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HomeMy WebLinkAboutINVOICES C . N E < ƒ 9 » Z « O ƒ .. 7 CD Eg / � Cl2 ] 2 3 y a) al 93CD@8 . m k 5 a) •• ƒ 2 7 a ° am o 2 § ] cri \ g �0 . /. $ .0 cri 2 CD2 7 (4 % CD ƒ � q k ■ # e � n � m 7 Qq C 2 2 / at -t .. & m - o _= / o _ d ~ 0 3 m -t o a)2 R a c ca iii ƒ D rri i 3 0 CD . 0 C o 0 0 \ 0 CD � D i ® g 0 / ° * 2 .0Cu / < a) § * Z « D ¢ K D } 9 q ƒ • $ k * |o ? Q r 7 * m * 0 0 m f * (Do y i 0 3 CD } 0 7 2 Q a 5. 7 * P. . . » -0 a 3 \E , e' z G) (D co 0_ = 10r § q 0 7 2 710 (513 o a _ F 0 3 0) D 0,E D Invoice ENVIRONMENTAL' TESTIN 3 ANC ABATEMENT,INC Date Invoice# 2/10/2010 3221 803 Ricker St Waterloo,IA 50703 319.287-4447 Bill To Work Completed City oi'Waterloo Attn: Accounts Payable Asbestos Removal 715 Mulberry St. Retainage for project Waterloo, IA 50703 P.O.No. Terms Project Contact Person 131-AR-09..02-09 Net 30 S16353 Louis Starks Description Qty Rate Amount Asbestos removal at above referenced project-fmal retainage 1 1,750.00 1,750.00 NOTICE: Please pay from this invoice-Thanks 0.00 0.00 Total $1,750.00 Balance Due $1,750.00 PAY ESTIMATE NO. i r1«1 VENDOR # �y - cTan •.ci �. r" varc4 , Chieu,f` EXPENSE CODE CONTRACTOR BG _ 224 32 5850 1327 Lead 224 32 5853 1327 R:cker HOME 224 32 5870 ADDRESS EDI a 224 32 5851 Other ru-d cro , iA ';o CITY, STATE, ZIP PROJECT CODE r OWNER BG ADDRESS '`1 `� 1 vI S� , HM CONTRACT DATE I i - f f'- o `i - o - (3`; Other DESCRIPTION Rra#k, — Q DATE OF BILL D- I v I 0 rZ ev 0 INVOICE NO. J D � SUMMARY OF PAY ESTIMATE ORIGINAL CONTRACT SUM $ ' '], QOO CHANGE ORDER NUMBERS $ 02, 150 TOTAL CONSTRUCTION COST $ c;)k"'i �1 SO• LESS AMOUNT PREVIOUSLY PAID $ -,`6 000 BALANCE STILL IN CONTRACT $ `7CO PAYMENT REQUESTED $ 6 �`j . LESS 10% RETAINED $ i'? I °— TOTAL DUE CONTRACTOR THIS ESTIMATE $ 1 r-1 SO "4/ I have made a progress inspection of the property being rehabilitated at the above address. The construction work for which payment has been requested has been satisfactorily completed in accordance with the construction contract. cl - I f In ab.„:„„DATE COMD BY STAFF SPECIALIST DATE APPROVED FOR PAYMENT COMMUNITY DEVELOPMENT DIRECTOR OR DESIGNEE E ƒ ƒ 2 \ / � / a g / R / E _ ¥ * s § - a37a 2 M ® $ $ � / C - 0- / R3 0 < ƒ \ R• • 0) \ < = 1ƒ < -I ƒ $ 2 1...A..:.l 3.. ---.u0-.)I ° O-, _cri-.0 3C„jOi rc1n_ "0 fm = D .cC 4 x 0 0 _ 22 . D . k & . : / O 3 A 2 m / \ Z f ƒ 0 ƒ J C $ c 0 2 cTQ.rri o 3 » biƒ / \ 't * J ' A R 2 \ Q \ D * -< 2 . ro * : Z ƒ 3 f o ® < _< \ �� . ** z 0 _,ƒ C a * 0 - / ƒ } m r / CD 2 ? 73 O f a ** °.2 R * § Cl) ± ¥ k 0 * ? 7 -41 \ * a J P. • ' 2 0 2 ƒ Cl) D 2 a Z ,--- 3 E 33 ED j co m > M § 5 O. ] / m 2 0 D - g % - R 9 o / IV ƒ o _ & 3 a) � Zuiki Haasco Ltd. P.O. Box 156 Dyersville, Iowa 52040 BILL TO: City of Waterloo ATTN: Louis Starks Community Development Board 620 Mulberry Street Waterloo, Iowa 50703 Contact Person:Thomas Haas Telephone Number: 563.875.8300 Invoice Date: Fax:563.875.7115 Services: Visual Asbestos Inspection Facility: Rath Administration Building RE:Asbestos Services 1515 Sycamore Street Waterloo,Iowa 04/22/09 $399.00 Visual Inspections 05/04/09 $399.00 05/20/09 $399.00 06/16/09 $399.00 Amount: $1,596.00 Change Orders: Paperwork send prior to this invoice Any?Call 563 920-0471 -Tom Haas Amount: Finance Charge: (18.0%APR) 0 Months Amount: Total Amount Due: $1,596.00 Haasco Ltd.billing policy is to add an 1.5%monthly finance charge to all outstanding invoice balances that are not paid within the first thirty days following invoicing. We repeat this procedure for each thirty-day billing cycle for any outstanding balances. Upon receipt of a payment,we apply the payment first to the accumulated finance charges,then the remainder of the payment is applied to the outstanding balance. On the 59th calendar day following any substantial work,we automatically file a lien on the property. We have followed this billing policy and have taken this legal action in the past. We appreciate you assistance in paying this invoice. Thank you, Haasco Ltd FINANCE COMM"I IEE March 16,2009 5:00 p.m. Council Chambers Members present: Chairperson Reggie Schmitt,Welper. Members absent: Cole. Moved by Welper, seconded by Reggie Schmitt that the Agenda, as proposed, be approved. Ayes: Two. Absent: Cole. Motion carried. Moved by Welper,seconded by Reggie Schmitt that the Minutes of March 9,2009,as proposed, be approved. Ayes: Two. Absent: Cole. Motion carried. Moved by Welper, seconded by Reggie Schmitt that the request of the Police Chief for authorization to print tenth edition of Cop Collectibles trading cards at an approximate cost of $3,600.00 be approved. Ayes: Two. Absent: Cole. Motion carried. The following bids received to perform 10 visual inspections of asbestos removal at the Rath Administration Building were reviewed: Bidder Bid Amount Haasco Ltd. $399.00 per site visit American Testing&Training $460.00 per site visit M.B.Consulting $500.00 per site visit Iowa Environmental Services $500.00 per site visit It was the recommendation of the Contracts and Grants Coordinator that the low bid from Haasco Ltd.in the amount of$399.00 per site visit be accepted. Moved by Welper,seconded by Reggie Schmitt that said recommendation be approved. Ayes: Two. Absent: Cole. Motion carried. The following bid received for the F.Y. 2009 Traffic Control for Repair of Railroad Crossings were reviewed: Bidder Bid Amount Service Signing,L.C. $1,500.00 It was the recommendation of the Associate Engineer that the bid from Service Signing,L.C.in the amount of$1,500.00 be accepted. Moved by Welper,seconded by Reggie Schmitt that said recommendation be approved. Ayes: Two. Absent: Cole. Motion carried. Moved by Welper, seconded by Reggie Schmitt that the travel request for two Airport Maintenance employees to attend Airfield Rescue&Fire Fighting Training in Duluth,Minnesota on March 25-26,2009,with costs not to exceed$1,700.00,be approved. Ayes: Two. Absent: Cole. Motion carried. Moved by Welper,seconded by Reggie Schmitt that the travel request for two Police Officers to attend First Line Supervision School at Camp Dodge,Iowa on April 6-10,2009,with costs not to exceed$1,443.00,be approved. Ayes: Two. Absent: Cole. Motion carried. Moved by Welper,seconded by Reggie Schmitt that the travel request for four Police Officers to attend Glock Armorer School in Des Moines,Iowa on April 14,2009,with costs not to exceed $648.00,be approved. Ayes: Two. Absent: Cole. Motion carried. Moved by Welper, seconded by Reggie Schmitt that the travel request for Human Rights Executive Director to attend Fair Housing Law and Enforcement Training in Chicago,Illinois on PAY ESTIMATE NO. VENDOR# 4.6tr►(1c-0 1--.tsd EXPENSE CODE CONTRACTOR BG _ 224 32 5850 1327 Lead 224 32 5853 1327_ P- 0 - B_Oi HOME 224 32 5870 - ADDRESS EDI _ 224 32 5851 Other CITY, STATE, ZIP PROJECT CODE OWNER (i 1- BG ADDRESS 11 ", !: ixl 6- a . HM 3 CONTRACT DATE Other DESCRIPTION CN)h :� 1 n ck0,, I fume it--Q, i DATE OF BILL its- 1- t31 Ct 3 6 ,jI j12;,-,4-1- :n . I c1. . INVOICE NO. — SUMMARY OF PAY ESTIMATE 1.,._i ORIGINAL CONTRACT SUM $ s t cv' r J ,C CHANGE ORDER NUMBERS $ r1 I c- TOTAL CONSTRUCTION COST $ I i 5 tiCF. ` ( 4 -1 sr-ir1,°`� LESS AMOUNT PREVIOUSLY PAID $ 0 : 00 BALANCE STILL IN CONTRACT $ I) 5 Q . c' ' PAYMENT REQUESTED $ (, Sctb . at LESS 10% RETAINED $ rip r.e_1--0.;flax-) TOTAL DUE CONTRACTOR THIS ESTIMATE $ I , S q(Q. ' I have made a progress inspection of the property being rehabilitated at the above address. The construction work for which payment has been requested has been satisfactorily completed in accordance with the construction contract. k,U..,-, 3 ..1-.4 DATE CO PtE D BY STAFFSPECIALIST DATE APPROVED FOR PAYMENT COMMUNITY DEVELOPMENT DIRECTOR OR DESIGNEE C 73 E ƒ ƒ 9 » 2 « >a ƒ CT Z CD 7 / / '< 0_ ) o - ® @ cl-f e CD § § CD 8- 2 7 7 o _� o Z 0 a . m O aQ < �` ' ~� C � - § 7 al \ i * . a % § � 7 ƒ o co 10 o eaCD , : \� �� 7 co -1 ƒ 9k k \ 1 # 0 3 n w 2 57. / \ � 0 . o_ / � § ƒ �_ � � ° CD co z -01— ¢ a — 0 D w 03 R CD CD m ? R0. a m 2 Q. to > r ] 0 C / 01 J a E a o § 0 / Q. 2> -< $ E 0 / i } 0• 0 a § * 2CD0n) »• co 5 = f Jo ? Q_ * m * S.\ 0 % * m \ Cr it � * o � § * C J CD . . a k £ r z z 2 G) a) E 2 o_ = ) O Ni ¥ 2 a 0 7 CO 55• CD @ # IQ / - o N) o J 0) 09/17/2009 THU 8: 32 FAX 3192874449 /2002/002 - [ICJ Invoice (.IVIRONMEN'TALI 5.,TESTING AND ADATEMENT Date Invoice# J 9/17/2009 3065 803 Ricker St Waterloo,IA 50703 319-287-4447 Bill To Work Completed City of Waterloo Community Development Asbestos Removal Attn: Louis Starks Rath Admin Building 620 Mulberry St RETAINAGE BILLING Waterloo,IA 50703 P.O.No. Terms Project Contact Person Due on receipt R15819 Louis Starks Description Qty Rate Amount Retainage payment on the above referenced project 1 I7,775.00 17,775.00 NOTICE:Please pay from this invoice-Thanks 0.00 0.00 Total $17,775.00 Balance Due $17,775.00 I s July 6, 2009 Page 5 UNFINISHED BUSINESS 129385 - Hart/Steve Schmitt that communication from Associate Engineer transmitting recommendation of award of contract in the amount of $166,455.11 to Vieth Construction Corporation of Cedar Falls, Iowa in conjunction with F.Y. 2009 U.S. 63/218 Sidewalk and Median Improvements, Contract No. 757, be received, placed on file and "Resolution approving award of said contract", be adopted. Ayes: Seven. Resolution adopted and upon approval by Mayor assigned No. 2009-635. 