NEC3 New Engineering Contracts 3
Contract No:
Employers Assessment
(Payment Certificate)
Task No:
This certificate is issued in terms of Clause 50 of the Conditions of Contract.
TITLE OF THE CONTRACT:
CONTRACTOR:
Contact Person:
Address:
EMPLOYER:
Contact Person:
Address:
Telephone No.:
Fax No.:
Telephone No.:
Fax No.:
Contractors Invoice No:
Contractors VAT No:
Employers certificate No:
Employers cost allocation (WBS):
CUMULATIVE
THIS
CERTIFICATE
DESCRIPTION
(1) Price for Work Done to Date
(2) Compensation Events (to be deducted from DCF)
(3) Modifications
(4) Price adjustment for inflation
(5) Other amounts due to/by the Contractor
(6) Sub-totals
(7) Less Retention on (1 - 4) :
0.00%
(8) Sub-totals
(9) Add half Retention released
(10) Sub-totals
(11) Less delay damages
(12) Sub-totals
(13) Less low performance damages
(14) Sub-totals
Add VAT @ 14%
TOTALS
CUMULATIVE
PREVIOUS
CERTIFICATE
R 0.00
R 0.00
Total Contract Value =
DCF Amount Approved =
R 0.00
Total Value of work to date =
Compensations to date =
Contract Amount Available =
R 0.00
R 0.00
NOW DUE
DCF Amount Available =
R 0.00
Notes:
Assessment prepared by:
.......................................................
PRINT NAME
.......................................................
..................................
.......................................................
..................................
SIGNATURE
DATE
Certified by the Employer:
.......................................................
PRINT NAME
SIGNATURE
Eskom Holdings Soc Limited Reg No. 2002/015527/06
Rev0.doc
DATE
NEC Payment Certificate Employers Assessment template Dec2009