GSA Form 184 Construction Progress Report

GSA form 184 is a U.S. General Services Administration form also known as the "Construction Progress Report". The latest edition of the form was released in October 1, 2016 and is available for digital filing.

Download an up-to-date fillable GSA Form 184 in PDF-format down below or look it up on the U.S. General Services Administration Forms website.

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PAGE
OF
PAGES
REPORT NUMBER
DATE
CONSTRUCTION PROGRESS REPORT
CONTRACTOR
LOCATION
TITLE
CONTRACT NUMBER
TASK ORDER NUMBER
WORK STATUS
COMPLETION DATES
PERCENT COMPLETED
THROUGH THIS MONTH
ESTIMATED SUBSTANTIAL ACTUAL SUBSTANTIAL
INITIAL CONTRACT
REVISED CONTRACT
NORMAL TO DATE
(Sum of Line 5 and Line 6 and
Line 12 divided by Line 4)
AVERAGE WORK FORCE
PROGRESS
MATERIAL DELIVERY
NUMBER EMPLOYED
SATISFACTORY
SATISFACTORY
YES
NO
YES
NO
CONSTRUCTION EQUIPMENT
SHOP DRAWING SUBMISSION/SAMPLE SUBMISSIONS
SATISFACTORY
SATISFACTORY
YES
NO
YES
NO
PROGRESS PAYMENT SUMMARY
$
1.
INITIAL CONTRACT AMOUNT
$
A. DESIGN PHASE/PRE-CONSTRUCTION SERVICES
$
B. BONDS
$
C. CONSTRUCTION SERVICES
$
2. CONTRACT MODIFICATIONS/CHANGE ORDERS (GSA 184B, Column (2))
$
A. DESIGN PHASE/PRE-CONSTRUCTION SERVICES
$
B. CONSTRUCTION SERVICES
$
3. OPTIONS EXERCISED
$
A. DESIGN PHASE/PRE-CONSTRUCTION SERVICES
$
B. CONSTRUCTION SERVICES
4.
TOTAL CONTRACT AMOUNT TO DATE (Line 1 plus Line 2 plus Line 3).
$
5.
VALUE OF WORK COMPLETED TO DATE
$
(Total of Columns 3A, 3B, and all of GSA 184A including options)
6.
VALUE OF WORK COMPLETED UNDER MODIFICATIONS/CHANGE ORDERS
$
(Total of Column 5, GSA 184B)
$
7.
VALUE OF MATERIAL
$
A. MATERIAL ON SITE
$
B. MATERIAL IN STORAGE
$
8.
TOTAL VALUE OF COMPLETED WORK AND MATERIAL (Sum of Lines 5, 6, and 7)
$
9.
LESS TOTAL RETAINAGE AND WITHHOLDINGS
$
10. SUBTOTAL (Line 8 minus Line 9)
11. BOND PREMIUMS
$
A.
PAID IN PREVIOUS PAYMENTS
$
B.
TO BE PAID WITH THIS PAYMENT
12. TOTAL BOND PREMIUMS (Line 11A plus Line 11B)
$
$
13. SUBTOTAL (Line 10 plus Line 12)
$
14. LESS PREVIOUS PAYMENTS
$
15. AMOUNT OF PAYMENT THIS REPORT (Line 13 minus Line 14)
PREPARED BY
WORK ACCEPTED BY
NAME/TITLE
DATE
PROJECT MANAGER
DATE
APPROVED BY
APPROVED BY
NAME/TITLE
DATE
NAME/TITLE
DATE
GENERAL SERVICES ADMINISTRATION
GSA 184 (REV. 10/2016)
PAGE
OF
PAGES
REPORT NUMBER
DATE
CONSTRUCTION PROGRESS REPORT
CONTRACTOR
LOCATION
TITLE
CONTRACT NUMBER
TASK ORDER NUMBER
WORK STATUS
COMPLETION DATES
PERCENT COMPLETED
THROUGH THIS MONTH
ESTIMATED SUBSTANTIAL ACTUAL SUBSTANTIAL
INITIAL CONTRACT
REVISED CONTRACT
NORMAL TO DATE
(Sum of Line 5 and Line 6 and
Line 12 divided by Line 4)
AVERAGE WORK FORCE
PROGRESS
MATERIAL DELIVERY
NUMBER EMPLOYED
SATISFACTORY
SATISFACTORY
YES
NO
YES
NO
CONSTRUCTION EQUIPMENT
SHOP DRAWING SUBMISSION/SAMPLE SUBMISSIONS
SATISFACTORY
SATISFACTORY
YES
NO
YES
NO
PROGRESS PAYMENT SUMMARY
$
1.
INITIAL CONTRACT AMOUNT
$
A. DESIGN PHASE/PRE-CONSTRUCTION SERVICES
$
B. BONDS
$
C. CONSTRUCTION SERVICES
$
2. CONTRACT MODIFICATIONS/CHANGE ORDERS (GSA 184B, Column (2))
$
A. DESIGN PHASE/PRE-CONSTRUCTION SERVICES
$