129386 - Hart/Steve Schmitt that communication from Associate Engineer transmitting recommendation of award of contract in the amount of $1,191,614.95 to Peterson Contractors, Inc. of Reinbeck, Iowa in conjunction with F.Y. 2009 West Shaulis Road, Contract No. 759, be received, placed on file and "Resolution approving award of said contract", be adopted. Ayes: Seven. Resolution adopted and upon approval by Mayor assigned No. 2009-636. PETITIONS FROM PUBLIC 129387 - Hart/Steve Schmitt that communication from City Planner transmitting request of Contemporary Urban Development to rezone from "R-2" One and Two Family Residence District to "C-P" Planned Commercial District approximately 0.66 acres of property generally located north of the northeast corner of Idaho Street and Martin Luther King Jr. Drive for potential commercial development, together with recommendation of approval of Planning, Programming and Zoning Commission, be received, placed on file and "Resolution setting date of hearing as July 20, 2009, at 5:30 p.m. in the City Hall Council Chambers on the above described request", be adopted and City Clerk instructed to publish notice of same. Ayes: Seven. Resolution adopted and upon approval by Mayor assigned No. 2009-637. DOCUMENTS 129388 -_,Haff/Ste;:e--Schmitt that communication from Contracts and Grants Coordinator transmitting Change Order No. 1 for a net increase in the amount $2,750.00 for work to be performed by Advanced Environmental of Waterloo, Iowa in conjunction with Asbestos Removal { Rath Administration Building, Contract No. 131-AR-09-2-08-GO, be received, placed on file and approved and Mayor and City Clerk authorized to execute same. Ayes: Seven. Motion carried. 129389 - Sn75mittMr that communication from Building Official/Maintenance Administrator transmitting Change Order No. 3 for a net increase in the amount of $6,171.00 for work to be performed by Failor Hurley Construction of Hudson, Iowa in conjunction with 2008 Stone Replacement for Waterloo Public Library, be received, placed on file and approved and Mayor and City Clerk authorized to execute same. Ayes: Seven. Motion carried. 129390 - Getty/Welper that communication from Fire Chief transmitting Completion of Project and Recommendation of Acceptance of Work performed by C & J Construction of Cedar Falls, Iowa at a total cost of $52,031.80 in conjunction with Haz-Mat Fire Training Center 8" Water Main Extension, be received, placed on file and "Resolution approving said documents", be adopted. Ayes: Seven. Resolution adopted and upon approval by Mayor assigned No. 2009-638. PAY ESTIMATE NO. VENDOR # Arl Vor �k.....rEnJi(2-ci reM EXPENSE CODE CONTRACTOR BG _ 224 32 5850 1327 R‘Cia, Lead 224 32 5853 1327_30 ) HOME _ 224 32 5870 ADDRESS EDI 224 32 5851 Other LA)rzkI c,, iA . cogc 3 s _ CITY, STATE, ZIP PROJECT CODE OWNER , BG ADDRESS M ut e it- J� HM CONTRACT DATE Other DESCRIPTION <ckn,.r� �h�, �a ' � DATE OF BILL n{ INVOICE NO. 3o(9 S SUMMARY OF PAY ESTIMATE ORIGINAL CONTRACT SUM $ 0)°4 i o SC). cb CHANGE ORDER NUMBERS - TOTAL CONSTRUCTION COST $ Lf 3f 60 - LESS AMOUNT PREVIOUSLY PAID $ ..ZPOr ;•. BALANCE STILL IN CONTRACT $ oct,.5`1 . PAYMENT REQUESTED $ r(, '7'`l s_ LESS 10% RETAINED $ ¢� TOTAL DUE CONTRACTOR THIS ESTIMATE $__ r' 1 `711S• 64 I have made a progress inspection of the property being rehabilitated at the above address. The construction work for which payment has been requested has been satisfactorily completed in accordance with the construction contract. 1 U`( DATE COMPLET D BY STAFF SPECIALIST DATE APPROVED FOR PAYMENT COMMUNITY DEVELOPMENT DIRECTOR OR DESIGNEE . ) o) 0 < ƒ 9 \ / C D 3 g k 6o. / E e w 3 6 0 3 » ¥ 0 8 2 0 k e co 0 - . a- Z / J m a @ _O 0_ i < \ • § 7 7 ill a, e 2 7 m . . q 0' 14 < % < g 2 " / 2 a ° O $ CD ? \ 2 » ° Q < _ % £ m CD # 0 ƒ R O a : ¥ / ( 0_ / I § 0 0 S ± ƒ -0(xi ~ < K. q / a6 CD k E j CD 6-CI 6 6 $ § 0 E ° k y 0- (0 k -I al \ ■ O \ ' o A CD » . -< ) # a) g O * 0 a) § 2 0 -I k ƒcfr o 0 _1 C D } 18 0 m *:** » * z ƒ } 22 mO j I :.: O 0 2 7 %G » 3 2 0 0 D _ \ 2 0 a) E 5 \ o k 4 0 @2 % % ¥ M 0 ? q 0 a- ~-a - 0 _ - § 4 3 �"; k '1 f icy' . A, ` ' - �� Invoice ENVIRONMENTAL' nTESTI NO AND ABATEMENT INC. Date Invoice# 6/30/2009 2930 803 Ricker St Waterloo,IA 50703 319-287-4447 Bill To Work Completed City of Waterloo Community Development Asbestos Removal Attn: Louis Starks Rath Admin Building 620 Mulberry St Final Billing Waterloo, IA 50703 P.O.No. Terms Project Contact Person Net 30 R15819 Louis Starks Description Qty Rate Amount Asbestos removal at above referenced project 0.45 237,000.00 106,650.00 NOTICE: Please pay from this invoice-Thanks 0.00 0.00 Total $106,650.00 Balance Due $106,650.00 • July 6, 2009 _ .Page 5 UNFINISHED BUSINESS 129385 - Hart/Steve Schmitt that communication from Associate Engineer transmitting recommendation of award of contract in the amount of $166,455.11 to Vieth Construction Corporation of Cedar Falls, Iowa in conjunction with F.Y. 2009 U.S. 63/218 Sidewalk and Median Improvements, Contract No. 757, be received, placed on file and "Resolution approving award of said contract", be adopted. Ayes: Seven. Resolution adopted and upon approval by Mayor assigned No. 2009-635. 