NYC-WTC_000168415
7 World Trade Center
1st, 7th & 23rd Floors
CONTINUATION SHEET
Mayor's Office of Emergency Management
APPLICATION AND CERTIFICATE FOR PAYMENT, CONTAINING
CONTRACTOR'S SIGNED CERTIFICATION IS ATTACHED
EQUIVALENT TO G703
USE COLUMN !| ON CONTRACTS WHERE VARIABLE RETAINAGE FOR LINE
ITEMS MAY ITEMS MAY APPLY.
PAGE 2 OF 4 PAGES
APPLICATION NO. 4
DATE 3/26/99
AMB. JOB S57-5175
A B
eae
D
on
E
F
H
ITEM} DESCRIPTION OF
NO WORK
VALUE
FROM
PREVIOUS
APPLICATION
THIS PERIOD
MATERIALS
TOTAL
COMPLETED
AND STORED
TO DATE
% G-C
BALANCE TO
FINISH
RETAINAGE
Base Contract
Change Order #001
Change Order #003
Change Order #004
Change Order #005
Change Order #006
Change Order #007
Change Order #008
Change Order #009
Change Order #010
Change Order #011
Change Order #012
Change Order #013
Change Order #014
Change Order #015
Change Order #016
Change Order #017
Change Order #019
Change Order #020
Change Order #021
Change Order #022
Change Order #023
17,533,019.00
7,000.00
3,704.00
388,804.00
117,684.00
406.00
(289,803.00)
11,688.00
11,707.00
2,666.00
2,898.00
7,766.00
985.00
(5,216.00)
21,234.00
18,500.00
5,042.00
4,636.00
11,000.00
18,500.00
6,728.00
5,800.00
10,379,717.00
6,300.00
3,334.00
349,924.00
105,916.00
365.00
(260,823.00)
10,519.00
10,536.00
2,399.00
2,608.00
6,989.00
887.00
(4,694.00)
19,111.00
16,650.00
4,538.00
4,172.00
9,900.00
16,650.00
6,055.00
7,153,302.00
700.00
370.00
38,880.00
11,768.00
41.00
(28,980.00)
1,169.00
4,171.00
267.00
290.00
777.00
98.00
(522.00)
2,123.00
1,850.00
504.00
464.00
4,100.00
1,850.00
673.00
5,800.00
11,533,019.00
7,000.00
3,704.00
388,804.00
117,684.00
406.00
(289,803.00)
11,688.00
11,707.00
2,666.00
2,898.00
7,766.00
985.00
(5,216.00)
21,234.00
18,500.00
5,042.00
4,636.00
11,000.00
18,500.00
6,728.00
5,800.00
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
TOTALS
11,884, 748.00
10,691 ,053.00
1,193,695.00
11,884,748.00
NYC 9/11 Public Portal Document
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