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2019-106A
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2019-106A
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Last modified
12/27/2019 1:52:55 PM
Creation date
8/12/2019 3:39:51 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
07/16/2019
Control Number
2019-106A
Agenda Item Number
8.E.
Entity Name
XGD Systems, LLC
Subject
Jungle Trail Shoreline Stabilization Project
Project Number
IRC-1823
Bid Number
2019050
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Page 5 of 5 <br />ATTACHMENT A <br />1. List of all subcontractors, laborers, materialmen and suppliers who have not been <br />paid from the payment received from the last Pay Request and the reason why <br />they were not paid (attach additional pages as necessary): <br />2. List of all subcontractors, laborers, materialmen and suppliers for which a signed <br />release of lien form (partial or final as applicable) is not included with this Pay <br />Request, together with an explanation as to why the release of lien form is not <br />included (attach additional pages as necessary): <br />00622 - Contractor's Application for Payment - 03-10 rev <br />00622 - 5 <br />F.\Public Works\ENGINEERING DIVISION PROJECTS\1823 Jungle Trail Shoreline Stabilization Project (2018)\1-Admin\Bid Documents\Master Contract Documents \D0622 - <br />Contrador's Application for Payment - 03-10 rev. doc Rev. 05/01 <br />
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