HomeMy WebLinkAboutC&S Companies Elizabeth FldCOMPANIES
ENGINEERS
DESIGN BUILD
TECHNICAL RESOURCES
OPERATIONS
September 22, 2003
C&S Engineers, Inc.
499 Col. EJleen Collins Bouievara
Syracuse, NY 13212
phone 315-455-2000
fax 315-455-9667
www. cscos.com
Mr. Joshua Y. Horton
Town of Southold
Town Hall
P.O. Box 1179
Southold, NY 11971
Re:
Elizabeth Field Airport
Apron and Taxiway Stub (Environmental & Design)
FAA AlP No. 3-36-0029-09-02
NYS PIN 0913.09
File: 211.008
Enclosed please finc~ the following:
Four copies of Partial Payment Request No. FOUR (Form 271), with attached backup
documentation, for your review and appropriate signature.
Four copies of Partial Payment Request No. THREE (Form FIN-190), with attached backup
documentation, for your review and appropriate signature.
Remarks:
Please sign three copies of Form 271, three copies of Form FIN-190 (both pages) and return
them to me for distribution. Keep one copy of each form with backup documentation for your files.
if you have any questions or need additional information, please do not hesitate to contact us.
Very truly yours,
C&S ENGINEERS. INC.
Kelli R. Walters
Grants Administrator
Enclosures
cc: Thomas I. Doherty
John Cushman (w/end.)
Approved'by Office of Management
~)~L~A"t' REPORT AND REQUEST FOR andBudgetNo 80-RO1B1 PAGE 1 OF I PAGES
~IMBURSEMENT~ FOR CONSTRUCT[ON PROGRAMS 1. TyPE OF REQUEST: 2. BASIS OF REQUEST:
[] PARTIAL [] CASH
[] FIN~,L [] ACCRUAL
3. FEDERAL SPONSORING AGENCY AND ORGAN!ZATIONAL ELEMENT 4. FEDERAL GRANT OR OTHER IDENTIFYING 5. PARTIAL PAYMENT REQUEST NO.:
TO WHICH THIS REPORT IS S UBMI~i-ED: NUMBER ASSIGNED BY F~-DERAL AGENCY:
FOUR
Federal Aviation Administration - NYADO 3~36-0029-09-02
6. EMPLOYER IDENTIFICATION NO.: 1 7. RECIPIENTACCOUNTOR 6. PERIOD COVERED BYTHIS REPORT
OTHER IDENTIFYING NUMBER: FF (Month, day, year) TO: (Month, day, year)
11-60033o7 N/A 07/29/03 09/16/03
9. RECIPIENT ORGANIZATION: PAYEE: 0Nhere check should ~e sent if different than item 9)
Name: T, own o[~Southold Name:
Town ~lall
Address P.O. Box 1179 Address:
Southold, New York 11971
~l S~TATU$ OF FUNDS
· PROGRAMS - FUNCTIONS - ACTIVITIES
(a) I (b)
CLASSIFICATION Apron & Taxiway Stub (E~ TOTAL
a. Administrative expense $0.00 ~0.00 $0.00 $0.00
b. Preliminary expense $0.00 $0.00 $0.00 $0.00
c. Land, structures, right-of-way $0.00 $0.00 $0.00 $0.00
d. Architectural engineering.basic fees $34,219.00 $0.00 $0.00 $34,2t9.00
e. Other architectural engineering tees $37,906.00 $0.00 $0.00 $37,906.00
f. Project inspection fees $0.00 $0.00 $0.00 $0.00
g. Land development $0.00 $0.00 L$0.00 $0.00
h. Relocation expense $0.00 $0.00 ~$0.00 $0.00
