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From : (CONTRACTOR) <br /> Contract: <br /> Project: <br /> Bid Schedule Percent <br /> Estimated Quantity Item Unit Price Of Values y Amount Complete Material Amount Completed <br /> No . Quantity Amount Completed oho) Stored and Stored <br /> 1 . Mobilization $ 15 ,000 .00 $ 15,000 .00 100% $ 15,000.00 100% $0 . 00 $ 15,000.00 <br /> Furnish & Install <br /> 16" Pipe DIP & <br /> 2 . HDPE $ 12 ,650 .00 $ 12 ,650 .00 100% $ 12,650 .00 100% $0. 00 $ 12 ,650.00 <br /> Furnish & Install <br /> 3 . all Fittings $ 13,585.00 $ 13,585.00 100% $ 13 ,585.00 100% $0 . 00 $ 13,585 .00 <br /> Furnish & Install <br /> 4 . Fabriform Mat $$6 ,500 .00 $$6 ,500.00 100% $$6,500.00 100% $0 . 00 $$6 , 500 .00 <br /> Clearing , <br /> Grubbing and <br /> 5 . Removal of Muck $255000.00 $255000.00 100% $25,000.00 100% $0 . 00 $25 , 000 .00 <br /> Grassing (Topsoil <br /> 6 . & Sod) $3 ,000.00 $3 , 000 .00 100% $3,000 .00 100% $0. 00 $3 ,000.00 <br /> Record Drawings <br /> 7 . As- Built Survey $6,000.00 $6,000 .00 100% $6 ,000 .00 100% $0 . 00 $6000 .00 <br /> IRC Force , <br /> 8. Account $25,000.00 $25,000.00 100% $25,000.00 100% $0 . 00 $25 , 000.00 <br /> Add Tee 2 <br /> 9. 16"GV20' 16"DIP $8 , 350 .00 $8 ,350.00 100% $8,350.00 100% $0. 00 $8 ,350.00 <br /> [Note: Total Schedule of Values Amount should equal the current Contract Price.] TOTAL AMOUNT $ 115, 085. 00 <br /> * * END OF SECTION <br /> Contractor's Application for Payment-00622 <br /> 00622 - 1 <br /> F:\utilities\UTILITY - EMPLOYEE FOLDERSWn P(eHer\OOCUMENTS\Contractor's Application for Payment Rev05/01 <br /> . <br />