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- T <br /> _:�_:= <br /> W=vIA Document G703TM - 1992 <br /> Continuation Sheet <br /> AIA Document ( 3702, APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: 14 <br /> containing Contractor' s signed certification is attached. APPLICATION DATE: OCT 11 ,2007 <br /> In tabulations below, amounts are stated to the nearest dollar. <br /> Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: SEP 30,2007 <br /> ARCHITECT'S PROJECT NO: 184 <br /> A B C D 177 E F G H <br /> WORK COMPLETED MATERIALS 'COT'AL <br /> PRESENTLY COMPLETED BALANCE RETAINAGE <br /> ITEM DESCRIPTION OF WORK STORED SCHEDULED FROM PREVIOUS %, TO (IF VARIABLE <br /> SAND STORED <br /> NO VALUE APPLICATION THIS PERIOD (NOT IN TO DATE (C + C) FINISH RATE) <br /> (D + E) UORE) (D+E+F) (CG) <br /> 118 SURVEYING 10,000.00 10,950. 15 2,358.90 0.00 13,309.05 133 . 1 3 ,309.05- 0.00 <br /> 124 COMMON LABOR 41750.00 31707.30 0.00 0.00 3,707.30 78.0 1 ,042 .70 0.00 <br /> 126 DUMP CHARGES 12,000.00 61522.60 606.70 0.00 7, 129.30 59.4 4,870.70 0.00 <br /> 140 PUNCH-OUT LABOR 700.00 0.00 0.00 0.00 0.00 0.0 700.00 0.00 <br /> 144 BUILDERS RISK 9,000.00 71929.00 0.00 0.00 7,929.00 88. 1 1 ,071 .00 0.00 <br /> 148 LIABILITY INSURANCE 2,800.00 2,800.00 0.00 0.00 2,800.00 100.0 0.00 0.00 <br /> 150 CONTINGENCY 50,000.00 32,502.51 21330.95 0.00 34,833 .46 69.7 15, 166. 54 0.00 <br /> 152 BUILDING PERMIT 67750.00 35186. 11 360.78 0.00 39546.89 52 .5 3,203 . 11 0.00 <br /> 156 G.C . BOND 15 ,500.00 14,854.00 0.00 0.00 ' ' 143854.00 95. 8 646.00 0.00 <br /> 164ASBESTOS ABATEMENT 2,750.00 3 ,325 .00 0.00 0.00 3 ,325 .00 120.9 575 .00- 0.00 <br /> SITE WORK <br /> 168 SITE DELEVOPMENT 258,086.00 258,086.00 0.00 0.00 258,086.00 100.0 0.00 0.00 <br /> 176 DEMOLITION 15 ,000.00 13 ,500.00 0.00 0.00 13 ,500.00 90.0 1 ,500. 00 0.00 <br /> 180 GREASE TRAP/D.F. 3 ,000.00 39970. 50 0.00 0.00 3,970.50 132 .4 970. 50- 0.00 <br /> 188 ERROSION CONTROL 1 ,500.00 1 ,693 .64 0.00 0.00 11693 .64 112.9 193 .64- 0.00 <br /> 250 LANDSCAPING 55,000.00 47,220.00 18,530.75 0.00 65,750.75 119.5 10,750.75- 0.00 <br /> 262 FENCING 9,855 .00 81422.00 0.00 0.00 89422 .00 85 .5 15433 .00 0.00 <br /> CONCRETE <br /> 274 CONCRETE SUB-CONTR 263, 100.00 266, 143 .50 11200.00 0.00 267,343 . 50 101.6 49243 . 50- 0.00 <br /> MASONRY <br /> 328 MASONRY SUB-CONTR. 6,000.00 31267 .45 0.00 0.00 35267.45 54.5 2,732 .55 0.00 <br /> 356 MASONRY INSULATION 21500.00 2,377.00 0.00 0.00 2,377.00 95. 1 123 .00 0.00 <br /> METALS l <br /> 368 MISC. METALS 5,550.00 5,550.00 0 .00 0.00 5,550.00 100.0 0.00 0.00 <br /> 733P841100 696,006.76 25,388 .08 0.00 721 ,394. 84 12,446. 16 0 .00 <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 />AIA' Document is protected by U.S. Copyright <br /> Law and International Treaties. Unauthorized reproduction or distribution of this AIA' 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, e-mail <br />The American Institute of Architects' legal <br /> counsel, copyrightibaia.org. <br />