NYC 9/11 Public Portal Document
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UI Mayor's Offioa of Emergancy Managsmont
7 World Trade Center
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CONTINUATION SHEET EQUIVALENT TO Q703 PAGE 2 OF 5 PAGES
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APPLICATION AND CERTIFICATE FOR PAYMENT, CONTAINING APPLICATION NO. 7
CONTRACTOR'S SIGNED CERTIFICATION IS ATTACHED DATE 1/iO/M
AMB. JOB 867-517S
USE COLUMN I ON CONTRACTS WHERE VARIABLE RETAI MAGE FOR LINE
ITEMS MAY ITEMS MAY APPLY.
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B D F G H 1
CM
n ITEM DESCRIPTION OF SCHEDULED FROM THIS PERIOD MATERIALS TOTAL % G-C BALANC^TO RETAINAGE
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CM COMPLETED
PREVIOUS ...
CM AND STORED
Q NO WORK VALUE APPLICATION TO DATE FINISH
Base Contract 11,533,019.00 11,633,01.9.00 11,633,019,00 00%
Change Order #001 7,000.00 7,000.00 7.> 00, ^0%
Change Order #003 3,704.00 3,704.60 3,704,00' ^0%
tn Change Order #004 360,004.00 388,804.00 380,604.00* '100%
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Change Order #005 117,684.00 117,604.00 117,684.00/ Z1OO%
K Change Order #006 406.00 406.00 ■■■406,00' < 100%
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CL Change Order #007 (209,803.00) (209,803.00) (209.803.00) 00%
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q: Change Order #006 11,688.00 11,608.00 11,608.OOx Al.00%
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Change Order #009 11,707.00 11,707.00 11.707.00m/I I
Y100%
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Change Order #010 2,666.00 2,666.00 2,866.00- ^100%
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H Change Order #011 2,098.00 2,690.00 2,890.00 '100%
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u Change Order #012 7,766.00 7,766.00 7,766.00- 100%
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Change Order #013 985.00 905.00 906.00/ " 100%
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t-i Change Order #014 (5,216.00) (5,216.00) (5,216.00) ^00%
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Change Order #016 21,234.00 21,234.00 21,234.00^
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o Change Order #016 16,500.00 18,500.00 10,500.00 ' 100%
a Change Order #017 5,042.00 5,042.00 5,042.00-' 100%
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Change Order #019 4,636.00 4,636.00 4,636.00' " 100%
Change Order #020 11,000.00 11,1SDH .00 11,000.00- ''100%
CHahgeTDrdef #021^ ’ ~ - WOftOO- . .-46,5QQJKL » ___ 10,600.00 "100%
8 Change Order #022 6,728.00 6,728.00
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Change Order #023 5,000.00 6,800.00 5,800.00- 100%
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fOTALS 11,684.74^.00 1,0^4740.60 1,864.748.00
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NYC-WTC_000171541
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