Application and Certificate for Payment, March 1999

NYC 9/11 Public Portal Document

APPLICATION AND CERTIFICATE FOR PAYMENT EQUIVALENT TO G702 PAGE 1 OF 4 PAGES TO (OWNER): SILVERSTEIN PROPERTIES PROJECT: Mayor's Office of Emergency Mgt APPLICATION #4 Rev 7 WORLD TRADE CENTER 7 World Trade Center NEW YORK, NEW YORK 1st, 7th & 23rd Floors PERIOD TO 3/26/99

FROM: AMBASSADOR CONSTRUCTION 317 MADISON AVENUE NEW YORK, NEW YORK 10017 AMB. JOB #S57-5175 SPI Proj#890094-0300 CONTRACT FOR: GENERAL CONSTRUCTION

j^HCATION IS MADE FOR PAYMENT AS SHOWN BELOW, IN CONTRACTOR'S APPLICATION FOR PAYMENT CONNECTION WITH THE CONTRACT. CONTINUATION SHEET IS ATTACHED.

CHANGE ORDER SUMMARY 1. ORIGINAL CONTRACT $ 11,533,019.00 CHANGE ORDERS APPROVED IN ADDITIONS DEDUCTION 2. NET CHANGE BY C/O'S 801,686.00 PREVIOUS MONTHS BY OWNER 445,209.00 3. CONTRACT SUM TO DATE $ 12,334,705.00 APPROVED THIS MONTH 4. TOTAL COMPLETED (COL G) $ 12,334,705.00 # |dATE APPROVED 5. RETAINAGE 356,477.00 TOTAL 801,686.00 6. TOTAL EARNED LESS RETAINAGE $ 12,334,705.00 7. LESS PREVIOUS THE UNDERSIGNED CONTRACTOR CERTIFIES THAT TO THE BEST OF THE PAYMENT 9,500,000.00 CONTRACTOR'S KNOWLEDGE, INFORMATION AND BELIEF THE WORK 8. CURRENT PAYMENT DUE $ 2,834,705.00 COVERED BY THIS APPLICATION FOR PAYMENT HAS BEEN COMPLETED IN 9. BALANCE TO FINISH (LINE 3 LESS LINE 6) $ ACCORDANCE WITH THE CONTRACT DOCUMENTS, THAT ALL AMOUNTS HAVE BEEN PAID BY THE CONTRACTOR FOR WORK FOR WHICH PREVIOUS CERTIFICATES FOR CURRENT PAYMENT SHOWN HEREIN IS NOW DUE. COUTR/^OR- ^BASSA^I^ONSTROp^ON CO., INC. STATE OF: NEW YORK COUNTY OF; NEW YORK SUBSCRIBED AND SWORN TO BEF dzi DAY OF MARCH 1999 RV3 - 5 NOTARY PUBLIC: ft) ■ AMY B. DEUTSCH Noiary Public. State of Namm No. 31-4698273 ARCHITECT S CERTIFICATE FOR PAYMENT IN ACCORDANCE WITH THE AMOUNT CERTIFIED. .$ Commission Expires Juneau. 19M CONTRACT DOCUMENTS, BASED ON ONSITE OBSERVATIONSAND THE (ATTACH EXPLANATION IF AMOUNT CERTIFED DIFFERS FROM THE DATA COMPRISING THE ABOVE APPLICATION, THE ARCHITECT AMOUNT APPLIED FOR) CERTIFIES TO THE OWNER THAT TO THE BEST OF THE ARCHITECT'S BY: DATE:. KNOWLEDGE, INFORMATION AND BELIEF THE WORK HAS THIS CERTIFICATE IS NOT NEGOTIABLE. THE AMOUNT CERTIFIED IS PROGRESSED AS INDICATED, THE QUALITY OF THE WORK IS IN ACCORDANCE PAYABLE ONLY TO THE CONTRACTOR NAMED HEREIN. ISSUANCE, WITH THE CONTRACT DOCUMENTS, AND THE CONTRACTOR IS ENTITLED TO PAYMENT AND ACCEPTANCE OF PAYMENT ARE WITHOUT PREJUDICE PAYMENT OF THE AMOUNT CERTIFIED. TO ANY RIGHTS OF THE OWNER OR CONTRACTOR UNDER THIS CONTRACT.

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