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DEPARTMENT OF PUBLIC WORKS <br />DIVISION OF ENGINEERING <br />PROJECT CONTRUCTION CHECKLIST <br />Project No. 118-021A NTP 4/18/2019 <br />Project Name Cleveland Well Field Refurbishments - Program Related Items Sub. Comp. <br />Contractor Peerless Midwest, Inc. Final Comp. 6/4/2019 <br />Inspector JJE Today's Date 5/9/2019 <br />PAY APPLICATIONS & CHANGE ORDERS CHART <br />Cowl <br />PAYMENT APPLICATION <br />........ <br />SUMMARY <br />_........... <br />End Date <br />Total <br />Deductions <br />Sub Total <br />Prev. Pmts <br />_.® <br />Amount <br />Prev Pmt Error <br />1 <br />2 <br />3 <br />._ ..._.. <br />4 <br />5 <br />6 <br />7 <br />8 <br />..................... .._-_ _ <br />....... __ <br />.. <br />9 <br />10 <br />11 <br />12 <br />S <br />- <br />. <br />#N/A <br />- 50.00 <br />�PII1/A <br />CHANGE <br />.......... <br />ORDER SUMMARY <br />Date <br />Prv. Contract <br />Change Amt. <br />New Contract <br />Change % <br />Total % <br />Added Days <br />1 <br />5/3/19 <br />$136„850,00 <br />$3,894,00 <br />$140.744.00 <br />2.85% <br />2.85% <br />0 <br />2 <br />5/9/19 <br />$140,744.00 <br />$4,500.00 <br />$145,244.00 <br />3.20% <br />6.13/0 <br />�.......--__ 4 <br />' <br />3 <br />5 <br />._._- <br />_.._. <br />-..-..----_ ...... <br />.__ ....... <br />6 <br />_................... <br />�..._ ........ <br />'7 <br />......_. <br />_._......... <br />10 <br />11 <br />.......... <br />........... <br />12 <br />._ ................. <br />S <br />$8 394.00 <br />- <br />6,13% <br />6/8/2019 <br />DOCUMENT CHECKLIST <br />Items J Notes Y Date <br />Final Waiver of Lien <br />Final Chanoe Order <br />As -Built Documents <br />Signature, °' % h t `* N- 1 N-11 ' IN,, Date: <br />