Preview Contract Amount Payment Schedule

Schedule of Amounts for

Contract Payments

U.S. Department of Housing

and Urban Development

Office of Public and Indian Housing

OMB Approval No. 2577-0157

(Exp. 01/31/2014)

No progress payments shall be made to the contractor unless a schedule of amounts

for contract payments in accordance with the construction contract is received.

Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching

existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. This agency ma y not

conduct or sponsor, and a person is not required to respond to, a collection of information unless that collection displays a valid OMB control number.

Construction practices and HUD administrative requirements establish the need that HAs maintain certain records or submit certain documents in conjunction with the

oversight of the award of construction contracts for the construct ion of new low-income housing developments or modernization of existing developments. These

forms are used by HAs to provide information on the construction progress schedule and schedule of amounts for contract payments. Responses to the collection of

information are required to obtain a benefit or to retain a benefit. The information requested does not lend itself to confidentiality.

Project Name and Location

Project Number

Name, Address, and Zip Code of Contractor

Nature of Contract

Contract Number

Approved for Contractor by

Title

Date (mm/dd/yyyy)

Approved for Architect by

Title

Date (mm/dd/yyyy)

Approved for Owner by

Title

Date (mm/dd/yyyy)

Item

No.

(1)

Description of Item

(2)

Quantity

(3)

Unit of

Measure

(4)

Unit Price

in Place

(5)

Amount of

Sub-Item

(6)

Amount of

Principal Item

(7)

Total Amount of Contract or Carried Forward

To the best of my knowledge, all the information stated herein, as well as any information provided in the accompaniment herewith, is true and accurate.

Warning: HUD will prosecute false claims and statements. Conviction may result in criminal and/or civil penalties. (18 U.S.C. 1001, 1010, 1012; 31 U.S.C. 3729,

3802)

Signature of authorized representative Date signed (mm/dd/yyyy)

Previous editions are obsolete Page 1 of ____form HUD-51000 (7/97)

ref Handbooks 7417.1 and 7485.1

$0.00

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