Primus Contracting Group, Inc.
Professionals Building for The 21st Century
Toggle navigation
Home
About
Services
Projects
Careers
Forms
Contact Us
Primus Application for Payment Form
Notes:
This worksheet can be used to create your monthly billing using Primus' payment application format. Please complete all of the fields below & press the "Generate Application" button. Our website will then generate your application, which can be printed by you for signiture.
Remember, Primus must receive your application at least via fax, on or before the 25th of each month to be included in the draw to the owner.
A signed Conditional Waiver and Schedule of Values (if required) must be submitted with all Applications for Payment.
Typically, only one application for each job should be submitted during each month.
Subcontractor Name:
Address:
City, State, Zip:
Phone Number:
Fax:
Billing Contact:
Primus Project Name & NO.
---Select a Project---
1401 - Pierson Plaza
1412 - Glendora Commons
1511 - Michelson Marketplace
1515 - Wildomar
1601 - Pad C
Period:
---Select a Draw Period---
February 1, 2016 to February 29, 2016
March 1, 2016 to March 31, 2016
April 1, 2016 to April 30, 2016
May 1, 2016 to May 31, 2016
June 1, 2016 to June 30, 2016
July 1, 2016 to July 31, 2016
August 1, 2016 to August 31, 2016
Payment Request NO.
----
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
1. Original Contract Amount
$
2. Approved Change Orders Through NO.
---
01
02
03
04
05
06
07
08
09
10
11
12
$
Only approved Primus Change Orders should be included in the billing.
3. Adjusted Contract Value
$
Calculated when the application is generated
4. Total Completed and Stored to Date
$
Enter the total value of work completed or to be completed by the end of the month, including prior draws.
5. Less Retainage
(please select retainage %)
---
0%
10%
$
Calculated when the application is generated
6. Total Earned Less Retainage
$
Calculated when the application is generated
7. Less Amount Previously Billed
(line 6 From Previous Application)
$
Net Amount previously billed. Enter 0.00 for the first draw.
8. Current Amount Due
$
Calculated when the application is generated
JavaScript is currently disabled.
Please enable it for a better experience of
Jumi
.
JavaScript is currently disabled.
Please enable it for a better experience of
Jumi
.