|
_
<br /> AWIVAI
<br /> 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 11 ,2007
<br /> Use Column I on Contracts where variable retainage Cor line items may apply. PERIOD TO: SEP 30,2007
<br /> ARCHITECT'S PROJECT NO: 184
<br /> A B C D E F G H I
<br /> WORKCOMPLETED MATERIALS TOTAL
<br /> SCHEDULED FROM PREVIOUS PRESENTLYCOMPLETED RETAINABLE
<br /> ITEM DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD STORED EDBALANCE AND STORED (G + TO C) FINISH ( F VARIABLE
<br /> NO. (NOT IN TO DATE RATE)
<br /> (D + E) DOR E) (D+E+F) (C - G)
<br /> GENERAL CONDITIONS
<br /> 28 FIELD SUPERVISION 1295000.00 74,634 .85 39234. 16 0.00 77,869.01 60.4 5L130.99 0.00
<br /> 29 PROJECT MANAGEMENT 865000 .00 595931 .74 4,344.56 0.00 64,276.30 74.7 215723 .70 0.00
<br /> 34 PERMANENTPOWER 2,500.00 225 .27 0.00 0.00 225 .27 9 .0 25274 .73 0.00
<br /> 36 TRAILER RENTAL 21,800.00 2,735 .63 0.00 0.00 21735 .63 97. 7 64. 37 0.00
<br /> 40 TEMP. POWER ' 1 ,200.00 0.00 0.00 0.00 0.00 0.0 11200.00 0.00
<br /> 42 TELEPHONE 1 ,600 .00 989. 10 18 .99- 0.00 970. 11 60.6 629.89 0.00
<br /> 44 TEMPORARY TOILET 1 ,600.00 878. 83 295.08 0.00 15173 .91 73 .4 426.09 0.00
<br /> 50 PROJECT SIGN 1 ,000.00 549.97 0.00 0 .00 549.97 55 .0 450.03 0.00
<br /> 52 TEMPORARY FENCE 41,500.00 2,973 . 56 0.00 0.00 21973 .56 66. 1 1 ,526.44 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 TEMP. PROTECTION 2,000.00 1 , 146.64 0.00 0.00 17146.64 57.3 853 .36 0.00
<br /> 68 FIRSTAID 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 /> 71 PRINTING/POSTAGE 55000.00 11794.06 170.04 0.00 13964. 10 39. 3 31035 .90 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 49, 191 .00 485326.60 364.38 0.00 48,690.98 99.0 500.02 0.00
<br /> 78 ENGINEERING 18,225 .00 17,475 .00 750.00 0.00 18,225 .00 100.0 0.00 0.00
<br /> 80 SOIL TESTING 2,500 .00 31210.00 0.00 0.00 3 ,210.00 128.4 710.00- 0.00
<br /> 82 CONCRETE TESTING 2,200 .00 997. 50 0.00 0.00 997.50 45 .3 ' 1 ,202 .50 0.00
<br /> 88 SM. TOOL/SUPPLIES 3 ,800.00 2,236.45 198. 88 0.00 25435 .33 64. 1 11364.67 0.00
<br /> 92 HOUSEKEEPING LABOR 41750.00 23665 . 56 0.00 0.00 2,665 .56 56. 1 2,084 .44 0.00
<br /> 94 FINAL CLEANING 2,400.00 11797.60 0.00 0.00 1,797.60 74.9 602 .40 0.00
<br /> 1 .10 SOLID WASTE FEE 500.00 0 .00 0.00 0.00 0.00 0.0 500.00 0 .00
<br /> 1 121 341 00 112 56R 36 9. 119 11 0.00 231 90647 - 89434 51 (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 />AIAx 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, copyright@aia.org.
<br />
|