Laserfiche WebLink
EXHIBIT B <br /> Hays Park Bond 2020—Funding Draw Request <br /> Project Name: Date of Request: <br /> Sponsor Name: Contact Person: <br /> Sponsor Address: Federal Tax ID: <br /> City,State,Zip: Phone Number: <br /> Funds for: <br /> Request Number Total Funding Amount ❑ Land$ <br /> (Round all numbers to the nearest dollar) Soft Costs$ <br /> L Total ProjectAmount$ Construction$ <br /> 2. 10%Retainage .$ Other$ <br /> 3. Project Amtminus 10%retainage (Nne iminus Line 2) Explanation: _ <br /> 4. Subtract total amount of current draw-$ <br /> 5. Available balance=$ (Line 1 minus Line 2) <br /> 6. Subtract amount of current draw-$ <br /> 7. Balance after payment=$ <br /> Is this your FINAL Draw? n YES n NO (if yes,continue to line 8) <br /> B. IF this Is your FINAL DRAW include 10%retainage+$ (Line 2) <br /> 9. Total requested amount=$ (Line 6 plus Line 8) <br /> NOTE:The final request mustbe accompanied by documentation suitable to determine project cam pletion(CO,Deed Recordation,etc). <br /> Documentation required for the payment request Includes: <br /> 1. Contractor/Consultant Payment Request <br /> 2. Progress Report w/updated schedule <br /> 3. Documentation for Acquisition,to include deed and closing documents. <br /> 4. Documentation for soft costs to Include Involcesthat show an itemization ofthe work completed. <br /> The Sponsor certifies thatthis project request is for eligible expended costs in accordance with the HTF Program and that proper <br /> documentation has been included to support this request. <br /> Sponsor Signature Title Date <br /> Program Manager Signature Title Date <br /> Hays County Staff Signature Title Date <br /> Hays County Auditor Signature Title Date <br />