NYC-WTC_000200055

NYC 9/11 Public Portal Document

New York City School Exhibit 1 Construction Authority (3) REQUEST FOR PAYMENT no (A) Page 1 of 1 ’ - . , 36 Contractor □ Consultant ■ Construction Manager □, ■■ Line □ " Capital Improvement □ Initial Contract Amount:$4,000,000

tc) PROJECT TITLE Asbestos Consultant Services LLW#: 28673 (i) CM/ CONTRACTOR/ GQNSHLT^NT (d) LOCATION Stuyvesant HS, 345 Chambers Street, New York, NY TAYLOR ENVIRQNMHN’ GROUP, (e) CONTRACT NO. C000008706 (f) PROJECT NUMBER M477-14413 INC. 130A JERICHO TOR (g) AWARD DATE 5/1/2001 (h) PERIOD COVERED 9/2^01-10/31/01 FLORAL PARK, NY 11001 ITEM OF WORK TOTAL VALUE Percent Total Value of VALUE OF WORK-COMFLEThU. ~ OF WORK Complete Completed Work lEQUEST TO LAST REQUEST THIS R^qO^/ Z M PI Pl w [5] [61 STAFFING Project Manager $1,400,000.00 1.98% $27,750.00 $12,900.00 $14,850.00 Project Designer $100,000.00 2.61% $2,612.50 $2,612.50 $0.00 Asbestos Investigator $500,000.00 1.61% $8,041.50 $8,041.50 $0.00 Project Monitor (AHERA Cert.) $200,000.00 3669% $73,370.00 $39,663.50 $33,706.50 NYS Inspector $20,000.00 11.88% $2,376.02 $2,376.02 $0.00 On-Site Technician $30,000.00 6.93% $2,079.00 $2,079.00 $0.00 Certified Lead Inspector $500.00 0.00% $0.00 SO.OO $0.00 TESTING Bulk Sample Analysis by PLM/DS Within 24 Hour Turnaround $40,000.00 0.70% $280.00 $280.00 $0.00 Within 6 Hour Turnaround $9,000.00 0.00% SO.OO SO.OO $0.00 Within 1 Hour Turnaround $1,000.00 0.00% $0.00 SO.OO $0.00 NOB Sample Analysis by PLAVDS Within 24 Hour Turnaround $48,500.00 3.84% $1,860.00 $1,860.00 $0.00 NOB Prep (TEM Preparation) $15,000.00 4.90% $735.00 $735.00 $0.00 NOB Sample Analysis by TEM Within 24 Hour Turnaround 5100,000.00 1.35% $1,350.00 $1,350.00 $0.00 I Airborne Fiber Analysis by PCM______ Within 24 Hour Turnaround $400,000.00 350% $14,000.00 $14,000.00 $0.00 Within 6 Hour Turnaround $200,000.00 2.58% $5,161.00 $5,161.00 $0.00 Within 1 Hour Turnaround $200,000.00 1.07% $2,144.00 $2,144.00 $0.00 Airborne Asbestos Analysis by TEM Within 24 Hour lumaround $15,000.00 52.67% $7,900.00 .$4,620.00 $3,280.00 Within 6 Hour Turnaround 5590,000.00 3.16% $18,625.00 $9,165.00 $9,460.00 Within 3 Hour Tumaround 5100,000.00 10.15% $10,150.00 $4,785.00 $5,365.00 Lead Samples Bulk Paint Chip Sample 12 Hr. TAT $2,000.00 0.00% $0.00 SO.OO $0.00 Leaddn-Dust-Wipe-Sample 6 Hr. TAT $25,000.00 0.00% $0.00 SO.OO $0.00 Miscellaneous Reimbursable Expenses: $4,000.00 0.00% $0.00 SO.OO $0.00

(7) TOTAL WITH CHANGES 54,000,000.00 4.46% $178,434.02 $111,772.52 $66,661.50 (8) LESS RETAINAGE @ % ( ______ iJ. ) ( _____ ) (9) TOTALS 54,000,000.00 4.46% $178,434.02 $111,772.52 $66,661.50 iCertificate for Payment has been completed in accordance with the Contract IDocuments and where applicable in accordance with Labor Law 220 and that the BY: DATE: zD - /‘ Icurrent payment shown herein is now due. The undersigned further certifies that all iamounts due subcontractors have been and shall be paid in full within the time Subscribed and sworn to me ispecified in Article 16 of the General Conditions. CM/Contractor/Consultant sign below: this / / day of , 2001

TERRI ANN DTLIA Notary Public. State of New TMt NO.01DE5093718 George Taylor Outfifled in Nassau County 5 ’RINT NAME DATE Commission Expires August 18,20X. ^jTsignatureofTield^epresentative PRINT NAME

(K) SIGNATURE OF PROJI ;cT leader PRINT NAME DATE/ / •f APRIL M. ALBER6HINI (L) REVIEWED BY CHECK NO. cAeck date/

CITY_21MC100_012155762

NYC-WTC_000200055