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CONTINUATION SHEET <br />AIA DOCUMENT G703 <br />PAGE 2 OF 2 PAGES <br />AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, containing <br />Contractor's signed Codification is attached. <br />in tabulations below, amounts are stated to the nearest dollar. <br />Use Column I on Contracts where variable retainage for line items may apply. <br />APPLICATION NUMBER: 8 <br />APPLICATION DATE: 02/24/10 <br />PERIOD TO: 02/27/10 <br />CBI CONTRACT NO.: 37147815 <br />A <br />ITEM <br />No. <br />- - -- - ------ ----------------- - ------------ <br />B <br />DESCRIPTION OF WORK <br />- ------- - <br />SCHEDULED <br />VALUE <br />-- ----------------------------------- <br />D <br />WORK <br />FROM <br />PREVIOUS <br />APPLICATIONS <br />------------------------ <br />E <br />WORK <br />COMPLETED <br />THIS PERIOD <br />------------------------ <br />F <br />MATERIALS <br />PRESENTLY <br />STORED <br />(NOT IN <br />DORE) <br />.......... .............. .............. .............. <br />G <br />TOTAL % <br />COMPLETED (G div.C) <br />AND STORED <br />TO DATE <br />(D + E + F) <br />------------- <br />-- <br />- - - ) <br />BALANCE <br />TO FINISH <br />(C G <br />- ------ ----- I --- -- ------- <br />RETAINAGE <br />5% <br />1 <br />Insurance & Bonds <br />63,800.00 <br />63,800.00 <br />0.00 <br />63,800.00 <br />100% <br />0.00 <br />3,190.00 <br />2 <br />Engineering & Approval <br />205,700.00 <br />205,700.00 <br />0.00 <br />205,700.00 <br />100% <br />0.00 <br />10,285.00 <br />3 <br />Tank Material <br />514,300.00 <br />514,300.00 <br />0.00 <br />514,300.00 <br />100% <br />0.00 <br />25,715.00 <br />4 <br />Tank Fabrication & Ship <br />514,300.00 <br />514,300.00 <br />0.00 <br />514,300.00 <br />100% <br />0.00 <br />25,715.00 <br />5 <br />Temporary Fence / Layout <br />10,000.00 <br />10,000.00 <br />0.00 <br />10,000.00 <br />100% <br />0.00 <br />500.00 <br />6 <br />Access Road <br />30,000.00 <br />30,000.00 <br />0.00 <br />30,000.00 <br />100% <br />0.00 <br />1,500.00 <br />7 <br />Watermain <br />105,686.00 <br />105,686.00 <br />0.00 <br />105,686.00 <br />100% <br />0.00 <br />5,284.30 <br />8 <br />Foundation Construction <br />170,300.00 <br />170,300.00 <br />0.00 <br />170,300.00 <br />100% <br />0.00 <br />8,515.00 <br />9 <br />Tank Erection <br />785,014.00 <br />573,060.22 <br />117,752.10 <br />690,812.32 <br />88% <br />94,201.68 <br />34,540.62 <br />10 <br />Interior Slab <br />8,000.00 <br />0.00 <br />0.00 <br />0.00 <br />0% <br />8,000.00 <br />0.00 <br />11 <br />Control Room <br />7,000.00 <br />0.00 <br />0.00 <br />0.00 <br />0% <br />7,000.00 <br />0.00 <br />12 <br />Overhead Door <br />5,500.00 <br />0.00 <br />0.00 <br />0.00 <br />0% <br />5,500.00 <br />0.00 <br />13 <br />Tank Paint <br />584,100.00 <br />0100 <br />0.00 <br />0.00 <br />0% <br />584,100.00 <br />0.00 <br />14 <br />Sterilized & Test <br />1,000.00 <br />0.00 <br />0.00 <br />0.00 <br />0% <br />1,000.00 <br />0.00 <br />15 <br />Electrical / Controls <br />87,700.00 <br />36;5.57 00 <br />` 0.00 <br />36,557.00 <br />41.7% <br />51,143.00 <br />1,827.85 <br />16 <br />Site Restoration <br />10,000.00 <br />0.00 <br />0.00 <br />0.00 <br />0% <br />10,000.00 <br />0.00 <br />17 <br />Bituminous Roadwork <br />86,000.00 <br />0.00 <br />0.00 <br />0.00 <br />0% <br />86,000.00 <br />0.00 <br />C.O. #1- Watermain Change;Relocate Tank <br />22,877.00 <br />22,877.00 <br />0.00 <br />22,877.00 <br />100% <br />0.00 <br />1,143.85 <br />3,211,277.00 <br />2,246,580.22 <br />117,752.10 <br />0.00 <br />2,364,332.32 <br />74% <br />846,944.68 <br />118,216.62 <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. 20006 G703-1992 <br />