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Document / 6 pages

Application and Certificate for Payment form, 7 WTC, 1998

Machine-extracted title · confidence 80%

Formal payment application document containing structured data fields for construction cost certification.

NYC-WTC_000172583–000172588

Folder label: “Application and Certificate for Payment”

←Page 2 of 6→
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Scanned page image, NYC-WTC_000172584
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NYC-WTC_000172584 7 World Trade Center 1st, 7th & 23rd Floors CONTINUATION SHEET Mayor's Office of Emergency Management APPLICATION AND CERTIFICATE FOR PAYMENT, CONTAINING CONTRACTOR'S SIGNED CERTIFICATION IS ATTACHED USE COLUMN | ON CONTRACTS WHERE VARIABLE RETAINAGE FOR LINE ITEMS MAY ITEMS MAY APPLY. EQUIVALENT TO G703 PAGE 2 OF 4 PAGES APPLICATION NO. 4 DATE 3/26/99 AMB. JOB S57-5175 NYC 9/11 Public Portal Document A B Cc —< D —- E a F G {TEM} DESCRIPTION OF NO WORK SCHEDULED VALUE FROM PREVIOUS APPLICATION THIS PERIOD MATERIALS TOTAL COMPLETED AND STORED TO DATE ) z <x iq) 9 © -] on RETAINAGE Base Contract Change Order #001 Change Order #003 Change Order #004 Change Order #005 Change Order #006 Change Order #007 Change Order #008 Change Order #009 Change Order #010 Change Order #014 Change Order #012 Change Order #013 Change Order #014 Change Order #015 Change Order #016 Change Order #017 Change Order #019 Change Order #020 Change Order #021 Change Order #022 Change Order #023 41,533,019.00 7,000.00 3,704.00 388,804.00 117,684.00 406.00 (289,803.00) 11,688.00 11,707.00 2,666.00 2,898.00 7,766.00 985.00 (5,216.00) 21,234.00 18,500.00 5,042.00 4,636.00 11,000.00 18,500.00 6,728.00 5,800.00 10,379,717.00 6,300.00 3,334.00 349,924.00 105,916.00 365.00 (260,823.00) 10,519.00 10,536.00 2,399.00 2,608.00 6,989.00 887.00 (4,694.00) 19,111.00 16,650.00 4,538.00 4,172.00 9,900.00 16,650.00 6,055.00 1,153,302.00 700.00 370.00 38,880.00 11,768.00 41.00 (28,980.00) 4,169.00 4,174.00 267.00 290.00 777.00 98.00 (522.00) 2,123.00 4@Q4rnan 1,850.00 504.00 464.00 4,100.00 4,850.00 673.00 5,800.00 11,533,019.00 7,000.00 3,704.00 388,804.00 117,684.00 406.00 (289,803.00) 11,688.00 11,707.00 2,666.00 2,898.00 7,766.00 985.00 (5,216.00) 21,234.00 18,500.00 5,042.00 4,636.00 11,000.00 18,500.00 6,728.00 5,800.00 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% ITOTALS 11,884,748.00 10,691 ,053.00 1,193,695.00 11,884,748.00

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NYC-WTC_000172584Source: NYC Law Department, mirrored locally

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