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i <br /> SECTION 00622 - Contractor's Application for Final Payment <br /> FINAL PAY REQUEST Application for Payment No . 2 <br /> For retainage for work accompolished through the period of through febuary 28 2007 <br /> To : Indian River County Utilities (OWNER) <br /> From : Danella Companies Inc. (CONTRACTOR) <br /> Contract: annual utilities labor contract <br /> Project: Reflections U . S . 1 from Wabasso to Sebastian utility relocates <br /> OWNER's Contract No. UCP#2787 ENGINEER's Contract No . <br /> ENGINEER IRCU . <br /> ( 1 ) Attach detailed schedule and copies of all paid invoices. <br /> 1 . Original Contract Price : $ 114. 762 . 38 <br /> 2 . Net change by Change Orders and Written Amendments (+ or -) : $ 51 , 785. 88 <br /> 3 . Current Contract Price ( 1 plus 2) : $ 166 , 548. 26 <br /> 4. Total completed and stored to date : $ 166, 548 . 26 <br /> 5 . Retainage (per Agreement) : <br /> 0 % of completed Work: $ 0 <br /> 0 % of retainage: $ 0 <br /> Total Retainage: 0 . 00 <br /> 6. Total completed and stored to date less retainage (4 minus 5) : $ 166, 548 . 26 <br /> 7 . Less previous Application for Payments : $ 149 , 893.44 <br /> 8 . DUE THIS APPLICATION (6 MINUS 7) : $ 16, 654 . 82 <br /> CONTRACTOR'S CERTIFICATION : <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, except <br /> 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 /> 00622 - 1 Attachment 2 <br /> C]Do rnents and SeltingsymeallWiy Documents\IRC Annual jobs\REFLECTIONS IRC\final billinglfinal pay request for relfe0ons retainage.doc Rev. 05101 <br />