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HomeMy WebLinkAboutERMCO, INC. -001586 -2/3/2011 CARMEL REDEVELOPMENT COMMISSION 001586 Ermco, Inc. Check: 1586 PO Box 1507 Date: 2/3/2011 Indianapolis, IN 46206 Vendor: ERMCO Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 33 36 147,955.00 147,955.00 9,785.00 0.00 138,170.00 Application 33 147,955.00 147,955.00 9,785.00 0.00 138,170.00 kff TM m it AlA Do cument G702/CMa - 1992 Application and Certificate for Payment Construction Manager-Adviser Edition TO OWNER: Carmel Redevelopment Commisl�ROJECT: Parcel 7A, Regional Performing ArtsAPPLICATION NO .33 Distribution to 1 Civic Square Center Interior Rough PERIOD TO 1273112010 OWNER ❑ ' Carmel, IN 46032 Construction Package P4 CONSTRUCTION MANAGER ❑ FROM CONTRAa INC. VIA CONSTRUCTION MANAGER: CONTRACT DATE: ARCHITECT 111 P.O. Box 1507 Shiel Sexton PROJECT NOS: 2695-4320 / CONTRACTOR ❑ Indianapolis, IN 46206 VIA ARCHITECT: FIELD 0 - - CSO Architects . CONTRACT F @ctrical Installation Project#25310H ❑ CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and Application is made for payment,as shown below,in connection with the Contract. belief the Work covered by this Application for Payment has been completed in accordance with the Continuation Sheet,AIA Document G703,is attached. Contract Documents, that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were Issued and payments received from the Owner, and that current 1.ORIGINAL CONTRACT SUM ?,505,000.00 payment shown herein is now due. �� 2. Net change by Change Orders • $(129,895.00) CONTRACTO� RMCO C . 3.CONTRACT SUM TO DATE(Line 1 +2) ?,375,105.00 By it Date: 12/15/2010 4.TOTAL COMPLETED&STORED TO DATE(Column G on G703) ,7,195,226.78 State of Indiana 5.RETAINAGE County of: . . . Marion a. %of Completed Work 368,755.25 Subscribe 5m sworn to before • December, 2010 (Column D.+Eon G703) $ me this day of ���,n� b. %of Stored Material Notary Public 1�J (Column F on G703) $ My Commission expires: 12/19/2015 Total Retainage(Lines 5a+Sb or Total in Column I of G703). $ 368,755.25 CERTIFICATE FOR PAYMENT 6,826,471.53 In accordance with the Contract Documents, based on on-site observations and the data comprising 6.TOTAL EARNED LESS RETAINAGE $ this application, the Construction Manager and Architect certify to the Owner that to the best of their (Line 4 Less Line 5 Total) 6,68$,301.53 knowledge,information and belief the Work has progressed as indicated,the quality of the Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $ accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate) CERTIFIED. 8.CURRENT PAYMENT DUE $ 13:,1/0.00 AMOUNT CERTIFIED $ I S�V12 9,BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount certified differ ro ti the amount,applied. Initial all figures on this Application and or to Continuation 'heet ?at re changed to conform with the amount :ertified.) (Line 3 less Line 6) $ 548,633.47 CONS CTION ft. , ' <-1� • . Date: " O BY= r+ .: wit. CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCH T: 7', a 1 Total changes approved in previous months by Owner 2 13,712.00 ,4639,307.00) BY: /i� '.. ~' Date: 112+1 lit, 86 Total approved 1 this r' 100.00 $ This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor . ..: ' TOTALS 549,412.00 4639,307.00) named herein. Issuance,'payment and acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order $ (129,895.00) the Owner or Contractor under this Contract. CAUTION:You should sign an original AIA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AIA Document G702/CMaTM-1992.Copyright ©1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA® Document is protected by U.S.Copyright Law and International TrealieS. Unauthorized reproduction or distribution of this AIA® Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent 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 counsel,copyright@aia.org. \ 0 �==1=-A Document G702/CMaTM - 1992 Instructions Application and Certificate for Payment Construction Manager-Adviser Edition A.General Information AIA Document G702/CMa,Application and Certificate for Payment,Construction Manager-Adviser Edition,is to be used in conjunction with AIA Document G703, Continuation Sheet.These documents are designed to be used on a Project where a Construction Manager is employed as an adviser to the Owner,but not as a constructor,and where multiple Contractors have direct Agreements with the Owner.Procedures for their use are covered in AIA Document A201/CMa,General Conditions of the Contract for Construction,Construction Manager-Adviser Edition,1992 Edition. B.