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CONTINUATION SHEET IIIA DOCUMENT 0703 d PAGE OF PACES
<br /> AIA Document 6702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO : REVISED 3
<br /> Cullumetnt's signed certification Is attached. OAK ISLAND OFFSITE APPLICATION DATE: JUNE 15 2006
<br /> In tabulations below, amounts We slated In the Hearts[ dullar. PERIOD TO : JUNE 15 2006
<br /> the Column 1 on Contracts where variable retainage for line items may apply . ARCHITECT'S PROJECT NO :
<br /> VM10BILIZA
<br /> p C D E F G IT I
<br /> DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATL'RIALS TOTAL % BALANCE RETAINAGE
<br /> VALUE FRONT PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G - C) TO FINISH (IF VARIABLE
<br /> APPLICATION STORED AND STORED (C - G) RATE)
<br /> ( D + H) (NOTIN TO DATE
<br /> D OR E) ( D+E+F)
<br /> "PION $ 12 ,995 , 00 $ 12,995 .00 $ 12,995 .00 100 .00% $0 .00 $ 1299. 50
<br /> ND INSURANCE $3 ,000. 00 $3 ,000.00 $3 ,000.00 100 .00% $0 .00 $300 .00
<br /> ITY SEWER $69 ,420.00 $69,420. 00 $69 ,420.00 100.00% $0. 00 $6,942 .00
<br /> NIANHOLE (8- 10 F'FDEEP) $ 17 ,580 .00 $ 17 ,580.00 $ 17 ,580.00 100. 00% $0 , 00 $ 1 ,158. 00
<br /> SEWER LATERALS $3 ,075 .00 $3 ,075.00 $3 ,075 .00 100.00% $0 .00 $30T50
<br /> OPEN SAW CUT (ASPHALT) $280. 00 $280.00 $280.00 100 .00% $0 .00 $28 .00
<br /> ASPHALT PVMT REPLACEMENT $6 , 110. 00 $6, 110.00 $6, 110 .00 100 .00% $0 .00 $611 .00
<br /> SUKVEY /STAKEOU DAS-BUIL'IS $3 ,500.00 $3 ,500. 00 $3 ,500.00 100 .00% .$0.00 $350.00
<br /> TEMPORARY "TRAFFIC CON IROI . $ 1 ,500 .00 $ 1 ,500.00 $ 1 ,500.00 100.00% $0.00 $ 150.00
<br /> RESTORATION (SOD) $22 ,247 . 00 $515.00 $21 ,732 .00 $22124T00 100.00% $0.00 $2224 "70
<br /> ROW PERMIT $ 500. 00 $ 500.00 $500 .00 100. 00% $0 , 00 $50.00
<br /> OPEN SAW CU"I' (CONCRCETE) $ 11680 .00 $ 1 ,680.00 $ 1 ,680 .00 100. 00% $0.00 $ 168 .00
<br /> CONCRETE DR. REPLACEMENT $7 ,278 . 80 $7 ,278. 80 $7,278 . 80 100. 00% $0 .00 $727. 88
<br /> CHANGE ORDER NO. I $ 13 ,500.00 $ 13 ,500 .00 $ 133500.00 100. 00% $0 .00 $ 1 ,350.00
<br /> $0 .00 $0.00
<br /> GRAND TO' I AL $ 162,665 . 80 $ 140.933 . 80 $ 21 , 732 . 00 $ 162 ,665 . 80 $0.00 $ I6?66 .58
<br /> AIADOCUNIENTG703 CONTINUATION SHECT FOR J702 . 1992EDITION All 01992
<br /> THE AMERICAN INS1 ITU HE OF ARCHITECTS, 1735 NEW YORK AVENUE, N,W . WASHING TON, D.C. 20006"5232 G703 -1992
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