Laserfiche WebLink
- APPLICATION FOR PAYMENT NO. Twenty-three <br /> To City of St Anthony (OWNER) <br /> ... Contract for Temporary Granular Activated Carbon System <br /> OWNER's Project No. --- . ENGINEER's Project No. 861908-3 <br /> For Work accomplished through the date of April 30 1990 <br /> CONTRACTOR's Schedule of Values Rork Completed <br /> ITEM Unit Price Quantity Amount Quantity Amount <br /> 1. Furnish & Install <br /> Treatment System 124,600.00 Lump Sum 124,600.0 100% 124,600.00 <br /> 2. Service Fee 108.00 500 Day 54,000.00 646 69,768.00 <br /> 3. VOC Removal 860.00 80 Pounds 68,000.00 76.69 lbs. 65,186.00 <br /> 4. Extra GAC 25.30 1600 cu/ft 40,480.00 0 0.00 <br /> 5. Remove Equipment 38,650.00 Lump Sum 38,650.00 0 0.00 <br /> Total $325,730.0 x[59,554.00 <br /> (Orig.Contract) <br /> C.O. No. 1 <br /> C.O. No.2 <br /> Accompanying Documentation: GROSS AMOUNT DUE ....................... $ 259,554.00 <br /> LESS %RETAINAGE ................... $ None <br /> - Invoice No. 960994801 AMOUNT DUE TO DATE ..................... $ 259,554.00 <br /> LESS PREVIOUS PAYMENTS ................ $ 256,314.00 <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 1 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 CONTRACTOR <br /> By <br /> Payment of the above AMOUNT DUE THIS APPLICATION is recommended. <br /> �. . Dated May 1 ' 1090 0 -RIEKE C OLL MU LER ASSOCIATES INC. <br /> BY <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 /> n�tr.a w <br />