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� ® TM ODocument G703 - 1992 Continuation Sheet AIA Document G702TM, Application and Certification for Payment, APPLICATION NO: 11 containing Contractor' s signed certification is attached. APPLICATION DATE : NOV 27,2009 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO : NOV 25 ,2009 Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT N0 : 204 A B C D E F G H I WORK COMPLETED TOTAL MATERIALS COMPLETED BALANCE ITEM DESCRIPTION OF WORK SCHEDULED FROM PREVIOUS PRESENTLY % TO RETAINAGE VALUE APPLICATION THIS PERIOD STORED AND STORED (G - C) FINISH (If variable rate) NO. (D + E) (Not in D or E) TO DATE (C - G) (D + E + F) 94 FINAL CLEANING 21200.00 11922 .67 175 .00 0 .00 2,097 .67 95 . 3 102 .33 0.00 118 SURVEYING 18,000 .00 169762 .51 853 . 76 0 .00 17,616.27 97 . 9 383 . 73 0.00 124 COMMON LABOR 31000 .00 3 , 860 .73 289 .20 0.00 49149.93 138 .3 1 , 149.93 - 0 .00 126 DUMP CHARGES 109000 .00 67594 . 15 309 . 51 0.00 63903 .66 69 .0 37096. 34 0.00 144 BUILDERS RISK 8,550.00 89059. 53 0.00 0.00 89059 .53 94 . 3 490.47 0.00 148 LIABILITY INSURANCE5 ,700.00 5 ,700 .00 0.00 0 .00 51700 .00 100 .0 0 .00 0.00 150 CONTINGENCY 409000 .00 229131 . 13 91561 .22 0 .00 315692 :35 79.2 89307.65 0.00 152 BUILDING PERMIT 79500 .00 129493 .26 0 . 00 0 .00 121493 .26 166 .6 49993 .26- 0 .00 156 G.C. BOND 15 ,300.00 15 ,385 .33 0 .00 0.00 159385 .33 100.6 85 .33- 0.00 SITE WORK 168 SITE DELEVOPMENT 218,000 .00 198,777 .00 5 , 198 .00 0.00 2037975 .00 93 .6 14,025 .00 0.00 180 GREASE TRAP/D.F . 41500 .00 21900.00 0 . 00 0.00 2 ,900 .00 64.4 19600 .00 0 .00 247 TEMP IRRIGATION 55500.00 0 .00 0.00 0 .00 0 .00 0 .0 59500.00 0.00 250 LANDSCAPING 799707 .00 1149161 .37 261 .00 0.00 114,422 .37 143 .6 34,715 .37- 0.00 252 RELOCATE TREES 8 ,664 .00 0.00 0 . 00 0.00 0.00 0 .0 81664 .00 0.00 254 SEEDING & SOD 26,224 .00 109263 . 15 0 .00 0 .00 107263 . 15 39. 1 15 ,960 . 85 0 .00 262 FENCING 6,898 .00 61168 .00 0 .00 0 .00 6, 168 . 00 89 .4 730 . 00 0 .00 264 SOIL POSION 21000 . 00 0.00 0 .00 0 .00 0.00 0 .0 2,000 . 00 0 . 00 CONCRETE 274 CONCRETE SUB-CONTR 226,500 .00 228 ,086.00 0 . 00 0 . 00 2289086 . 00 100.7 1 ,586.00- 0 .00 318 GYPCRETE/TOPPINGS 11500 .00 19280 .00 0 .00 0 .00 15280 .00 85 . 3 220 .00 0 .00 MASONRY 350 GLASS MASONRY 41500 .00 39334 . 50 0 .00 0 .00 3 ,334 . 50 74 . 1 1 , 165 . 50 0 .00 I I I I - -7 T GRAND TOTAL 694,243 . 00 6571879 . 33 167647 .69 0.00 674, 527 . 02 19, 715 . 98 0.00 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 . AIA Document G703TM - 1992. Copyright © 1963 , 19657 19669 1967, 1970, 19789 1983 and 1992 by The American Institute of Architects. All rights reserved. WARNING : This AIA® Document is protected by U .S. Copyright 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, and will be prosecuted to the maximum extent 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 The American Institute of Architects' legal counsel , copyright@aia.org .