1978-01-23 Regular Meeting - Laserfiche WebLink

Browse Search

APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT C702 PAGE ONE OF PAGES 4 PROJECT: A City Hall Building for the City (name, address) of La Porte, Harris County, Texas ,604 West Fairmont Parkway LaPorte, Texas . TO (Owner) The Cityof La Porte Harris Count � Y. Texas ARCHITECT: Doughtie & Porterfield ARCHITECT'S PROJECT NO: CONTRACTOR: P. G. BELL CO. CONTRACT FOR: A City Hall Building APPLICATION DATE: 4 January 1978 APPLICATION NO: Three (3) ATTN.- Mr. Jack Porterfield PERIOD FROM: 1 December 1977 TO 31 December 1977 CHANGE ORDER SUMMARY Application is made for Payment, as shown below, in connection with the Contract. Change Orders approved ADDITIONS 5 DEDUCTIONS $ Continuation Sheet, AIA Document G702A, is attached. in previous months by The present status of the account for this Contract is as follows: Owner — TOTAL Subsequent Change Orders Number Approved (date) TOTALS Net change by Change Orders $ State of: Texas County of: Harris The undersigned Contractor certifies that the Work covered by this Appli- cation for Payment has been completed in accordance with the Contract Documents, that all amounts have been paid by him for Work for which previous Certificates for Payment were issued and"payments received from the Owner, and that the current payment shown herein is now due. Contractor: P. G. Bell Co. BY: Date: 4 January 1978 ORIGINAL CONTRACT SUM ......................$ 663,000.00 Net change by Change Orders .................$ 0.00 CONTRACT SUM TO DATE ....................$ 663,000.00 TOTAL COMPLETED & STORED TO DATE ..........$ 232,865.00 (Column G on G702A) RETAINAGE in % .........................$ 23,286.50 or as noted in Column I on G702A TOTAL EARNED LESS RETAINAGE ..................$ 209,578.50 LESS PREVIOUS CERTIFICATES FOR PAYMENT ........$ 155,813.40 CURRENT PAYMENT DUE .......$ 53, 765.10 Subscribed and swor to before me thiY 4th day of January , 1978 Notary Public. _%_��.� L 1 �/ %, My Commission expires: 2 March 1979 In accordan h the Contract and this Application for Payment the Contractor is entitled to payment to the amount shown above. ❑ OWNER Archit t: ❑ ARCHITECT ❑ CONTRACTOR By: ❑ Thi erti ate is not negotiable. It is payable only to t payee named herein and its issuance, payment and acceptance are without prejudice to any rights of the Owner or Contractor under their Contract. A%^-*60C T G702 • APPLICATION AND CERTIFICATE FOR PAYMENT • MARCH 1971 E N • AIMD 1971 • AMFRICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W.. WASHING D C. 20006