129386 - Hart/Steve Schmitt that communication from Associate Engineer transmitting recommendation of award of contract in the amount of $1,191,614.95 to Peterson Contractors, Inc. of Reinbeck, Iowa in conjunction with F.Y. 2009 West Shaulis Road, Contract No. 759, be received, placed on file and "Resolution approving award of said contract", be adopted. Ayes: Seven. Resolution adopted and upon approval by Mayor assigned No. 2009-636. PETITIONS FROM PUBLIC 129387 - Hart/Steve Schmitt that communication from City Planner transmitting request of Contemporary Urban Development to rezone from "R-2" One and Two Family Residence District to "C-P" Planned Commercial District approximately 0.66 acres of property generally located north of the northeast corner of Idaho Street and Martin Luther King Jr. Drive for potential commercial development, together with recommendation of approval of Planning, Programming and Zoning Commission, be received, placed on file and "Resolution setting date of hearing as July 20, 2009, at 5:30 p.m. in the City Hall Council Chambers on the above described request", be adopted and City Clerk instructed to publish notice of same. Ayes: Seven. Resolution adopted and upon approval by Mayor assigned No. 2009-637. DOCUMENTS 129388 - Har ve Schm'itt that communication from Contracts and Grants Coordinator transmitting Change Order No. 1 for a net increase in the amount $2,750.00 for work to be performed by Advanced Environmental of Waterloo, Iowa in conjunction with Asbestos Removal Rath Administration Building, Contract No. 131-AR-09-2-08-GO, be received, placed on file and approved and Mayor and City Clerk authorized to execute same. s: Seven. Motion carried. 129389 - Hart/Steve Schmitt that communication from Building Official/Maintenance Administrator transmitting Change Order No. 3 for a net increase in the amount of $6,171.00 for work to be performed by Failor Hurley Construction of Hudson, Iowa in conjunction with 2008 Stone Replacement for Waterloo Public Library, be received, placed on file and approved and Mayor and City Clerk authorized to execute same. Ayes: Seven. Motion carried. 129390 - Getty/Welper that communication from Fire Chief transmitting Completion of Project and Recommendation of Acceptance of Work performed by C & J Construction of Cedar Falls, Iowa at a total cost of $52,031.80 in conjunction with Haz-Mat Fire Training Center 8" Water Main Extension, be received, placed on file and "Resolution approving said documents", be adopted. Ayes: Seven. Resolution adopted and upon approval by Mayor assigned No. 2009-638. PAY ESTIMATE NO. ik u VENDOR # \.) ncJ fr--)0:rovrti er;i-- EXPENSE CODE CONTRACTOR BG — 224 32 5850 1327 Lead 224 32 5853 1327 $03 HOME —224 32 5870 ADDRESS EDI — 224 32 5851 Other V ornic IA • SO% 3 - - CITY, STATE, ZIP j PROJECT CODE OWNER '�1► C cs W 106 BG ADDRESS fi I S N1 u • HM CONTRACT DATE II Other DESCRIPTION alS604thi RRP►'r.U�J'r DATE OF BILL I9-30 0 1 INVOICE NO. PZO SUMMARY OF PAY ESTIMATE ORIGINAL CONTRACT SUM $ 237, 000, CHANGE ORDER NUMBERS $ ?150 as TOTAL CONSTRUCTION COST $ I O SO LESS AMOUNT PREVIOUSLY PAID $ /�-� )-40 • BALANCE STILL IN CONTRACT $ I I W') & PAYMENT REQUESTED $ I O to SG . LESS 10% RETAINED $ 10)66S- TOTAL DUE CONTRACTOR THIS ESTIMATE $ 9c, S I have made a progress inspection of the property being rehabilitated at the above address. The construction work for which payment has been requested has been satisfactorily completed in accordance with the construction contract. Id ' Oq , DATE CO ETED BY STAFF SPECIALIST DATE APPROVED FOR PAYMENT COMMUNITY DEVELOPMENT DIRECTOR OR DESIGNEE cn c � E H. m 9 \ / $ ? ( 3 . 2. a . ® ] $ f v a co ° U � > " 0 n co a m = • • k Z ® / § § ( m lƒ . . co / . . E /. $ ) ° aa . o < co - � ƒ ° / § 2 = a O - 2 0 \ ƒ »_ k @ ` 2 / ! � 2e 5 2 � _ 1 .. 7 7 - < .CD C 0 D / ' ƒ co 3 7 m° ("I = $ z R hi $ ƒ EA » rn 0 7 ( j y -1 g — @ a 7 R f ' m » > w \ e ��•�\� ƒ 2 * O z 5 �.. / \ } / ƒ \ 2 \ i g 0 ƒ W / \ J/ i 70 3 * ƒ 0 X 0 / * ƒ.f O I } a y 2 g 0 $ ? m > a a / } m . . m } 2 / < Z p z z co 0 Cm 5 \ = n co / d ) ? R 9 / \ / � . . a c - e 3 a c mAR 1 2009 \`_ r 1 ,,1 , Invoice 'ENVIRONMENTAL! rrr. TE TING AND ABAThNIENT INS„/ Date Invoice# gib. 3/6/2009 2760 803 Ricker St Waterloo, IA 50703 319 287-4447 Bill To Work Completed City of Waterloo Community Development Asbestos Removal Attn: Louis Starks Rath Admin Building 620 Mulberry St 3rd Partial billing Waterloo, IA 50703 P.O.No. Terms Project Contact Person Net 30 R15819 Louis Starks Description Qty Rate Amount Asbestos removal at above referenced project 0.15 237,000.00 35,550.00 NOTICE: Please pay from this invoice-Thanks 0.00 0.00 1 Total $35,550 00 Balance Due $35,550.00 PAY ESTIMATE NO. VENDOR # Jatnc.ct r-r <<rvv\ W 'n-L-1, ( EXPENSE CODE CONTRACTOR BG — 224 32 5850 1327 Lead 224 32 5853 1327 CS03 13+. • HOME _224 32 5870 ADDRESS EDI 224 32 5851 1� crier (a 561 Other0 3 - - CITY, STATE, ZIP PROJECT CODE OWNER BG ADDRESS i k S M Abc_rr HM CONTRACT DATE 9 - 2 " ci 5- Other ( 0 n kskr..ch4DESCRIPTION DATE OF BILL 3 " U 9 ���� ����,�� ����� INVOICE NO. Ib SUMMARY OF PAY ESTIMATE ORIGINAL CONTRACT SUM $ '71 000 . �J CHANGE ORDER NUMBERS $ C)• Cs C) TOTAL CONSTRUCTION COST $ ` ' 7, 006. L LESS AMOUNT PREVIOUSLY PAID $ BALANCE STILL IN CONTRACT $ 1244 ,15C PAYMENT REQUESTED $ 3 S; SSr LESS 10% RETAINED $ 3, S55. TOTAL DUE CONTRACTOR THIS ESTIMATE $ 5 ' , et qE. I have made a progress inspection of the property being rehabilitated at the above address. The construction work for which payment has been requested has been satisfactorily completed in accordance with the construction contract. INN-4-)4 DATE COMPLETED BY STAFF SPECIALIST DATE APPROVED FOR PAYMENT COMMUNITY DEVELOPMENT DIRECTOR OR DESIGNEE / . 