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 no implied permission to reproduce this document,nor does membership in The American Institute of Architects confer any further rights to reproduce this document. The AIA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed G702/CMa,but only for use in connection with a particular project.The AIA will not permit reproduction outside of the limited license for reproduction granted above,except upon written request and receipt of written permission from the AIA. Rights to reproduce the document may vary for users of AIA software.Licensed AIA software users should consult the End User License Agreement(EULA). To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright@aia.org. C.Completing the G702/CMa Form After the Contractor has completed AIA Document G703,Continuation Sheet,summary information should be transferred to AIA Document G702/CMa,Application and Certificate for Payment,Construction Manager-Adviser Edition. The Contractor should sign G702/CMa,have it notarized and submit it,together with G703,to the Construction Manager and Architect. The Construction Manager and Architect should review G702/CMa and G703 and,if they are acceptable,complete the Certificate for Payment on G702/CMa.The Construction Manager and Architect may certify a different amount than that applied for pursuant to Sections 9,5 and 9.6 of A201/CMa.They should then initial all figures on G702/CMa and 0703 that have been changed to conform to the amount certified and attach an explanation.The completed G702/CMa and G703 should be forwarded to the Owner. D.Completing the G703 Form Heading:This information should be completed to be consistent with similar information on AIA Document G702/CMa,Application and Certificate for Payment, Construction Manager-Adviser Edition. Columns A,B&C:These columns should be completed by identifying the various portions of the Project and their scheduled value consistent with the schedule of values submitted to the Architect at the commencement of the Project or as subsequently adjusted.The breakdown may be by sections of the Work or by Subcontractors and should remain consistent throughout the Project.Multiple pages should be used when required. Column C should be subtotaled at the bottom when more than one page is used and totaled on the last page. Initially,this total should equal the original Contract Sum. The total of column C may be adjusted by Change Orders during the Project. Column D:Enter in this column the amount of completed work covered by the previous application(columns D&E from the previous application).Values from column F (Materials Presently Stored)from the previous application should not be entered in this column. Column E:Enter here the value of Work completed at the time of this application,including the value of materials incorporated into the project which were listed on the previous application under Materials Presently Stored(column F). Column F:Enter here the value of Materials Presently Stored for which payment is sought.The total of the column must be recalculated at,the end of each pay period. This value covers both materials newly stored for which payment is sought and materials previously stored which are not yet incorporated into the Project.Mere payment by the Owner for stored materials does not result in a deduction from this column.Only as materials are incorporated into the Projecf is their value deducted from this column and incorporated into column E(Work Completed-This Period). - Column G:Enter here the total of columns 0,E and F.Calculate the percentage completed by dividing column G by column C. Column H:Enter here the difference between column C(Scheduled Value)and column G(Total Completed and Stored to Date). Column I:This column is normally used only for contracts where variable retainage is permitted on a line-item basis.It need not be completed on projects where a constant retainage is withheld from the overall contract amount. Change Orders:Although Change Orders could be incorporated by changing the schedule of values each time a Change Order is added to the Project,this is not normally done.Usually,Change Orders are listed separately,either on their own G703 form or at the end of the basic schedule.The amount of the original contract adjusted by Change Orders is to be entered in the appropriate location on the G702/CMa form. Construction Change Directives:Amounts not in dispute that have been included in Construction Change Directives should be incorporated into one or more Change Orders.Amounts remaining in dispute should be dealt with according to Section 7.3 in A201/CMa. E.Making Payment The Owner should make payment directly to the Contractor based on the amount certified by the Construction Manager and Architect on AIA.Document G702/CMa, Application and Certificate for Payment,Construction Manager-Adviser Edition.The completed form contains the name arid•address of the Contractor.Payment should not be made to any other party unless specifically indicated on G702/CMa. AIA Document G702/CMa TM-1992.Copyright ©1992 by The American Institute of Architects.All rights reserved.WARNING:This Ale Document is protected by U.S. Copyright Law and International Treaties.Unauthorized reproduction or distribution of this Ale Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent 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 counsel,copyright @aia.org. ® ERMCO Contract 4t 2695-4320 ' G7O3TM 124070 �ssi Document G703 1992 Continuation Sheet - - AIA Document G702TM,Application and Certification for Payment, APPLICATION NO: 33 containing Contractors signed certification is attached. 