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SECTION 00622 - CONTRACTOR'S APPLICATION FOR PAYMENT <br /> MODIFICATIONS TO THE EGRET MARSH STORMWATER PARK <br /> FLOWAY <br /> Application for Payment No. Final <br /> For Work Accomplished through the period of 1.31.2013 through 2.8.2013 <br /> To: Indian River County(OWNER) <br /> From: Close Construction, LLC (CONTRACTOR) <br /> Owner's Contract No. 0435A <br /> ENGINEER: Indian River County Public Works Department, Stormwater Division <br /> 1. Original Contract Price: $ 1,288,482.00 <br /> 2. Net change by Change Orders and Written Amendments (+ or <br /> 2.a Change Order No. 1 ($_(2,012.41) ) <br /> 2.b Change Order No. 2 ($ ) <br /> 2.c Change Order No. 3 ($ ) <br /> 2.d Change Order No. 4 ($ ) <br /> 2.e Total change in Contract Price (2.a + 2.b + ... 2.n) ($ ) <br /> 3. Current Contract Price (1 plus 2e): $ 1,286,469.59 <br /> 4. Total Work to date: <br /> 4.a Percentage of Work completed to date: 100 % <br /> 4.b Total Work completed to date: $ 1,286,469.59 <br /> 5. Retainage (per Agreement): <br /> 5.a 0% of completed Work (0.0 x 4.b): $ $ 0.00 <br /> 6. Total Work completed and stored to date less retainage $1,286,469.59 <br /> (4.b minus 5.a): <br /> 7. Previous Payments: $ 1,138,512.IWW <br /> �4 <br /> 8. AMOUNT DUE THIS APPLICATION (6 minus 7): $147,957.5Q <br /> [The remainder of this page has been left blank intentionally] <br /> Last Revised 2-16-2012 Application for Payment Final <br /> 00622-1 3 6 <br /> L:\Close Projects-Current\586-Egret Marsh\Pay Applications\Final Pay AppWpplication for Payment Final.doc Rev.05/01 <br />