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✓ A <br /> r ♦ - <br /> APPLICATION FOR PAYMENT <br /> CITY OF NEW BRIGHTON IMPROVEMENT NUMBER 94-02 <br /> PERMANENT GRANULAR.ACTIVATED CARBON WATER <br /> TREATMENT FACILITY (PGACWTF) <br /> CONTRACTOR: Calgon Carbon Corporation <br /> ADDRESS: P.O. Box 717 <br /> Pittsburgh, PA 15230-0717 <br /> OWNER: City of New Brighton <br /> ADDRESS: 803 Fifth Avenue NW <br /> New Brighton, MN 55112 <br /> A o �77 hereby made for the Work accomplishe through the date of <br /> Decembe ` for work ordered under Purchase Order , as represented below. <br /> Total <br /> Ordered Furnished Unit Estimated <br /> Item Description Quantity Quantity Unit Price Item Price <br /> CARBON REGENERATION AND SUPPLY <br /> 1.1 Remove and Regenerate Spent GAC — Truck 4,467.60 --- <br /> (0 to 8 Truck Loads Total Contract Delivery) Load <br /> 1.2 Remove and Regenerate Spent GAC 8 Truck 4,467.60 $35,740.80 <br /> (9 to 40 Truck Loads Total Contract Delivery) Load <br /> 1.3 Furnish and Install Virgin GAC — Lb. 0.974 <br /> (0 to 160,000 Lbs.Total Contract Delivery) <br /> 160,000 155,840.00 <br /> 1.4 Furnish and Install Virgin GAC Lb. 0.974 <br /> (160,001 to 800,000 Lbs. Total Contract <br /> Delivery) <br /> MISCELLANEOUS TECHNICAL ASSISTANCE <br /> 2.1 Technical Assistance Travel Round 719.71 -"-- <br /> Trip <br /> 2.2 Technical Assistance Per Diem Expenses Person 205.63 <br /> Day <br /> 2.3 Technical Assistance-Project Hr. 61.69 <br /> Manager/Engineer <br /> 2.4 Technical Assistance-Field Technician Hr. 51.41 <br /> Required Documentation (check if enclosed or indicate whether transmitted separately) <br /> 1. Certificate of Regeneration ( ) Sent under separate cover <br /> Big Sandy & Pearl River Plant <br /> 2. GAC Manufacturer Facility Name ( ) <br /> (for virgin GAC supplied under contract) <br /> Sent under separate cover <br /> 3. GAC Manufacturer Standard QA/QC ( ) <br /> • for each nominal 20,000 pound shipment <br /> 2362210119437_11PLS <br />