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<br /> _ Document G703 1992
<br /> Confinuation Sheet
<br /> AIA Document G702T'°'-1992,Applieation and Certificate for Payment,or G732T"'-2009, APPLICATION N0: 04 Four
<br /> Application and Certiftcate for Payment,Construction Manager as Adviser Edition, APPLICATION DATE: 12/22/2014
<br /> containing Contractor's signed certification is attached. 12/31/2014
<br /> In tabulations below,amounts are in US dollars. PERIOD T0:
<br /> Use Colurnn I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT N0:
<br /> A B C D E �' G H I
<br /> WORK COMPLETED
<br /> MATERIALS TOTAG BALANCE TO
<br /> ITEM SCHEDULED PRESENTLY COMPLETED AND % RETAINAGE
<br /> NO. DESCRIPTION OF WORK VALUE �OM PREVIOUS STORED STORED TO DA'I� (G=C) FINISH ��fyQy.jable rate)
<br /> APPLICATtON THIS PERIOD (C-G)
<br /> (D+E) (Not in D or E) (D+E+F)
<br /> 01 Bond 2,855.00 $ 2,855.00 $ - $2,855.00 1 0% $0.00 $142.75
<br /> 02 Architectural Woodwork 58,860.00 $ - $ 58,860.00 $58,860.00 1 0% $0.00 2,943.00
<br /> 03 Joint Sealers 3,240.00 $ - $ 3,240.00 $3,240.00 1 0°/a $0.00 $162.00
<br /> 04 Doors, Frames, Hardware 29,300.00 $ 7,325.00 $ 21,975.00 $29,300.00 1 �% $0.00 1,465.00
<br /> 05 Sectional overhead doors 3,325.00 $ - $ 3,325.00 $3,325.00 1 0% $0.00 $166.25
<br /> 06 Louvers 3,595.00 $ - $ 3,595.00 $3,595.00 1 0% $0.00 $179.75
<br /> 07 Toilet Cornpartrrlents 1,740.00 $ - $ 1,740.00 $1,74fl.00 1 0% $0.00 $87.00
<br /> 08 Toil�;t,4�c�ssories 3,000.00 $ 2,100.00 $ 900.00 $3,000.00 1 0°/a $0.00 $150.00
<br /> 09 Fire fxtinguishers 720.00 $ - $ 720.00 $720.00 1 0% $0.00 $36.00
<br /> 10 Entrance Mats 2,160.00 $ - $ 2,160.00 $2,160.00 1 0°/a $0.00 $108.00
<br /> 11 Selective Demo Gen. Con. 8,480.00 $ 8,480.00 $ - $8,480.00 1 0% $0.00 $424.00
<br /> 12 Selective Demo- Labor 31,670.00 $ 31,670.00 $ - $31,670.00 1 0°/a $0.00 1,583.50
<br /> 13 Allowance 3,000.00 $ 1,311.00 $ - $1,311.00 4% $1,689.00 $65.55
<br /> 14 Carpentry - Gen. Con. 9,145.00 $ 2,286.25 $ 6,858.75 $9,145.00 1 0% $0.00 $457.25
<br /> 15 Rough Carpentry L&M 19,585.00 $ 18,605.75 $ 979.25 $19,585.00 100% $0.00 $979.25
<br /> 16 Finish Carpentry 8,650.00 $ - $ 8,650.00 $8,650.00 1 0% $0.00 $432.50
<br /> 17 Doors- Labor 4,905.00 $ - $ 4,905.00 $4,905.00 1 0% $0.00 $245.25
<br /> 18 Louvers - Labor 620.00 $ - $ 620.00 ' $620.00 100% $0.00 $31.00
<br /> 19 Specialties- Labor 3,400.00 $ - $ 3,400.00 �a3,400.00 100% �0.00 $170.00
<br /> 20 Change Order 1A (654.00) $ (654.00) $ - -$654.00 1 Oa/o $0.00 -$32.70
<br /> 21 Change Order 1B (149.00) $ (149.00) $ - -$149.00 100% $0.00 -$7.45
<br /> GRANDTOTAL $197,447.00 $ 73,830.00 $ 121,928.00 $195,758.00 99% $1,689.00 $9,787.90
<br /> CAUTION:You should sign an original AIA Contract Document,on which this text appears in RED.An original assures that changes wil!not be obscured.
<br /> AIA pocument G703TM'-1992.Copyright�1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Archltects.All rights reserved.WARNING:This AIA"'Document is protected by U.S.Copyright
<br /> Law and International Treaties.Unauthorized reproduction or distrlbution of this AIA�Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maxlmum extent
<br /> possible under the law.Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal
<br /> counsel,copyright@aia.org. ,o,,,M�a.
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