Laserfiche WebLink
APPLICATION FOR PAYMENT NO. Eighteen <br /> To City of St. Anthony (OWNER) <br /> • Contract for Temporary Granular Activated Carbon System <br /> N*GINEER's Project No. 861908-3 <br /> OWNER's Project No. E <br /> For Work accomplished through the date of November 30, 1989 <br /> CONTRACTOR's Schedae of Values Work Completed <br /> ITEM <br /> Unit Price Quantity Amount Quantity Amount <br /> 1. Furnish & Install $ $ $ <br /> Treatment System 124,600.00 Lump Su- 124,600.00 100% 124,600.00 <br /> 2. Service Fee 108.00 500 Day 54,000.00 495 53,460.00 <br /> 3. VOC Removal 850.00 80 Pounds 68,000.00 58.92 lb 50,082.00 <br /> 4. Extra GAC 25.30 1600 cu,/ft 40,480.00 0 0.00 <br /> 5. Remove Equipment 38,650.00 Lump Sure, 38,650.00 0 0.00 <br /> Total $ <br /> (Orig. Contract) 325,730.0 228, 142.00 <br /> C.O. No. 1 <br /> C.O. No. 2 <br /> Accompanying Documentation: GROSS AMOUNT DUE ....................... $228,142.00 bit <br /> • LESS 9o' RETAINAGE ................... $ None <br /> Invoice No. 960868301 AMOUNT DUE TO DATE ..................... $228,142. 0 <br /> LESS PREVIOUS PAYMENTS ................ $224,902.00 <br /> AMOUNT DUE THIS APPLICATION ......... $ 3.240.00 <br /> CONTRACTOR'S Certification: <br /> The undersigned CONTRACTOR certifies that (1) all previous progress payments received from OWNER on account of <br /> Work done under the Contract referred to above have been applied to discharge in full all obligations of CONTRACTOR <br /> incurred in connection with Work covered by prior Applications for Payment numbered I through inclusive;and <br /> (2)title to all materials and equipment incorporated in said Work or otherwise listed in or covered by this Application for <br /> Payment will pass to OWNER at time of payment free and clear of all liens, claims, security interests and encumbrances <br /> (except such as covered by Bond acceptable to OWNER). <br /> Dated , 19 <br /> CONTRACTOR <br /> By <br /> Payment of the above AMOUNT DUE THIS APPLICATION is recommended. <br /> Dated December 6 19 89 Rieke Car/ca/ MulYe <br /> LEN INE <br /> By 0 <br /> EJCDC No. 1910-8-E(1983 Edition) <br /> Prepared by the Engineers'Joint Contract Documents Committee and endorsed by The Associated General Contractors of America. <br /> .Reprinted V85 <br />