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FILED: WESTCHESTER COUNTY CLERK 12/22/2023 01:55 PM INDEX NO. 70587/2023
NYSCEF DOC. NO. 40 RECEIVED NYSCEF: 12/22/2023
EXHIBIT S
INDEX
5 CONSTRUCTION NO. (JCA-
INC.70587/2023
FILED: WESTCHESTER COUNTY CLERK 12/22/2023
90007100-168436, LEVEL
01:55 PM
NYSCEF DOC. NO. 40 Union North Atlantic States Carpenter
RECEIVED Funds) - RTNG
NYSCEF: 12/22/2023
.evel5Construction, Inc.
's"E³P""ª** °"" *""", mmm
Chris B[ack (Ce) 917-566-8940
DrywaQ~& AcousticalCeiRngs
Mary Probst, ControtTer (Ce 63J252-2369
clirlsblacE@Cevelsny.com
INVOICE
SKANSKA
70-70 ASTORIA BLVD- SU1TE 200 -
INV NO. IV00 88
EAST ELMHURST NY 11370 INV DATE: 03/15/23
ATTN:ACCOUNTS PAYABLE REF#: REQ#28U
CLIENT#: C00003
JOB: 21-017 CROTON HARMON SHOP - (CRB)
DESCRIPTION OF WORK AMOUNT
Billing for Union Stamps to be paid to North Atlantic
States Carpenter Funds
as per Joint Check Agreement and Rq#28
156 ,164.02
PLEASE PAY THIS AMOUNT: $ 156, 164.02
FILED: WESTCHESTER COUNTY CLERK 12/22/2023 01:55 PM INDEX NO. 70587/2023
NYSCEF DOC. NO. 40 RECEIVED NYSCEF: 12/22/2023
APPLICATION AND CERTIFICATE FOR PAYMENT A0A DOCUMENT G702 (Instructions on reverse side) PAGEONE oF PAGEs
TO OWNER: PRO ECT: APPLICATION NO.: 28 Distribution to:
SKANSKA CR TON HARMON SHOP
BLVD-
PERIOD TO:
03 /15 / 23
O OWNER
70-70 ASTORIA SUITE 200
OUR JOB #: 21-017 PROJECT NOS.: O ARCHITECT
ELMHURST NY . YOUR JOB #: 90007100-R P/O #: 90007100R168436 O CONTRACTOR
EAST 11370
PROM CONTRACTOR: VlA ARCHITECT: CONTRACT DATE:
01/01/21
LEVEL 5 CONSTRUCTION INC.
136 ESPLANADE
MOUNT VERNON, NY 10553
CONTRACT FOR:
The undersigned Contractor certifies that to the best of the Contractor'sknowledge, Infor-
CONTRACTOR'S APPLICATION FOR PAYMENT mation and belief the Work covered by this Application for Paymenthas been completed
Application is made for payment, as shown below, in connection with the Contract. in accordance with the Contract Documents, that all amounts have been paid by the
Continuation Sheet, AIA Document G703, is attached. Contractor for Work for which previous Certificates for Payment were issued and pay-
ments received from the Owner, and that current payment shown herein is now due.
1. ORIGINAL CONTRACT SUM..................s 4 , 700, 000. 0O
CONSTRUCTION INC.
305. O2 CONT :
2. Net change by Change Orders ...............s 466,
3. CONTRACT SUM TO DATE (Line I ± 2)........3 5, 166, 305. 02 / Date:
4. TOTAL COMPLETED & STORED TO DATE ......s 5 , 166, 305 . 02 state of: kbo O /.--
(Column G on G703) County of:
5. RETAINAGE: Subscribed and sworn to before
a. O . 00Vo of Completed Work s . 00 me this 1 day of vt 3
(Columns D + E on G703) kg Caggg
O . . 00
b. of Stored Material s
(Column F on G703) Notary Public:
Total Retainage (Line 52 + 5b or
My Commissio ex -¿p2.-3
Total in Column I of G703) . . . . . . . . . . . . . ....s . O0
6. TOTAL EARNED LESS RETAINAGE.,..........s 5 , 1 66 . 305. 02
ARCHITECT'S CERTIFICATE FOR PAYMENT
(Line 4 less Line 5 Total)
7. LESS PREVIOUS In accordance with theContract Documents, based on on-siteobservations and thedata
CERTIFICATES FOR PAYMENT
(Line 6 from prior .................s 5 . 01 0 00 comprising this application, the Architect certifies to the Owner that to the best of the
Certificate) 4.1,
Architect's knowledge, informationand belief the Work has progressed as indicated, the
8. CURRENT PAYMENT DUE . ................ s 156, 164. 02 quality of the Work is in accordance with the Contract Documents, and the Contractor
is entitled to payment of the AMOUNT CERTIFIED.
