-1026-47b8-aa40-7a15e21a965e.xls\CM Invoice ETRC, 4/12/2011
                                                                                                     Page 2 of 8
Engineering Teaching and Research Complex-Phase 1 (ETRC-Phase 1)

For the period :
Invoice Number :




PROJECT BILLING SUMMARY

                                                                          Prior
                                               Current Billing          Billings   Billed-To-Date   Balance
    Basic Services
    Preconstruction Phase                                    0.00          0.00             0.00       0.00
    Basic Services
    Construction Phase                                       0.00          0.00             0.00       0.00
    Reimbursable Expenses                                    0.00          0.00             0.00       0.00
    Total                                                    0.00          0.00             0.00       0.00
    % of Amount Payable                            #DIV/0!              #DIV/0!           #DIV/0!    #DIV/0!




    CM Project Manager Signature:




  37804edb-1026-47b8-aa40-7a15e21a965e.xls\CM Invoice ETRC, 4/12/2011
                                                                                                               Page 3 of 8
( Insert CM Name and Address or Letter Head )                                              ( Insert Invoice Date )

CONSTRUCTION MANAGER INVOICE FORM
for form of agreement with compensation for Basic Services as a Stipulated Sum
Library Storage Building/Administrative Services Facilities Office Building (LSB/ASFOB)

For the period :
Invoice Number :

To:          Contract Administration
             Facilities Planning and Management
             General Services Building
             Iowa State University
             Ames, Iowa 50011-4001

Attn:        Roger Graden

CM Project Number:
ISU Project Reference Number (from Agreement):
FP&M Project Request Number (from Agreement):


AGREEMENT AMOUNTS
                                         Basic Services              Basic
                                         Preconstruction          Services Reimbursable
                                          Phase (Not to         (Stipulated    Expenses
                                                Exceed)               Sum)   (Estimated)        Total
      Original Agreement                      35,000.00         195,298.00    225,000.00   455,298.00
      Change #1                                     0.00               0.00         0.00         0.00
      etc.                                          0.00               0.00         0.00         0.00
      Total amount payable                    35,000.00         195,298.00    225,000.00   455,298.00


SERVICES AND EXPENSES FOR THIS INVOICE

      Basic Services Preconstruction Phase
      In-House Services                                                    Rate   Hours       Charge
           ( Staff Classification #1 & Names )                             0.00    0.00         0.00
           ( Staff Classification #2 & Names )                             0.00    0.00         0.00
           etc.                                                            0.00    0.00         0.00
           Total In-House Services                                                              0.00




37804edb-1026-47b8-aa40-7a15e21a965e.xls\CM Invoice LSB_ASFOB, 4/12/2011
                                                                                                    Page 4 of 8
Library Storage Building/Administrative Services Facilities Office Building (LSB/ASFOB)

For the period :
Invoice Number :

      Outside Services
           Mechanical/Electrical Consultant                                                       0.00
           Structural Consultant                                                                  0.00
           etc.                                                                                   0.00
           Total Outside Services                                                                 0.00

      Total Basic Services Preconstruction Phase                                                            0.00


      Basic Services Construction Phase
                                                                 Percent of    Stipulated
                                                                   Services          Sum      Amount
      Pha                                                       Provided to (Including all   Earned to
      se                                                               Date Changes to the        Date
      Construction Phase                                               0.00           0.00        0.00
      Total Amount Earned for Basic Services                                                      0.00

             Prior Billing For Basic Services                                                     0.00

      Total Basic Services Construction Phase                                                               0.00


      Reimbursable Expenses

      Reimbursable Personnel                                               Rate     Hours      Charge
           ( Staff Classification #1 & Names )                             0.00      0.00        0.00
           ( Staff Classification #2 & Names )                             0.00      0.00        0.00
           etc.                                                            0.00      0.00        0.00
      Total Reimbursable Personnel                                                               0.00

      Other Reimbursable Expenses
      Copies                                                                                      0.00
      Telephone                                                                                   0.00
      Postage                                                                                     0.00
      Travel                                                                                      0.00
      etc.                                                                                        0.00
      Total Other Reimbursable Expenses                                                           0.00

      Total Reimbursable Expenses                                                                           0.00


37804edb-1026-47b8-aa40-7a15e21a965e.xls\CM Invoice LSB_ASFOB, 4/12/2011
                                                                                                     Page 5 of 8
Library Storage Building/Administrative Services Facilities Office Building (LSB/ASFOB)

