Initial payment to company awarded the Abingdon Elementary School Bus Loop contract.

1. COUNTY OF GLOUCESTER
CENTRAL PURCHASING
6467 MAIN STREET
GLOUCESTcn, VA 23061 - 0329
PHONE 804-693-6235 FAX 804-693-0061
PAGE NO. 1
COUNTY OF GLOUCESTER
FINANCE DEPARTMENT
6467 MAIN STREET
GI"OUCESTEIT, VA 23061
PUNC|IASI QR|]€'T NUMBETIS ASOVI N,IUSI ACPtAq ON
A. rt VOlCLS, StrlPo.NG 6{I'(Rs aND PAC(rGta>.
r-I T. (]. WALKER };DUCA'I'ION CENTER
6099 T. C. l,JAl,KgR ROAD
CLOUCE,STER, VA 23051
SCOTT SHORLANT)
1. WT RTSLRVI IHI RIGHT IO CANCEI THI$ ONOER AND
R[J(CI GOOOS IF NOT OELIVERTO V{}{EN 8EOUIRTO AIIII
IN ACCONDANCE WITH SPECTFICAIIONS.
2. ACCEPTANCE OF THIS OROER INCLUDTS ACCTFTANC( OF
ALI TTRMS. PRIC'S, OELIV68Y IN'STRUCTIONS AI,]D
COND ICNS STATEO, SEE R€VITSE SIOE
3. ITNLESS OI HERWIS€ STAIED Oft pBtVtOUSL. AcB[:tn
UPON. ALL p8lC{S
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MUSr Bt .ft(patD. tNCiuDtNG tNStot )ci.tvEriv. Scxrttrji
ANO C',A IAGI -
PURCHASE ORDER NO. 2aaNa4r:)
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PRECISION SERV]CES INC
PO BOX 1s5
RARHAMSVILL VA 23011
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oRDER DArE: O3 1 L9 / 2O BUYER: SONJA EUtsANX RIO. NO.: 2OOOi"44 REO, DAl'T:
ITEM' OUANTITY UOM DESCRIPTION UNIT PRICE EXTENSION
0 * 008 -BL
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daLed
I,LF]S BUS
h 2Z 0 7 8.0o
ACCOUNT AMOUN'i PNOJECI COOE $ 54r 5 na
541
01 3546240000000000 48230020 541_, 599. 0B
APPROVED BY
IMPROVEMENTS
541 ,599. C8
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TERMS: LOCP
Partial Payment
LAS

2. Request for Payment
Precision Services lnc.
P.0. Box 155 Barhamsville, Va 23011
To: Gloucester County Public Schools
6097 T.C. Walker Road
Gloucester, Va 23061
Project: Achilles Bus Loop lmprovements
Gloucester, Va
Original Contract Amount:
,Approved Change Orders:
Total Change Orders:
Adjusted Contract Amount:
Previous Application Billed
This month Billing:
Total Completed to Date:
Less 5% Retainage
Less Previous Request:
Amount Due this Request:
Request No. 1
Billing Thru: 6 / 3O/2OZA
rFB # 20-008-BL
$s41,s59.08
$o.oo
s0.00
Ss41,5s9.08
5o.oo
s23,240,00
$23,240.00
$1.162.00
So.oQ
572,Q78.o0
Balance to Finish: 5s18,319.08

3. geslktrl&rstsaxJ
Contractor's Narne: Precision Seryices, Inc. Date 613o/202t]
Pr rljili l h13 r1l' i Ar;:lril lrrs l" li f:ir js l.frup l lirp;'ovr:n"tr.nll
Original Contract Amount:
Original Contract Time:
Adjusted Contract Amount {by approved Change Orders):
Adjusted Contract Tinre (by approved Change Orders):
AdJusted Completion Date:
51!,5r9.fr8
'i;' ,;1.,'l-l:t:i ijr'!tlfi.';i.l: i1 :r:.1-,r ilt,.'ii 1.,
Total Value of Original Work Performed to Date:
Total Value of Change Order Work Pefformed to Date (wlth attachment):
Tofal Value of All Work. Performecl to Date:
Total Value of Stored Materials (Attach Statement):
Less 5o/o Retained tiy Owner:
Net Amount Earned on Contract to Date:
Less Amount of Previous Paymenls Approved:
AES
Engineer
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xBalance Due This Payment: 22,07E,O0
Value of Work Rernaining to be Completed:
Percentage Cornplete to Date (Value / Time)
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I certify |o the best oi my knowledge and belief that all items and arnorrnts on fhe face of the attached estimate and
invoice and this Application tbr Payment are correcL; that all Work lras been perforrned and/or rnaterial supplled in tull
accordance wlth lhe terms and conditions of the Contract Documenls, including all duly authorizecl deviations,
sutrstitutions, alterations, additions and/or deletions; that the foregoing is a true and correct statemerrt of the Contract
Price up to and including the lash day of the period covered by this estirnate and Application for Paymenq that no part
of the "BALANCE DUE Tl'lis PAYMENT" has been received; that all previous Progress Payorcnts received on this
Agreement have been applied by the undersignecl to discharge in fLrll all obligations of thc undersignecl incurre.rj in
connection wilh the Work covered by prior applications for paynrent under this Agreenrent; ancl Lhat all materials and
cqulpment inco;'porated in said payment or otherwise listed in or covered by this Application for Payrnent are free and
clear of all liens, clairns, security interest and eocumbrances.
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$ . ",_..51.1,5{$,,0$
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