9. BALANCE TO FINISH, INCLUDING RETAINAGE
(Line 3 less Line 6) . 00 AMOUNT CERTIFIED .. . . ......... .................,g 156, 164 . 02
(Attach explanation if amount certified differs from the amount applied for Initial
CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS all figures on this Application and on the Continuation Sheet that are changed to
Total changes approved in conform to the amount certified.)
previous months by Owner . OO ARCHITECT:
466 , 30 5 . O 2
Total approved this Month Y Date.
. 00 . 00
TOTALS This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only tothe Coh-
p q n 7 g 0
tractor named herein. issuance, payment and acceptance of payment are without
NET CHANGES by Change Order 466, 305. 02
prejudice to any nghts of the Owner or Contractor under this Contract.
AIA DOCUMENTG702 " APPUCATIONAND CERTIFICATEFOR PAYMENT" 1992EDITION " AIAe " ©l992 " THE AMERICANINsTITUTE OF ARCHITEC'l3.17.½NEW YORK
AVENUE, N.W., WASHING'ION, D.C. 2(XXXi-5292" WARNING: Unilcensed photocopying violates IAS. copyright laws and will subject the violator to legal prosecution. G702-1992
CAUTION: You should use an original AIA document which has this caution printed in red. An original assures that changes will not be obscured as may occur when documents are reproduced.
FILED: WESTCHESTER COUNTY CLERK 12/22/2023 01:55 PM INDEX NO. 70587/2023
NYSCEF DOC. NO. 40 RECEIVED NYSCEF: 12/22/2023
CONTINUATION SHEET AIA DOCUMENT G703 (Instructions on reverse side) PAGE OF PAGES
28 PAGE: 1
AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, APPLICATION NO.
03 2 ²3
Containing Contractor'S signed Certification, is attached. LEVEL 5 C.ONSTRUCTION INC. APPLICATION DATE:
03/15/23
In tabulations below, amounts are stated to the nearest dollar. PERIOD TO:
Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO.:
90007100R168435 JOB: 21-017 CROTON HARiiON SHOP
ynT P iTOB #" 9000 100-R P/O #:
A . B C D E F G H I
WORK CCMPLETED MATERIALS TOTAL
COMPLETED BALANCE RETAINAGE
ITEM SCH ULED PRESENTLY
DESCRIPTION OF WORK FROM PREVIOUS STORED AND STORED (IF VARIABLE)
NO. APPLICATION THIS PERIOD TO DATE (G -r C) FINISH g 7g)
(NOT IN (C - G)
(D + E) D OR E) (D+E+F)
001 GENERAL CONDITIONS
MOBILIZTN- SAMPLES- ENGINEER
.00 138,000.00 100 .00 .00
CALCULATIONS- SHOP DWGS 138, 000.00 138, 000.00 .00
100 .00 .00
138,000.00 .00 .00 138, 000.00
CALCULATION-SHOP DWGS-5 RET 138, 000.00
002 .00
.00 .00 276,000.00 .00
GENERAL CONDITIONS SUB-TOTAL 276, 000.00 276,000.00
003 FIRST FLOOR:
100 .00 .00
12,730.00 .00 .00 12, 730.00
004 LOAD + DISTRIBUTE METAL 12, 730.00
100 .00 .00
5, 415.00 .00 .00 5, 415.00
005 LAYOUT + TRACK 5, 415.00
100 .00 .00
6, 775.00 .00 .00 6, 775.00
006 FRAME GWB PARTITIONS 6, 775.00
100 .00 .00
3, 550.00 .00 .00 3, 550.00
007 F/I BLOCKING 3, 550.00
100 .00 .00
9, 350.00 .00 .00 9, 350.00
008 F/I ACCESS DOORS 9, 350.00
