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Standard Cost Breakdown

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					                                                                        CITY OF PHILADELPHIA                                     CONTRACTOR:
      STANDARD COST BREAKDOWN/                                        CAPITAL PROGRAM OFFICE
         PAYMENT APPLICATION                                       ONE PARKWAY, 1515 ARCH STREET
                                                                     PHILADELPHIA, PA 19102-1595
Project Title:                                                                          Project #:                                     Bid #             Date      Req #
  Contract #:                 PO #(s):
                                                                         CONTRACT BID/COST BREAKDOWN
ITEM                                                                                                             %   PREVIOUSLY                        CURRENT     TOTAL
                        DESCRIPTION                                                                  TOTAL COST
 NO.                                                                                                            COMP   BILLED                           BILLING     DUE
                                                               QTY UNIT MATERIAL  LABOR    UNIT COST   OF ITEM




                                              TOTALS FOR PAGE:
                                                                            GRAND TOTALS (Contract Amount):
                                           CAPITAL PROGRAM OFFICE APPROVALS                                                               CONTRACTOR SUBMITTAL
PROJECT COORDINATOR:                                 DATE:         CONSTRUCTION ENGINEER/INSPECTOR:                DATE:       AUTHORIZED SIGNATURE:               DATE:


PROJECT DIRECTOR:                                    DATE:

                                                                        RETAINAGE:     10%    5%      2%   0%   $___________
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G:\Project #\4Construction\Sect 4.11\Standard Cost Breakdown

				
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