Invoice for Compensation Sum Template - Excel

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Invoice for Compensation Sum Template - Excel 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
  b7931a35-eaec-498b-acf3-c93f26245c38.xls\CM Invoice ETRC, 4/12/2011
                                                                                                              Page 1 of 7
Engineering Teaching and Research Complex-Phase 1 (ETRC-Phase 1)

For the period :
Invoice Number :



    Basic Services Construction Phase
                                                    Percent of Stipulated Sum
                                                      Services    (Including all           Amount
                                                   Provided to Changes to the             Earned to
               Phase                                     Date      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




  b7931a35-eaec-498b-acf3-c93f26245c38.xls\CM Invoice ETRC, 4/12/2011
                                                                                                      Page 2 of 7
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:




  b7931a35-eaec-498b-acf3-c93f26245c38.xls\CM Invoice ETRC, 4/12/2011
                                                                                                               Page 3 of 7
( 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




b7931a35-eaec-498b-acf3-c93f26245c38.xls\CM Invoice LSB_ASFOB, 4/12/2011
                                                                                                            Page 4 of 7
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 (Including     Amount
      Pha                                                        Provided to all Changes to    Earned to
      se                                                               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


b7931a35-eaec-498b-acf3-c93f26245c38.xls\CM Invoice LSB_ASFOB, 4/12/2011
                                                                                                       Page 5 of 7
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:




b7931a35-eaec-498b-acf3-c93f26245c38.xls\CM Invoice LSB_ASFOB, 4/12/2011
                                                                                                    Page 6 of 7
{Insert DP Name and Address or Letter Head }                                                           { Insert Invoice Date }
Please submit only ONE project per INVOICE
DESIGN PROFESSIONAL INVOICE FORM
for Ad Hoc Design Professional Contractual Agreements (Issued by ISU Purchasing Department)

Invoice Number :
For the period :
To:          Dean Morton
             Facilities Planning and Management
             200 General Services Building
             Iowa State University
             Ames, Iowa 50011-4001
Attn:        { Insert ISU Project Manager or Lola Van Wyk }

                         Project Title: { Insert Project Title or a short description of work covered in this invoice }
              DP Project Number:
            ISU Contract Number:
          FP&M Release Number:
           FP&M Project Number:
        FP&M Work Order Number:
      FP&M Capital Project Number:

PROFESSIONAL SERVICES:
        Services or Products
             Description                                                      Rate             Unit                     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                                                    Total Project Invoice Amount:                       0.00


PROJECT BILLING SUMMARY:                                             Current Billing         Prior Billings     Billed-To-Date
        Services or Products                                                    0.00                  0.00                    0.00
        Design Professional Project Manager Signature:
        (The above signature certifies the information contained in this invoice is a statement of fact and there
        are no hourly charges included for transit to and from Iowa State University or the project site.)

        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:
Ad Hoc DP Invoice Form (Purchase Order).xls                                                                       Revised 1/2004




                                                           Page 7 of 7

				
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Description: Invoice for Compensation Sum Template document sample