12/15/2010 In tabulations below amounts are stated to the nearest dollar. APPLICATION DATE: 12/31/2010 Use Column,I on Contracts where variable retainage for line items may apply. - PERIOD T0: ARCHITECT'S PROJECT NO A B C D E F G H 1 WORK COMPLETED TOTAL • MATERIALS BALANCE COMPLETED SCHEDULED FROM PREVIOUS PRESENTLY % TO RETAINAGE ITEM DESCRIPTION OF WORK AND STORED NO VALUE APPLICATION THIS PERIOD STORED TO DATE (G=C) FINISH (If variable rate) (D E) (Not inDorE) (D+E+F) (C—G) 00.001 MOBILIZATION 15,000.00 15,000.00 15,000.00 100 00.002 P.M. 200,000.00 200,000.00 200,000.00 100 00.003 CAD ENG 80,000.00 80,000.00 80,000.00 100,; • 00.004 TEMP L 75;000.00 75,000.00 75,000.00 ; 100:`. 00.005 TEMP- M 45,000.00 45,000.00 45,000 00 100 :: 00.006 CLEAN UP 15;000.00 15,000.00 15,000.00'. 100 00.007 BOND 72,000.00 72,000.00 .72,000.00 100 00.008 TESTING 18,000.00 18.000.00 18,000.00 100 00.009 SITE OFFICE 23,000.00 •• 23,000.00 : 23,000.00 100 00.010 DEMOBILIZATION 5,000.00 2,000.00 _. . .... . - . 2,000.00 40 3,000.00 00.011 ALLOWANCE 12 550,000.00 489,848.00 (88,384.00) 401,464.00 73 148,536.00 00.012 ALLOWNACE 13 350,000.00 325,253.78 325,253.78 93 24,746.22 00.013 ALLOWANCE 14 100,000.00 75,000.00 24,763.00 99,763.00 100 237.00 00.014 ALLOWANCE 15 5,000.00 5,000.00 5,000.00 100 00.015 ALLOWANCE 16 10;000.00 10,000.00 10.000.00 100 00.016 EO.11 00.017 MAT 10,000.00 10,000.00 10,000.00 100 . 00.018 LABOR 6,000.00 6,000.00 6,000.00 100 00.019 EXCAVATION 35,000.00 35,000.00 35,000.00 100'; 00.020 E0.12 . 00.025 BRANCH R-M 500.00 500.00 500.00 • 100 00.026 BRANCH R- L 1,500.00 1,500.00 1;500.00 100 00.027 BRANCH F M 100.00 100.00 100.00 100 GRAND TOTAL • CAUTION:You should sign an original AIA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AIA Document G703"—1992.Copyright©1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA®Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent 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 " counsel,copyright @aia.org. \p/4 ® Document G7O3TM- 1992 Instructions Continuation Sheet GENERAL INFORMATION Purpose and Related Documents.AIA Document G702TM,Application and Certificate for Payment,is to be used in conjunction with AIA Document 0703,Continuation Sheet.These documents are designed for use on Projects where the Contractor has a direct Agreement with the Owner. Procedures for their use are covered in AIA Document A201 TM,General Conditions of the Contract for Construction. Use of Current Documents. Prior to using any AIA Contract Document,users should consult www.aia.org or a local AIA component to verify the most recent edition. 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 no implied permission to reproduce this document,nor does membership in The American Institute of Architects confer any further rights to reproduce this document.The AIA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed G703,but only for use in connection with a particular project.The AIA will not permit reproduction outside of the limited license for reproduction granted above,except upon written request and receipt of written permission from the AIA. Rights to reproduce the document may vary for users of AlA software.Licensed AIA software users should consult the End User License Agreement(EULA).To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. COMPLETING G703-1992 Heading.This information should be completed in a manner consistent with similar information on AIA Document 0702,Application and Certificate for Payment. Columns A,B&C.These columns should be completed by identifying the various portions of the Project and their scheduled values consistent with the schedule of values submitted to the Architect at the commencement of the Project or as subsequently adjusted.The breakdown may be by sections of the Work or by Subcontractors and should remain consistent throughout the Project.Multiple pages should be used when required. Column C should be subtotaled at the bottom when more than one page is used and totaled on the last page.Initially,this total should equal the original Contract Sum.The total of column C may be adjusted by Change Orders during the Project. Column D.Enter in this column the amount of completed Work covered by the previous application(columns D& E from the previous application). Values from column F(Materials Presently Stored) from the previous application should not be entered in this colmn. Column E.Enter here the value of Work completed at the time of this application,including the value of materials incorporated in the project that were listed on the previous application under Materials Presently Stored(column F). Column F.Enter here the value of Materials Presently Stored for which payment is sought.The total of the column must be recalculated at the end of each pay period.This value covers both materials newly stored for which payment is sought and materials previously stored which are not yet incorporated