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DEPARTMENT OF PUBLIC WORKS <br />DIVISION OF ENGINEERING <br />PROJECT CONSTRUCTION CHECKLIST <br />Project No. <br />119-052R <br />NTP <br />9/16/2019 <br />Project Name <br />COSB Wayfinding Signage Program - Phase 1 (Base + Alt.1 & 3) <br />Sub. Comp. <br />10/18/2019 <br />Contractor <br />Geograph Industries, Inc. <br />Final Comp. <br />1/24/2020 <br />Inspector <br />JJE <br />Today's Date <br />11/27/2019 <br />PAY APPLICATIONS & CHANGE ORDERS CHART <br />Pay App <br />Contract — EVA <br />.......... .ou ..........N, ..,. .............. <br />$100.000.00 <br />S50.000.00 <br />�.1")Il'i" )-I(.1 11/1/2019 12/1/2019 1/1/2020 <br />.... ......... <br />PAYMENT APPLICATION SUMMARY <br />End Date <br />Total <br />Deductions <br />Sub Total <br />Prev. Pmts <br />Amount <br />Prev Pmt Error <br />1 <br />11/20/2019 <br />$57,842.40 <br />$2,892.12 <br />$54,950.28 <br />$0.00 <br />$54,950.28 <br />- <br />2 <br />3 <br />4 <br />5 <br />S <br />- <br />- <br />- <br />$0.00 <br />$54,950.28 <br />CHANGE <br />ORDER SUMMARY <br />Date <br />Prv. Contract <br />Change Amt. <br />New Contract <br />Change % <br />Total % <br />Added Days <br />1 <br />_2 <br />11/20/2019 <br />$139,157.00 <br />$0.00 <br />$139,157.00 <br />0.00% <br />0.00% <br />63 <br />3 <br />4 <br />5 <br />S <br />- <br />- <br />$0.0011 <br />0.00% <br />1/24/2020 <br />POST -CONSTRUCTION DOCUMENT CHECKLIST <br />Items <br />Notes <br />Date Rec'D <br />1 <br />Final Pay Application <br />2 <br />Project Completion Affidavit <br />3 <br />Final Waiver of Lien <br />4 <br />Final Change Order <br />5 <br />Complete Certified Payrolls <br />6 <br />As -Built Documents <br />7 <br />Testin Re orts Ilk <br />8 <br />Warranty Information <br />Signature: Date: <br />