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ATTACHMENT 1 <br />SECTION 00622 - CONTRACTOR'S APPLICATION FOR PAYMENT <br />PC MAIN SCREENING SYSTEM CONVEYOR REPLACEMENT (FINAL) <br />Application for Payment No. 4. <br />For Work Accomplished through the period of April 30, 2019 through May 20, 2019. <br />To: Indian River County (OWNER) <br />From: Costello Brothers Marine Construction, Inc. (CONTRACTOR) <br />ENGINEER: Indian River County Public Works Department, Stormwater Division <br />1. Original Contract Price: $586,236.60 <br />2. Net change by Change Orders and Written Amendments (+ or -): <br />2.a Change Order No. 1 $ <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) $0 <br />3. Current Contract Price (1 plus 2e): $586,236.60 <br />4. Total Work to date: <br />4.a Percentage of Work completed to date: 100% <br />4.b Total Work completed to date: $586,236.60 <br />5. Retainage: <br />5.a 5% of completed Work (0.5 x 4.b): $29,311.83 <br />6. Total Work completed Tess retainage $556,924.77 <br />(4.b minus 5.a): <br />7. Total Amount of Previous Payments: $556,924.77 <br />8. AMOUNT DUE THIS APPLICATION (6 minus 7): $29,311.83 <br />NOTE: The OWNER does not pay for stockpiled equipment or material. <br />CONTRACTOR's current mailing address: <br />Costello Brothers Marine Construction, Inc. <br />PO Box 711 <br />Lake Placid, FL 33862 <br />Last Revised 6/20/2017 <br />Attachment 1 30 <br />00622 - 1 <br />F:\Public Works\KeithM\Stormwater Projects\Main Relief Canal Operation12015-2016 Modifications\Agenda Items\Conveyors\Attachment 1.doc Rev. 05/01 <br />