Statutory Declaration of Progress Payment Distribution by Contractor - CCDC 9A-2001

Sep 12, 2026

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Statutory declaration form for contractors to certify progress payment distribution before required payment events, such as second and subsequent progress payments or release of holdback. The declaration identifies the relevant contract and the latest progress payment received, and states that labour, subcontract, products, services, and construction machinery and equipment costs incurred have been paid in full up to that date, with specified exceptions for retained holdback, deferred payments, or legitimately disputed amounts. Includes execution details and a legal warning regarding false declarations and copyright requirements.

LanguageEnglish

CategoryForms

FormatPDF

Pages1

AccessFree to download

Statutory Declaration

Purpose and timing

Contract and progress payment identification

Declarations and exceptions

Execution and signature

Legal and copyright notices

Statutory Declaration of Progress Payment Distribution by Contractor Standard Construction Document CCDC 9A-2001 To be made by the Contractor prior to payment when required as a condition for either: second and subsequent progress payments; or release of holdback. Identification of Contract The last application for progress payment for which the Declarant has received payment is No. dated the day of , in the year . Name of Contract (Location and description of the Work as it appears in the Contract Documents) Date of Contract: ________ ____________________ __________ Day Month Year Name of Owner Identification of Declarant Name of Declarant Declaration Name of Contractor Position or Title (of office held with Contractor) I solemnly declare that, as of the date of this declaration, I am an authorized signing officer, partner or sole proprietor of the Contractor named in the Contract identified above, and as such have authority to bind the Contractor, and have personal knowledge of the fact that all accounts for labour, subcontracts, products, services, and construction machinery and equipment which have been incurred directly by the Contractor in the performance of the work as required by the Contract, and for which the Owner might in any way be held responsible, have been paid in full as required by the Contract up to and including the latest progress payment received, as identified above, except for: 1) holdback monies properly retained, 2) payments deferred by agreement, or 3) amounts withheld by reason of legitimate dispute which have been identified to the party or parties, from whom payment has been withheld. I make this solemn declaration conscientiously believing it to be true, and knowing that it is of the same force and effect as if made under oath. Declared before me in City/Town and Province in the year . this day of , Signature of Declarant (A Commissioner for Oaths, Notary Public, Justice of the Peace, etc.) The making of a false or fraudulent declaration is a contravention of the Criminal Code of Canada, and could carry, upon conviction, penalties including fines or imprisonment. Use of this form without a CCDC 9 copyright seal constitutes an infringement of copyright. Use of this form with a CCDC 9 copyright seal demonstrates that it is intended by the parties to be an accurate and unamended version of CCDC 9A-2001. Apply a CCDC 9 copyright seal here. Copyright 2001 Canadian Construction Documents Committee

FAQs

When is this statutory declaration required for progress payment?

It is made prior to payment when required as a condition for second and subsequent progress payments or for release of holdback.

What does the contractor declare regarding payments?

The contractor declares that accounts for labour, subcontracts, products, services, and construction machinery and equipment incurred by the contractor have been paid in full up to and including the latest progress payment received, except for listed exceptions.

What exceptions can be included in the declaration?

Exceptions include holdback monies properly retained, payments deferred by agreement, and amounts withheld due to a legitimate dispute identified to the relevant party or parties.

Sep 12, 2026

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