Application_for_Payment.pdf
PDF 106 KB Posted
- Solicitation number
- 2025-ITB-002
- Issued by
- Doña Ana County, New Mexico
About this file
This document is an Application for Payment form for the Gallup Municipal Airport Improvements project, involving the City of Gallup (Owner), Armstrong Consultants, Inc. (Engineer), and an unnamed Contractor. The form is designed to document and request payment for work completed on the airport runway rehabilitation project, with specific reference to AIP No. 3-35-0019-031-2024 and ACI No. 247024. The application requires an itemized list of work accomplished, with spaces to calculate the gross amount due, including New Mexico Gross Receipts Tax (NMGRT) at 8.0625%.
The payment application includes a contractor certification that confirms all previous progress payments have been used to discharge prior work obligations and that property titles for materials and equipment will transfer to the owner upon final project acceptance. The document requires signatures from the Contractor, Engineer (Armstrong Consultants, Inc.), and the City of Gallup as the project sponsor. While specific dollar amounts are not filled in on this template document, it provides a standardized framework for documenting and requesting progressive payments during the airport improvement project.
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Text version
Contract Documents AP-1 247024 Gallup Municipal Airport
APPLICATION FOR PAYMENT NO. ____
To City of Gallup (OWNER). Contract for Gallup Municipal Airport Improvements dated . OWNER’S AIP No. 3-35-0019-031-2024 and ACI No. 247024 for Work accomplished through the date of .
ATTACH ITEMIZED LIST
Accompanying Documentation: GROSS AMOUNT DUE $
NMGRT 8.0625% $
AMOUNT DUE TO DATE $
LESS PREVIOUS PAYMENTS $
AMOUNT DUE THIS APPLICATION $
CONTRACTOR'S Certification:
The undersigned CONTRACTOR certifies that (1) all previous Progress Payments received from OWNER on account of Work done under the Contract referred to above have been applied to discharge in full all obligations of CONTRACTOR incurred in connection with Work covered by prior Applications for Payment numbered 1 through ____ inclusive; and (2) title to all materials and equipment incorporated in said Work or otherwise listed in or covered by this Application for Payment will pass to OWNER at time of final acceptance of Project free and clear of all liens, claims, security interests and encumbrances.
Dated __________________, 2024
CONTRACTOR
By
ENGINEER'S Recommendation:
This Application (with accompanying documentation) meets the requirements of the Contract Documents and payment of the above AMOUNT DUE THIS APPLICATION is recommended.
Dated __________________, 2024 Armstrong Consultants, Inc.
ENGINEER
By
OWNER'S Approval:
This Application is approved.
Dated , 2024 City of Gallup
SPONSOR
By
File details come from the government source that posted it. Updated .