into the Project. Mere payment by the Owner for stored materials does not result in a deduction from this column.Only as materials are incorporated into the Project is their value deducted from this column and incorporated into column E(Work Completed This Period.) Column'C.Enter here the total of columns D,E and F.Calculate the percentage completed by dividing column G by column C. Column H.Enter here the difference between column C(Scheduled Value)and column G(Total Completed and Stored to Date). Column I.This column is normally used only for contracts where variable retainage is permitted on a line-item basis. It need not be completed on projects where a constant retainage is withheld from the overall contract amount. Change Orders.Although Change Orders could be incorporated by changing the schedule of values each time a Change Order is added to the Project,this is not normally done. Usually,Change Orders are listed separately,either on their own G703 form or at the end of the basic schedule. The amount of the original contract adjusted by Change Orders is to be entered in the appropriate location on the G702 form. Construction Change Directives.Amounts not in dispute that have been included in Construction Change Directives should be incorporated into one or more Change Orders.Amounts remaining in dispute should be dealt with according to Section 7.3 in A201. The following is an example of a Continuation Sheet for work in progress.Please note that dollar amounts shown below are fir illustrative purposes only,and are not intended to reflect actual construction costs. A II c D F c u I WORK COMPLETED MATERIALS TOTAL BALANCE COMPLI I'ED ITEM SC11E0UL110 FROM PREVIOUS PRISENTLY TO BETA WAGE NO. DESCRIPTION OF WORK VALUE APPLICATION TIIIS PERIOD STORE() AND STORED (0-C1 FINIS!! (lfVC,.EN'Wll)I fJ+F.) (Nor wDar tt TO!Mill ( (n.r.g,�F) (C—G7 1 MOBILIZATION 5,000 5,000 0 0 5,000 100 0 2 STUMP REMOVAL 5,000 5,000 0 0 5,000 100 0 3 EARTH WORK 15,000 10,000 5,000 0 15,000 100 0 4 LOWER RETAINING WALL 10,000 0 5,000 0 5,000 50 5,000 5 CURBS S MISC.CONC. 5,000 0 0 0 0 0 5.000 6 PAVING,UPPER DRIVE 20,000 0 0 0 0 0 20,000 7 PAVING,LOWER DRIVE 20,000 0 0 0 0 0 20,000 • 8 PAVERS 20,000 0 0 10,000 10,000 50 10000 9 BRICK WORK 5,000 0 0 0 0 0 5,000 10 11 GRAND TOTAL 105,000 20,000 10000 - 10,000 40,000 65,000 AIA Document G703T""—1992.Copyright©1963, 1965, 1966, 1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING: This AIA0 Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIAe Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent 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 counsel,copyright @aia.org. MIMI AIA ERMCO Contract # 2695-4320 kVm TM Q ' e• Document G703 � 1992 124070 NA Continuation Sheet AIA Document G702TM,Application and Certification for Payment, APPLICATION NO containing Contractors signed certification is attached. 33 In tabulations below,amounts are stated to the nearest do€Iar. APPLICATION DATE: 12/15/2010 Use Column l on Contracts where variable may apply PERIOD TO: retain e for line items g Y pp Y• 12/31/2010 ARCHITECT'S PROJECT NO A B C 1) E F G H T WORK COMPLETED MATERIALS TOTAL BALANCE ITEM DESCRIPTION OF WORK SCHEDULED FROM PREVIOUS PRESENTLY COMPLETED % TO RETAINAGE NO. VALUE APPLICATION THIS PERIOD STORED AND STORED (G=C) FINISH (If variable rate) (D+E) (Not InDorE) TO DATE (C—G) (D+E+F) 00.028 BRANCH F- L 200.00 200.00 200.00 100 00.029 E1.01 00.030 FEEDER M 975,000.00 975,000.00 975,000.00 100..:!_. 00.031 FEEDER L 600,000.00 600,000.00 600,000.00 f 100 00.032 E1.02 00.033 EQ M 250,000.00 250,000.00 250,000.00 100 00.034 EQ L 150,000.00 150,000.00 150,000.00 100 00.035 E1.03 ." 00.036 :EQ R- M 10,000.00 10,000.00 10,000.00 100 00.037 EQ R- L 15,00000 15,000.00 15,000.00 100 00.038 EQ F -M 30,000.00 30,000.00 30,000.00 100 00.039 EQ F-L 8,000.00 8,000.00 8,000.00 100 00.040 E1.04 00.041 EQ R- M 10,000.00 10,000.00 10,000.00 100 00.042 EQ R- L 15,000.00 15,000.00 15,000.00 100 00.043 EQ F- M 25,000.00 25,000.00 25,000.00 100 00.044 EQ F- L 8,000.00 : 8,000.00 8,000.00 100 00.045 El 05 00.046 EQ R- M 5,000.00 5,000.00 5,000.00 100. 00.047 EQ R- L 5,000.00 5,000.00 5,000 00 100 00.048 EQ F-M 35,000.00 35,000.00 35,000.00. 100 00.049 EQ F- L 8,000.00 8,000.00 8,000.00 100 00.050 E2.00&A& P GRAND TOTAL . CAUTION:You should sign an original AIA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AIA Document GMT"'—1992.Copyright©1963,1965,1966,1967,1970,1978, 1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA®Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AlA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent 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 counsel,copyright @aia.org. *AIIAI Document G703'M- 199 2 Instructions Continuation Sheet • GENERAL INFORMATION Purpose and Related Documents.AIA Document G702TM,Application and Certificate for Payment,is to be used in conjunction with MA Document 0703,Continuation Sheet.These documents are designed for use on Projects where the Contractor has a direct Agreement with the Owner. Procedures