i. Relocation payments to individuals and businesses $0.00 $0.00 kS0.00 $0.00
j. Demolition and removal $0.00 $0.00 ~;0.00 $0.00
k. Construction and project improvement cost $0.00 $0.00 ~;0.00 $0.00
L Equipment $0.00 $0.00 ~;0.00 $0,00
m. Miscellaneous c~st $0.00 $0.00 ~;0;00 $0.00
n. Total cumulative to date (sum of lines a thru m) $72,125,00 $0.00 ~0.00 $72,125.00
r
o. Deductions fe~' program income $0,00 $0.00 ~;0.00 $0.00
p. Net cumulative to date (Line n m nus line o) $72,125,00 $0.00 ,$0.00 $72,125.00
q. Federal share to date $64,912,50 $0.00 $0.00 $64,912.50
r. Rehabilitation grants (100% reimbursement) · $0,00 $0.00 ¢0,00 $0.00
s. Total Federal share (sum of lines q and r) $64,912.50 $0.00 :$0.00 $64,912.50
t. Federal payments previously requested $39,042.94 $0.00 ~0.00 $39,042.94
u. Amount requested for reimbursement $25,869 $0.00 $0.00 $25,869
v. Percent of physical completion of project 65.57% 0.00% ~).00% 65.57%
SIGNATURE OF AUTHORIZED CERTiFYIN, DATE REPORT SUBMITTED:
12. CERTIFICATION:
~ cerUf~ that to the best of my knowledge a. RECIPIENT
and-be~ie~the~iled~sts-er-dtsb~e--~ ..... ~- ~i'Y~ED~OR-PRINTED-NAI~IE AND TITLE:- - - ,~-EL~EPTTO'NE~O.i '~=~ ~ '
ments are in accordance with the terms JOSHUA Y. HORTON
of the project and that the reimbursement r TOWN SUPERVISOR (631) 765-1889
represents the Federal share due which
has not been previously requested and SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL: DATE REPORT SUBMITTED:
that an inspection has been pedorrned
terms of the award, certifying to line ~ . ~
11v. TYPED OR PRINTED NAME AND TITLE: TELE ONE NO.:
KELLI R. WALTERS
GRANTS ADMINISTRATOR (315) 455-2000
C&S ENGINEERS, INC.
271-102
STANDARDFROM27' 7'-76 Pre$cr[bedbyOfficoofMarragememandI~udge[ Cir, A-110
Elizabeth Field Airport
Apron & Taxiway Stub (Environmental & Design)
Town of Southold
F.A.A. AlP PROJECT NO 3-36-0029-09-02
,N.Y.S D.O.T, PRoJEcT NO. 0913:09 "
O9/22/03
221.008,001
SUMMARY OF FEDERAL ELIGIBLE PROJECT COSTS
,PROJEOT PHASE
a. ADMINISTRATIVE EXPENSE .................
b. PRELIMINARY EXPENSE .......................
c. LAND, STRUCTURES, RIGHT-OF-WAY ......
d. ARCH, ENGINEERING BASIC FEES ..........
e. OTHERARCH. ENGINEERING FEES ..........
f, PROJECT INSPECTION FEES ....................
g. LAND DEVELOPMENT ..........................
h. RELOCATION EXPENSE .........................
i. RELOC. PAYMENTS TO INDIV. AND BUS ....
j. DEMOLITION AND REMOVAL ..................
k. CONST. AND PROJECT IMP. COST ............
I. EQUIPMENT .........................................
I m MISCELLANEOUS COST .......................
