CP 0197 Professional Service Invoice Form

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COMPANY DATA AND BILLING PERIOD

Company Name: COMPANY NAME Date: DATE


Address: ADDRESS Contract No.: CONTRACT NO
City: CITY Task Order No.: TASK ORDER
State, Zip Code STATE ZIP CODE College: DISTRICT
Invoice No.: INVOICE NO

BILLING PERIOD:
From: BEG DATE To: END DATE

CP-0197 Professional Service Invoicing Form - Exhibit 7 Page 1 of 10 Rev 11.20.2017


PROFESSIONAL SERVICES INVOICE

Remit To:
Company Name: COMPANY NAME Date: DATE
Address: ADDRESS Contract No.: CONTRACT NO
City: CITY Task Order No: TASK ORDER
State, Zip Code: STATE ZIP CODE College: DISTRICT
Invoice No: INVOICE NO

SELECT THE TYPE OF CONTRACT/TASK ORDER:


HOURLY/UNIT

Billing Period:

From: BEG DATE To: END DATE

PROGRESSIVE / FIXED FEE BILLING SUMMARY: (Detail attached)


Requires "Progressive / Fixed Fee" section to be completed
% Complete as of Amount Due %
This Period This Period Remaining
#DIV/0! $ - #DIV/0!

PROFESSIONAL SERVICE BILLING SUMMARY: (Detail attached)


Requires "Hourly" section to be completed
% Authorized Budget Invoiced Total Previous Amount Due Budget
Complete (matches proposal/TO) To Date Hours/Units Invoice Amt This Period Remaining
#DIV/0! $ - $ - 0.00 $ - $ - $ -

SUMMARY OF REIMBURSABLES: Progressive Total: $ -


Contract Reimbursables: $ - Professional Services Total: $ -
Amount Due This Period $ - Reimbursables Total: $ -
Previous Amount: $ -
Total Billed to Date: $ - Total Invoice Amount Due: $ -
Remaining $ -

Note: Project Labor Log(s) and all supporting documentation needs to be attached when applicable

CP-0197 Professional Service Invoicing Form - Exhibit 7 Page 2 of 10 Rev 10.26.2017


PROGRESSIVE / FIXED FEE DATA ENTRY

Company Name: COMPANY NAME Date: DATE


Address: ADDRESS Contract No.: CONTRACT NO
Address: CITY Task Order No.: TASK ORDER
State, Zip Code STATE ZIP CODE College: DISTRICT
Invoice No.: INVOICE NO
Project No: 0
BILLING PERIOD:
From: BEG DATE To: END DATE
TOTAL AUTHORIZED BUDGET:
Progressive/Fix Fee: $ -
Contract Hourly (T&M): $ -
Please make sure that you state the applicable project number in the upper right hand corner. Reimbursables: $ -
Authorized Budget $ -
PROGRESSIVE/FIXED FEE DETAIL:
To be used by all "Fixed Fee/Lump Sum" Task Orders with proposal
% % Authorized Budget Total Billed Prior Billed Amount Due %
Fee - Phase Remaining Complete (matches proposal/TO) to Date: to Date This Period This Period
100.0% $ - $ - $ - #DIV/0!
100.0% $ - $ - $ - #DIV/0!
100.0% $ - $ - $ - #DIV/0!

Totals: #DIV/0! $ - $ - $ - $ - #DIV/0!

CURRENT INVOICE HOURLY DETAIL:


To be used by: All billings requiring "Fixed Fee/Lump Sum" as support documentation

Date Category/Classification of Work Employee / Inspector Name Unit Rate Number of Units Total
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -

CP-0197 Professional Service Invoicing Form - Exhibit 7 Page 3 of 10 Rev 04.15.2016


$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
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$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
Contract Hourly (T&M): $ -
Amount Due This Period $ -
Prior Billed to Date $ -
Total Billed to Date: $ -
Remaining $ -

Reimbursables:
Category of Expenses Amount Contract Reimbursables:
[list item] $ - Amount Due This Period $ -
[list item] $ - Prior Billed to Date $ -
[list item] $ - Total Billed to Date: $ -

CP-0197 Professional Service Invoicing Form - Exhibit 7 Page 4 of 10 Rev 04.15.2016


[list item] $ - Remaining $ -
[list item] $ -
TOTAL $ -

CP-0197 Professional Service Invoicing Form - Exhibit 7 Page 5 of 10 Rev 04.15.2016