For the period :
Invoice Number :

TOTAL OF SERVICES AND EXPENSES FOR THIS INVOICE:                                                           0.00

                                                      SPACE FOR ISU APPROVAL STAMP




PROJECT BILLING SUMMARY
                         Current Billing Prior Billings Billed-To-Date                       Balance
   Basic Services
   Preconstruction Phase           0.00            0.00           0.00                      35,000.00
   Basic Services
   Construction Phase              0.00            0.00           0.00                     195,298.00
   Reimbursable Expenses           0.00            0.00           0.00                     225,000.00
   Total                           0.00            0.00           0.00                     455,298.00
      % of Amount Payable                             0.00%                0.00%   0.00%      100.00%




      CM Project Manager Signature:




37804edb-1026-47b8-aa40-7a15e21a965e.xls\CM Invoice LSB_ASFOB, 4/12/2011
                                                                                                    Page 6 of 8
{ Insert A/E Name and Address or Letter Head }                                               { Insert Invoice Date }

DESIGN PROFESSIONAL INVOICE FORM
for form of agreement with compensation for Basic Services as Hourly with Fixed Maximum

Invoice Number:
For the period:
      (a date range is required, i.e. mm-dd-yy through mm-dd-yy)

To:          Contract Administration
             Facilities Planning and Management
             200 General Services Building
             Iowa State University
             Ames, Iowa 50011-4021

Attn:        { Insert ISU Project Manager }

{ Insert Official Project Title from Agreement }

                             A/E Project Number:
            FP&M Project Number (from Agreement): CP00____

AGREEMENT AMOUNTS
                                                            Basic Services       Reimbursable
                                                          (Fixed Maximum)            Expenses                 Total
             Original Agreement:                                      0.00               0.00                 0.00
             DP Amendment #                                           0.00               0.00                 0.00
             etc.                                                     0.00               0.00                 0.00
             Maximum amount payable:                                  0.00               0.00                 0.00

SERVICES AND EXPENSES FOR THIS INVOICE:

        Basic Services
        In-House Services                                               Rate             Hours             Charge
             { Staff Classification #1 or Name }                        0.00               0.00              0.00
             { Staff Classification #2 or Name }                        0.00               0.00              0.00
             etc.                                                       0.00               0.00              0.00
                                                                       Total In-House Services:              0.00

        Outside Services
             { Mechanical/Electrical Consultant }                                                             0.00
             { Structural Consultant }                                                                        0.00
             etc.                                                                                             0.00
                                                                        Total Outside Services:               0.00

                                                   Total Amount Earned for Basic Services:                    0.00
                                                          Prior Total Billed for Basic Services:              0.00
                                                       Total Amount Billed for Basic Services:                0.00




                                                         Page 7 of 8
{ Insert A/E Name and Address or Letter Head }                                                    { Insert Invoice Date }

DESIGN PROFESSIONAL INVOICE FORM
for form of agreement with compensation for Basic Services as Hourly with Fixed Maximum

Invoice Number:
For the period:
      (a date range is required, i.e. mm-dd-yy through mm-dd-yy)

      Reimbursable Expenses *

      Approved Travel (itemize)                                                                                       0.00
      Other Approved Reimbursable Expenses (itemize)                                                                  0.00
                                                    Total Reimbursable Expenses:                                      0.00
                                       Prior Total Billed for Reimbursable Expenses:                                  0.00
                                    Total Amount Billed for Reimbursable Expenses:                                    0.00
      *(Receipts are attached)

TOTAL OF SERVICES AND EXPENSES FOR THIS INVOICE:                                                        $              -


Project Billing Summary
                                           Current Billing         Prior Billings    Billed-To-Date               Balance
      Basic Services                                0.00                     0.00              0.00                  0.00
      Reimbursable Expenses                         0.00                     0.00              0.00                  0.00
      Total                                         0.00                     0.00              0.00                  0.00
      % of Amount Payable                        #DIV/0!                #DIV/0!             #DIV/0!               #DIV/0!



      To be completed by the Design Professional
            1.) Published updated Design Professional Monthly Report to the project web site (every month during project).

            2.) Published CD progress document set to the project web site (only during CD phase of design).




      For Iowa State University use only                                                 Approved for Payment
                                                                           Date:
                                                                       Amount:
                                                                  Approved by:

DP Invoice Form (Hourly with Fixed Maximum).xls
Revised 8/2005




                                                             Page 8 of 8

				
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Description: Invoice for Compensation Sum Template document sample