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CONTINU TION SHEET AIti ICUMENTG703
<br />AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 6
<br />Contractor's signed certification is attached.
<br />In tabulations below, amounts are stated to the nearest dollar.
<br />Use Column 1 on Contracts where variable retainage for line items may apply.
<br />APPLICATION DATE
<br />PERIOD TO
<br />ARCHITECT'S PROJECT NO
<br />5/31/2017
<br />5/31/2017
<br />C13.111233
<br />A
<br />ITEM
<br />NO
<br />B
<br />DESCRIPTION OF WORK
<br />C
<br />SCHEDULED
<br />VALUE
<br />D I E
<br />WORK COMPLETED
<br />F
<br />MATERIALS
<br />PRESENTLY
<br />STORED
<br />(NOT IN
<br />D OR E)
<br />G
<br />TOTAL
<br />COMPLETED
<br />AND STORED
<br />TO DATE
<br />(D+E+F)
<br />H
<br />%
<br />(G + C)
<br />I
<br />BALANCE
<br />TO FINISH
<br />(C - G)
<br />J
<br />RETAINAGE
<br />(IF VARIABLE
<br />RATE
<br />FROM PREVIOUS
<br />APPLICATION
<br />THIS PERIOD
<br />WELL
<br />BID DUAL ROTARY
<br />dr 1
<br />MOBILIZATION/DEMOBILIZATION, SITE
<br />CLEANUP
<br />$37,810.00
<br />$28,357.50
<br />$9,452.50
<br />$37,810.00
<br />100.00%
<br />$0.00
<br />$1,890.50
<br />dr 2
<br />DRILL & DRIVE 24" CASING
<br />$48,345.00
<br />$54,615,00
<br />$54,615.00
<br />11297%
<br />($6,270.00)
<br />52,730.75
<br />dr 3
<br />DRILL 23" (NOMINAL) OPEN HOLE FROM 204
<br />ITO 500 FT
<br />$25,875.00
<br />$4,250.000
<br />$4,250.00
<br />16.43%
<br />$21,625.00
<br />$212.50
<br />dr4
<br />IGAMMA LOG
<br />$1,300.00
<br />$1,300.00
<br />$1,300.00
<br />100.00%
<br />$0.00
<br />$65.00
<br />dr 6
<br />FURNISH & INSTALL 18" CASING
<br />$34,675.00
<br />$34,675.00
<br />$34,675.00
<br />100.00%
<br />$0.00
<br />$1,733.75
<br />dr 7
<br />GROUT BETWEEN 24" AND 18" CASING
<br />$12,075.00
<br />$10,925.00
<br />$10,925.00
<br />90.48%
<br />$1,150.00
<br />$546.25
<br />dr 8
<br />HI QUE SCREEN
<br />$35,525.00
<br />$32,585.00
<br />$32,585.00
<br />91.72%
<br />$2,940.00
<br />$1,62925
<br />dr 9
<br />PACKER WITH GRAVEL DEVICE
<br />$2,917.00
<br />$2,917.00
<br />$2,917.00
<br />100.00%
<br />$0.00
<br />$145 85
<br />dr 10
<br />FILTER PACK
<br />$11,250.00
<br />$10,000.00
<br />$10,000.00
<br />88.89%
<br />$1,250.00
<br />$500.00
<br />dr 11
<br />FURNISH, INSTALL AND REMOVE WELL
<br />jDEVELOPMENT EQUIPMENT
<br />$4,500.00
<br />$4,500.00
<br />$4,500.00
<br />100.00%
<br />$0.00
<br />$225.00
<br />dr 12
<br />DEVELOP WELL SCREEN
<br />$26,000,00
<br />$31,20000
<br />_
<br />$31,200.00
<br />120.00%
<br />($5,200.00)
<br />$1,560.00
<br />dr 13
<br />FURNISH, INSTALL AND REMOVE TEST PUMP
<br />WITH DISCHARGE PIPING
<br />$4,850.00
<br />$4,850.00
<br />$4,850.00
<br />10000%
<br />$0.00
<br />$242.50
<br />dr 14
<br />ADDITIONAL TEST PUMP INSTALL AND
<br />REMOVAL
<br />$850.00
<br />_
<br />$0.00
<br />0.00%
<br />$850.00
<br />$0.00
<br />dr 15
<br />TEST PUMPING
<br />$9,25000
<br />$9,250.000
<br />$9,250.00
<br />100.00%
<br />$0.00
<br />$462.50
<br />dr 16
<br />WATER SAMPLING AND CHEMICAL ANALYSIS
<br />$1,250.00
<br />$1,250.000
<br />$1,250.00
<br />100.00%
<br />$0.00
<br />$62.50
<br />dr 17
<br />dr 18
<br />TELEVISING SURVEY OF FINISHED WELL
<br />DISINFECT THE FINISHED WELL
<br />$1,300.00
<br />$125.00
<br />$1,300.00°
<br />$125.00
<br />$1,300.00
<br />$125.00
<br />100.00%
<br />100.00%
<br />$0.00
<br />$0.00
<br />$6500
<br />$6.25
<br />dr 19
<br />dr 20
<br />dr 21
<br />PITLESS UNIT, ENCLOSURE, PAD, BOLLARDS,
<br />AND PIPING
<br />IIPUMP AND MOTOR
<br />DROP PIPE AND W IRE
<br />$51,000.00
<br />$45,000.00
<br />_
<br />$24,000.00
<br />$43,350.00
<br />$45,000.00
<br />$24,000.000
<br />$7,650.00
<br />$51,000.00
<br />$45,000AO
<br />$24,000.00
<br />100.00%
<br />°
<br />100.00%
<br />100.00%
<br />$0.00
<br />$0.00
<br />$0..00
<br />$2,550.00
<br />$2,250.00
<br />$1,200.00
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