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� j� � . <br /> i • <br /> �I �� - <br /> . �j � " <br /> ' - - <br /> � , , -r�-�_i - ! - . _. <br /> �1,�. �a ' _ _ TM = - - a _ ; _ _ _ - _ <br /> =:�:= - _ � �������� �703 � 199� Sr������:����s �-= - -_ � �- <br /> 0 <br /> - � = - _ �- _ _ T� � -- - � . - � �. , _ _ _ _ - _ <br /> Cori#inua€ion Sh�e�' ✓ � ' ' - _ = � - - ;� �: = �= _ _ - - _ - _ - <br /> - �_ - � �� . _ - _ - - - _ _ . _ , - <br /> GENERAL INFORMATIflN ;_ =-� _ _- ___ _ _ _ - ° , - _ _ _ _ = -_ <br /> Purpose and Related Documents.AIA Document G702,Application and Ce�ificate for Payment,i�to b�used in conjunction with AIA Document G703, _ <br /> Continuation Sheet.These documenls are designed for use on Projects where the Contractor has a direct Agreement with the Owner.Procedures for their use are <br /> covered in AIA Document A201,General Conditions of the Contract for Construction <br /> Use of Current Documents.Prior to using any AIA Con;ract Documeni,users shouid consult www.aia.org or a local AIA component to verify the most recent <br /> edition. <br /> Reproductions.This document is a copyrighted work and may not be reproduced or excerpted from without the express written permission of the AIA There is <br /> no impiied permission;o reproduce this document,nor does membership in The American Institute of Architects corfer any further nghts to reproduce this <br /> document.The AIA hereby grants the purchaser a lirn�ted license to reproduce a maximum of ten copies of a completed G703,but only for use in connectron with <br /> a par�cular project.The AIA�miii not permft reproduction outside of the limited license for reproduciion granted above,excepf upon writien request and receipi of <br /> wriiten permission from the AIA.Rights to reproduce the document may vary for users of AIA soitware.Licensed AIA software users shouid consuit the End User <br /> License Agreemeni(EULA).To report copyrighl violations otAlA Contract Documents,e-maii The American Insh;ute of Architects'legal counsei, <br /> copyright@aia.org. <br /> COMPLETING 7HE G703 FORM <br /> Heading:This information should be compieted in a manner consistent with similar information on AIA Document G702,Applica�on e�d Certificake for Payment. <br /> Columns A,8&C:These columns should be c�mpleted by identifying the various portions of lfie Project and their scheduled values consistent writh the schedule <br /> of values submitted to the Architect at the commencement of the Project or as subseguently adjusted.The breakdown may be by sections of the Work or by <br /> Subcontractors and should remain consistent throughout the Projeci.Mul6ple pages shouid be used when required. <br /> Colum�C should be subtota(ed at the bottom when more ihan one page is used and totaled on the last page.IniGally,this total should equal tf�e original Contracl <br /> Sum.The iotal of column C may be adjusted by Change Orders during the Project. <br /> Column D:Enter in this column the amount of completed Work covered by ihe previous applica6on(columns 0&E from the previous app(ication).Values from <br /> column F(Maierials Presently Slored)from the previous application should not be entered in this column. <br /> Column E:Enter here the value of Work completed at the lime of this appficaUon,including the value of materials incorporated in the project that wete listed on <br /> the previous applica6on urxier Materials Presenily Stored(column F�. <br /> Column F:Enter here the value of Malerials Presently Slored for which payment is sought.The total of the column must be recalculated at the end of each pay <br /> period.This value covers both materials newly stored for which peyment is sought and materials previously stored which are not yet mcorporated into the Pro�ect <br /> Mere payment by the Owner for stored materials does not result in a deduction from this column.Only as malerials are inco�porated into the Project is their value <br /> deducted from this column and incorporated into column E(Work Compieted—This Period.) <br /> Column G:Enter here the total ot co(umns D,E and F.Calculate the percentage completed by dividing column G by�column C. <br /> Column H:Enter here the difference between column C(Scheduled Value}and column G(Total Compleied and Slored to Date�. <br /> Cotumn I:This column is normaNy used only for contracts where variabfe reiainage is permitted on a line-item basis.It need not b2 completed on projects where a- <br /> constant refainage is withheld from the overall contract amounl <br /> Change Orders:Although Change Orders cauld be inco�porated by changirg ihe schedule of values each Gme a Change Order is added to the Project,this is not <br /> normally done.Usualty,Change Orders a�e listed separately,either on iheir own G703 form or at the end of the basic schedule.The amount of the original <br /> contract adjusted by Change Orders is to be sntered in fhe appropriate�ocation or the G702 Form. <br /> ConstrucSon Change Directives:Amounis not in dispute that have been included in Construciion Change LSirectives should be incor�orated into one or more <br /> Change Orders.Amounts remaining in dispute should be dealt with according io Section 7.3 in A201. <br /> The foUowrng is an exsmple of a Contmuation Sheet for work in progress.Please nofe that dotla�amounts shown bebw are for iBusfiadve purpases only,and are not intended to <br /> 2flect actua/consbuctiort costs. <br /> d 8 C U E F G H I <br /> Wtt t'Ot � h1ATC1UALS TOf.V <br /> ITF.Ai ' AALANC'h <br /> SCf1EAl/LFD fROM PRL'VWUS FRL1LVItY CU>iPI.hTFD T� RhT.\1�AGf: <br /> DI�CfUVfIUhOfW(NtU ST[NtLU .1NUST(1FFV IIFVARIABf�i <br /> �� V,1Lt�F. .IPIR.lCATIDV -IAISVt.IttOU S�-Ci Fl�LSH <br /> rn. ���n�� Ion.�rr w�rt� <br /> Li UONt� IDFFtF1 ff.Ct <br /> 1 MOBIISZaTION 5000 5p00 0 0 5,000 t00 0 <br /> 2 STUMPREMOV�1. 5,000 5,000 0 0 5,000 100 0 <br /> 3 EARTNWORK 15,000 ]0000 5,000 0 15,000 100 0 <br /> 4 LOWERRETAININGWALL 70,000 0 5000 0 5,�0 50 5,000 , <br /> 5 CUR85 6 MISC.CONG. 5,000 0 0 0 0 D 5.000 <br /> 6 PAVIN6,UPPER pRIYE 20,000 0 0 0 0 0 20,000 <br /> '7 PRVIN6.LOWER DRIVE 20.000 0 O 0 0 0 20.�00 <br /> 8 PAVERS 20,000 0 0 10,000 10.000 50 ]0000 <br /> 9 �RICCyypRK 5A00 0 0 0 0 0 5000 <br /> 70 <br /> 11 ?05,000 20_000 IG,000 10,000 4C.0.."0 65,000 <br /> AIA Document G703n"-�992.Copyright0196,i,1965.1968,19fi7.7970.1978.1983 and 1992 by The American Inslilute ot Architects.AA rights reserved.WARNlNG: <br /> This AIq�'Dacument is pratected by U.S.Copyright Law and Intemational Treaties.Unauthorized reproduction or distribution ot thls AIA�Documenl,or any <br /> partion a(�t,rnay result in severe civil and criminat penalties,and wiU be prasecuted to the maximum extent possible under ihe law.Purchasers are pe�mitted to <br /> reproduca ten;10)ccpies o(this document when completed.To report copynght violations of AlA Contract Documents,e-mail The American Institute of Architects'legal <br /> counsel,copyright@aia.org, <br />