NYC-WTC_000168416
Mayor's Office of Emergency Management
7 World Trade Center
1st, 7th & 23rd Floors
CONTINUATION SHEET
EQUIVALENT TO G703
APPLICATION AND CERTIFICATE FOR PAYMENT, CONTAINING
CONTRACTOR'S SIGNED CERTIFICATION IS ATTACHED
USE COLUMN | ON CONTRACTS WHERE VARIABLE RETAINAGE FOR LINE
ITEMS MAY ITEMS MAY APPLY.
PAGE 3 OF 4 PAGES
APPLICATION NO. 4
DATE
3/26/99
AMB. JOB $57-5175
ITEM
NO
DESCRIPTION OF
WORK
Cc
a
D
G
SCHEDULED
VALUE
FROM
PREVIOUS
APPLICATION
THIS PERIOD
TOTAL
COMPLETED
AND STORED
TO DATE
% G-C
BALANCE TO
FINISH
RETAINAGE
Change Order #024
Change Order #025
Change Order #026
Change Order #028
Change Order #029
Change Order #030
Change Order #031
Change Order #033
Change Order #034
Change Order #035
Change Order #038
Change Order #039
Change Order #040
Change Order #041
Change Order #043
Change Order #045
Change Order #047
Change Order #048
Change Order #049
Change Order #050
Change Order #051
Change Order #052
Change Order #053
3,001.00
34,500.00
10,800.00
1,478.00
464.00
1,391.00
52,008.00
5,008.00
1,391.00
5,796.00
7,000.00
26,391.00
21,300.00
14,500.00
11,000.00
1,430.00
3,941.00
4,679.00
6,779.00
1,067.00
751.00
36,000.00
2,898.00
2,701.00
31,050.00
1,330.00
418.00
1,252.00
46,807.00
4,507.00
1,287.00
TOTALS
{2,138,321.00
10,780,405.00
300.00
3,450.00
10,800.00
148.00
46.00
139.00
5,201.00
501.00
1,391.00
5,796.00
7,000.00
26,391.00
21,300.00
14,500.00
11,000.00
143.00
3,941.00
4,679.00
6,779.00
1,067.00
751.00
36,000.00
2,898.00
3,001.00
34,500.00
10,800.00
1,478.00
464.00
1,391.00
52,008.00
5,008.00
1,391.00
5,796.00
7,000.00
26,391.00
21,300.00
14,500.00
11,000.00
1,430.00
3,941.00
4,679.00
6,779.00
1,067.00
751.00
36,000.00
2,898.00
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
1,357,916.00
12,138,321.00
NYC 9/11 Public Portal Document
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