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CONTINUATION SHEET AIA DOCUMENT 6703 PAGE DE PAGES
<br /> AIA Document G7D2 , APPLICATION AND CERTIFICATION FOR PAYMEN"1', containing APPLICATION NO : REVISED 4
<br /> Contractor's signed certification is attached . OAK ISLAND OFFSITE APPLICATION DATE: JUNE 15 2006
<br /> In tabulations below, amounts are stated to the ncarest dollar. PERIOD TO : JUNE 15 2006
<br /> Use Column I on Contracts where variable retainage for line items may IPPIY. ARCIII'1'ECT'S PROJECT NO :
<br /> A B C D E P G H
<br /> E DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL % DAI.ANCE RHTAINAGF.
<br /> O VALUE FROMPREVIOUS Tl SPERIOD PRESENTLY COMPLETED (GTC) TO FINISH (IF VARIABLE
<br /> APPLICATION STORED AND STORED (C - G) RATE)
<br /> (D + E) (NOTIN TODA-I'E
<br /> D ORE) (DIET-P)
<br /> MOBILIZATION - $ 12,995 .00 $ 12,995 .00 $ 12,995 .00 100 .00% $0.00 $ 1 ,299.50
<br /> BONDS AND INSURANCE $3 ,000. 00 $3 ,000.00 $3 ,000.00 100 ,00% $0 .00 $300. 00
<br /> 8" GRAV IIY SEWER $69,420.00 $69,420 .00 $69,420 .00 100 .00% $0.00 $6,942 .00
<br /> NIANHOLE (8- 10 FT DEEP) $ 17,580.00 $172580. 00 $ 17,580.00 100,00% $0.00 $ 1 ,758.00
<br /> SEWER LATERALS $3,075 .00 $3 ,075 .00 $3 ,075 .00 100.00% $0 .00 $307 . 50
<br /> OPEN SAW CUT (ASPHALT) $280.00 $280.00 $280 .00 100 .00% $0.00 $28 .00
<br /> ASPHALT PVMI REPLACENIENT $6,110 .00 $6, 110.00 $61110.00 100.00% $0.00 $611 . 00
<br /> SURVEY/STAKEOUT/AS-BUIL'1'S $3 ,500.00 $3 ,500.00 $3 ,500.00 100 .00% $0 .00 $350. 00
<br /> TENIPORARY TRAFFIC CONTROL $ 1 ,500 .00 $ 1 ,500.00 $ 1 ,500 .00 100.00% $0. 00 $ 150 .00
<br /> RESTORATION (SOD) $22,247 .00 $22,247 .00 $22,247. 00 100 , 00% $0.00 $2,224.70
<br /> ROW PERMIT $500.00 $500. 00 $500.00 100 .00% $0.00 $50.00
<br /> OPEN SAM' CUT (CONCRETE) $ 1 ,680.110 $ 1 ,680 .00 $ 1 ,680.00 100.00% $0.00 $ 168 .00
<br /> CONCRETE DR. REPLACENIENT $7,278. 80 $7,278 .80 $7 ,278 , 80 100.00% $0.00 $727 . 88
<br /> CHANGE ORDER NO. 1 $ 13,500.00 $ 13 ,500 .00 $ 13 ,500.00 100.00% $0 .00 $ 1 ,350. 00
<br /> $0.00 $0.00
<br /> GRAND TOTAL $ 162,665 . 80 $162,665 . 80 ° $ 162,665 . 80 $0 .00 $ 16,266. 58
<br /> AIAOOCUNIENTG763 CONTINUATION SHEET FOR 762 . 1992EDITION AIA 01992
<br /> THE AMERICAN INSTITUTE OF ARGHITEG r5. 1735 NEW YORK AVENUE, N.W., WASHINGTON, PIG. 20666.5232 G703-1992
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