PROJECT NAME: APPLICATION NUMBER: PROJECT NUMBER: APPLICATION DATE: FACILITY: PERIOD TO: CONTRACT DATE: CM/CONTRACTOR: SCHEDULE 1 TO APPLICATION FOR PAYMENT COST BREAKDOWN A B C D E F G H DESCRIPTION OF TOTAL AMOUNT TOTAL AMOUNT AMOUNT WORK ACTIVITY COMPLETED COMPLETED ON OF THIS OR SCHEDULED % COMPLETE TO DATE APPLICATION APPLICATION RETENTION ITEM NO. OTHER ITEM VALUE TO DATE (C x D) FOR PAYMENT (E - F) (5% x E)
PROJECT NAME: APPLICATION NUMBER: PROJECT NUMBER: APPLICATION DATE: FACILITY: PERIOD TO: CONTRACT DATE: CM/CONTRACTOR: SCHEDULE 1 TO APPLICATION FOR PAYMENT COST BREAKDOWN A B C D E F G H ITEM NO. DESCRIPTION OF WORK ACTIVITY OR OTHER ITEM SCHEDULED VALUE % COMPLETE TO DATE TOTAL AMOUNT COMPLETED TO DATE (C x D) TOTAL AMOUNT COMPLETED ON APPLICATION FOR PAYMENT AMOUNT OF THIS APPLICATION (E - F) RETENTION (5% x E)
cm_application_for_payment.docx