2 cn 7 E ƒ ƒ 2 \ / CR ? I 3 — % Er O. ® E 3 = w ® / m Fem 2 2 • tv co . \ \ 0- / < , ; E 73 m § G 0 ƒ 5 I § 92 2 7 \ ƒ ^ ° a) ƒ 9 = 3 w 0 % % ac02 _? ^ ' o f a ® & 3 % n 0 > qM ƒ q E4 . q § 5 K. = al K ~ o � 3 co 2 m $ § 8 / hi Z - m I CA) / G 9 = \o 2 ` - \ O I/ / / \< \ aCD \ o k \ } ? o & m r- @ \ 22 m0 f ƒ ƒ J ƒ § 0 \ 9 } 27 ƒ * k \ $ . . 0 / 2 / / D z 2 2 0 G) 0E 5 0 \ R d a g / 2 \ % 2 f 3 O Co 0- CO ° / . . ? c - — / D a 0) A PAY ESTIMATE NO " t. --- -it - , ;,, , I ' -' EXPENSE BLHOeGotahmde Other 22:22::4:333i22' L6.' i,:,,,..;-__:1-i-:7-ii.77,_ CONTRACTOR _224 32 58$1:: --M-7:` ,_ ',',1,... -- t)• = , ‘_ . ADDRESS EDI 7 CITY, STATE, ZIP PROJECT CODE ;-OWNER ; \ • ,--.,.4..t_I:2i, Li , ADDRESS - .. s ' &=24a' t-1 - - ,,,,-, . _ HM 1 CONTRACT DATE ( - 2 - 0 ‘o Other k , ,,,I, 1) ,j 0 , 1-1 0, -' c...) i A DESCRIPTION1 DATE OF BILL /72 - 1,.. , t .,.. . N .-f i A,1 , , , , ,^, - INVOICE NO. ,_-/- ' ik. SUMMARY OF PAY ESTIMATE ORIGINAL CONTRACT SUM $ ,/ 7 CHANGE ORDER NUMBERS $_ TOTAL CONSTRUCTION COST $ --, ,-1 , , LESS AMOUNT PREVIOUSLY PAID $ i -;(f--.7'7: BALANCE STILL IN CONTRACT $ PAYMENT REQUESTED REQUESTED $ '•T-,...-,- C l':". ; .LESS 10% RETAINED $ TOTAL DUE CONTRACTOR THIS ESTIMATE $ I have made a progress inspection of the property being rehabilitated at the above address. The in The construction work for which payment has been requested has been satisfactorily completed accordance with the construction contract. I - 3, 0 -- :1) 1 , )\,c,, - -, DATE COMPLETED BY STAFF SPECIALIST DATE APPROVED FOR PAYMENT COMMUNITY DEVELOPMENT DIRECTOR OR DESIGNEE II:, j k Y5 P 1 11 1 v,1',6'','.z= LiT r — r' I_,we -,,, s. - (EIVVIRONMENTAL� a ,,T41,i a iritio ENF INC.'.:.mr?i' Y Date Invoice## ,_ � 12/31/2008 2702 803 Ricker St Waterloo,IA 50703 3 1 9-287-4447 Bill To Work Completed City of Waterloo Asbestos Removal 715 Mulberry St. Rath Admin Building Waterloo,IA 50703 2nd partial billing P.O.No. Terms Project Contact Person Net 30 R15819 Louis Starks Description Qty Rate Amount Asbestos removal at above referenced project 0.15 237,000.00 35,550.00 r. . pR\\‘,..,..„.„„„,...__.,,,.jiliet:.. i., r,;i v1 ,!':-').,.'..::I'.2.. NOTICE:Please pay from this invoice-Thanks ' 0.00 0.00 I Total $35,550.00 I Balance Due $35,550 00 PAY ESTIMATE NO. VENDOR # r I �`� 0 1c,fc4 L rIv:?v� nieevk I EXPENSE CODE CONTRACTOR BG —224 32 5850 1327 n Lead _ 224 32 5853 1327 HOME— 224 32 5870 ADDRESS EDI 224 32 5851 Other \A)crLe 5-070 CITY, STATE, ZIP PROJECT CODE OWNER BG ADDRESS 1 15 MGI toe r( St HM CONTRACT DATE 9 - 2- -CA Other DESCRIPTION iC ^ 3Lv--1�� c DATE OF BILL I2-- I - a 2 INVOICE NO. . r SUMMARY OF PAY ESTIMATE ORIGINAL CONTRACT SUM $ a 31 , coo . L') CHANGE ORDER NUMBERS $ 0 on TOTAL CONSTRUCTION COST $ 31, OOO. c-6 LESS AMOUNT PREVIOUSLY PAID BALANCE STILL IN CONTRACT $ I L4 L , 9 S5, PAYMENT REQUESTED $ 3, 555, r) LESS 10% RETAINED $ O ' v C TOTAL DUE CONTRACTOR THIS ESTIMATE $ 5t S SS ' J I have made a progress inspection of the property being rehabilitated at the above address. The construction work for which payment has been requested has been satisfactorily completed in accordance with the construction contract. c> DATE COMPLE D BY STAFF SPECIALIST DATE APPROVED FOR PAYMENT COMMUNITY DEVELOPMENT DIRECTOR OR DESIGNEE a m 0 ■ -----) ¥ /D 41144 0--‘ 7 , a' % _� f < \ g ® ° f * � @N / / tea) 1. % � @ @ / \ " i 4 J, \ + N J QZ . 2 - - . o /� > Q & 0 m y ) 2 o a / J 2 m�> e Ai 0 \ m @7 1 7 co o $ © %a -I 1 Co ° lb 0 a. zi 0 ? ® ¥ 0 « @ > J Q. 4.° 0 Cr a) o ( o x = S 3 h Cb o ° CO r 3P ® 9. / a $ / co / 0 a ® ® » N x 7 I 3 a / 0 & o _� • 6 0 / / " r 0 4 4 O co * Q. 0 2 a) o / ƒ 2 0 J m o sri Q. . o O 2 // G ,orvono Invoice# Date 2102 1 -V 12j3II2p0$ fi ,, E N,,G ;per 44 r N R p Na,T W Complete 0 cg-c,N ., r ozk .. A...'', t , 319 01' 47 emoVal .. teric°,�N�'4" Asbestos R • dzzin gutlding SO3RtickeYSt Wa Rama aTtialbilling gi11To 2 w atezlosot. City °f 'i l5 NW\1A 50103 w ateTl0o Contact p erson A s m oUnt pzoject Louis Stalk 35,550 p0 Rate Rt5s" 231 000•00 Qty P C•-o• islet 30 0.15 Desczi tpion ve zef ezencea pzo�ect ,, Asbestos zemoval at ab° :. 4 0.00 0.00 • st.4 g9 '� NC,IICE.please pay from this vpzce.Tlzanks Total $35 550°0 Due Balance 1f Invoice •ENVIRONMENTAL. szuart�s TEBTIN6 AND ABATEMENT INS_ Date Invoice# Yea I y 12/31/2008 2702 803 Ricker St Waterloo,IA 50703 319-287-4447 Bill To Work Completed City of Waterloo Asbestos Removal 715 Mulberry St. Rath Admin Building Waterloo,IA 50703 2nd Partial billing P.O.No. Terms Project Contact Person Net 30 R15819 Louis Starks Description Qty Rate Amount Asbestos removal at above referenced project 0.15 237,000.00 35,550.00 NOTICE:Please pay from this invoice Thanks ` 0.00 0.00 Total $35,550.00 Balance Due $35,550.00 PAY ESTIMATE NO. '-- VENDOR # Jar,- G n V. ;N 1 YYvYM. EXPENSE CODE CONTRACTOR BG 224 32 5850 1327 Lead _ 224 32 5853 1327 HOME 224 32 5870 ADDRESS EDI 224 32 5851 (.k_i/}?r1(Jo iA 5o7e 3 Other CITY, STATE, ZIP PROJECT CODE OWNER G Nr ►S ADDRESS I"( LA. k er r � - HM CONTRACT DP TE - 2 -C 8 Other G•e.• • OW•ci IJ , n cJ DESCRIPTION ,01-{1 � ,�,r. (�i ,��� DATE OF BILL I2 - 31 -C Si I'len^-o Q INVOICE NO. a 70;. SUMMARY OF PAY ESTIMATE ORIGINAL CONTRACT SUM $ a 3"7 1000 CHANGE ORDER NUMBERS $ CJ . U C) TOTAL CONSTRUCTION COST $ a 7 000 `'l) Li O „35O. 00 LESS AMOUNT PREVIOUSLY PAID $ --Ej : 5 (,) 0(p-750. 00 BALANCE STILL IN CONTRACT $ PAYMENT REQUESTED $ 75� SSv LESS 10% RETAINED $ 3+ sS `r, TOTAL DUE CONTRACTOR THIS ESTIMATE $ I , ' 95. I have made a progress inspection of the property being rehabilitated at the above address. The construction work for which payment has been requested has been satisfactorily completed in accordance with the construction contract. I DATE COMPLE ED BY STAFF SPECIALIST DATE APPROVED FOR PAYMENT COMMUNITY DEVELOPMENT DIRECTOR OR DESIGNEE ? "0 _/ E / ƒ � \ / % % � � � 5 a � 7_ 8 m 3 7 ° o ® \ - D \ /CO / 7 / / / ) . ƒ E § 7 o § a o . 3' & 2 / / § . . co / .. ? \. \ 2 2 ° a / / < sv i 3 ? / a # ƒ a o g � m E KJ� o O 5 " / -0 / - n \ / % 7 < " ' 7 3 - $. co § �c n o � § ® E e m 2 / $ § • m ƒ ~ -zo / ® / idE. bJ 0 o ,Q 0 Q. . 'a \ - ` / O / } mm 2 }a - ƒII 4 \i.... / } �/ R 3 _ } 1 Pj % ® f m r / 7 ( � � o q'2 , - / o * S 7 * / \ & m . . \ /0 §, 2 Fr; 2 2 C CD E / a o - a 2 c / o % ¥ 3 C , 0 0 C m CO \ § f ? A____ ƒ \ /s � s LJ L.+,J .� 0 8 �i A ry � Invoice taw �'� :`ENVIRONMENTAL µ ens;x,_TEST GIN AND ABATE MENT INC,yfz�,�' Date Invoice# Date -! 4 12 14/2008 2682 803 Ricker St Waterloo,IA 50703 319-287-4447 Bill To Work Completed City of Waterloo Asbestos Removal 715 Mulberry St. Rath Admin Building Waterloo, IA 50703 Partial billing P.O.No. I Terms Project Contact Person Net 30 R15819 Louis Starks Description Qty Rate Amount Asbestos removal at above referenced project-basement area 0.25 237,000.00 59,250.00 Asbestos removal at above referenced project-Electrical work not done 1 1,000.00 1,000.00 by City of Waterloo NOTICE: Please pay from this invoice-Thanks 0.00 0.00 Total $60,250.00 Balance Due S60,250.00 September 2, 2008 Page 4 Unfinished Business continued 127740 - Reggie Schmitt/Welper that communication from Building Official/Maintenance Administrator transmitting recommendation of award of contract in the amount of $55,300.00 to Failor Hurley Construction of Hudson, Iowa in conjunction with 2008 Stone Replacement for Waterloo Public Library, be received, placed on file and "Resolution approving award of said contract", be adopted. Ayes: Six. Absent: Cole. Resolution adopted and upon approval by Mayor assigned No. 2008-754. 127741 - Reggie Schmitt/Welper that communication from Assistant City Engineer transmitting recommendation of award of contract in the amount of $8,574.85 to B&B Builders and Supply of Waterloo, Iowa in conjunction with F.Y. 2009 Sidewalk Repair Block Grant Program - Zone 8, Contract No. 751, be received, placed on file and "Resolution approving award of said contract", be adopted. Ayes: Six. Absent: Cole. Resolution adopted and upon approval by Mayor assigned No. 2008-755. 1277 2 - Reggie Schmitt/Welper that communication from Contracts and Grants Coordinator transmitting recommendation of award of contract in the amount of $237,0Q0.00 to Advanced Environmental Testing and Abatement of Waterloo, Iowa in conjunction with Asbestos Removal Rath Administration Building, Contract No. 131-AR-09-2-08-GO, be received, placed on file and "Resolution approving award of said contract", be adopted. Ayes: Six. Absent: Cole. Resolution adopted and upon approval by Mayor assigned No. 2008-756. DOCUMENTS 127743 - Hart/Reggie Schmitt that communication from Building Official/Maintenance Administrator transmitting Contracts, Bonds and Certificates of Insurance in the amount of $55,300.00 with Failor Hurley Construction of Hudson, Iowa in conjunction with 2008 Stone Replacement for Waterloo Public Library, be received, placed on file and "Resolution approving said documents", be adopted and Mayor and City Clerk authorized to execute same. Ayes: Six. Absent: Cole. Resolution adopted and upon approval by Mayor assigned No. 2008-757. 127744 - Hart/Reggie Schmitt that communication from Building Official/Maintenance Administrator transmitting Contracts, Bonds and Certificates of Insurance in the amount of $129,179.00 with ACCO Unlimited Corporation of Johnston, Iowa in conjunction with 2008 Swimming Pool Filter Replacement and Painting At Gates Pool, be received, placed on file and "Resolution approving said documents", be adopted and Mayor and City Clerk authorized to execute same. Ayes: Six. Absent: Cole. Resolution adopted and upon approval by Mayor assigned No. 2008-758. 127745 - Hart/Reggie Schmitt that communication from Assistant City Engineer transmitting Contracts, Bonds and Certificates of Insurance in the amount of $8,574.85 with B&B Builders and Supply of Waterloo, Iowa in conjunction with F.Y. 2009 Sidewalk Repair Block Grant Program - Zone 8, Contract No. 751, be received, placed on file and "Resolution approving said documents", be adopted and Mayor and City Clerk authorized to execute same. Ayes: Six. Absent: Cole. Resolution adopted and upon approval by Mayor assigned No. 2008-759. 127746 - Welper/Steve Schmitt that communication from Associate Engineer transmitting Professional Services Agreement- with Earth Tech AECOM at a cost of $169,000.00 for construction- related services in conjunction with F.Y. 2008 Cedar Valley River Renaissance Trail Enhancement, Contract No. 743, be received, placed on file and "Resolution approving said agreement", be adopted and Mayor authorized to execute same. Ayes: Six. Absent: Cole. Resolution adopted and upon approval by Mayor assigned No. 2008-760. 1 PAY ESTIMATE NO. 1 VENDOR# A61Jctoc,.) Crgi2(N,,,(N vrPIn-I--n- EXPENSE CODE CONTRACTOR BG _224 32 5850 1327 Lead _ 224 32 5853 1327 .)),, !I do-' St . HOME 224 32 5870 ADDRESS EDI _ 224 32 5851 (( Other ti ott) , IA 507o '� CITY, STATE, ZIP PROJECT CODE OWNER (1) fi BG ADDRESS M uI br-rri 1 • HM CONTRACT DATE Other Sc) DESCRIPTION RA kin.n. e)i d Et sL., 1--0.j azrr«f.: DATE OF BILL I) _ l L4 U V 0 INVOICE NO. a{.= S'dN SUMMARY OF PAY ESTIMATE ORIGINAL CONTRACT SUM $ Y-1 , oOQ/ `b CHANGE ORDER NUMBERS $ () A 0 J TOTAL CONSTRUCTION COST $ T?1 7 , 00C) LESS AMOUNT PREVIOUSLY PAID $ G U U BALANCE STILL IN CONTRACT $ gl)T UUL' G PAYMENT REQUESTED $ 6 0t .• 5O. '° LESS 10% RETAINED $ Ilia, (Viir k- A-, TOTAL DUE CONTRACTOR THIS ESTIMATE $ '•- . ^ ?O `3.00 I have made a progress inspection of the property being rehabilitated at the above address. The construction work for which payment has been requested has been satisfactorily completed in accordance with the construction contract. i J - j_1 - (? 6-1.).N-,-, 3 LKA.) DATE COMPLE ED BY STAFF SPECIALIST DATE APPROVED FOR PAYMENT COMMUNITY DEVELOPMENT DIRECTOR OR DESIGNEE ƒ © _) < ƒ 9 \ ƒ f > 2 7 . � 7� 72 0 ƒ @ � a CD . CO ° 0 $ $ � / % J N.)\ 5 /Q_ <o0 a Df / J =co\§ x 92 aq 89 - o.E 3 CD O O CO 2 CD IVFa a 2 q2 ) \ ra # 2 $-o 7 a 2 = § ® E / 3 O m � & ƒ # 2 % 7 3 2 � # CO % 0 ; © X 4 iii k co 2 § k). > mCi c 2 2 § ƒ V S \O E0 kQ. -0« > § E 0 K * 0 Z Cl) ° 0 \ CT \ * ** / CD 0 / * R ƒ / * CO zrn o m ƒ } \ 2 2 / @ > / _ E » § ' 3 E 0 > £ $ ƒ 2 co O � E ƒ o_ = co 2 @ # O @E q 6 % o 0 ° m 0) O / _ g E y % _ 0) Alloy Specialty, Inc. SEP 1 2 2008 5850 Wenninghoff Road Invoice Omaha, NE 68134 Date of Invoice INVOICE# 9/10/2008 X8053-2 BILL TO City of Waterloo Louis Starks 101 715 Mulberry Street Sioux City,IA 50703 510141 TERMS REP JOB NUMBER JOB NAME P.O. NUMBER Specific Net 15 LRA X8053 Asbestos Specification ITEM QUANTITY DESCRIPTION RATE AMOUNT Asb PLM 6 Analytical Costs for Phase Contrast Microscopy Sample 17.50 105.00 Analysis per EPA's Appendix E,subpart E,40 CFR part 763,section 1 Consulting 2.5 Consulting Services Time determining window glazing 75.00 187.50 vs.window sealant issues with architect,city,bidders and State of Iowa. Total $292.50 Invoices submitted by and questions regarding invoice should be directed to Darwin Rohde, 712-388-8833. PAY ESTIMATE NO. I VENDOR # Ai I S & EXPENSE CODE CONTRACTOR / I BG 224 32 5850 1327 Lead _ 224 32 5853 1327 S 6 CO GJek)w„9 L cf b .t . HOME = 224 32 5870 ADDRESS �J EDI 224 32 5851 Other Go nir�Imo, NE, 6 S 131 CITY, STATE, ZIP PROJECT CODE OWNER Cjb BG ADDRESS M U 1 tef'"'i S{ ' HM CONTRACT DATE J Other DESCRIPTION (IA lv-i-b4 --;-D-Ta, DATE OF BILL 9- 12 - 0`6 INVOICE NO. Y i60 C3 SUMMARY OF PAY ESTIMATE ORIGINAL CONTRACT SUM $ e -c12 SO CHANGE ORDER NUMBERS $ TOTAL CONSTRUCTION COST $ ac- ` ' o LESS AMOUNT PREVIOUSLY PAID $ (j c 0 so BALANCE STILL IN CONTRACT $ i a PAYMENT REQUESTED $ ,,,c.70. sc LESS 10% RETAINED $ 0- " TOTAL DUE CONTRACTOR THIS ESTIMATE $ a9a- Sc� I have made a progress inspection of the property being rehabilitated at the above address. The construction work for which payment has been requested has been satisfactorily completed in accordance with the construction contract. i i - ,21,0 - 0 $/ C-} (1-A-• 1-6,-4<.)