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DEPARTMENT OF PUBLIC WORKS <br />DIVISION OF ENGINEERING <br />PROJECT CONTRUCTION CHECKLIST <br />Project No. <br />118-086R NTP 4/22/2019 <br />Project Name <br />Liberty Tower Improvements DivB - Mulder Sub. Comp. <br />Contractor <br />Mulder Waterproofing and Sealants, Inc. Final Comp. 7/21/2019 <br />Inspector <br />Today's Date 8/28/2019 <br />PAY APPLICATIONS & CHANGE ORDERS CHART <br />Pay App <br />OM M <br />_. <br />�019 <br />1?J1!� '' I(,1)) <br />8 i ")W <br />PAYMENT APPLICATION SUMMARY <br />Total <br />Deductions Sub Total Prev. Pmts <br />Amount <br />Prev Pmt Error <br />NEndDate <br />1 <br />.............. __ <br />3 <br />�............... <br />4 <br />5 <br />�._.� <br />7' <br />_ ................. <br />8 <br />.... ..... <br />9 <br />W <br />10 <br />... m...WW <br />11 <br />12 <br />S <br />- #N/A <br />$0.00 <br />1 /A <br />CHANGE ORDER SUMMARY <br />Date Prv. Contract <br />Change Amt. New Contract % <br />Total % <br />Added Da s <br />8/27/19 $296.950.00 <br />$11,715.00 $308,665.003.950%/. <br />3.95% <br />0 <br />2 ........ _ <br />FChane <br />3 <br />....... <br />�........ <br />4 <br />6 ....... _. <br />7 <br />_..._ <br />......... <br />8 <br />�. ....... <br />_._._.. <br />gl <br />10 <br />11 <br />12 <br />S - - <br />$11715.00 <br />3.950/6 <br />7/21/2019 <br />POST -CONSTRUCTION DOCUMENT CHECKLIST <br />Items <br />Notes <br />Date Rec'D <br />1 Final Pay Application <br />2 Project Completion Affidavit <br />3 Final Waiver of Lien <br />Complete Certified I <br />As -Built Documents <br />Testinq Reports <br />Warrantv Informati <br />Signature' ___ b �""" I.� Date: <br />