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CONTINUATION SHEET AIA U OC UNrrN,T U703 4 PAGE OF FACES
<br /> APPLICATION NO : REVISED 2
<br /> AIA Document 67021 APPLICATION AND CERPIFICA1'ION FOR PAYMENT, containing APPLICATION DATE: APRIL 25 2006
<br /> Contractor's signed certification is attached , OAK ISLAND OFFSITE
<br /> PERIOD TO : APRIL 25 2006
<br /> In tabulations below, amounts are stated to the nearest colla . ARC'HITECT' S PROJECT NO :
<br /> Use Column 1 on Contracts where variable retainage IRline items may apply.
<br /> O D
<br /> G (1
<br /> A
<br /> D E C
<br /> E DESCRIPTION OF WORK SCHEDULED FRONT PREVIOUS MPLTHIS PERIOD IRH.S NTLY COMPLETED (G / C) TA ERJAIS TOTAL O FINISH (IFEVARIABLE
<br /> E)
<br /> JO. STORED ANll STORED (C - G) RATE)
<br /> At,PLICATI ON
<br /> (D I- L) (NO'f IN 'IO DATE
<br /> D OR E) (D+LIP)
<br /> MOBILIZATION $ 12,995 .00 $3,898.50 $9,096 . 50 $ 12,995 .00 100 .00% $0 .00 $ 1 ,299 . 50
<br /> $3,000.00 100 .00% $0 .00 $300.00
<br /> BONDS AND EWF.RWCE $3,000.00 $9,000.00 $69420.00 100.00% $0.00 $6,942 .00
<br /> 8" GRAVITY SEWER $69,420.00 $20,826.00 $48,594 .00 $ 17,580 .00 100 . 00"/" $0.00 $ 1 ,758 .00
<br /> MANHOLE (8- 10 FT DEEP) $ 17,580.00 $7,911 .00 $9,669.00 $0.00 $307 . 50
<br /> SEWER LATERALS $3 ,075 .00 $615 .00 $2,460.00 $3 ,075 .00 100.00%
<br /> OPEN SAW CUT (ASPI IAL 1') $280.00 $280 .00 $280 .00 100.00% $0.00 $28 .00
<br /> $6, 110 .00 100.00% $0.00 $611 .00
<br /> ASPHALT PVNI' P REPLACEMENT $6, 110.00 $3 ,055 .00 $3 ,055 .00 $3 ,500. 00 100 .00% $0.00 $350 .00
<br /> SURVEY/STAKEOUT/AS-GUILTS $3,50" .0 $1 ,750.00 $1 ,750.00
<br /> TEMPORARY TRAFFIC CON-CRUL $ 1 ,500 .00 $450.00 $ 1 ,050.00 $ 1 ,500,00 10000% $217$02 .00.00 $$50 .00
<br /> RESTORATION (SOD) $22,247 .00 $575 .00
<br /> ROW PERMIT $500.00 $500.00 $500.00 100 .00% $0 .W $50 .00
<br /> OPEN SAW CUT (CONCRETE) $ 1 ,680.00 $ 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 .0% $0 .00 $727 .88
<br /> CHANGEORDER 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 'I OTAL $ 162 ,665 . 80 $43 ,965 . 50 $0.00 $ 140,933 . 80 $21 ,732.00 $ 14 ,093 .38
<br /> AIA DOCUMENT G703 CONTINUATION SHEEI FOR 702 1992 EUI I ION AIA 01002 G703-1992
<br /> THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N W., WASHING I ON, D.C. 2000G 5232
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