TOTAL FEDERAL COSTS
PROGRAM NO. 1
FEDERAL GRANT
AGREEMENT
AMOUNTS
EST. TOTAL INCURRED COST
COST FEDERAL FEDERAL NON-
ELIGIBLE ELIGIBLE PARTICIPATING
$1,656.00 $0,00 $0.00
$0,00 $0.00 $0.00
$0.00 $0.00 $0.00
$68,438.00 $34,219.00 $0.00
$37,906.00 $37,906.00 $0.00
$0.00 $0.00 $0.00
$0.00 $0.00 $0.00
$0.00 $0.00 $0.00
$0.00 $0.00 $0.00
$0.00 $0.00 $0.00
$0.00 $0.00 $0.00
$0.00 $0,00 $0,00
$2,000.00 $0.00 $0.00
$1,656.00
$ffO0
$0~00
$68,438.00
$37,90~00
$0~00
$0.00
$0.00
$0.00
$0.00
$0.00
$o.oo
$2,ooo.oo
$110,000.00 $110,000.00
$72,125.00 $0.00
& TaxiWay Stub (EnvirOnmental & Design)
Town bf Southold
ARCHITECTURAL ENGINEERING FEES
PROGRAM NO. 1
DATE ELIGIBLE RETAINAGE
AMOUNT WITHHELD
09/22/03 ·
221.008.001,
NON- FAA NYSDOT
PART~IPATING REIMB. REIMB.
AMOUNT REQ. NO. REQ. NO.
07/29/03 $5;475.04
08/27/03 $4,790.66
09/1'6/03 $23,953.30
THREE
FOUR
FOUR
THREE
THREE
THREE
TOTALS $34,219.00 :~0.00 $0.00
Elizabeth Field Airport
Apron & Taxiway Stub (Environmental & Design)
Town of Southold
OTHERARCHITECTURAL ENGINEERING FEES
PROGRAM NO. t
DATE ELIGIBLE RETAINAGE
AMOUNT WITHHELD
NON-
PARTICIPATING
AMOUNT
FAA
REIMB.
REQ. NO.
09/22/03
221.008.001
NYSDOT
RE]MB.
REQ. NO.
09/16102 $3,668.4-1
11/01702 $2,527.97
12/12t02 $1.1, 234.11
0,1/23/03 $,2,15689
02/11tD3 $18, 44'[ .37
0}3/24:/08 $6,234-.31
0,5/29103 Sd,64'Z-94
ONE
ONE
ONE
TWO
TWO
TWO
THREE
ONE
ONE
ONE
TWO
TWO
TWO
THREE
TOTALS $37,906.00 $0.00 $0.00
Elizabeth Field Ail-port
Apron & Taxiway Stub (Environmental & Design)
Town of Southold
ARCH13'ECTURAL ENGINEERING FEES
PROGRAM NO. 1
DATE ELIGIBLE RETAINAGE
AMOUNT WITHHELD
09/22/03
221.008.001
NON~ FAA NYSDOT
PARTICIPATING REIMB, REIMB.
AMOONT REQ. NO; REQ. NO.
07/,29/03 $5,475.04
08/27/03 $4,790.66
09/16/0~3 $23.953,30
THREE
FOUR
FOUR
THREE
THREE
THREE
TOTALS $34,219.00
$0.00
$0.00
.TEChNiCAL
OPERATIONS
C&S'Engineers, Inc.
499 CoL E[leen Co([ins Boulevard
Sy~acdSe, NY' 13212
~hone 3~ 5-z, 55-2000 '
fax 3t 5~455-9~67
TOWN OF SOUTHOLD
FISHERS ISLAND FERRY DISTRICT
FOOT OF STATE STREET
NEW LONDON, CONNECTICUT 06320
APRON & TAXIWAY STUB, DESIGN
INV. DATE : 08/27/03
INVOICE ~ : 308234
PROJECT ~ : 211.008.002
CLIENT EEF:
FOR PROFESSIONAL SERVICES
FROM 07/19/03 THROUGH 08/22/03
TOTAL FEE AUTHORIZED
PERCENT COMPLETE AS OF 08/22/03
68,438.00
15.00%
FEE EARNED TO DATE
LESS pREVIOUS BILLINGS
10,265.70
5,475.04
TOTAL THIS INVOICE
4,790.66
A~OU~T DUE THIS IbTVOICE **
790.66
CONTACT PERSON: MICHAEL J WALKER,
TELEPHONE: (315 455-2000 F~fT.