.00 8,544.00 100 .00 .00
8, 544.00 .00
009 LOAD + DISTRIBUTE GWB 8, 544.00
100 .00 .00
18, 750.00 .00 .00 18, 750.00
010 INSTALL GWB @ DW PART 18, 750.00
100 .00 .00
172, 847.00 .00 .00 172, 847.00
011 LOAD + DISTRIBUTE HM DR/FRMS 172, 847.00
100 .00 .00
91, 837.00 .00 .00 91, 837.00
012 LOAD + DISTRIBUTE HDWE 91, 837.00
.00 14,040.00 100 .00 .00
14, 040.00 .00
013 INSTALL HM DOOR FRAMES 14, 040.00
100 .00 .00
7, 560.00 .00 .00 7, 560.00
INSTALL HM DOOR FRAMES-5% RET 7, 560.00
100 .00 .00
24, 050.00 .00 .00 24, 050.00
014 INSTALL HM DR + HDWE 24, 050.00
.00 200.00 100 .00 .00
INSUL 200.00 200.00 .00
015 . LOAD+ DISTRIB FIBERGLS
.00 600.00 100 .00 .00
INSULATION 600.00 600.00 .00
016 INSTALL FIBERGLASS
100 .00 .00
12, 100.00 .00 .00 12, 100.00
017 TAPE+ SPACKLE GWB PARTITIONS 12, 100.00
.00 2,100.00 100 .00 .00
CLG GRID 2, 100.00 2,100.00 .00
018 LOAD+ DISTRIBUTE
100 .00 .00
666, 448.00 . .00 .00 666, 448.00
PAGE TOTALS 666, 448.00
AAADOCWAENTG703" CONTINUATIONSHf·ET FOR G702 " 1992ADITION " AIAe " ©l392 " THE AMERICANINSTITUTEOF ARCHIrECTS, 1735NEW YOIK
AVENUE,N.W.,WASHINGTON,D.C.20006-5292>WUtNINGrUnileenmE1pholocopyingviolatratiS.copyrightiswasndwilloub|octthevioldortologalprosecuticl. G703-1992
CAUTION:YoushoulduseanoriginalA1Adocumentwhichhasthiscautionprintedinred.Anoriginalassuresthatchanges willnotbeobscuredasmayoccurwhendocumentsarereproduced.
FILED: WESTCHESTER COUNTY CLERK 12/22/2023 01:55 PM INDEX NO. 70587/2023
NYSCEF DOC. NO. 40 RECEIVED NYSCEF: 12/22/2023
CONTINUATION SHEET AIA DOCUMENT G703 (Instructions on reverse side) PAGE OF PAGES
28 PAGE: 2
AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, APPLICATION NO.:
03 ²3 23
Containing Contractor's signed Certification, is attached. LEVEL 5 CONSTRUCTION INC. APPLICATION DATE:
03 /15/23
In tabulations below, amounts are stated to the nearest dollar. PERIOD TO:
Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO.:
90007100R168435 JOB: 21-017 CROTON HARiiON SHOP
yqTP JOB #· 9000'100-R P/O #:
A . B C D E F G H I
WORK CC MPLETED MATERIALS TOTAL
COMPLETED BALANCE RETAINAGE
SCH ULED PRESENTLY % TO
DESCRIPTION OF WORK FROM PREVIOUS STORED AND STORED (IF VARIABLE)
N . UE APPLICATION THIS PERIOD TO DATE (G + C) FINISH
(NOT IN RATE)
(D + E) (C - G)
D OR E) (D+E+F)
.00 6,544.00 100 .00 .00
6,544.00 6,544.00 .00
019 LOAD+ DISTRIBUTE CLG TILE
.00 2,473.00 100 .00 .00
GRID 2,473.00 2,473 . 00 .00
020 INSTALL CEILING
.00 4,216.00 100 .00 .00
TILE 4,216.00 4,216.00 .00
021 INSTALL CEILING
. 00 2 7 , 150 . 00 100 . 00 . 00
FIRE EXTING+ FEC 27 , 150 . 00 2 7 , 150 . 00 . 00
022 LOAD+ DISTRIB
.00 5,235.00 100 .00 .00
ACCESSORIES 5,235.00 5,235.00 .00
023 I/O TOILET
.00 200.00 100 .00 .00
RATED/PRESSURE BLOCKING 200.00 200.00 .00
024 FIRE
.00 150.00 100 .00 .00
GWB 150.00 150.00 .00
025 LOAD+ DISTRIBUTE
.00 250.00 100 .00 .00
