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<br />5
<br />12102109
<br />11/28109
<br />37147815
<br />
<br />APPLICATION NUMBER:
<br />APPLICATION DATE:
<br />PERIOD TO:
<br />CBI CONTRACT NO.:
<br />
<br />AlA DOCUMENT G703
<br />
<br />CONTINUATION SHEET
<br />AlA Document G102. APPUCATtON AND CERTIfiCATE FOR PAYMENT, containing
<br />Conlraclor's signed Certification is attad1ed.
<br />in tabulations below. amounts aRt alated to the nearest dollar.
<br />Use Column 1 on ConlJads whenl variable retainage for line items may apply.
<br />
<br />I
<br />RETAlNAGE
<br />5%
<br />
<br />H
<br />BAlANCE
<br />TO FINISH
<br />(C-G)
<br />
<br />%
<br />(G div.C)
<br />
<br />G
<br />TOTAl
<br />COMPLETED
<br />AND STORED
<br />TO DATE
<br />(D+E+F)
<br />
<br />F
<br />MATERIAlS
<br />PRESENTlY
<br />STORED
<br />( NOT IN
<br />DORE)
<br />
<br />E
<br />WORK
<br />COMPlETED
<br />llllS PERIOD
<br />
<br />o
<br />WORK
<br />FROM
<br />PREVIOUS
<br />APPUCATIONS
<br />
<br />C
<br />SCHEDULED
<br />VAlUE
<br />
<br />B
<br />DESCRIPTION OF WORK
<br />
<br />A
<br />ITEM
<br />NO.
<br />
<br />3,190.00
<br />10,285.00
<br />25,715.00
<br />20,572.00
<br />500.00
<br />1,500.00
<br />5,284.30
<br />8,515.00
<br />13,737.75
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />1,143.85
<br />
<br />0.00
<br />0.00
<br />0.00
<br />102,860.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />510,259.10
<br />8,000.00
<br />7,000.00
<br />5,500.00
<br />584,100.00
<br />1,000.00
<br />87,700.00
<br />10,000.00
<br />86,000.00
<br />0.00
<br />
<br />100%
<br />100%
<br />100%
<br />80%
<br />100%
<br />100%
<br />100%
<br />100%
<br />35%
<br />0%
<br />0%
<br />0%
<br />0%
<br />0%
<br />0%
<br />0%
<br />0%
<br />100%
<br />
<br />63,800.00
<br />205,700.00
<br />514,300.00
<br />411,440.00
<br />10,000.00
<br />30,000.00
<br />105,686.00
<br />170,300.00
<br />274,754.90
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />22,877.00
<br />
<br />0.00
<br />0.00
<br />0.00
<br />154,290.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />196,253.50
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />
<br />63,800.00
<br />205,700.00
<br />514,300.00
<br />257,150.00
<br />10,000.00
<br />30,000.00
<br />105,686.00
<br />170,300.00
<br />78,501 AO
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />22,877.00
<br />
<br />63,800.00
<br />205,700.00
<br />514,300.00
<br />514,300.00
<br />10,000.00
<br />30,000.00
<br />105,686.00
<br />170,300.00
<br />785,014.00
<br />8,000.00
<br />7,000.00
<br />5,500.00
<br />584,100.00
<br />1,000.00
<br />87,700,00
<br />10,000.00
<br />86,000.00
<br />22,877.00
<br />
<br />1 Insurance & Bonds
<br />2 Engineering & Approval
<br />3 Tank Material
<br />4 Tank Fabrication & Ship
<br />5 Temporary Fence I Layout
<br />6 Access Road
<br />7 Watermain
<br />8 Foundation Construction
<br />9 Tank Erection
<br />10 Interior Slab
<br />11 Control Room
<br />12 Overhead Door
<br />13 Tank Paint
<br />14 Sterilized & Test
<br />15 Electrical I Controls
<br />16 Site Restoration
<br />17 Bituminous Roadwodt.
<br />C.O. #1- Watennain Change;ReJocate Tank
<br />
<br />90,442.90
<br />
<br />G103-1992
<br />
<br />1,402,419.10
<br />
<br />1,808,857.90 I 56%
<br />
<br />0.00
<br />
<br />350,543.50
<br />
<br />20006
<br />
<br />1,458,314.40
<br />
<br />AlA DOCUMENT G103 - APPUCATION AND CERTIFICATE FOR PAYMENT - MAY 1983 - A1Ao-1992
<br />THE AMERICAN INSTITUTE OF ARCHITECTS. 1135 NEW YORK AVENUE, NW., WASHINGTON. D.C.
<br />
<br />3,211,277.00
<br />
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