NET 30 DAYS
1 1/2% INTEREST PER MONTH
CONTROLLER
NO, 301
~LD
:S
4Cj~S tii~gineers, Inc.
499 CoL Ei!een Collins 8oule~rard
Syracu~se, NY 13212
pho~ 3~ 5~f~5-2000
fax 3~ S-453-9667
TOWN OF SOLTTHOLD
FISH]ERS ISLAND FERRY DISTRICT
FOOT OF STATE STREET
NEW LONDON, CONNECTICUT 06320
APRON & TAXIWAY STUB, DESIGN
INV. DATE : 09/16/03
IATVOICE ~ : 309156
PROJECT # : 211;008.002
CLIENT REF:
FOR PROFESSIONAL SERVICES
FROM 08/23/03 through 09/05/03
TOTAL FEE AUTHORIZED
PERCENT COMPLETE AS OF 09/05/03
68,438.00
50.00%
FEE EARNED TO DATE
LESS PREVIOUS BILLINGS
34,219.00
10,265.70
TOTAL ~IS INVOICE **
23,953.30
DUE THIS I~]UOICE **
23,953.30
CONTACT PERSON: SUE LOEWER, ACCOUNT MANAGER
T~LEPHONE: (315) ~55-2000 EXT. NO. 422
NET 30 DAYS
1 1/2% INTEREST PER MONTH
~[~90.2b ~¢ Or~ ),., ~' ' ' STATE OF NEW¥ORK Comptroller's Number
Ac 5033 DEPARTMENT OF TRANSPORTATION K-
~ Approved State MUNICIPAL CORPORATION APPLICATION FOR PAYMENT Certificate Number
~Comptroller THREE
PAYEE ~Name,Address and Zip Code): FINANCIAL STATEMENT
Town of Southold COST OF WORK PERFORMED TO DATE: 9/16/03
Town Hall
P.O. B~x 1179 1. Total Expended $72,125.00
Southold, New York 11971 2. Less non-participating $0.00
3. Eligible Cost $72,125.00
4. Less Federal Share $64,912.50
Payee-Employer Identification No. Org. Code 5. Project Cost $7,212.50
11-6003307 BOO 6. State Share at 50% $3,606.25
GRANT AGREEMENT 7. Total prior requests $1,813.15
State No. 0913.09 Max. State Amt. $5,500 8. Amountreduasted $.1,793.10
' Federal No. 3-36-0029-09-02 Max. Fed. Amt. $99,000
n ae~:ordaqca with the provisions of the Grant Ag~'eement; thc Municipal Corporation app!ies for payment as fotiows:
I
A B C D E F
ELIGIBLE FEDERA~ PROJECT PRIOR CURRENT STATE FUNDS
DESCRIPTION COST SHARE COST PROJECT PROJECT REQUESTED
INCURRED (A*B) COSTS COSTS (C-D) (50% OF E)*
EQUIPMENT $0.00 $0.00 $0.00 $0.00 $O.00 $0.00
LANDi $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
CONSTRUCTION $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
ENGINEERING $72,125,00 $64,912.50 $7,212.50 $3,626.31 $3,586.19 , $1,793.10
OTHER $0,00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00
ADMINISTRATION $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
TOTALS $72,125.00 $64,912.50 $7,212.50 $3,626.31 $3,586.19 $1,793,10
As the sponsor's Authorized Representative, I hereby certify that the above information is true and ff~at th~ funding requested is for a project approved
by the New York State Depadment of Transport~tion. The project for which funding is being requested satisfies ati requirements and the:terms and
condittans of the above listed State Grant Agreement. Addifionally, I certify that according to my knowledge and belief, all items and amounts shown on.
this application are correct, all work has beer~ preformed and / or all materials supplied and federal reimbursement has been received. (See Attached)
Date: Signature: Title: TOWN SUPERVISOR
NEW YORK STATE USE
Approved Amount: $.
