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i pr III IS 12d It In It 41 dIdde SECTION 00800 - Contractor's Application for Final Payment It Ix Ilk For Work Accomplished through the Period of pplication for Payment No . through To : From : OWNER , Contract : ( CONTRACTOR ) It Project : OWNER ' s Contract No . ENGINEER ' s Project No . ENGINEER ( 1 ) Attach detailed schedule and copies of all paid invoices . It 1 . Original Contract Price : 2 . Net change by Change Orders and Written Amendments ( + or - ) : $ 3 . Current Contract Price ( 1 plus 2 ) : 4 . Total completed and stored to date : 5 . Retainage $ g ( per Agreement) : of completed Work : $ of retainage : $ 6 . Total completed and stored to date less retainage (4 minust5 )nage : $ 11 7 . Less previous Application for Payments : $ 8 . DUE THIS APPLICATION 6 MINUS 7 ) : i9i] CONTRACTOR ' S CERTIFICATION : I hereby certify that the labor and materials listed on this request for payment have been used in the construction of this work and payment receive from the last request for payment has been used to make payments to all subcontractors , laborers , material men and suppliers , exce t as not d p ed below. The acceptance of final payment shall be and shall operate as a release of the OWNER from all claims and all liability to the CONTRACTOR other than claims in stated amounts as may be specifically excepted by the CONTRACTOR for all things done or furnished in connection with this and for every act and neglect of the OWNER and others relating to or arising out of this Work . Anypayment , however , final or otherwise shall no release the CONTRACTOR or his sureties from any obligations under the Contract Documents or the Payment and Performance Bonds . I not k It ' K Ilk lk 00800 -29