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DEPARTMENT OF PUBLIC WORKS <br />DIVISION OF ENGINEERING <br />PROJECT CONSTRUCTION CHECKLIST <br />Project No. 119-049 <br />Project Name Vested Interest Building Roof Repair <br />Contractor Midland Engineering Company, Inc. <br />Inspector JJE <br />PAY APPLICATIONS & CHANGE ORDERS CHART <br />NTP 10/21 /2019 <br />Sub. Comp. 12/31/2019 <br />Final Comp. 12/31/2019 <br />Today's Date 12/9/2019 <br />.................. <br />PAYMENT APPLICATION SUMMARY <br />End Date Total Deductions Sub Total Prev. Pmts Amount Prev Pmt Error <br />1 11/20/2019 $147,420.00 $7,371.00 $140 049.00 $0.00 $140.049.00 <br />2 <br />3 <br />4 <br />5 <br />6 <br />7 <br />8 <br />9 <br />10 <br />11 <br />12 <br />S <br />- <br />- <br />- <br />w <br />$0.00 <br />$140 049.00 <br />CHANGE <br />Date Prv. Contract Chan a Amt. <br />1 12/9/2019 $226,800.00 $21.288.10 <br />.............. <br />ORDER SUMMARY <br />New Contract Change % Total % Added Da s <br />$248,088.10 9.39% 9.39% 0 <br />2 <br />3 <br />4 <br />5 <br />6 <br />S <br />- <br />- <br />$21 288.10 <br />- <br />9.39% <br />12/31/2019 <br />POST -CONSTRUCTION DOCUMENT CHECKLIST <br />1 <br />Items <br />Final Pa Application <br />Notes <br />Date Rec'D <br />2 <br />Project Completion Affidavit <br />3 <br />Final Waiver of Lien <br />4 <br />Final Change Order <br />5 <br />Com lete Certified Payrolls <br />6 <br />As -Built Documents <br />7 <br />TestingRe orts <br />8 <br />Warranty Information <br />w.._ <br />Signature: Date: <br />