SF 1443 Contractor's Request For Progress Payment

OMB Control Number: 9000-0010
Expiration Date: 8/31/2024

Contractor's Request For Progress Payment

Important: Complete this form in accordance with Instructions starting on page 2 and see Paperwork
Reduction Act Statement on page 5.
Section I - Identification Information
1. To: Name and Address of Contracting Office
Administering the Contract (Include ZIP Code)

2. From: Name and Address of Contractor (Include
ZIP Code)

Paying Office

3. Small Business 4. Contract Number
Yes
No A. Basic Contract Number

6. Rates
A. Progress Payments B. Liquidation
%
%
7. Date of Initial Award
A. Year

B. Month

5. Contract Price
$

B. Task/Delivery Order Number

8A. Progress Payment Request Number
8B. Date of This Request

Section II - Statement of Costs Under This Contract Through

(Date)

9. Reserved
10. Reserved
11. Costs Eligible For Progress Payments Under the Progress Payments Clause
12a. Total Contract Cost(s) Incurred to Date
b. Estimated Cost to Complete

c. Total Estimated Cost of
Performance

13. Item 11 Multiplied by Item 6a
14a. Financing Payments Paid to Subcontractors
b. Liquidated Financing Payments to Subcontractors
c. Unliquidated Financing Payments Paid to Subcontractors
(Item 14a less 14b)
d. Subcontract Financing Payments Approved for Current Payment
e. Eligible Subcontractor Financing Payments (Item 14c plus 14d)
15. Total Dollar Amount (Item 13 plus 14e)
16. Item 5 Multiplied by Item 6b
17. Lesser of Item 15 or Item 16
18. Total Amount of Previous Progress Payments Requested
19. Maximum Balance Eligible For Progress Payments (Item 17 less 18)
Section III - Computation of Limits for Outstanding Progress Payments
20. Computation of Progress Payment Clause Limitation
a. Costs Included in Item 11, Applicable to Items Delivered,
Invoiced, and Accepted to the Date in Heading of Section II
b. Costs Eligible for Progress Payments, Applicable to Undelivered
Items and to Delivered Items Not Invoiced and Accepted
(Item 11 less 20a)
c. Item 20b Multiplied by Item 6a
d. Eligible Subcontractor Financing Payments (Same as Item 14e)
e. Limitation (Item 20c plus 20d)
21. Computation of Progress Payment Clause Limitation
a. Contract Price of Items Delivered, Accepted and Invoiced As of
The Date Shown in the Heading Of Section II
b. Contract Price of Items Not Delivered, Accepted and Invoiced
(Item 5 less 21a)
Previous Edition Is Not Usable

STANDARD FORM 1443 (REV. 10/2023)
Prescribed by GSA - FAR (48 CFR) 53.232

c. Item 21b Multiplied by Item 6b
d. Unliquidated Advance Payments Plus Accrued Interest
e. Limitation (Item 21c less 21d)
22. Maximum Unliquidated Progress Payments (Lesser of Item 20e or 21e)
23. Total Amount Liquidated and to be Liquidated
24. Unliquidated Progress Payments (Item 18 less 23)
25. Maximum Permissible Progress Payments (Item 22 less 24)
26. Amount of Current Invoice for Progress Payment (Lesser of Item 25 or 19)
27. Amount Approved By Contracting Officer
Certification
Date
I Certify that:
(a) The above statement (with attachments) has been prepared from the books and records of the
above-named contractor in accordance with the contract and the instructions hereon, and to the best
of my knowledge and belief, that it is correct;
(b) All the costs of contract performance (except as herewith reported in writing) have been paid to the
extent shown herein, or where not shown as paid have been paid or will be paid currently, by the
contractor, when due, in the ordinary course of business;
(c) The work reflected above has been performed;
(d) The quantities and amounts involved are consistent with the requirements of the contract;
(e) There are no encumbrances (except as reported in writing herewith, or on previous progress payment
request number

) against the property acquired or produced for, and allocated or

properly chargeable to the contract which would affect or impair the Government's title;
(f) There has been no materially adverse change in the financial condition of the contractor since the
contractor's (insert 'as of' date of financial information)
information dated (insert date of prior submission/certification)

submission of its last financial
to the Government in

connection with the contract;
(g) To the extent of any contract provision limiting progress payments pending first article approval, such
provision has been complied with; and
(h) After the making of the requested progress payment the unliquidated progress payments will not
exceed the maximum unliquidated progress payments permitted by the contract.
Name and Title of Contractor Representative
Signing This Form

Signature

Name and Title of Contracting Officer

Signature

Instructions
General - All dollar amounts must be shown in whole dollars, rounded using a consistent methodology (e.g.,
always round up, always round down, always round to the nearest dollar). All line item numbers not
included in the instructions below are self-explanatory.
Section I - Identification Information. Complete Items 1 through 8b in accordance with the following
instructions.

