Items 1 to 4: project and contract
Project name, contract number or task order number (preprinted GS-), project location and contract date.
GSA2419
Certification of Progress Payments Under Fixed-Price Construction Contracts
- Agency
- GSA
- Revision
- Rev. 3/2015
- Fillable fields
- 10
- Pages
- 1
- Official source
- GSA form page
- Checked
- October 20, 2026
GSA Form 2419: Certification of Progress Payments Under Fixed-Price Construction Contracts
GSA Form 2419, Certification of Progress Payments Under Fixed-Price Construction Contracts, is a one-page General Services Administration (GSA) form, printed as GSA 2419 (REV. 3/2015) with OMB Control Number 9000-0073 and an expiration date of 7/31/2028. GSA hosts it in its forms library, and GSA's page lists APD 2800.12B as its authority or regulation.
The form identifies the project, the contract or task order, the contracting officer and the invoice, then carries a certification made in accordance with the clause at FAR 52.232-5, Payments Under Fixed-Price Construction Contracts. The certifying officer signs and dates it and prints a name and title, and item 11 holds the contractor's name and address.
The instructions say to type or print all entries except item 8, sign and return the original, and keep a copy. You can fill it out free in your browser on this page and download the result without an account.
What's on GSA Form 2419
Items 5 and 6: contracting officer and invoice
Name and address of the contracting officer, and the invoice number.
Instructions box
Type or print all entries on the form except item 8. Sign and return the original and keep a copy for your records.
Item 7: certification
Four statements made in accordance with FAR 52.232-5 about the amounts requested, payments to subcontractors and suppliers, amounts withheld or retained, and final acceptance.
Items 8 to 10: signature
Signature, date, and the typed or printed name and title of the certifying officer.
Item 11: contractor
Name and address of the contractor.
How to complete GSA Form 2419
- 1
Identify the project and contract
Enter the project name, the contract or task order number after the preprinted GS-, the project location and the contract date in items 1 to 4.
- 2
Add the contracting officer and invoice
Enter the contracting officer's name and address in item 5 and the invoice number in item 6.
- 3
Read the certification
Item 7 covers the amounts requested, payments to subcontractors and suppliers under Chapter 39 of title 31, United States Code, amounts withheld or retained, and says it is not final acceptance of a subcontractor's performance.
- 4
Sign item 8 and date item 9
The instructions say to type or print every entry except item 8, Certified By (Signature). Enter the date in item 9.
- 5
Name the certifier and contractor
Type or print the certifying officer's name and title in item 10 and the contractor's name and address in item 11.
- 6
Return the original
The form says to sign and return the original and keep a copy for your records.
Why fill Form GSA2419 on indox
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
- Fill the form right in your browser, no software to install
- Free to fill and free to download, with no account
- The official blank straight from the GSA, not a copy someone retyped
- Works on a phone, tablet or computer
Submission and what the form says
Where it goes
The form says to sign and return the original and keep a copy. It prints no return address. Item 5 holds the contracting officer's name and address.
OMB control number
OMB Control Number 9000-0073, Expiration Date 7/31/2028. The PDF prints no burden estimate or privacy statement.
Contract clause
The certification is made in accordance with the clause at FAR 52.232-5, Payments Under Fixed-Price Construction Contracts, and refers to Chapter 39 of title 31, United States Code.
Authority
GSA's page lists APD 2800.12B as the authority or regulation and gives the current revision date as 03/2015.
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Who fills out GSA Form 2419?
The certification and signature blocks name these roles.
Official sources and the blank
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Questions about Form GSA2419
Who issues GSA Form 2419?
The footer reads GENERAL SERVICES ADMINISTRATION and GSA 2419 (REV. 3/2015). GSA hosts it in its forms library, and GSA's page lists APD 2800.12B as its authority or regulation.
What does the certification on GSA Form 2419 say?
Made in accordance with FAR 52.232-5, it states that the amounts requested are only for performance under the contract, that subcontractors and suppliers have been and will be paid as the form describes, that amounts to be withheld or retained from them are not included, and that it is not final acceptance of a subcontractor's performance.
Who signs GSA Form 2419?
The certifying officer signs item 8 and types or prints a name and title in item 10. Item 11 holds the contractor's name and address.
Can GSA Form 2419 be typed?
The instructions say to type or print all entries on the form except item 8, the signature.
Does GSA Form 2419 have an OMB number?
Yes. It prints OMB Control Number 9000-0073 with an expiration date of 7/31/2028.
Is the certification a final acceptance of subcontractor work?
The form says the certification is not to be construed as final acceptance of a subcontractor's performance.