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SECTION 00622 - Contractor's Application for Final Payment <br />Application for Payment No. 5 <br />For Work Accomplished through the period of through 10/1/2015 to 10/21/2015 <br />To• Jndian River County <br />From: Young's Communications Co.. Inc <br />Contract: UCP Proiect No. 4096 <br />Project: US 1 Utility Conflicts - Oslo Road to County Line <br />OWNER's Contract No. 2014008_ ENGINEER's Contract No. E4M77 <br />ENGINEER Creative Engineering Group, Inc. <br />(1) Attach detailed schedule and copies of all paid invoices. <br />Original Contract Price: $892,365.10 <br />2 Net change by Change Orders and <br />Written Amendments (+ or -): <br />3. Current Contract Price (1 plus 2): <br />4 Total completed and stored to date: <br />5. Retainage (per Agreement): <br />5 % of completed Work: <br />6. <br />7 <br />8. <br />$0.00 <br />$892,365.10 <br />$777,590.37 <br />$0.00 <br />5 % of retainage: $0.00 <br />Total Retainage: $0.00 <br />Total completed and stored to date <br />less retainage (4 minus 5): $777,590.37 <br />Less previous Application for <br />Payments: $738,710.85 <br />DUE THIS APPLICATION (6 <br />MINUS 7): $38.879.52 <br />CONTRACTOR'S CERTIEICATION: <br />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 <br />received from the last request for payment has been used to make payments to all subcontractors, laborers, material men and suppliers, <br />except as noted below <br />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 <br />other than claims in stated amounts as may be specifically excepted by the CONTRACTOR for all things done or fumished in connection with <br />Page 1 of 4 <br />ATTACHMENT 1 <br />