RIB

Subcontract Payment Certificate

Subcontractor:

Subcontractors Address: Job No

Registration number
Subcontracts VAT No
Date Contract signed
Tel.: Subcontract Type
Fax: Order number
Contact Person: Original Contract Value:
E-mail Address Final Awarded Value

Certificate No.
Total To Date Previous Payment This Payment

Work carried out: R 0.00 R 0.00

Materials on Site: R 0.00 R 0.00
Escalation: R 0.00 R 0.00
Extras: R 0.00 R 0.00
Dayworks: R 0.00 R 0.00
Advance Payment R 0.00 R 0.00
Other: R 0.00 R 0.00
Sub Total: R 0.00 R 0.00
Retention Percentage: 10% R 0.00 R 0.00
Retention Limit: 5% R 0.00 R 0.00
UIF: 6% R 0.00 R 0.00
SDL: 1% R 0.00 R 0.00
Sub Total: R 0.00 R 0.00
Vat @: 15% R 0.00 R 0.00

Total Certified R 0.00 R 0.00

Less Contra Charges R 0.00
Repairs from others
Totals: R 0.00 R 0.00
(AMOUNT DUE NOW )

S/C Certificate Date: Payment Due Date

Prepared By: Date Submitted:

Authorised By: Date Authorised: