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TOWN OF ORCHARD PARK 4295 SOUTH BUFFALO STREET, ORCHARD PARK, NEW YORK 14127 PROJECT PAYMENT REQUEST Final CO and Release of Retention PROJECT : Community Activity Center - Generators Installation Project (General Contract) JOB NO. : 22/23 CARES ACT DATE : 4/24/2026 BY > JK PAYMENT NO. : Final CO and Release of Retention ITEM NO. DESCRIPTION QUANTITY UNIT PRICE TOTAL 0.00 0.00 FINAL CO Release of Retention 1 8,908.05 8,908.05 TOTAL CHANGE : $8,908.05 Original Contract AMOUIL.......eccescscscccsccescsescececsecsssesessseseceveceee $157,300.00 ~~ CHANGE OFUESS........cccescccsecessscecevecesvessssecsestsusesssessacsssessasssseasseees $20,861.00 ~~ Approved Contract Amount to Date....ccceccccccsssesscescssesesesereses $178,161.00 ~ Final Change Order Amount 10 [email protected] $178,161.00 ~~ Cost of Work Completed as of Previous PayMent......scceve ' $169,252.95 Cost of Work Completed During Current Payment Period......... $0.00 Total Work Completed t0 Date.....ccccsscssscssccccsececessssssrssssscssasese $178,161.00 Less: 5% Contract Retention. ...ceccssssssssssesssessossssssosssessaseses, . - $0.00 SUBUOUAL...ssseesessscsssssesssssssecssssssesssssusesssussessssssessssessesen pessssseseeese $178,161.00 LeSS: Previous PAyIMe@ntS.....ccccccccecccccnssssssscsccesseassecssesessesceneees ~ $1 69,252.95 AMOUNT DUE THIS PAYMENT. ...ccccccccccsceessescoscvesssornrecsussseranececouceatensecene $8,908.05 APPROVALS: Magen KS )) CONTRACTOR: Greenauer Blacktop Inc._ TOWN ENGINEER z Bin Lif 3 Wh BY: LE FE Deney beaeess Y isle DATE: S| 1/2020 DATE: a & U SATown Projects\Town Facilities\CAC Grant - Gonerators & Openers\Gencrators\GC Construction\Payments\Cover Sht Final Chang Ordor- rolease of retention