HOURLY / UNIT DATA ENTRY
Company Name: COMPANY NAME Date: DATE
Address: ADDRESS Contract No.: CONTRACT NO
City: CITY Task Order No.: TASK ORDER
State, Zip Code STATE ZIP CODE College: DISTRICT
Invoice No.: INVOICE NO

BILLING PERIOD:
BEG DATE To: END DATE
TOTAL AUTHORIZED BUDGET:
Professional Services: $ -
Contract
Reimbursables: $ -
Authorized Budget $ -
PROFESSIONAL SERVICE DETAIL:
To be used by all hourly-unit based contracts/task orders with proposal

Authorized Budget
% (matches Invoiced Previous Amount Due This Budget
Category/Classification of Work Complete proposal/TO) To Date Invoice Amt Period Remaining
#DIV/0! $ - $ - $ - $ -
#DIV/0! $ - $ - $ - $ -
#DIV/0! $ - $ - $ - $ -
#DIV/0! $ - $ - $ - $ - $ -
TOTALS $ - $ - $ - $ - $ -

CURRENT INVOICE HOURLY DETAIL:


To be used by: All Professional Service billings requiring "Hourly" as support documentation
Burdened
Date Category/Classification of Work Employee / Inspector Name Hourly Rate Hours / Unit Total
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -

CP-0197 Professional Service Invoicing Form - Exhibit 7 Page 6 of 10 Rev 04.15.2016


$ - 0.00 $ -

CP-0197 Professional Service Invoicing Form - Exhibit 7 Page 7 of 10 Rev 04.15.2016


$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
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$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -
$ - 0.00 $ -

Contract Hourly: $ -
Amount Due This Period $ -
Prior Billed to Date $ -
Total Billed to Date: $ -
Remaining $ -

Reimbursables:

Amount
Category of Expenses Contract Reimbursables:
[list item] $ - Amount Due This Period $ -
[list item] $ - Previous Amount: $ -
[list item] $ - Total Billed to Date: $ -
[list item] $ - Remaining $ -
[list item] $ -
[list item] $ -
[list item] $ -
[list item] $ -

CP-0197 Professional Service Invoicing Form - Exhibit 7 Page 8 of 10 Rev 04.15.2016


[list item] $ -
[list item] $ -
[list item] $ -
[list item] $ -
TOTAL $ -

CP-0197 Professional Service Invoicing Form - Exhibit 7 Page 9 of 10 Rev 04.15.2016


PROGRESS BILLING MONTHLY REPORT

Company Name: COMPANY NAME Date: DATE


Address: ADDRESS Contract No.: CONTRACT NO
Address: CITY Task Order No.: TASK ORDER
State, Zip Code: STATE ZIP CODE Invoice No.: INVOICE NO

Billing Period:
From: BEG DATE To: END DATE

In accordance with the Project Agreement between The Architect/Engineer and The Los Angeles Community College District Contract No.1015,
Task 01EAE, Monthly Payments may be paid upon receipt of evidence of services rendered with Architect/Engineer’s monthly statement, and with
the District’s approval. Submittal of a monthly progress report, certified by the Architect/Engineer, shall detail accomplishments in the past month,
work anticipated in the coming month and outstanding issues shall constitute evidence of services rendered.

I. PROJECT PHASE (example, Master Planning)


A. Accomplishments (past month): Prep of DSA documents; DSA review + approval
B. Work in Progress (next month): Construction Administration
C. Outstanding Issues: None

II. PROJECT PHASE (example, Programming)


A. Accomplishments (past month):
B. Work in Progress (next month):
C. Outstanding Issues:

The information provided in this progress report has been verified by the Principal Architect/Engineer for this project.

Note:
In order to comply within the terms and conditions of the Contract Agreement, attached are the following support documents:
a) Monthly Progress Report certified by the Architect for the corresponding billing period
b) If applicable, photocopy of all reimbursable items

"I certify under penalty of perjury under the law of there State of California that the above invoice and accompanying documentation are true and
correct according to the terms of the contract and that payment has not been previously requested or received."

\
Print Name

TODAY'S DATE
Principal Architect Date

CP-0197 Professional Service Invoicing Form - Exhibit 7 Page 10 of 10 Rev 04.15.2016

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