Gates Concrete (0325) - Tesoro Apartments - Subcontractor Request for Payment Form
 Share
The version of the browser you are using is no longer supported. Please upgrade to a supported browser.Dismiss

View only
 
ABCDEFGHIJKLMNOPQRSTUVWXYZAA
1
TESORO APARTMENTS
REQUEST FOR PAYMENT - GATES CONCRETE CONSTRUCTION, INC.
DATE:
2
ABCDEFGHIJKL
3
WORK COMPLETED
4
ITEM NO.DESCRIPTION OF WORKSCHEDULED VALUECHANGESREVISED VALUEFROM PREVIOUS APPLICATIONTHIS PERIODMATERIALS PRESENTLY STOREDTOTAL COMPLETED AND STORED TO DATE%BALANCE TO FINISHRETAINAGE
5
(F+G)(Not in F or G)(F+G+H)(I / E)(E - I)(10% of C)
6
30-0325Proposal #3984 1,200,000.00 0.00 1,200,000.00 0.00 0.00 0.00 0.00 0% 1,200,000.00 120,000.00
7
8
9
10
11
12
13
14
15
TOTAL$1,200,000.00 $0.00 $1,200,000.00 $0.00 $0.00 $0.00 $0.00 $1,200,000.00 $120,000.00
16
LESS: 10% RETENTION: 0.00 0.00 120,000.00
17
NET AMOUNT DUE THIS REQUEST:$0.00
18
19
This form can be downloaded at: www.atherton-homes.com/tesoro-gates-concrete
20
21
Complete the highlighted areas of this form to automatically calculate the amount due this request.
22
Payment will be made on the 20th of each month if the office RECEIVES your request for draw prior to the 1st of each month.
23
Drawy Requests & Lien Releases may be sent to:
24
25
Fax: (209) 239-7886
26
27
Mail:
Tesoro Apartments, LLC
Physical
Tesoro Apartments, LLC
28
PO Box 1870Delivery:
120 Manteca Avenue
29
Manteca, CA 95336
Manteca, CA 95336
30
31
Email:
albertboyce@gmail.com
32
33
Reminder: The absolute deadline for submitting your request for a draw is the of last day of each month.
34
Please mark your calendar now - we cannot make exceptions.
35
36
Please attach the appropriate completed and signed Exhibit D Lien Waiver Release Form to this Request for Payment.
37
38
39
40
By:Title:Date:
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
Loading...