ITB202608_CDBG_Infrastructure_Improvement_Project__Exhibit_O.pdf
PDF 153 KB Posted
- Attached to
- Infrastructure Improvement Project
- Solicitation number
- ITB-2026-08 CDBG
- Issued by
- Santa Rosa County, Florida
About this file
This is a G702 Application and Certificate for Payment document related to the City of Milton, Florida's ITB-2026-08 CDBG Infrastructure Improvement Project. The document serves as a payment application template for contractors to submit progress billings and certified payment requests during project execution. The mandatory pre-bid conference and site visit were scheduled for 11:00 A.M. on Tuesday, July 21, 2026, at the City of Milton Council Chambers, located at 6738 Dixon Street, Milton, FL 32570. The form is designed to track work completion, scheduled materials, and retainage across multiple line items, with columns for description of work, scheduled value, materials this period, total to date, percentage completed, balance to finish, and materials stored not in application.
The document presented is a blank payment application template with all line items (001-122) showing zero values, indicating this is a standard form rather than an executed payment request. The exhibit contains 120 numbered item lines plus totals row, accommodating comprehensive project schedules of values. The form requires contractor's signed certification and references Document G702 standards for payment applications. As a CDBG-funded infrastructure project, the work is subject to Community Development Block Grant compliance requirements and financing through federal funding sources, though specific project scope details, total contract value, and individual line item descriptions are not populated in this exhibit template.
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Text version
APPLICATION NO: 0
APPLICATION
DATE:
00/00/2026
PERIOD TO: 01/00/00
ARCHITECT'S
PROJECT NO:
A B C D E F G H I
ITEM DESCRIPTION OF WORK SCHEDULED MATERIALS TOTAL % BALANCE RETAINAGE
NO. VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G/C) TO FINISH
APPLICATION STORED AND STORED (C-G)
(D+E) (NOT IN TO DATE
D OR E) (D+E+F)
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Containing Contractor's signed Certification is attached
WORK COMPLETED
Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT
Containing Contractor's signed Certification is attached
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File details come from the government source that posted it. Updated .