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1A Document G703TM - 1992 • Continuation Sheet AIA Document G702TM, Application and Certification for Payment, APPLICATION NO: 11 containing Contractor' s signed certification is attached'. APPLICATION DATE : NOV 2772009 In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO : 25 ,2009 204 ARCHITECT'S PROJECT NO: 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 AND STORED VALUE APPLICATION THIS PERIOD STORED (G + C) FINISH (If variable rate) NO. (D + E) (Not inDorE) TO ODATF) (C - G) METALS 368 MISC . METALS 8,500.00 3 ,257.00 0.00 0.00 39257 .00 38 . 3 59243 .00 0.00 382 SHUTTERS/AWNINGS 59550.00 4,747 .77 0 .00 0.00 49747 .77 85 . 5 802 .23 0.00 394 PIPE BUMBERS 875 .00 619.64 0.00 0.00 619 .64 70. 8 255 . 36 0. 00 CARPENTRY 402 WOOD & LUMBER 33 ,000.00 1 %503 .26 929 . 94 0 .00 20,433 .20 61 .9 129566. 80 0 .00 412 TRUSSES 199950.00 19,920.76 0 .00 0 .00 19,920 . 76 99 . 9 29 .24 0.00 414 ROUGH CARPENTRY 64,420.00 669298 .00 0 .00 0.00 667298 .00 102 .9 11878 .00- 0.00 494 STAINLESS TOPS 89800.00 8,424 .00 0 .00 0.00 81424.00 95 . 7 376 .00 0.00 THERMAL/MOISTURE 502 'CAULKING 25100.00 0 .00 0. 00 0.00 0.00 0.0 29100.00 0. 00 504 INSULATION 3 ,900.00 3 ,823 .00 0 .00 0.00 3 , 823 .00 98 .0 77 .00 0 . 00 506 FOAM INSULATION 37500 .00 29377 .00 0 .00 0 .00 29377.00 67 .9 15123 .00 0 .00 514 ROOFING S .C . 37,500 .00 37 ,500. 00 0.00 0 .00 379500.00 100.0 0.00 0 .00 524 GUTTERS/D . S . 25379.00 2 ,379 .00 0.00 0 .00 21379.00 100 .0 0.00 0 .00 DOORS AND WINDOWS 546 H.M. DOORS/FRAMES 64, 155 .00 649155 .00 295 .00 0 . 00 649450 .00 100 . 5 295 .00- 0.00 550 H,M. DOOR - LABOR 5 ,500 . 00 4,750 . 00 0 . 00 0 . 00 4 , 750 .00 86 .4 750 . 00 0.00 562 OVERHEAD DOORS 19, 500 .00 199770 . 02 0 . 00 0 .00 199770 .02 101 .4 270 .02- 0.00 578 WINDOWS,GLASS & GLAZING 99952 .00 10,281 . 84 0 .00 0.00 10,281 . 84 103 .3 329 . 84- 0.00 FINISHES 604 STUCCO 35 ,597 . 00 25 , 765 . 00 0 .00 0 .00 259765 .00 72 .4 95832 .00 0.00 606 DRYWALL 589900.00 54,400 .00 0 .00 0 .00 54,400. 00 92 .4 49500 . 00 0.00 610 TILE/MARBLE 43 ,000 .00 40,250 .00 0 . 00 0 . 00 409250 .00 93 .6 29750 . 00 0 .00 GRAND TOTAL 4279078 .00 3885221 .29 19224.94 0 . 00 389,446.23 379631 . 77 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 G703T - 1992. Copyright © 1963, 1965, 1966 , 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 .