for their use are covered in AIA Document A201'r",General Conditions of the Contract for Construction. Use of Current Documents.Prior to using any AIA Contract Document,users should consult www.aia.org or a local AIA component to verify the most recent edition. • 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 no implied permission to reproduce this document,nor does membership in The American Institute of Architects confer any further rights to reproduce this document.The AEA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed G703,but only for use in connection with a particular project.The AIA will not permit reproduction outside of the limited license for reproduction granted above,except upon written request and receipt of written permission from the AIA. Rights to reproduce the document may vary for users of AIA software. Licensed AIA software users should consult the End User License Agreement(EULA).To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. COMPLETING G703-1992 Heading.This information should be completed in a manner consistent with similar information on AIA Document G702,Application and Certificate for Payment. Columns A,B&C.These columns should be completed by identifying the various portions of the Project and their scheduled values consistent with the schedule of values submitted to the Architect at the commencement of the Project or as subsequently adjusted.The breakdown may be by sections of the Work or by Subcontractors and should remain consistent throughout the Project.Multiple pages should be used when required. Column C should be subtotaled at the bottom when more than one page is used and totaled on the last page. Initially,this total should equal the original Contract Sum.The total of column C may be adjusted by Change Orders during the Project. Column D.Enter in this column the amount of completed Work covered by the previous application(columns D&E from the previous application).Values from column F(Materials Presently Stored)from the previous application should not be entered in this column. Column E.Enter here the value of Work completed at the time of this application, including the value of materials incorporated in the project that were listed on the previous application under Materials Presently Stored(column F). Column F.Enter here the value of Materials Presently Stored for which payment is sought.The total of the column must be recalculated at the end of each pay period.This value covers both materials newly stored for which payment is sought and materials previously stored which are not yet incorporated into the Project. Mere payment by the Owner for stored materials does not result in a deduction from this column.Only as materials are incorporated into the Project is their value deducted from this column and incorporated into column E(Work Completed-This Period.) Column C. Enter here the total of columns 0,E and F.Calculate the percentage completed by dividing column G by column C. Column H. Enter here the difference between column C(Scheduled Value)and column G(Total Completed and Stored to Date). Column I.This column is normally used only for contracts where variable retainage is permitted on a line-item basis.It need not be completed on projects where a constant retainage is withheld from the overall contract amount. Change Orders.Although Change Orders could be incorporated by changing the schedule of values each time a Change Order is added to the Project,this is not normally done. Usually,Change Orders are listed separately,either on their own 0703 form or at the end of the basic schedule. The amount of the original contract adjusted by Change Orders is to be entered in the appropriate location on the 0702 form. Construction Change Directives.Amounts not in dispute that have been included in Construction Change Directives should be incorporated into one or more Change Orders.Amounts remaining in dispute should be dealt with according to Section 7.3 in A201. The following is an example of ca Continuation Sheet for work in progress.Please note that dollar amounts shown below are for illustrative purposes only,and are not intended to reflect actual construction costs. A 13 C D E P G I I WORK COMPLETED •l rAL MATERIALS BALANCE COMPLETED ITEM SCIIEDULED FROM PREVIOUS PRESENTLY % TO RP,TA IN AGE NO. DESCRIPTION OF U'URK VALUE APPLICATION TIIIS PERIOD 5'1001)1 AND STORIiD (G+ ['[NISI{ (Ij rurmhfe r,W) I!)+F) Cuw b�O or F/ TO DATE F.„ (C- C) (D+E 1 MOBILIZATION 5,000 5,000 0 0 5,000 100 0 2 STUMP REMOVAL 5,000 5,000 0 0 5,000 100 0 3 EARTH WORK 15.000 10,000 5,000 0 15,000 100 0 4 LOWER RETAINING WALL 10,000 0 5,000 0 5,000 50 5,000 5 CURBS&MISC.CONC. 5,000 0 0 0 0 0 5,000 6 PAVING,UPPER DRIVE 20,000 0 0 0 0 0 20,000 7 PAVING,LOWER DRIVE 20,000 0 0 0 0 0 20,000 8 PAVERS 20,000 0 0 10,000 10,000 50 10,000 9 BRICK WORK 5,000 0 0 0 0 0 5,000 10 11 GRAND I OI AL 105,000 20,000 10,000 10,000 40,000 65,000 AlA Document G703T"-1992.Copyright©1963,1965,1966,1967,1970,1978,1983 and 1992 by The American institute of Architects.All rights reserved.WARNING: This AIA®Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent 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 counsel,copyright @aia.org. ERMCO Contract # 2695-4320 'iAIA T M Document G703 - 1992 124070 Continuation Sheet AIA Document G702TM,Application'and Certification for Payment, APPLICATION NO containing Contractor signed certification is attached. 