ACCEPTED BY - NEW YORK STATE DEPT. OF TRANSPORTATION APPROVED AS TO FUNDS AVAILABLE
AUDITS & ACCOUNTS BUREAU - DEPT. OF TRANSPORTATION
Date: By: Date By:__
PROJECT NUMBER REQUEST PAYMENT
Dept. of Transp. State ~lumber Intedm
Voucher Number Federal Date ~emi-final Final
' ' ' ....... C0mptrol[ar'sNumber
i~?IN 190-2b~,19/71 } STATE (~F NEwYoRK
AC 5033 DEPARTMENT OF TRANSPORTATION K-
Approved State MUNICIPAL CORPORATION APPLICATION FOR PAYMENT CerdfiCa~eNunlber
C0mpt~oJler THREE
PAYEE (Name, Address and Zip Code); FINANCIAL STATEMENT
Town of Southold COST OF WORK PERFORMED TO DATE: 9/16/03
Town Hall
P.O. Box 1179 1. Total Expended $72,125.00
i Southold, New York 11971 2. Less non-pardcipa~thg $0.00
3. Etig[ble Cost $72,125.00
4. Less FederaJ Share $64,912,50
I Payee-Employer Identification No. Org. Code 5. Project Cost $7,212.50
11-6003307 BOO 6. State Share at 50% $3,606,25.
GP, ANT AGREEMENT 7. To[st prior requests $1,813.t5
StateNo. 0913,09 Max. StateAmt. $5,500 8. Amountrequested ' $1,793.10
· Federal No, . 3-36-0029-09-02 Ma×. Fed. Amt. $99,000
, In accorUan¢l~ with the provisions of the Gradt Agreemeflt,~the M~nicipa[ Corperation applies fur paymen~ as fotiows:
A B C D E F
ELIGIBLE FEDERAL PROJECT PRIOR [ CURRENT STATE FUNDS
I
DESCRIPTION COST SHARE COST PROJECT PROJECT REQUESTED
INCURRED (A-B) COSTS COSTS ('C-D) (50% OF E)*
EQUIPMENT $0.00 ' $0,00 $0.00 $0.00 $0.00 $0.00
LAND $0-00 $0.00 $9.00 $0.00 $0.00 $0.00
CONSTRUCT JaN $0.00 $0.00 $0.00 $0~00 $0.00 $0.00
ENGINEERING $72,125.00 $64,912.50 $7,212.50 $3,626.31 $3,586.19 $1,793.10
OTHER $0.00 $9.0£ $0.00 $0.00 $9.00 $0.00
$0.00. $0.00 $0.00 $0.00 $9.00 $0.00
ADMINISTRATION $0.00 $0.00 $0.00 $0.00 $9.00 $0.00
TOTALS $72,125.00 $64,912.50 $7,212.50 $3,626.31 $3,586.19 $I, 793.10
As the sponsor's Authorized' Representative, I hereby certify that the above information is true and that the funding requested is for a project approved
by the New York State Department of Transportation. The project for which funding is being requested satisfies e requ ~emenls and the terms end
conditions of the above listed State Grant Agreement. Additionally, I cerd fy that according to my knowJedge end belief, all items and amounts shown on
this application are correct, cji work has been preformed and / or ati materials supplied and federaJ reimbursement has been received. (See Attached)
Date; Signature: Title: TOWN SUPER~SOR
NEW YORK STATE USE
Approved Amount;
ACCEPTED BY - NEW YORJ~ STATE DEPT. OF TRANSPORTATION APPROVED AS TO FUNDS AVAILABLE
AUDITS & ACCOUNTS BUREAU - DEPT. OF TRANSPORTATION
Date: _ By; Date
PROJECT NUMBER REQUEST ~AYMENT
Dept. of Transp. State Number ~tedm__
Voucher Number Federal Date 3emi-final Final
Elizabeth Field Airport
Apron & Taxiway Stub (Environmental & Design)
Town of Southold
~,A.A. AlP PROJECT NO. 3-36-0029-09-02
:Y.S D.,O.T. PROJECT NO, 0913,09
09/22/03
221.008.001
PROJECT.PHASE
' a. EQUIPMENT ...........................
c. LAND. .....................................
c. CONSTRUCTION ....................
d. ENGINEERING .....................
e. OTHER ...................................
f. ADMINISTRATION ..................
