NYC-WTC_000172586
7 World Trade Center
1st, 7th & 23rd Floors
CONTINUATION SHEET
APPLICATION AND CERTIFICATE FOR PAYMENT, CONTAINING
CONTRACTOR'S SIGNED CERTIFICATION IS ATTACHED
Mayor's Office of Emergency Management
USE COLUMN | ON CONTRACTS WHERE VARIABLE RETAINAGE FOR LINE
ITEMS MAY ITEMS MAY APPLY.
EQUIVALENT TO G703
PAGE 4 OF 4 PAGES
APPLICATION NO. 4
DATE
3/26/99
AMB. JOB S$57-5175
A
ITEM
NO
an
B
En SR EE yer
DESCRIPTION OF
WORK
Cc
~
——
D
—w
E
SCHEDULED
VALUE
FROM
PREVIOUS
APPLICATION
THIS PERIOD
MAT
a |
ERIALS
COMPLETED
AND STORED
TO DATE
RETAINAGE
Change Order #054
Change Order #055
Change Order #057
Change Order #058
Change Order #059
Change Order #060
Change Order #061
Change Order #062
Change Order #063
Change Order #064
Change Order #065
Change Order #066
Change Order #067
Change Order #069
Change Order #070
Change Order #071
Change Order #075
2,671.00
29,000.00
63,000.00
5,506.00
10,948.00
8,114.00
2,400.00
9,679.00
1,912.00
6,500.00
22,721.00
14,800.00
2,894.00
672.00
6,114.00
4,579.00
4,874.00
TOTALS
12,334,705.00
10,780,405.00
2,671.00
29,000.00
63,000.00
5,506.00
10,948.00
8,114.00
2,400.00
9,679.00
1,912.00
6,500.00
22,721.00
14,800.00
2,894.00
672.00
6,114.00
4,579.06
4,874.00
2,671.00
29,000.00
63,000.00
5,506.00
10,948.00
8,114.00
2,400.00
9,679.00
1,912.00
6,500.00
22,721.00
14,800.00
2,894.00
672.00
6,114.00
4 579.00
yw ow
4,874.00
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
1,554,300.00
12,334, 705.00
NYC 9/11 Public Portal Document
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