PO Number -- Select PO Number -- Vendor Type -- Select Vendor Type -- COOPERATIVE SUBCONTRACTOR Responsible Contractor (Vendor Name) Vendor Email Address Description Project Name

Contract Amount (VAT EX) Delivered (VAT EX) Invoiced Still To Deliver (VAT EX) Original Contract Duration – Revised Contract Duration –

Billing Type -- Select Billing Type -- DOWN PAYMENT FIRST BILLING PROGRESS BILLING FINAL / ONE-TIME BILLING RETENTION PAYMENT - PARTIAL RETENTION PAYMENT - FINAL RETENTION PAYMENT - FULL Billing No. Billing Amount To Date POC (In Percent) Period Coverage –

Surety Bond

Bond Status

REF NO. Bond Duration Bond OR NO. Bonding CO.

Performance Bond

Bond Status

REF NO. Bond Duration Bond OR NO. Bonding CO.

Guarantee Bond

Bond Status

REF NO. Bond Duration Bond OR NO. Bonding CO.

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