School District: Last Revision Date:
Project Name: Phone #:
Contact Name: E-mail address:
Step 1:
Enter Construction Contract Start Date (MM/DD/YYYY)*
(If the start date has changed since your last submittal of this form, see the instructions below.)
Step 2: Enter Sales Tax Rate for the Project
Step 3: Enter the Estimated Construction Contract Payments below in the corresponding columns
D-3 D-5
Date D-7 D-9
1st Qtr 2011 May-11
2nd Qtr 2011 Jun-11
3rd Qtr 2011 Jul-11
4th Qtr 2011 Aug-11
1st Qtr 2012 Sep-11
2nd Qtr 2012 Oct-11
3rd Qtr 2012 Nov-11
4th Qtr 2012 Dec-11
1st Qtr 2013 Jan-12
2nd Qtr 2013 Feb-12
3rd Qtr 2013 Mar-12
4th Qtr 2013 Apr-12
1st Qtr 2014 May-12
2nd Qtr 2014 Jun-12
3rd Qtr 2014 Jul-12
4th Qtr 2014 Aug-12
1st Qtr 2015 Sep-12
2nd Qtr 2015 Oct-12
3rd Qtr 2015 Nov-12
4th Qtr 2015 Dec-12
Total Const. Contract Amt -$ -$ Jan-13
Sales Tax -$ -$ Feb-13
Total Const. Contract w/tax -$ -$ Mar-13
Apr-13
May-13
Jun-13
Jul-13
Aug-13
Sep-13
Oct-13
Nov-13
Dec-13
Jan-14
Feb-14
Mar-14
Apr-14
Total Const. Contract Amt -$ -$
Sales Tax -$ -$
1st Qtr:
2nd Qtr: Apr/May/Jun Total Const. Contract w/tax -$ -$
3rd Qtr: Jul/Aug/Sep 4th Qtr: Oct/Nov/Dec
The purpose of this form is to report your District's anticipated payments to your Construction Contractor as you progress through the D-Form process. An updated version
of this form should be submitted at each D-Form submittal to OSPI. Each submittal should include the previous calculations. No change order amounts should be
included. A copy of this form should also be provided to the district official responsible for requesting reimbursement payments from OSPI.
Follow the three steps listed below. This worksheet contains formulas. Please input your data in the cells shaded light blue. The form will do the rest for you.
If you need assistance with this form please contact Randy Newman at randy.newman @k12.wa.us.
Months that comprise each quarter:
OSPI School Construction Assistance Program
Construction Contract Payment Schedule
A
of the
months that
comprise a
quarter are
listed
below.
Date
*
Note: If the construction contract start date is different than what has been previously submitted in an earlier version of this form, you will need to override the
formulas in the 2 date columns within this worksheet. The easiest way to do this is to highlight the date column, copy the information to the clipboard, then right
click on the cells and select paste special. When the dialog box appears, select the values check box. Do this operation for both date columns. After you have
overridden the formulas in the date column, change the "Construction Contract Start Date" field to the new start date.