NYC 9/11 Public Portal Document
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CD Mayor's Offloo of Ematgency ManagemenC
7 World Trade Cenler
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CONTINUATION SHEET EQUIVALENT TO G703 PAGE 5 OF 6 PAGES
0, APPLICATION AND CERTIFICATE FOR PAYMENT, CONTAINING APPLICATION NO. 7
CONTRACTOR'S SIGNED CERTIFICATION IS ATTACHED OATE 171 WOO
AMB. JO0S57-5(75
USE COLUMN I ON CONTRACTS WHERE VARIABLE RETAINAGE FOR UNE
ITEMS MAY ITEMS MAY APPLY.
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AT B c D E F G H 1
SCHEDULED FROM THIS PERIOD MATERIALS TOTAL %G-C BALANCE TO* retainaSe
ITEM DESCRIPTION OF
n COMPLETED
PREVIOUS
«- AND STORED
« No ______ WORK VALUE APPLICATION TO DATE FINISH
■ Q ChangG Order #084 (30,681.00) (30,681.00) (30,681.00) 100%
Change Order #088 130.000.00 39,000.00 91.000.00 130.000.00 100%
Change Order #091 6,000.00 6,000.00. 6,000.00 100%
Change Older #092 380.00 380.00 380.00 100%
tn Change Order #093 4,892.00 4,692.00 4,892.00 100%
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Change Order #095 1,046.00 1,04600 1.046.00 100%
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U Change Older #097 4,560.00 4,560.00 4,560.00 100%
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0. Change Order #096 8,800.00 8,800.00 8,800.00 100%
O
K Change Order #099 2,033.00 2,033,00 2,033.00 100%
0. 20,625.00 100%
Change Order #100 20,625.00 20,625.00
2 3,854.00 100%
Change Order #102 3,654.00 3,’854.00
U 73,987.00 73,987.00 100%
h Change Order #103 . 73,987.00
tn
K Change Order #104 60,900.00 50,000.00 50.000.00 100%
U 136,001.00 100%
Change Order #105 -- 136,001.00 136,001.00
u Change Order #106 ' 3.668.00 3,568.00 3,568.00 100%
co Change Order #107 650.00 650.00 650.00 100%
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I TOTALS 12,773,256.00 12,366,086.00 407,170.00 12,773,266.00
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NYC-WTC_000171544
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