B. CONSTRUCTION SERVICES
$
3. OPTIONS EXERCISED
$
A. DESIGN PHASE/PRE-CONSTRUCTION SERVICES
$
B. CONSTRUCTION SERVICES
4.
TOTAL CONTRACT AMOUNT TO DATE (Line 1 plus Line 2 plus Line 3).
$
5.
VALUE OF WORK COMPLETED TO DATE
$
(Total of Columns 3A, 3B, and all of GSA 184A including options)
6.
VALUE OF WORK COMPLETED UNDER MODIFICATIONS/CHANGE ORDERS
$
(Total of Column 5, GSA 184B)
$
7.
VALUE OF MATERIAL
$
A. MATERIAL ON SITE
$
B. MATERIAL IN STORAGE
$
8.
TOTAL VALUE OF COMPLETED WORK AND MATERIAL (Sum of Lines 5, 6, and 7)
$
9.
LESS TOTAL RETAINAGE AND WITHHOLDINGS
$
10. SUBTOTAL (Line 8 minus Line 9)
11. BOND PREMIUMS
$
A.
PAID IN PREVIOUS PAYMENTS
$
B.
TO BE PAID WITH THIS PAYMENT
12. TOTAL BOND PREMIUMS (Line 11A plus Line 11B)
$
$
13. SUBTOTAL (Line 10 plus Line 12)
$
14. LESS PREVIOUS PAYMENTS
$
15. AMOUNT OF PAYMENT THIS REPORT (Line 13 minus Line 14)
PREPARED BY
WORK ACCEPTED BY
NAME/TITLE
DATE
PROJECT MANAGER
DATE
APPROVED BY
APPROVED BY
NAME/TITLE
DATE
NAME/TITLE
DATE
GENERAL SERVICES ADMINISTRATION
GSA 184 (REV. 10/2016)
REPORT BELOW ANY CIRCUMSTANCES WHICH MAY HAVE ADVERSELY AFFECTED THE PROGRESS SUCH AS STRIKES, WEATHER, DELAYS BY THE GOVERNMENT, ETC.,
INCLUDING EXPLANATION OF ANY "NO" ANSWERS GIVEN IN BLOCKS ABOVE.
INSTRUCTIONS FOR PREPARATION OF GSA 184
General: GSA 184 shall be prepared for each progress payment prepared in accordance with FAR 52.232-5.
Item 3 is to be used for Phased Construction, Design/Build or CMc where the Option requires its own Work Breakdown
schedule of values on a separate 184A. Otherwise record the option modification on the 184B.
Item 7 Materials that have not been installed but accepted by the Government.
Definitions and Directions
Substantial completion (SC): The contract shall be deemed "Substantially Complete" if and only if the Contractor has
completed the Work and related Contract obligations in accordance with the Contract Documents, such that the Government
may enjoy the intended access, occupancy, possession, and use of the entire Work without impairment due to incomplete or
deficient work, and without interference from the Contractor's completion of remaining work or correction of deficiencies in
completed work. In no event shall the Work be deemed Substantially Complete if all fire and life safety systems are not tested
and accepted by the Authority Having Jurisdiction, where such acceptance is required under the Contract.
Contract completion: The date established in Section I of the Agreement.
Percent Complete:
Through this month: this is a financial completion
Baseline to Date: Indicate the percent complete based on the current approved schedule.
Value of work completed: For CMc contracts this is the value complete of the design phase/preconstruction services per
184A plus Cost of Work completed for construction on the Option 184A.
Retainage: before SC up to 10%; after SC whatever is required to protect government’s interest (liquidated damages, etc.)
GSA 184 (REV. 10/2016) BACK

Download GSA Form 184 Construction Progress Report

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