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2012-051C
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2012-051C
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Last modified
12/17/2015 1:27:08 PM
Creation date
10/1/2015 4:15:57 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
03/20/2012
Control Number
2012-051C
Agenda Item Number
8.G.
Entity Name
Safety and Environmental Systems Inc.
Subject
Lagoon Greenway Phase II A Construction Agreement
Boardwalks and trail segments
Area
Flinn Tract
Archived Roll/Disk#
112-R-0001
Supplemental fields
SmeadsoftID
11050
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PLEASE REMIT TO : <br /> ESTIMATE# : <br /> PERIOD ENDING : <br /> CONTRACTOR ' S REQUEST FOR PAYMENT <br /> SCHEDULE OF CONTRACT CHANGE ORDERS <br /> TOTAL COST OF COST OF CHANGE <br /> ITEM ADDED BY ORDER ITEM <br /> NO , DATE DESCRIPTION CHANGE ORDER COMPLETED TO DATE <br /> TOTALS <br /> ANALYSIS OF ADJUSTED CONTRACT AMOUNT TO DATE : <br /> 1 . Original Contract Amount $ <br /> 2 . Additions To Contract + <br /> 3 . Adjusted Contract Amount To Date $ <br /> ANALYSIS OF WORK PERFORMED : <br /> 1 . Cost Of Original Contract Work To Date $ <br /> 2 . Extra Work Performed To Date + <br /> 3 . Total Cost of Work Performed To Date $ <br /> 4 . Material Stored + <br /> 5 . Total Cost of Work and Materials Stored $ <br /> 6 . Less 10 % Retainage - <br /> 7 . Net Amt Earned on Contract Work To Date $ <br /> 8 . Less : Amount Paid on Previous Estimates - <br /> Amount Owed On Previous Estimates - <br /> 9 . BALANCE DUE THIS ESTIMATE# $ <br /> PR- 1 <br />
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