NYC 9/11 Public Portal Document
CD APPLICATION AND CERTIFICATE FOR PAYMENT EQUIVALENT TO G702 PAGE 1 OF 5 PAGES
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TO (OWNER); SILVERSTEIN PROPERTIES PROJECT; Mayor's OfUce of Emergency Mgt "APPLICATION F®
7 WORLD TRADE CENTER 7 World Trade Canter
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u NEW YORK. NEW YORK 1s(, 7th 4 23rd Floors PERIOOTO 1/10/00
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FROM; AMBASSADOR CONSTRUCTION
317 MADISON AVENUE
NEW YORK, NEW YORK 10017 AMB. JOB #857-5175
SPI ProJ#89M94-03Q0
CONTRACT FOR; GENERAL CONSTRUCTION
APPLICATION IS MADE FOR PAYMENT AS SHOWN BELOW, IN
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CM CONTRACTOR'S APPLICATION FOR PAYMENT CONNECTION WITH THE CONTRACT. CONTINUATION SHEET IS
<N ATTACHED.
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CHANGE ORDER SUMMARY 1. ORIGINAL CONTRACT $ 11,533,019.00
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CHANGE ORDERS APPROVED IN ADDITIONS DEDUCTION 2. NET CHANGE BY C/O'S 1,240,237.00/
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PREVIOUS MONTHS BY OWNER 954,748.00 (^0,6^1.00) 3. CONTRACT SUM TO DATE $ 12,773,256.00
APPROVED THIS MONTH 4. TOTAL COMPLETED (COL G) $ 12,773,256.00
ff IDATE APPROVED 5. RETA1NAGE
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U 316.170.00
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h TOTAL 1,270,918.00' (30,68100) 6. TOTAL EARNED LESS RETAINAGE $ 12.773,256.00 /
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U 7. LESS PREVIOUS
0, THE UNDERSIGNED CONTRACTOR CERTIFIES THAT TO THE BEST OF THE PAYMENT 11.684,322.00
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K CONTRACTOR'S KNOWLEDGE, INFORMATION AND BELIEF THE WORK
D. 8. CURRENT PAYMENT DUE $ 1,038,934.00
COVERED BY THIS APPLICATION FOR PAYMENT HAS BEEN COMPLETED IN
2 9. BALANCE TO FINISH (LINE 3 LESS LINE 6) $
►.* ACCORDANCE WITH THE CONTRACT DOCUMENTS, THAT ALL AMOUNTS
W HAVE BEEN PAID BY THE CONTRACTOR FOR WORK FOR WHICH PREVIOUS
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tn CERTIFICATES FOR CURRENT PAYM^T SHOWN HEREIN IS NOW DUE.
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u CGN^pOR^MBASS^O^CON^RUCTION CO.. INC.
> STATE OF: NEW YORK COUNTY OF; NEW YORK ’ “|
U SUBSCRIBED AND SWORN TO BEFORE ME THIS DAY OF Jan. 2000
NOTARY PUBLIC^SjiL^
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AMOUNT certified;
4b(vmilMMi<F£x(>tn»June 30,2C
ARCHITECT'S CERTIFICATE FOR PAYMENT IN ACCORDANCE WITH THE
n CONTRACT DOCUMENTS. BASED ON ONSITE OBSERVATIONS AND THE (ATTACH EXPLANATION IF AMOUNT CERTIFIED DIFFERS FROM THE
’ DTCTA COWRISIITtriTtE ABOVe-APPbeA1--OHH445 ARCHITECX----- -------------- AMOUNT APP HEP FOR)
CERTIFIES TO THE OWNER THAT TO THE BEST OF THE ARCHITECT'S BY;______________ TSATCrZ
o ■ KNOWLEDGE, INFORMATION AND BELIEF THE WORK HAS THIS CERTIFICATE IS NOT NEGOTIABLE. THE AMOUNT CERTIFIED IS
s PAYABLE ONLY TO THE CONTRACTOR NAMED HEREIN. ISSUANCE,
I PROGRESSED AS INDICATED. THE QUALITY OF THE WORK IS IN ACCORDANCE
•T WITH THE CONTRACT DOCUMENTS, AND THE CONTRACTOR IS ENTITLED TO PAYMENT AND ACCEPTANCE OF PAYMENT ARE WITHOUT PREJUDICE
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.1 PAYMENT OF THE AMOUNT CERTIFIED. TO ANY RIGHTS OF THE OWNER OR CONTRACTOR UNDER THIS
m ' CONTRACT.
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NYC-WTC_000171540
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