[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-256804-105":53,"doc-detail-256804-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","570-020-application-and-certificate-for-payment-part-i","570-020 - Application and Certificate for Payment - Part I","","Application and Certificate for Payment-Part I provides a structured contractor submission for requesting progress payments under a WSDOT contract. It includes tables to compute original contract value, change order impacts, completed-and-stored totals, retainage, earned amounts, sales tax, prior certificates, and the current payment due. It also contains change order summary fields and a Certificate for Payment section where the contractor and project administrator certify work completion, compliance with contract documents, payment entitlement, and specify the AMOUNT CERTIFIED, including required signatures, dates, and distribution notes.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/570-020-application-and-certificate-for-payment-part-i/256804/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/570-020-application-and-certificate-for-payment-part-i/256804.png","ImageObject",442,249,{"name":88,"@type":89},"Emma Mercer","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-11-02","2026-09-13",true,{"@type":98,"interactionType":99,"userInteractionCount":8},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What information is required in the Contractors Application for Payment section?","Question",{"text":108,"@type":109},"The form collects project and contractor details, application date, period coverage, work days used, and application numbers, and it provides line items to calculate contract sums, completed/stored totals, retainage, taxes, prior certificates, and the current payment due.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"How does the document handle retainage and sales tax calculations?",{"text":113,"@type":109},"Retainage is calculated using either 5% of total completed and stored or posted bond (per the provided options), then deducted to determine earned amounts. State sales tax on total completed and stored is added before subtracting retainage and prior certificates to arrive at the current payment due.",{"name":115,"@type":106,"acceptedAnswer":116},"What certifications are made in the Certificate for Payment section?",{"text":117,"@type":109},"The contractor certifies completion of the work in accordance with contract documents and that amounts have been paid for prior work and received payments from the state. 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Contractors Application for Payment  \n\n| Project Title |  |  | WSDOT Contract No. |  |\n| --- | --- | --- | --- | --- |\n| Contractor Name and Address |  |  | Phone (Include Area Code) |  |\n| Period\u003Cbr>From: To: | Application Date | Work Days Used |  | Application No. |\n| 1. Original Contract Sum     2. Net Change by Change Order     3. Contract Sum to Date (Line 1 + Line 2)  \u003Cbr>4. Total Completed and Stored to Date    \u003Cbr>5. Retainage (a or b):\u003Cbr>a. 5% of Total Completed and Stored    \u003Cbr>b. Posted Bond (Col. I, Part II) (Opt. 4)    \u003Cbr>6. Total retainage (Line 5a or 5b)    \u003Cbr>7. Total earned less retainage (Line 4 less Line 6)    \u003Cbr>8. State Sales Tax on total Completed and Stored    \u003Cbr>9. Total earned, plus Sales Tax, less retainage (Line 7 + Line 8)  \u003Cbr>10. Less previous Certificates for Payment (including State Sales Tax)  \u003Cbr>11. Current Payment Due (Line 9 less Line 10)    \u003Cbr>12. Balance to Finish, Plus Retainage (Line 3 less Line 7)     |  |  |  |  |\n\nSection II. Change Order Summary  \n\n| 1. Change orders approved by State through previous Certificate for Payment | No. | $ Additions | $ Deductions | Work Days | Net Change |\n| --- | --- | --- | --- | --- | --- |\n|  |  |  |  |  |  |\n| 2. Change orders approved by State, this Certificate |  |  |  |  |  |\n| 3. Totals (not including state sales tax) |  |  |  |  |  |\n| 4. Contract duration: a. Original contract (days)    \u003Cbr>b. Net change by change order    \u003Cbr>c. Current status ~~ ~~   |  |  |  |  |  |\n\nSection III. Certificate for Payment  \nThe undersigned Contractor certifies that to the best of the Contractor's knowledge, information and belief the Work covered by the Application for Payment has been completed in accord with the Contract Documents, that all amounts have been paid by the Contractor for work for which previous Certificates for Payment were issued and payments received from the State, and that current payment shown herein is now CURRENT PAYMENT DUE $   \nContractor:    \nBy:   Date:    \nIn accord with the Contract Documents based on on-site observations and the data compromising the above application, the Project Administrator certifies that, to the best of his/her knowledge, information, and belief, the work has progressed as indicated, the quality of the Work in accord with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED.  \nAMOUNT CERTIFIED $  (Attach explanation if amount certified differs from the amount applied for) Project  \nAdministrator:    \nBy:   Date:    \nThis Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment, and acceptance of payment are without prejudice to any rights of the State or Contractor under this Contract.  \nDistribution:  Original-Facilities Office/Financial Copies to:  Administrator  Contractor  Other  \nDOT Form 570-020 EF Page 1 of 2  \nRevised 04/2007","cbCaiirJTQZZbN1k","https://ap.wps.com/l/cbCaiirJTQZZbN1k","pdf",172600,"English","# Contractors Application for Payment\n## Summary of Contract Amounts and Current Payment Due\n# Change Order Summary\n# Certificate for Payment","[{\"question\":\"What information is required in the Contractors Application for Payment section?\",\"answer\":\"The form collects project and contractor details, application date, period coverage, work days used, and application numbers, and it provides line items to calculate contract sums, completed/stored totals, retainage, taxes, prior certificates, and the current payment due.\"},{\"question\":\"How does the document handle retainage and sales tax calculations?\",\"answer\":\"Retainage is calculated using either 5% of total completed and stored or posted bond (per the provided options), then deducted to determine earned amounts. State sales tax on total completed and stored is added before subtracting retainage and prior certificates to arrive at the current payment due.\"},{\"question\":\"What certifications are made in the Certificate for Payment section?\",\"answer\":\"The contractor certifies completion of the work in accordance with contract documents and that amounts have been paid for prior work and received payments from the state. The project administrator certifies progress, quality compliance, and that the contractor is entitled to the AMOUNT CERTIFIED, and states the certificate is not negotiable.\"}]","570-020 - Application and Certificate for Payment - Part I | PDF",1789307652]