SUMMARY OF STATE ELIGIBLE PROJECT COSTS
PROGRAM NO. 1
ESTIMATED ESTIMATED
TOTAL FEDERAL TOTAL $'~ATE INCURRED COST NON-
ELIGIBLE~',P-.43S'T' EEIGJBI'ECOST STATE ELIGIBLE PARTICIPATING
$0.00 $0~00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0,00 $0.00 $0.00 $0.00
$106,344..00 $106,344.00 572,125.00 $0.00
$2.000.00 $2,000.00 $0.00 $0.00
$1,656.00 $1 656.00 $0,00 $0~00
TOTAL STATE COSTS
WORK PERFORMED TO: 9/16/2003
$110,000.00 $110,000.00
$7Z125.00 $0.00
~E[izabeth Field Airport
Apron & Taxiway Stub (Environmental & Design)
Town of Southold
AP. CHITECTURAL ENGINEERING FEES
-PROGRAM NO. I
DATE
09/22/03
221.008.001
ELIGIBLE RETAINAGE NON- FAA NYSDOT
AMOUNT WITHHELD PARTICIPATING REIMB. REIMB.
AMOUNT REQ. NO. REQ. NO,
07/29/03 $5,475,04
08/27/03 $4,790.66
09/16/03 $23,953.30
THREE THREE
FOUR THREE
FOUR THREE
TOTALS $34,219.00 $0.00 $0.00
gUILD
TECHNICAL RESOURCES
O~ERATIONS
C&S Engineer, Inc.
499 CoL EJ]een Collins B(~ulevard
S)rracuse, NY 13212
phone 315-455-2000
fax 315-455-9667
WWW. CSCOS.COFr
TOWN OF SOUTHOLD
FISHERS ISLAND FERRY DISTRICT
FOOT OF STATE STREET
NEW LONDON, CONNECTICUT 06320
APRON & TAXIWAY STUB, DESIGN
INV. DATE : 07/29/03
IA~VOICE ~ : 307277
PROJECT ~ : 211.008.002
CLIENT REF:
FOR PROFESSIONAL SERVICES
THROUGH 07/18/03
TOTAL FEE AUTHORIZED
PERCENT COMPLETE AS OF 07/18/03
68,438.00
8.00%
FEE EARNED TO DATE *
LESS PREVIOUS BILLINGS *
5,475.04
.00
TOTAL THIS INVOICE **
5,475.04
A~OU~T~ DUE THIS INVOICE **
5,475.04
CONTACT PERSON: SUE LOEWER, ACCOUNT MANAGER
TELEPHONE: (315) 455-2000 EXT. NO. 422
NET 30 DAYS
1 1/2% INTEREST PER MONTH
ENGi'NE R.S
DESIGN
TECHNICAL RESOURCES
C&S EPigineers, Inc.
