Letter re: roof replacement at 26 Broadway, July 2002

NYC-WTC 000105484 APPLICATION FOR PAYMENT TO OWNER: Constitution Realty, ULC do Koeppel Companies 26 Broadway New York, New York 10004 Joseph D'Orio FROM CONTRACTOR: Berijamin Maintenancs 5718 Second Avanue Brooklyni, NY 19220 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 CHANGÉ BY CHANGE ORDERS 3. CONTRACT AMOUNT TO DATE (Line 1+1 2) 4. TOTAL COMPLETED AND STORED TO DATE (Column G on Continuation Page) 5. RETAINAGE: a. 0.00% of Completed Work (Columna D + E on Continuation Page) b. 0.00% of Stored Material (Column F on Continuation Page) Total Retainage (Line 5a + 5b or Column l on Continuation Page) 6. TOTAL EARNED LESS RETAINAGE (Uine 4 minus Line 5 Total) 7. LESS PREVIOUS APPLICATIONS FOR PAYMENT....... (Lino 6 from prior Application) 8. CURRENT PAYMENT DUE. 9. BALANCE TO FINISH, INGLUDING RETAINAGE (Line 3 minus Line 6) CHANGE ORDER SUMMARY ADDITIONS Total changos approved m provious 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 "Гr6=. PROJECT: 1466-02 Roof Replacement 26 Broadway 100,000 Page 1 100,000 APPLICATI ON NO. PERIODGS 100,000 07/01/2002 PROJECT#s: CONTRACT DATE: 01/2212002 Distribution to: TOWNER TARCHITECT CONTRACTOR ARCHITECT: CBA Architects & Consultants, Inc. 27-07 241h Averue Astorta, NY 11102 Contractor's siynature below is his assurance to Ormer, conceming 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 Contradt have been used to pay Contractor's costs for labor, materials and other obligattons under the Contract for Work previously pald for, and (3) Contractor is tegally entited to this payment. CONTRACTOR: Benjamin Maintenance $542,000.00 $192,315.00 $734,315.00 $734,315.00 Date: 07/12/2002 Irjan Rusi, Vice President State of. Naw York County of: Kings Subscribed and sworn to before me this 12th day of ANIDA BETANCOURT HOTAKT PUBKIC, State of New York Na. 434970032 July 2002 $0.00 $734,315.00 $705,150.00 $29,165.00 Notary Public: Linda Betancourt My Commission Explros: tuly 30.2002 ltarerust ARCHITECT'S CERTIFICATION Architect's signature belowr is his assurance to Owner, concerning the paymant herein appled for, that: (1) Architect has Inspected the Work represented by this Application, (2) such Work has been complated to the extent Indicated in this Application, and the quality of workmanship and matertais conforms with the Contract Documents, (3) this Application for Payment accurately states the amount of Work completed and payment due therefor, and (4) Arutiltect knows of no reason why payment should not be made. ANOUNTCERTHED. SPE ATIACEA CTRTIEIATION +DTSTAII (Attach explanation ilt amount certified difters from tha amount appilad for. Initial all figuras on this Appilcation and on the Continuation Page that are changed to conform to the amount cartified.) DEDUCTIONS $0.00 $0.00 $0.00 ARCHITECT: John Backos By: SBR ATTAChRO Nelther this Application nor peymant applled for heraln is assignable or negotiable. Payment shall be madé only to Contractor, and is vaithout prejudioe to any rights af Owner or Contractor under the Contract Documents or othenvise. JUL. 25 '02 (THU) 10:22 KOEPPEL COMPANIES LLC 212 747 068 PAGE. 3 NYC 9/11 Public Portal Document