NYC 9/11 Public Portal Document
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Mayor's Office of Emergency Management
7 World Trade Center
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u 1SI, 71h & 23rd Floors
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CONTINUATION SHEET EQUIVALENT TO G7(M PAGE 4 OF 6 PAGES
APPLICATION AND CERTIFICATE FOR PAYMENT, CONTAINING APPLICATION NO. 7
CONTRACTOR'S SIGNED CERTIFICATION IS ATTACHED DATE 1/10/00
AMB. JOB S67-517S
USE COLUMN I ON CONTRACTS WHERE VARIABLE RETAINAGE FOR LINE
ITEMS MAY ITEMS MAY APPLY.
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Q ■
A 5 C D E F G H I
«
n ITEM DESCRIPTION OF SCHEDULED FROM . THIS PERIOD MATERIALS TOTAL % G-C BALANCE TO RETAINAGE
*
<M - COMPLETED
PREVIOUS
« AND STORED
Q NO WORK VALUE APPLICATION TO DATE FINISH
Change Order #054 2,671.00 2,671.00 2,671.00- 100%
Change Order #055 20.!SHE 00 29,000.00 29.000.00' 100%
Change Order #057 63,000.00 63,000.00 63.000.00* 100%
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u Change Order #058 5.506.00 5.506.00 5,506.00^ 100%
hH
H Change Order #059 10.948.00 10,948.00 10.948.00* 100%
K Change Order #060 8.114.00 8,114.00 8,114.00* 100%
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a. Change Order #061 2.400.00 2,400.00 2,400.00* 100%
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K
a. Change Order #062 9,679.00 9,679.00 9,679.00' 100%
z Change Order #063 1.912.00 1,912.00 1,912.00' 100%
Change Order #064 6.600.00 6,500.00 6,500.00^ 100%
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Change Order #066 22,721.00 22,721.00 22.721.00* 100%
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Change Order #066 14.800.00 14,800,00 14,800.00' 100%
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Change Order #067 2.894.00 2,894.00 2,894.00* 100%
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Change Order #069 672.00 672.00 672.00* 100%
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Change Order #070 6.114.00 6,114.00 6,114.00 100%
z Change Order #071 4,579.00 4,579.00 4,579.00' 100%
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a Change Order #073 1,580.00 1,680.00 1,580.00* 100%
b.
CD Change Order #074 3,800.00 3,800.00 3,800.00/ 100%
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Change Order #075 4,874.00 4,874.00 4.874.00* 100%
ChangaTjSaenWTB—- ------- -——ZOl^ 701.00* 100%
8 . Change Order #078 7,200.00 7,200.00 /,20£l.00^ 700%-
8
I Change Order #070 6,955.00 6,955.00 6,955.00' 100%
sr Change Order #083 2,600.00 2,600.00 2,600.00> 100%
8
I 12,356,341.00
o TOTALS 12,357,641.00 7,200.00 12,357,641.00
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NYC-WTC_000171543
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