‘ DATE COMPLE ED BY STAFF SPECIALIST DATE APPROVED FOR PAYMENT COMMUNITY DEVELOPMENT DIRECTOR OR DESIGNEE ƒ \ E ƒ ƒ 9 \ ƒ $ 0 C 3 Cl) R & ƒ � � ] � m 2 £ 6 co a m Q . m 2 R ® $ \ 0 z co a ° , a m < ^ } \ 2 ƒ k % m 2 2 `N« R. co 10 ) °o co -, 0 co 0 0 ƒ \ -o 2 c < ) # / $ a 2 a 2 ) 0 7 � � ^ n — ƒ a) ® 7 c d = q Z n CO 2 % co cod a ■42 \ A $ 2 2 ct ƒ 9 > m k g = O co 0 a » o $ Z T. E 0 E I H \\k ToEa'lS 0 ` / } cn * O I 2 } 2 \z::4, m } ® / � J § CO / _ y CO * O. 0 ? / P. z 0 ED ƒ 5 \ \ O c / ¥ § ? o 0 7 @ -. m @ ƒ ? 13 e 0 z 0 CO AUG 8 200 Alloy Specialty, Inc.5850 Wenninghoff Road Invoice Omaha, NE 68134 Date of Invoice INVOICE# 8/6/2008 k1o53.. 1 BILL TO City of Waterloo �� Louis Starks 715 Mulberry Street Sioux City,IA 50703 , Pe1 TERMS REP JOB NUMBER JOB NAME P.O. NUMBER Specific Net 15 LRA X8053 Asbestos Specification ITEM QUANTITY DESCRIPTION RATE AMOUNT Specification 1 Rath Building--Specification Remediation Plan for 1,575.00 1,575.00 Client,includes procedures,regulatory requirements,and policies. Thank you for your business. Total Fed.Tax#43-2079168 $1,575.00 Invoices submitted by and questions regarding invoice should be directed to Darwin Rohde, 712-388-8833. FINANCE COMMITTEE July 14,2008 5:00 p.m. Council Chambers Members present: Chairperson Reggie Schmitt,Cole,Welper. Moved by Welper,seconded by Cole that the Agenda,as proposed,be approved. Ayes: Three. Motion carried. Moved by Welper,seconded by Cole that the Minutes of July 7,2008,as proposed,be approved. Ayes: Three. Motion carried. The following bids received for preparation of bid specifications for asbestos removal for former Rath Administration Building were reviewed: Bidder Bid Amount Alloy Specialty $1,575.00 Terracon $3,500.00 Ames Environmental $6,500.00 It was the recommendation of the Contracts and Grants Coordinator that the bid received from Alloy Specialty in the amount of$1,575.00 be accepted. Moved by Welper, seconded by Cole that said recommendation be approved. Ayes: Three. Motion carried. Moved by Welper,seconded by Cole that a travel request for Community Development Director to attend Adapting Your HOME Homebuyer Program to Current Market Conditions Training in Madison, Wisconsin on August 10-11, 2008, with costs not to exceed $285.00, be approved. Ayes: Three. Motion carried. Moved by Welper, seconded by Cole that a travel request for Director of Human Rights Commission to attend 2008 Housing and Employment Training in Omaha,Nebraska on August 20-22,2008,with costs not to exceed$653.80,be approved. Ayes: Three. Motion carried. Moved by Cole, seconded by Welper that the request of the Community Development Coordinator for pre-authorization to expend $6,000.00 for training for 24-hour lead abatement worker at a cost of$400.00 per person be approved. Ayes: Three. Motion carried. Moved by Cole, seconded by Welper that the request of the Superintendent of Waste Management Services for pre-authorization to expend$18,912.60,plus estimated shipping costs of$500.00,for replacement of gas blowers for the lagoon be approved. Ayes: Three. Motion carried. Moved by Cole, seconded by Welper that the request of the Superintendent of Waste Management Services for pre-authorization to expend $7,649.00, plus estimated shipping costs of $300.00, for repair parts for #2 TAS transfer pump be approved. Ayes: Three. Motion carried. Moved by Cole, seconded by Welper that the request of the Superintendent of Waste Management Services for pre-authorization to expend $5,972.19 for electrical components for pump#2 at the Hawthorn flood lift station be approved. Ayes: Three. Motion carried. Moved by Cole, seconded by Welper that the request of the Superintendent of Waste Management Services for pre-authorization to expend $2,509.45 for electrical components for barscreen be approved. Ayes: Three. Motion carried. Moved by Cole, seconded by Welper that the request of the Superintendent of Waste Management Services for pre-authorization to expend $2,702.00, plus estimated shipping costs of$200.00,for bar screen repair parts be approved. Ayes: Three. Motion carried. PAY ESTIMATE NO. VENDOR # EXPENSE CODE CONTRACTOR BG _224 32 5850 1327 Lead _ 224 32 5853 1327 HOME 224 32 5870 ADDRESS EDI 224 32 5851 Other NE- to ( 2-i' CITY, STATE, ZIP PROJECT CODE OWNER Atrr 41N-it ADDRESS 1 ' ` - -..,. HM CONTRACT DATE Other DESCRIPTION DATE OF BILL C " `r " '1 INVOICE NO. SUMMARY OF PAY ESTIMATE ORIGINAL CONTRACT SUM CHANGE ORDER NUMBERS $ TOTAL CONSTRUCTION COST $ 1 S, a.., LESS AMOUNT PREVIOUSLY PAID $ BALANCE STILL IN CONTRACT $ I, 5-7 5. Cr-) PAYMENT REQUESTED $ I r c , LESS 10% RETAINED $ 1 TOTAL DUE CONTRACTOR THIS ESTIMATE $ I have made a progress inspection of the property being rehabilitated at the above address. The construction work for which payment has been requested has been satisfactorily completed in accordance with the construction contract. \NIANIALS, DATE COMPL ' BY S :441yr DATE APPROVED FOR PAYMENT COMMUNITY DEVELOPMENT DIRECTOR OR DESIGNEE