33 APPLICATION DATE: In tabulations below amounts are stated to the nearest dollar. 12/15/2010 Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO 12/31/2010 ARCHITECT'S PROJECT NO A B C D E F G H I WORK COMPLETED TOTAL MATERIALS BALANCE SCHEDULED COMPLETED ITEM DESCRIPTION OF WORK FROM PREVIOUS PRESENTLY % TO RETAINAGE AND STORED NO. VALUE APPLICATION THIS PERIOD STORED TO DATE (C-C) FINISH (If variable rate) (D+E) (Not inDorE) (D+E+F) (C—G) • 00.051 RIGGING 35,000.00 35,000.00 35,000.00 100 00.052 EQ R-M 30,000.00 30,000.00 30,000.00 100 00.053 EQ R- L 20000.00 20,000.00 20,000.00 100.` 00.054 EQ F- M 575,000.00 575,000.00 575,000 00" ..100 00.055 EQ F L 30,000.00 30,000.00 30,000 00 100 00.056 BRANCH R- M 17,000.00 17,000.00 17,000.00 100 00.057 BRANCH:. R_L`' 13,000.00 13,000.00 13,000.00 100 00.058 BRANCH F M 7,000.00 7,000.00 7,000.00 100 00.059 BRANCH F- L 5,000.00 5,000.00 5,000.00 100 00.060 FEEDER R-M 550,000.00 550,000.00 550,000.00 100 00.061 FEEDER R- L . 250,000.00 250,000.00 250,000.00 100 00.062 FEEDER F-M 6,000.00 6,000.00 6,000.00 100 00.063 FEEDER F-L 10,000.00 10.000.00 10,000.00 100 00-064 E2.01 E2.02 00-065' RIGGING 10,000.00 10;000.00 10,000.00 100 00-070 BRANCH R-M 15,000.00 15,000.00 15,000.00 100 00.071 BRANCH R- L 8,000.00 8,000.00 8,000.00 100 00.072 BRANCH F-M 2,500.00 2,500.00 2,500.00 100 00.073 BRANCH F- L 3,500.00 3,500.00 3,500.00 100. r 00.074 E2.03&A 00.075 BRANCH R-M 20,000.00 20,000.00 ')0 000.00 100 00.076 BRANCH R L 16,000.00 16,000.00 16,000.00 100 00.077 BRANCH F-:M 1,000.00 1,000.00 . ''1,000.00 100 GRAND TOTAL CAUTION:You should sign an original AIA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AIA Document G7031"—1992.Copyright©1963,1965,1966, 1967,1970,1978,1983 and 1992 by The American institute of Architects.All rights reserved.WARNING:This AIA®Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this Ale Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent 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 - counsel,copyright @aia.org. ito AIA Document G703 -- 1992 Instructions Continuation Sheet GENERAL INFORMATION Purpose and Related Documents.AIA Document G702TM,Application and Certificate for Payment,is to be used in conjunction with AIA Document G703,Continuation Sheet.These documents are designed for use on Projects where the Contractor has a direct Agreement with the Owner.Procedures for their use are covered in AIA Document A201 TM,General Conditions of the Contract for Construction. Use of Current Documents.Prior to using any AIA Contract Document,users should consult www.aia.org or a local AIA component to verify the most recent edition. 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 no implied permission to reproduce this document,nor does membership in The American Institute of Architects confer any further rights to reproduce this document.The AIA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed G703,but only for use in connection with a particular project.The AIA will not permit reproduction outside of the limited license for reproduction granted above,except upon written request and receipt of written permission from the AIA. Rights to reproduce the document may vary for users of ALA software. Licensed AlA software users should consult the End User License Agreement(EULA).To report copyright violations of AlA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. COMPLETING G703--1992 Heading.This information should be completed in a manner consistent with similar information on AIA Document G702,Application and Certificate for Payment. Columns A,B&C.These columns should be completed by identifying the various portions of the Project and their scheduled values consistent with the schedule of values submitted to the Architect at the commencement of the Project or as subsequently adjusted.The breakdown may be by sections of the Work or by Subcontractors and should remain consistent throughout the Project.Multiple pages should be used when required. Column C should be subtotaled at the bottom when more than one page is used and totaled on the last page. Initially,this total should equal the original Contract Sum.The total of column C may be adjusted by Change Orders during the Project. Column D.Enter in this column the amount of completed Work covered by the previous application(columns D&E from the previous application). Values from column F(Materials Presently Stored)from the previous application should not be entered in this column. Column E.Enter here the value of Work completed at the time of this application,including the value of materials incorporated in the project that were listed on the previous application under