HomeMy WebLinkAboutCORRESPONDENCE - BID - 5688 TRAFFIC OPERATIONS COMMUNICATIONS PHASE I (5)APPLICATION FOR PAYMENT
OWNER: CRY of Fort Colons PROJECT: ATM BID05888
POI: 22QM
APPLICATION NUMBER:
8A
APPLICATION DATE:
20AupM
ENGINEER: URS CONTRACTOR: Matrowest Co n ouikatlons, LLC
PERIOD BEGINNING:
10-Augp2
PERIOD ENDING:
20-Aup-02
PROJECT NUMBER:
5888
CHANGE ORDERS Application is made for payment as shown below in eanneellon with Contract
NUMBER DATE AMOUNT The present slrtusd the account for this Contract Is as Uloos:
I PRPA S 23,616.04
2 MCCLOUD S 19,50.25 Original Contract Amount:
3 Is5418,805.00 AND S 4 41.133.00 Net Charge by Charge Order:
4 E AND R f 1,800.00
15%OF BASE CONTRACT 11 82.520.75
5 CSB 4 8,330.00 Currenl Contract Amount:
a BASE f 00,921.00
f47Y,325.75
T SHIELOs f 81.987.50 TOW Completed and Stored to Date:
8 QUENT IT S 6.927.00 Less Previous PAYMENTS:
. 1 , 5 54194Og
t SHIELDS It3.027.50 Amount Due this Application - Before Relelrage:
541194.00
Leas Relsinage:
f 3.027.50
TOTAL RETAINAGE TO DATE:
f -
Net ChangeCho Order 2 068.89 AMOUNT DUE THIS APPLICATION: -
f 02f.39
,.
CERTIFICATION:
f 111.11HI6.34
The undersigned CONTRACTOR oerlles to al obligation or CONTRACTOR incurmd In mmredbn with
tied
Via Warts have been aa8sas required in Paragraph 14.3 of the General Conditions of Its Contract
The above Amount Due This Appgnllon Is requeand Iy the CONTRACTOR.
Dais: BY
Paymenld the Am0W Due This Appllallon Is MOOMMOrldad by the ENGINEER.
Deb: By:
Payment of the Amcura Due This AppkzUm is reoornmended by the OWNERS Prated Manager.
Deis: By,
Payment of Its Amount Orra ThisApplicetmr is remmmendad by lw OWNER.
Date: By:
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