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DEPARTMENT OF PUBLIC WORKS
<br />DIVISION OF ENGINEERING
<br />PROJECT CONTRUCTION CHECKLIST
<br />Project No. 115-097
<br />Project Name Western Avenue and Olive Street Intersection Improvement
<br />Contractor Selge Construction Co., Inc.
<br />Inspector JJE
<br />PAY. PPLICATIONS & CHANGE ORDERS CHART
<br />NTP 5/19/2017
<br />Sub. Comp.
<br />Final Comp, 11/6/2017
<br />Today's Date 12/6/2017
<br />PAYMENT APPLICATION SUMMARY
<br />End Date
<br />Total
<br />Deductions
<br />Sub Total
<br />Prev, Pmts
<br />Amount Prev Pmit Error
<br />1
<br />6/30/17
<br />$334,381,85
<br />$16,71 91.09
<br />$317,662,75
<br />$0.00
<br />$317,662.75
<br />2
<br />7/31/17
<br />$794,089.95
<br />$39,704.50
<br />$754,385,45
<br />$317,662,75
<br />$436,722.70
<br />3
<br />8/31/17
<br />$1,398,243.79
<br />$69,912.19
<br />$1,328,331.60
<br />$754,385.45
<br />$573,946.15
<br />4
<br />9/30/17
<br />$2,114,140.17
<br />$105,707.01
<br />$2,,008,433.16
<br />$1,328,331.60
<br />$680,101.56
<br />5
<br />10/31/17
<br />$2,750,9108.29
<br />$137,545.41
<br />$2,613,362.88
<br />1 $2,008,433.16
<br />$604,929.721
<br />6
<br />1
<br />1
<br />7
<br />S
<br />$2,008,433.16
<br />$2,613,362.88
<br />CHANGE
<br />ORDER SUMMARY
<br />Date
<br />P,rv. Contract
<br />Change Amt.
<br />New Contract
<br />Change %
<br />Total %
<br />Added Days
<br />1
<br />7/25/17
<br />$2,713,239.25
<br />$0.00
<br />$2,713,239.25
<br />0.00%
<br />0,00%
<br />2
<br />3
<br />10/10117
<br />11/28/17
<br />$2,713,239.25
<br />$2,798,773.43
<br />$85,534.18
<br />$61,468.72
<br />$2,798,773.43
<br />$2,860,242.15
<br />3.15%
<br />220%
<br />3,15%
<br />5.42%
<br />12
<br />0
<br />4
<br />5
<br />S
<br />$147,002.90
<br />1
<br />1 5.42%1
<br />11/18/2017
<br />POST -CONSTRUCTION DOCUMENT CHECKLIST
<br />Items Notes Date Rec'D,
<br />1 Final Pay Application
<br />2
<br />Project Completion Affidavit
<br />3
<br />4
<br />5
<br />6
<br />Final Waiver of Lien
<br />Final Change Order
<br />Complete Certified Payrolls
<br />As -Built Documents
<br />7
<br />Testing Reports
<br />8
<br />Warranty Information
<br />Signature: Date: �Cj V-7
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