Materials Presently Stored(column F). Column F.Enter here the value of Materials Presently Stored for which payment is sought.The total of the column must be recalculated at the end of each pay period.This value covers both materials newly stored for which payment is sought and materials previously stored which are not yet incorporated into the Project.Mere payment by the Owner for stored materials does not result in a deduction from this column.Only as materials are incorporated into the Project is their value deducted from this column and incorporated into column E(Work Completed This Period.) Column G.Enter here the total of columns D,E and F.Calculate the percentage completed by dividing column G by column C. Column H.Enter here the difference between column C(Scheduled Value)and column G(Total Completed and Stored to Date). Column I.This column is normally used only for contracts where variable retainage is permitted on a line-item basis. It need not be completed on projects where a constant retainage is withheld from the overall contract amount. Change Orders.Although Change Orders could be incorporated by changing the schedule of values each time a Change Order is added to the Project,this is not normally done. Usually,Change Orders are listed separately,either on their own G703 form or at the end of the basic'schedule. The amount of the original contract adjusted by Change Orders is to be entered in the appropriate location on the G702 form. Construction Change Directives.Amounts not in dispute that have been included in Construction Change Directives should be incorporated into one or more Change Orders.Amounts remaining in dispute should be dealt with according to Section 7.3 in A201. The following is an example of a Continuation Sheet for work in progress.Please note that dollar amounts shown below are for illustrative purposes only,and are not intended to reflect actual construction costs. A B C 1) 1 I) F G H 1 WORK COMPLETED TOTAL MATERIALS BALANCE COMPLETED ITEM SCHEDULED FROM PREVIOUS PRESENTLY % To RETnINAGF NO DESCRIPTION OF WORK VALUE APPLICATION 11115 PERIOD STORED AND STORED (0'-0 FMISII (IJbareable Age) (D+EJ Na in UrvrEl 0 DATE (C-G (l1+C+rl 1 MOBILIZATION 5,000 5,000 0 0 5,000 100 0 2 STUMP REMOVAL 5,000 5,000 0 0 5,000 100 0 3 EARTH WORK 15,000 10,000 5,000 0 15,000 100 0 4 LOWER RETAINING WALL 10,000 0 5,000 0 5,000 50 5,000 5 CURBS 1 MISC.CONC. 5,000 0 0 0 0 0 5,000 6 PAVING,UPPER DRIVE 20,000 0 0 0 0 0 20,000 7 PAVING,LOWER DRIVE 20,000 0 0 0 0 0 20,000 8 PAVERS 20,000 0 0 10,000 10,000 50 10,000 9 BRICKWORK 5,000 0 0 0 0 0 5,000 10 11 GRAND TOTAL 105,000 20,000 10,000 10,000 40,000 65,000 AlA Document G703TM-1992.Copyright©1963,1965, 1966, 1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING: This AIA®Document is protected by U.S.Copyright Law and international Treaties.Unauthorized reproduction or distribution of this AIA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent 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 counsel,copyright @aia.org. i° y A © ERMCO Contract if 2695-4320 li1 -4,-..-Ai_A Document G703TM 124070 Continuation Sheet AIA Document G702T7',Appltcation'and Certification for Payment, APPLICATION NO: 33 containing Contractors signed;,certification is attached. APPLICATION DATE: 12/15/2010 In tabulations below,amounts are stated to the nearest dollar. . ... Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: 12/31/2010 ARCHITECT'S PROJECT NO: A B C D E F 0 H I WORK COMPLETED TOTAL MATERIALS BALANCE COMPLETED ITEM DESCRIPTION OF WORK SCHEDULED FROM PREVIOUS PRESENTLY % TO RETAINAGE NO VALUE APPLICATION THIS PERIOD STORED AND STORED (G-C) FINISH (If variable rate) (D+E) (Not inDorE) TO DATE (C-G) (D+E+F) 00.078 BRANCH F- L 2,500.00 2,500.00 _ 2,500.00 100 00.079 FEEDER R-M 65,000.00 65,000.00 65,000.00 100 00.080 FEEDER R- L 45,000.00 45,000.00 45,000.00 100 00.081 FEEDER F- M 2,500.00 2,500.00 2,500.00. T. 100` 00.082 FEEDER F- L - 5,000.00 5,000.00 5,000.00 100 00.083 E2.04 00.084 BRANCH R <M 6,000.00 6,000.00 6,000.00 100 / 00.085 BRANCH R"- L 8,000.00 8,000.00 8,000.00 100 00.086 BRANCH F-M 1,000.00 1,000.00 1,000.00 100 00.087 BRANCH F- L 2,500.00 2,500.00 .. 2,500.00 100 00.088 E2.05 00.089 BRANCH R- M 15,000.00 15,000.00 15,000.00 100 00.090 BRANCH . R-L 14,000.00 14,000.00 14,000.00 100 00.091 BRANCH F-M 800.00 800.00 800.00 100 00.092 BRANCH F- L 1,500.00 1,500.00 1,500.00 100 00.093 E2.06 00.094 BRANCH R- M 4,000.00 4,000.00 4,000.00 100 00.095 BRANCH R- L 6,000.00 6,000.00 6,000.00 100 00.096 BRANCH F-M 600.00 600.00 600.00 100 00.097 BRANCH F-L 1,200.00 1,200.00 1,200.00 : 100 00.098 E2.07 00.099 BRANCH R-M 8,000.00 8,000.00 8,000 00 100 • 00.100 BRANCH R-,L 10,000.00 10,000.00 10,000.00 100 GRAND TOTAL . . CAUTION:You should sign an original AIA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AIA Document G703-r"-1992.Copyright©1963,1965, 1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA®Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this Ale Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent 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 counsel,copyright @aia.org. 1 ' :.., =A I A Document G703"- 1992 Instructions Continuation Sheet GENERAL INFORMATION Purpose and Related Documents.AIA Document G7O2TM,Application and Certificate for Payment,is to be used in conjunction with AIA Document 0703,Continuation Sheet.These documents are designed for use on Projects where the Contractor has a direct Agreement with the Owner. Procedures for their use are covered in AIA Document A201TM,General Conditions of the Contract for Construction. Use of Current Documents.Prior to using any AIA Contract Document,users should consult www.aia.org or a local MA component to verify the most recent edition. 