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SECTION 00622 <br /> CONTRACTOR' S APPLICATION FOR PAYMENT <br /> on <br /> For Work Accomplished through the period of Applicath ouo hPq__ t No . <br /> To : Indian River County (OWNER ) <br /> From : ( CONTRACTOR) <br /> Project No . : UCP #2229 <br /> Project : Indian River County Department of Utility Services Operations Complex. <br /> OWNER 's Bid No . 7026 , ENGINEER 's Contract No . <br /> ENGINEER : Brown and Caldwell <br /> 1 . Original Contract Price : $. <br /> 2 . Net change by Change Orders and Written Amendments ( + or -) : $ <br /> 3 . Current Contract Price ( 1 plus 2 ) : $ <br /> 4 . Total Work to date : <br /> 4 . a Percentage of Work completed to date : <br /> 4 . b Total Work completed to date : $ <br /> • 4 . c Total equipment and material stored to date : <br /> 4 . d Total Work completed and stored to date : (4 . b plus 4 . c) $ <br /> 5 . Retainage (per Agreement) : <br /> 5 . a 10 % of completed Work ( 0 . 10 x 4 . b ) : <br /> 5 . b 10 % of stored equipment and material (0 . 10 x 4 . c) : <br /> 5 . c Total Retainage (5 . a plus 5 . b ) : $ <br /> 6 . Total Work completed and stored to date less retainage <br /> (4 . d minus 5 . c) : $ <br /> 7 . Previous Applications for Payment: $ <br /> 8 . AMOUNT DUE THIS APPLICATION ( 6 MINUS 7) : $ <br /> ( 1 ) Attach detailed schedule and copies of all paid invoices . <br /> • <br /> IRC OPERATIONS COMPLEX 00622 - 1 00622 — Contractor's Application for Payment <br />