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DEPARTMENT OF PUBLIC WORKS <br />DIVISION OF ENGINEERING <br />PROJECT CONTRUCTION CHECKLIST <br />Project No. <br />119-019A <br />NTP <br />4/10/2019 <br />Project Name <br />2019 Small Drainage - Lathrop <br />Sub. Comp. <br />4/16/2019 <br />Contractor <br />Selge Construction Co., Inc. <br />Final Comp. <br />4/16/2019 <br />Inspector <br />JJE <br />Today's Date <br />7/9/2019 <br />PAY APPLICATIONS & CHANGE ORDERS CHART <br />f - 1 Contract <br />EVA <br />OG(l 00 <br />_. <br />J r)00 r <br />�,.A. .®, <br />?OIS) <br />9 5119/2019 6/2i2019 616l2019 61,30/2019 <br />PAYMENT APPLICATION SUMMARY <br />End Date <br />Total Deductions Sub Total Prev. Pmts <br />Amount <br />Prev Pmt Error <br />1 5/3/2019 <br />$24,765.00 $1.238.25 $23.526.75$0.00 <br />$23,526.75 <br />- <br />2 <br />3 <br />4 <br />15 <br />61 <br />7 <br />8 <br />9 <br />10 <br />11 <br />12 <br />S <br />- <br />- <br />...... <br />$0.00 <br />$23 526.75 <br />CHANGE <br />ORDER SUMMARY <br />Date <br />Prv. Contract <br />Chan a Amt. <br />New Contract <br />Change % <br />Total % <br />Added Days <br />1 <br />7/9/2019 <br />$24,765.00 <br />$11,840.40 <br />$36,605.40 <br />47.81% <br />47.81% <br />0 <br />2 <br />3 <br />4 <br />5 <br />S <br />- <br />$11840,40 <br />- <br />47.81% <br />4/16/2019 <br />POST -CONSTRUCTION DOCUMENT CHECKLIST <br />Items Notes Date Rec'D <br />Final Pay Application <br />Project Com letion Affidavit <br />Final Waiver of Lien <br />Final Change Order <br />Complete Certified Pa ro s <br />As -Built Documents <br />Testing Repo ts <br />Warranty Information <br />Signature: "" Date: <br />{ <br />