STANDARD FORM 1443 (REV. 10/2023) PAGE 2

Item 1. To - Enter the name and address of the cognizant Contract Administration Office (the office
administering the contract). Paying Office - Enter the designation of the paying office, as indicated on the
contract.
Item 2. From - Contractor's Name and Address/ZIP Code - Enter the name and mailing address of the
contractor. If applicable, the division of the company performing the contract should be entered immediately
following the contractor's name.
Item 3. Enter an "X" in the appropriate block to indicate whether or not the contractor is a small business
concern.
Item 4. Enter the contract number, including the task or delivery order number if applicable. Progress
payment requests under individual orders shall be submitted as if the order constituted a separate contract,
unless otherwise specified in this contract (FAR 52.232-16(m)).
Item 5. Enter the total contract price in accordance with the following (See FAR 32.501-3):
(1) Under firm-fixed-price contracts, the contract price is the current amount fixed by the contract plus
the not-to-exceed amount for any unpriced modifications.
(2) If the contract is redeterminable or subject to economic price adjustment, the contract price is the initial
price until modified.
(3) Under a fixed-price incentive contract, the contract price is the target price plus the not-to-exceed
amount for any unpriced modifications. However, if the contractor's properly incurred costs exceed the
target price, the contracting officer may provisionally increase the price up to the ceiling or maximum
price.
(4) Under a letter contract, the contract price is the maximum amount obligated by the contract as modified.
(5) Under an unpriced order issued against a basic ordering agreement, the contract price is the maximum
amount obligated by the order, as modified.
(6) Any portion of the contract specifically providing for reimbursement of costs only shall be excluded from
the contract price.
Item 6A. Progress Payment Rates - Enter the 2-digit progress payment percentage rate shown in
paragraph (a) (1) of the progress payment clause.
Item 6B. Liquidated Rate - Enter the current progress payment liquidation rate prescribed in the contract
(FAR 52.232-16(b)) using three digits - Example: show 80% as 800 - show 72.3% as 723. Decimals
between tenths must be rounded up to the next highest tenth (not necessarily the nearest tenth), since
rounding down would produce a rate below the minimum rate calculated (FAR 32.503-10(b)(4)).
Item 7. Date of Initial Award - Enter the four digit calendar year. Use two digits to indicate the month.
Example: Show January 2005 as 2005/01.
Item 8A. Progress Payment Request Number - Enter the number assigned to this request. All requests
under a single contract must be numbered consecutively, beginning with 1. Each subsequent request
under the same contract must continue in sequence, using the same series of numbers without omission.
Item 8B. Enter the date of the request.
Section II - Statement of Costs Under This Contract.
Date. In the space provided in the heading enter the date through which costs have been accumulated
from inception for inclusion in this request. This date is applicable to item entries in Sections II and III.
Cost Basis. In accordance with FAR 52.232-16 (a) (1), the basis for progress payments is the contractor's
total costs incurred under this contract, whether or not actually paid, plus financing payments to
subcontractors (computed in accordance with FAR 52.232-16(j)), less the sum of all previous progress
payments made by the Government under this contract.

STANDARD FORM 1443 (REV. 10/2023) PAGE 3

Item 11. Costs eligible for progress payments under the progress payments clause. Compute the eligible
costs in accordance with the requirements at FAR 52.232-16(a)(1) through (4). First articles: Before first
article approval, the acquisition of materials or components for, or the commencement of production of, the
balance of the contract quantity is at the sole risk of the contractor. Before the first article approval, the
costs thereof shall not be allowable for purposes of progress payments. (See FAR 52.209-3(g) and FAR
52.209-4(h)).
Item 12a. Enter the total contract costs incurred to date; if the actual amount is not known, enter the best
possible estimate. If an estimate is used, enter (E) after the amount.
Item 12b. Enter the estimated cost to complete the contract. The contractor shall furnish estimates to
complete that have been developed or updated within six months of the date of the progress payment
request. The estimates to complete shall represent the contractor's best estimate of total costs to complete
all remaining contract work required under the contract. The estimates shall include sufficient detail to
permit Government verification.
Items 14a through 14e. Include only financing payments (progress payments, performance-based
payments, and commercial financing) on subcontracts which are in accordance with the requirements of
FAR 52.232-16(j). Do not include interim payments under a cost reimbursement contract.
Item 14a. Enter only financing payments actually paid.
Item 14b. Enter total financing payments recouped from subcontractors.
Item 14d. Include the amount of unpaid subcontract progress payment billings which have been approved
by the contractor for the current payment in the ordinary course of business.
Section III - Advance Payments/Accepted Items. This Section must be completed only if the contractor
has received advance payments against this contract, or if the items have been delivered, invoiced and
accepted as of the date indicated in the heading of Section II above. Exception: Item 27 must be
completed for all progress payment requests where the line 12c amount exceeds the amount on Line 5.
Item 20a. Of the costs reported in Item 11, compute and enter only costs which are properly allocable to
items delivered, invoiced and accepted to the applicable date. In order of preference, these costs are to be
computed on the basis of one of the following: (a) The actual unit cost of items delivered, giving proper
consideration to the deferment of the starting load costs or (b) projected unit costs (based on experienced
costs plus the estimated cost to complete the contract), where the contractor maintains cost data which will
clearly establish the reliability of such estimates.
Item 23. Enter total progress payments liquidated (monies recouped from the contractor on prior billings)
and those to be liquidated from billings submitted but not yet paid (monies to be recouped from the
contractor on submitted but unpaid billings).
Certification
Paragraph (f). If no financial information has been provided previously in connection with this contract,
insert "N/A" in the submission date block and the financial information date block. Otherwise, insert
respectively, the "as of" date of the financial information submitted last and the date of the last submission.

STANDARD FORM 1443 (REV. 10/2023) PAGE 4

Paperwork Reduction Act Statement
This information collection meets the requirements of 44 USC § 3507, as amended by section 2 of the
Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid
Office of Management and Budget (OMB) control number. The OMB control number for this collection is
9000-0010. We estimate that it will take 25 minutes to read the instructions, gather the facts, and answer
the questions. Send only comments relating to our time estimate, including suggestions for reducing this
burden, or any other aspects of this collection of information to: U.S. General Services Administration,
Regulatory Secretariat Division (MVCB), 1800 F Street, NW, Washington, DC 20405.

STANDARD FORM 1443 (REV. 10/2023) PAGE 5