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CONTINUATION SHEET
<br />AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, containing
<br />Contractor's signed Certification is attached.
<br />in tabulations below, amounts are stated Jo the nearest dollar.
<br />Use Column 1 on Contracts m4we variable retainage for line items may apply.
<br />ITE
<br />N
<br />1
<br />2
<br />3
<br />4
<br />5
<br />6
<br />7
<br />8
<br />9
<br />1
<br />1 9
<br />1 2
<br />1 3
<br />9 4
<br />1 5
<br />1 6
<br />1
<br />7
<br />AIA DOCUMENT G703 - APPLICATION AND CERTIFICATE FOR PAYMENT - MAY 1983 - AIA' 1992
<br />THE AMERICAN INSTITUTE OF ARCHITECTS, '1735 NEW YORK AVENUE, N-W., WASHINGTON, D.C. 2WW
<br />A _ R C D
<br />M DESCRIPTION OF WORK SCHEDULED WORK TOTAL BALANCE RETAINAGE
<br />O. VALUE FROM COMPLETED PRESENTLY i COMPLETED ' div -C) : TO FISH 5%
<br />PREVIOUS THIS PERIOD STORED j AND STORED ( C - G )
<br />APPLICATIONS I NOT IN i TO DATE
<br />- - - -- -. i DORE) (0 +E +F)
<br />Insurance & Bonds 63,800.00 I 63,800.00 a 0.00 53,800 00 1QD96 0.Ofl 3,190.00
<br />Engineering 8 Approval s` 205,700.00 102,850.00 102,850.00 205,700 00 100% 0.00 10,285,00
<br />Tank Material 514,300.00 0:00 1 488,585.00 488,585.00 95% 25,715.00 24,42925
<br />Tank Fabrication & Ship 514,300.00 J 0.00 1' 51,430.00 51,430.00 10% 462 2,571.50
<br />Temporary Fence /Layout
<br />10.000-001 5,000.00 5,000_flfl 10,000.00 100 °l° 0.00 500-00 Access Road 30,000.001 0.00 s 22,500.00 i 22,500.00 75 ° l° 7.500.00 1,125.00
<br />Watermain 105.686.00 0.00 j 105,686.00 105,686A0 100° _ 0.00: 5,284.30
<br />Foundation Construction 170,300.00 127,725.00 1 42,575.00 1 ;' 170,300.00 100% 0-flD 8,515.00
<br />Tank Erection 785,014.00 0.00 0.001
<br />000 0'�° 785j)14_00 0.00
<br />0 Interior Slab 8,000.00 1 OAO I 0_001 000: t196 8,000_(10 0.00
<br />Control Room 1 7,000.00 ; 0.00) o-00 0.00 096 ! 7,000.00 0.00
<br />Overhead Door 5,500.00 1 0.00 , 0.00 1 0.00 0% 3,500.00 0.00
<br />Tank Paint 584,100.00 '' 0.00 0 -00 ' 0.00 ; 0% 584,100.00 D.00
<br />Sterilized & Test i 1,000.00 0.00 0.00 _ 0.00: 0% 9,000.00 0.00
<br />i Electrical /Controls 87,700.00 0.00 0.00 0 00 0 °1° 87,7{)0 #)t3 0.00
<br />-
<br />Site Restoration 10,000AO 0.00 0.00 3 °
<br />0.00 fl I° 10,000.00 0.00
<br />Bituminous Roadwork 86,000.001 0.00 t)_00 0.00 ', 0% 86,000.00 0.00
<br />C -O- #1- Watermain Change . Tank ; 22,877.00 0.00 22,877 -00 22.877.00 100% 0.00 1,143.85
<br /># 3,211,277.00 i 299,375.00 1 841,503 -00 1 0.00 1,140,878.001 36% 2,070,399.00 57,043.90 -
<br />AIA DOCUMEAlT 6703 PAGE 2 OF 2 PAGES
<br />APPLICATION NUMBER: 3
<br />APPLICATION DATE: 09128/09
<br />PERIOD TO: 09125/09
<br />CBI CONTRACT NO_: 37147815
<br />ViK)RK MATERIALS
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<br />G703 -1992
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<br />G703 -1992
<br />G703 -1992
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