250.00 250.00 .00
02 6 INSTALL CEILING GWB
. 00 200 . 00 100 . 00 .00
200 . 00 200 . 00 . 00
027 TAPE+ SPACKLE GWB CLGS
.00 436,866.00 .00 .00
436,866.00 436,866 .00 .00
1ST FL SUB-TOTAL:
028 - 2ND FLOOR
.00
. 00 204,078.00 100 .00
METAL 204,078.00 204,078.00 . 00
029 LOAD+ DISTRIBUTE
.00 65,537.00 100 .00 .00
65,537.00 65,537.00 .00
030 LAYOUT + TOP TRACK
.00 659,060.00 100 . 00 .00
659 , 060 . 00 659,060.00 .00
031 FRAME GWB PARTITIONS
. 00 35 8 , 8 75 . 00 100 . 00 . 00
GWB 35 8 , 875 . 00 35 8 , 8 75 . 00 . 00
032 LOAD + DISTRIBUTE
.00 653,864.10 100 .00 .00
653,864.10 653,864.10 .00
033 INSTALL GWB@DW PARTITIONS
. 00 34 , 413 . 90 100 . 00 .00
GWB@DWPARTS- 5% RET 34 , 413 .90 34,413 . 90 . 00
INSTALL
.00 15,675.00 100 . 00 . 00
15,675.00 15,675.00 .00
034 - F/I FIRE STOPPING@ RATED PART
·82 5 . 00 100 . 00 .00
. 00 . 00
F/I FIRE STOP@RATED PART- 5%RE 825 . 00 825 . 00
.00 136,891.00 100 .00 .00
136,891.00 136,891.00 .00
035 LOAD+ DISTRIB HM DOOR/FRM
.00 68,218.00 100 . 00 . 0O
HDWE 68,218.00 68,218.00 .00
036 LOAD + DISTRIBUTE
.00 1,485.00 100 .00 .00
1,485.00 1,485..00 .00
037 F/I ACCESS DOORS
.00 2,245,340.00 100 .00 .00
. 2,245,340 . 00 2 , 245 , 340 . 00 . 00
PAGE TOTALS .
ABADOCLABtT Gm3"CONTINUATION SHEETFOR G702 " 1992 ADITION"AIAe " ©l 392 " THEAMERICANiNSTITUTE OF ARCHIfECTS, 1735NEW YOfK
AVENUE,N.W.,WASHING'ION,D.C.20006-5292 ' WMBilNG: Unilconsungphotocopying violato (LS.copyright inus and will subject the viol dor to legal prosecutici. G703-1992
CAUTION: hu should use an original AIA document which has this caution printed in red. An original assures that changes will not be obscured as may occur when documents are reproduced.
FILED: WESTCHESTER COUNTY CLERK 12/22/2023 01:55 PM INDEX NO. 70587/2023
NYSCEF DOC. NO. 40 RECEIVED NYSCEF: 12/22/2023
CONTINUATION SHEET AIA DOCUMENT G703 Onstructions on reverse side) PAGE OF PAGES
AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, 28 PAGE: 3
APPLICATION NO.
Containing Contractor's signed Certification, is attached. LEVEL 5 CONSTRUCTION INC. 3 2 23
APPLICATION DATE
In tabulations below, amounts are stated to the nearest dollar. 23
PERIOD TO:
Use Column I on Contracts where variable retainage for line items
may apply. ARCHITECT'S PROJECT NO.:
YOT R iTOR #· 9000C100-R P/O #: 90007100R168435 JOB: 21-017 CROTON HARiiON SHOP
A B C D E F G H I
. WORK CCMPLETED MATERIALS TOTAL
SCH LED PRESENTLy COMPLETED BALANCE
DESCRIPTION OF WORK FROM PREVIOUS 96 RETAINAGE
STORED AND STORED TO
APPLICATION (G -r C) (IF VARIABLE)
THIS PERIOD (NOT IN TO DATE FINISH
(D + E) (C- G) RATE)
D OR E) (D+E+F)
P
F/I ACCESS DOORS- 5% RET 13,365.00 13,365.00 .00 .00 13,365.00 100 .00 .00
038 F/I VAPOR BARRIER 9,500.00 9, 500.00 .00 .00 9,500.00 100 .00 .00
039 INSTALL HM DOOR FRAMES 45,000.00 45,000.00 .00 .00 45,000.00 100 .00 .00
040 INSTALL HM DOOR + HDWE 94,100.00