499 CoL Eileen CoJlLqs Bouieval~d
' Syract~se, NY! 3212
~hone 3t 5-455-2000
fax 3~5455-9667
i I
TOWNOF SOUTHOLD
FISHERS ISLAND FERRY DISTRICT
FOOT OF STATE STREET
NEW LObFDON~ CONNECTICUT 06320
APRON & T~ZWAY STUB, DESIGN
INV. DATE : 08/27/03
iNVOICE ~ : 308234
PROJECT ~ : 211.008.002
CLIENT REF:
FOR PROFESSIONAL SERVICES ~
FROM 07/19/03 THROUGH 08/22303
TOTAL FEE AUTHORIZED
PERCENT COMPLETE AS OF 08/22/03
68,438.00
15.00%
FEE EARNED TO DATE *
LESS PREVIOUS BILLINGS *
!0,265.70
5,475.04
TOTAL THIS INVOICE
4,790.66
DUB THIS INVOICE **
~,~790.66
CONTACT PERSON: MICHAEL J. WALKER, CONTROLLER
TELEPHONE: (515) 455-2000 EXT. NO. 30t
NET 30 DAYS
1 1/2% INTEREST PER MON=fH
C&.~ Engineers, Jnc
499 Cot. ~_ileen Co!J~s Boulevard
Syracuse, NY 13212
phone 3~5-455-2000
fax M5-4550667
TOWN OF SOUTHOLD
FISHERS ISLAND FERRY DISTRICT
FOOT OF STATE STREET
NEW LONDON, CONNECTICUT 06320
APRON & TAXIWAY STLD3, DESIGN
[NV. DATE : 09/16/03
IA-VOICE # : 309156
PROJECT ~ : 211.008.002
CLIENT REF:
FOR PROFESSIONAL SERVICES
FROM 08/23/03 through 09/05/03
TOTAL nE AUTHORIZED
PERCENT COMPLETE AS OF 09/05/03
68,438.00
50.00%
FEE EARNED TO DATE
LESS PREVIOUS BILLINGS
34,219.00
10,265.70
TOTAL THIS INVOICE
23,953.30
A~OITAw~ Dt~ THIS INVOICI~ **
23,953.30
CONTACT PERSON: SUE LOEWER, ACCOUNT MANAGER
TELEPHONE: (315 455-2000 EXT. NO. 422
NET 30 DAYS
1 1/2% INTEREST PER MONTH
Elizabeth Field Airport
Apron & Taxiway Stub (Environmental & Design) ,, '~,
Town of Southold
OT~HER ARCHITECTURAL ENGINEERING FEES
pROGP, AE4 ~NO. 1
DATE ELIGIBLE RETAINAGE
AMOUNT WITHHELD
NON-
PARTICIPATING
AMOUNT
FAA
REIMB
REQ. NO,
09/22/03
221.008.001
NYSDOT
REIMB.
REQ. NO.
09/16/02 $3,668.41
11/0I~.02 $2,527.97
12/'12/;02 $1;1,234.11
01/23/03 $2,156.89
02/;11¥03 $10.441.37
03/24/03 $6~234.31
05/29103 $1,642.94
ONE
ONE
ONE
'I'WO
TWO
TWO
THREE
ONE
ONE
ONE
TWO,
TWO
TWO
THREE
TOTALS $37,906.00 $0.00 $0.00
C&S Engineers, Inc.
499 Col. Eileen Co]]ins Boulevard
Syracuse, NY 13212
phone 315-455-2000
fax 315-455-9667
TOWN OF SOU~HOLD
FISHERS ISLAND FERRY DISTRICT
FOOT OF STATE STREET
NEW LONDON, CONNECTICUT 06320
SHORT ENVIRONMENTAL ASSESSMENT
PREPARATION OF FORM C
INV. DATE : 05/29/03
II¢VOICE ~ : 305262
PROJECT ~ : 211.008.001
CLIENT REF:
FOR PROFESSIONAL SERVICES
FROM 03/08/03 through 05/23/03
TOTAL FEE AUTHORIZED
PERCENT COMPLETE AS OF 05/23/03
37,906.00
100.00%
FEE EARi~ED TO DATE
LESS PREVIOUS BILLINGS
37,906.00
36,263.06
TOTAL THIS ZNVOICE **
1,642.94
AI~OUlg~ DUE T~IS IAT~OICE **
1,642.94
CONTACT PERSON: SUE LOEWER, ACCOUNT MANAGER
TELEPHONE: (315) 455-2000 EXT. NO. 422
NET 30 DAYS
1/2% INTEREST PER MONTH