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- =AIT <br /> A Document G703TM - 1992 <br /> Continuation Sheet <br /> AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: 14 <br /> containing Contractor' s signed certification is attached. APPLICATION DATE : <br /> In tabulations below, amounts are stated to the nearest dollar. OCT 0252007 <br /> Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: SEP 30,2007 <br /> ARCHITECT'S PROJECT N0E82 <br /> A B C D E F G H I <br /> WORK COMPLETED MATERIALS TOTAL <br /> BALANCE <br /> PRESENTLY COMPLETED - RETAINAGE <br /> ITDESCRIPTION OP WOkK SCHEDULED FROM PREVIOUS STORED ANDSTORED l TO (IP VARIABLE <br /> NO VALUE APPLICATION THIS PERIOD 1NOTIN TO DATE (GSC) FINISH RATE) <br /> (D + E) DOR E) (D+L+F) (C - C) <br /> ENERAL CONDITIONS <br /> 25 DAVIS BACON ADMIN - ACCTG 105320.00 3, 173 . 10 570. 15 0.00 3 ,74325 36.3 6,576.75 0.00 <br /> 27 DAVIS BACON ADMIN - ADMIN 7,740.00 3,015 .00 450.00 0.00 35465.00 44. 8 41275 .00 0.00 <br /> 28 FIELDSUPERVISION 755680.00 85, 174.32 2,859.94 0.00 88,034.26 116.3 12,354 .26- 0.00 <br /> 29 FROJECT MANAGEMENT 869000.00 615031 .77 5,243 .44 0.00 66,275 .21 77. 1 19,724. 79 0.00 <br /> 34 FERMANENT POWER 11000.00 0.00 0.00 0.00 0.00 0.0 11000.00 0.00 <br /> 36 7 RAILER RENTAL 2,800.00 31484.37 0.00 0.00 3 ,484.37 124.4 684 .37- 0.00 <br /> 40 . EMP. POWER 15200 .00 0.00 0.00 0.00 0.00 0.0 11200.00 0.00 <br /> 42 TELEPHONE 11600.00 13372.78 179.27 0.00 1,552.05 97.0 47.95 0.00 <br /> 44 1 EMPORARY TOILET 19600.00 11134.45 24.97 0 .00 ' 1 , 159.42 72. 5 440.58 0.00 <br /> 50 FROJECT SIGN 11000.00 558.26 0.00 0.00 558.26 55 . 8 441 . 74 0.00 <br /> 52 TEMPORARY FENCE 21500.00 0.00 0.00 0.00 0.00 0.0 21500.00 0.00 <br /> 54 FIELD OFFICE SUPPLIES 125 .00 0.00 0.00 0.00 0.00 0.0 125 .00 0.00 <br /> 58 1 EMP. PROTECTION 2,000.00 912 .73 0.00 0.00 912.73 45.6 11087.27 0.00 <br /> n \ <br /> 68 FIRST AID 50.00 0.00 0.00 0.00 0.00 0.0 50.00 0.00 <br /> 70 SAFETY 250.00 0.00 0.00 0.00 0.00 0.0 250 .00 0.00 <br /> 71PRINTING/POSTAGE 5,000.00 3, 111 . 16 40.63 0.00 31151 .79 63 .0 1 ,848.21 0.00 <br /> 74 PHOTOGRAPHY 150.00 0.00 0.00 0.00 0.00 0.0 150.00 0.00 <br /> 77 ARCHITECTURAL FEES 761011 .00 76,010.40 0.00 0.00 76,010.40 100.0 0.60 0.00 D <br /> 78 ENGINEERING 18 ,000.00 17,508.00 418 . 12 0.00 17,926. 12 99.6 73 . 88 0.00 I <br /> 80 SOIL TESTING 25500.00 2,795 .00 0.00 0.00 21795 .00 111 .8 295 .00- 0.00 <br /> 82 ONCRETE TESTING 21200.00 982. 50 0 .00 0.00 982.50 44.7 1 ,217.50 0.00 <br /> 88 SM . TOOL/SUPPLIES 2,800.00 1 ,029.77 244 .45 0.00 11274.22 45 . 5 11525 .78 0.00 <br /> 92• 1 OUSEKEEPING LABOR 4,750.00 15169.00 0 .00 0.00 1 , 169.00 24.6 31581 .00 0.00 <br /> 1 305 � 76 00 10 462 61 M030 97 000 272 493 5R 32 79142 1-100 <br /> CAUTION : You should sign an original AIA Contract Document, on which this text appears in RED. An original assures that changes will not be obscured. <br /> AIA Document G703TM - 1992. Copyright © 1963, 1965, 1966, 1967, 1970, 1978, 1983 and 1992 by The American Institute of Architects. All rights reserved. WARNING: This <br />AIAe Document is protected by U.S. Copyright <br /> Law and International Treaties. Unauthorized reproduction or distribution of this AIAe Document, or any portion of it, may result in severe civil and criminal penalties, <br />and will be prosecuted to the maximum extent <br /> possible under the law. Purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, <br />e-mail The American Institute of Architects' legal <br /> counsel, copyright@aia.org. <br />