NYC-WTC_000232607

NYC 9/11 Public Portal Document

New York City School Exhibit 1 Cot/struction Authority (B) REQUEST FOR PAYMENTn. (A) Page 1 of 1 260 (Contractor O Consultant ■ Construction Manager □ Line □ Capital Intprovement □ Initial Contract Amount;$4,000,000

(c) PROJECT TITLE Asbestos Consultant Services LLW#: 29882 (i) CM/CONTRACTQ’ft/CONSULTANT (dj'LOCATION Stuyvesant HS, 345 Chambers Street, New York, NY (^SONTRACT NO. TAYLOR ENVIRONMENTAL GROUP, C .8706 (f) PROJECT NUMBER M477-15638 INC. 130A JERICHO YuRnH#CE/. (^AWARDDAT^ 5/1/2001 (h) PERIOD COVERED 10/23/02-1/15/03 FLORAL PARK, NY 11001 ITEM OF WORK TOTAL VALUE Percent Total Value of VALUE OF WRK CQjyiPLETED OF WORK Complete Completed Work TO LAST REQUEST THIS Request STAFHNG H! Pl 131 [4 [5| hl Project Manager $400,000.00 39.47% $157,890.00 _________ $157,740.00 $150.00 Project Designer ________ $50,000.00 20.68% $10,340.00 $10,340.00 $0.00 Asbestos Investigator _______ $160,000.00 24.76% ________ $39,613.00 $39,613.00 $0.00 Project Monitor (AHERA Cert.) $800,000.00 61.43% $491,447.00 $491,447.00 $0.00 NYS Inspector $50,000.00 37.20% $18,599.67 $18,500.67 $99.00 On-Site Technician $80,000.00 42.40% ________ $33,921.30 $33,921.30 $0.00 Cer tified Lead Inspector $120,000.00 54.88% $65,860.01 $65,860.01 $0.00 CADD Operator $5,000.00 59.37% $2,968.50 $2,968.50 $0.00 TESTING Bulk Sample Analysis by PLM/DS Within 24 Hour Turnaround $40,000.00 3.89% $1,554.00 $1,554.00 $0.00 Within 6 Hour Turnaround $9,000.00 0.00% $0.00 $0.00 $0.00 Within 1 Hour Turnaround $2,000.00 26.00% $520.00 $520.00 $0.00 NOB Sample Analysis by PLM/DS Within 24 Hour Turnaround $48,500.00 21.65% $10,500.00 $10,410.00 $90.00 NOB Prep (TEM Preparation) $15,000.00 15.40% $2,310.00 $2,310.00 $0.00 NOB Sample Analysis by TEM Within 24 Hour Turnaround $139,000.00 8.09% $11,250.00 $11,100.00 $150.00 Airborne Fiber Analysis by PCM Within 24 Hour Turnaround $600,000.00 13.99% $83,960.00 $83,960.00 $0W Within 6 Hour Turnaround $300,000.00 12.79% $38,363.00 $38,363.00 $0.00 Within 1 Hour Turnaround $200,000.00 15.09% $30,176.00 $30,176.00 $0.00 Airborne Asbestos Analysis by TEM Within 24 Hour Turnaround $140,500.00 23.22% $32,620.00 $32,620.00 $0.00 Within 6 Hour Turnaround $540,000.00 21.64% $116,855.00 $116,855.00 $0.00 WiLrin 3 Hour Turnaround $200,000.00 29.87% $59,740.00 $59,740.00 $0.00 Lead Samples Bulic Paint Chip Sample 12 Hr. TAT $2,000.00 2.03% $40.50 $40,50 $0.00 Lead-In-Dust-Wipe-Sample 6 Hr. TAT $45,000.00 78.91% $35,508.00 $35,508.00 $0.00 Miscellaneous Reimbursable Expenses: $4,000.00 0.92% $36.87 $36.87 $0.00 All Sty Mise $50,000.00 98.30% $49,149.20 $49,149.20 $0.00

(7) TOTAL WITH CHANGES $4,000,000.00 32.33% $1,293,222.05 $1,292,733.05 $489.00 (8) LESS RETAINAGE® % ( _________ ________ ) ___ ) (9) TOTALS $4,000,000.00 32.33% $1,293,222.05 $1,292,733.05 $489.00 Certificate for Payment has been completed in accordance with the Contract Documents and where applicable in accordance with Labor Law 220 and that the BY: .g/LOX D C6. c--' DATE: i current payment shown herein is now due. The undersigned further certifies that all amounts due subcontractors have been and shall be paid in full within the time Subscribed and sworn to me specific in Article JG of the General_Conditjons. _ ________ __ _ CM/Contractor/Consultant sign below: this day of JanOCtM , 2003 TERRI ANN D'ELIA Notary Public. State ot New York N0.01DE5083718 George Taylor X?— Ouatified in Nassau County x Cominission Expires August 18,2022 PRINT NAME 7 DATE 7J)Si' iNi PRINT NAME , y

(K) S GNATURE OF PROJECT f^AGER/PROJECT LEADER PRINT NAME . _ D?rE APRIL M. ALBERGHINI JAN 2 9 (L) REVIEWED BY CHECK NO. CHECK DATE

CITY_21MC100_010234116

NYC-WTC_000232607