Letter re: roof replacement at 26 Broadway, July 2002

NYC-WTC :_000105480 APPZICATION FOR PAYMENT FOOWNER: Constitution Realty, LLC c/o Koeppel Companies 26 Broadway New York, New York 10004 Joseph D'Orio FROM CONTRACTOR: Benjamin Maintenance 5718 Second Avenue Brooklyn, NY 11220 CONTRACT FOR: CONTRACTOR'S SUMMARY OF WORK Application is made for payment as shown below, Continuation Page is attached. 1. ORIGINAL CONTRACT AMOUNT 2. NET CHANGE BY CHANGE ORDERS 3. CONTRACT AMOUNT TO DATE (Line 1+/- 2) 4. TOTAL COMPLETED AND STORED TO DATE (Column G on Continuation Page) 5. RETAINAGE: a. 0.00% of Completed Work (Columns D + E on Continuation Page) b. 0.00% of Stored Material (Column F on Continuation Page) Total Retainage (Line 5a + 5b or Column I on Continuation Page) 6. TOTAL EARNED LESS RETAINAGE (Line 4 minus Line 5 Total) 7. LESS PREVIOUS APPLICATIONS FOR PAYMENT.…... (Line 6 from prior Application) 8. CURRENT PAYMENT DUE.......... 9. BALANGE TO FINISH, INCLUDING RETAINAGE (Line 3 minus Line 6) CHANGE ORDER SUMMARY ADDITIONS Total changes approved in previous months $163,150.00 Total approved this month $29,165.00 TOTALS $192,315.00 NET CHANGES by Change Order $192,315.00 APPLICATION FOR PAYMENT $0.00 $0.00 $0.00 Fr.... PROJECT: 1466-02 Roof Replacement 26 Broadway 100,000 Page 1 100,000 APPLICATIO NNO. PERIODS100,000 07/01/2002 PROJECT #S: CONTRACT DATE: 01/22/2002 p° 1' Distribution to: DOWNER • ARCHITECT CONTRACTOR ARCHITECT: CBA Architects & Consultants, Inc. 27-07 24th Avenue Astoria, NY 11102 $542,000.00 $192,315.00 $734,315.00 $734,315.00 Contractor's signature below is his assurance to Owner, concerning the payment herein applied for, that: (1) the Work has been performed as required in the Contract Documents, (2) all sums previously paid to Contractor under the Contract have been used to pay Contractor's costs for labor, materials and other obligations under the Contract for Work previously paid for, and (3) Contractor is legally entitled to this payment. CONTRACTOR: Benjamin Maintenance Date: 07/12/2002 By: Ilirjan Rusi, Vice President $0.00 $734,315.00 $705,150.00 $29,165.00 State of: New York County of: Kings Subscribed and swor to before me this 12th day of LINDA BETANCOURT NOTARY PUBLIC, State of New York No. 43-4970082 July 2002 Qualified in Richmond County Commission Expires 3002' Notary Public: Linda Betancourt My Commission Expires: July 30, 2002 Rintabetssoust ARCHITECT'S CERTIFICATION Architect's signature below is his assurance to Owner, concerning the payment herein applied for, that: (1) Architect has inspected the Work represented by this Application, (2) such Work has been completed to the extent indicated in this Application, and the quaility of workmanship and materials conforms with the Contract Documents, (3) this Application for Payment accurately states the amount of Work completed and payment due therefor, and (4) Architect knows of no reason why payment should not be made. AMOUNT CERTIFIE.. SBR ATTACGEA CERTIEIATION FOBTAN (Attach explanation if amount certified differs from the amount applied for. Initial all figures on this Application and on the Continuation Page that are changed to conform to the amount cortified.) DEDUCTIONS $0.00 $0.00 $0.00 ARCHITECT: John Backos By: SBR ATTAChAO Date: Neither this Application nor payment applied for herein is assignable or negotiable. Payment shall be made only to Contractor, and is without prejudice to any rights of Owner or Contractor under the Contract Documents or otherwise. NYC 9/11 Public Portal Document