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 no implied permission to reproduce this document,nor does membership in The American Institute of Architects confer any further rights to reproduce this document.The AIA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed G703,but only for use in connection with a particular project.The AIA will not permit reproduction outside of the limited license for reproduction granted above,except upon written request and receipt of written permission from the AIA. Rights to reproduce the document may vary for users of AIA software. Licensed AIA software users should consult the End User License Agreement(EULA).To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. COMPLETING G703-1992 Heading.This information should be completed in a manner consistent with similar information on AIA Document 0702,Application and Certificate for Payment. • Columns A,B&C.These columns should be completed by identifying the various portions of the Project and their scheduled values consistent with the schedule of values submitted to the Architect at the commencement of the Project or as subsequently adjusted.The breakdown may be by sections of the Work or by Subcontractors and should remain consistent throughout the Project.Multiple pages should be used when required. Column C should be subtotaled at the bottom when more than one page is used and totaled on the last page. Initially,this total should equal the original Contract Sum.The total of column C may be adjusted by Change Orders during the Project. Column D.Enter in this column the amount of completed Work covered by the previous application{columns D&E from the previous application).Values from•column F(Materials Presently Stored)from the previous application should not be entered in this column. Column E.Enter here the value of Work completed at the time of this application, including the value of materials incorporated in the project that were listed on the previous application under Materials Presently Stored(column F). Column F.Enter here the value of Materials Presently Stored for which payment is sought.The total of the column must be recalculated at the end of each pay period.This value covers both materials newly stored for which payment is sought and materials previously stored which are not yet incorporated into the Project.Mere payment by the Owner for stored materials does not result in a deduction from this column.Only as materials are incorporated into the Project is their value deducted from this column and incorporated into column E(Work Completed-This Period.) Column G.Enter here the total of columns D,E and F.Calculate the percentage completed by dividing column G by column C. Column H. Enter here the difference between column C(Scheduled Value)and column.G(Total Completed and Stored to Date). Column I.This column is normally used only for contracts where variable retainage is permitted on a line-item basis. It need not be completed on projects where a constant retainage is withheld'from the overall contract amount. Change Orders.Although Change Orders could be incorporated by changing the schedule of values each time a Change Order is added to the Project,this is not normally done. Usually,Change Orders are listed separately,either on their own 0703 form or at the end of the basic schedule. The amount of the original contract adjusted by Change Orders is to be entered in the appropriate location on the G702 form. Construction Change Directives.Amounts not in dispute that have been included in Construction Change Directives should be incorporated into one or more Change Orders.Amounts remaining in dispute should be dealt with according to Section 7.3 in A201. The following is an example of a Continuation Shoop,-work in progress.Please note that dollar amounts shown below are for illustrative purposes only,and are not intended to reflect actual construction costs. A IS C 0 0 F CF II I WORK COM ITEM) TOTAL PIATERIA LS RA LANCE COMPLETED ITEM SCHEDULED FROM PREVIOUS mssiw'LY % 'r0 RETAINAGIi NO. DESCRIPTION OF WORK VALUE APPLICATION TI IIS PERIOD STORED, AND[)ATP (G°Cl 051511 (tJ' i,Me rain) rD+El (N,,b,Dor E) TO DATE rU+E+P) 1 MOBILIZATION 5,000 5,000 0 0 5,000 100 0 2 STUMP REMOVAL 5,000 5,000 0 0 5,000 100 0 3 EARTH WORK 15,000 10.000 5,000 0 15,000 100 0 4 LOWER RETAINING WALL 10,000 0 5,000 0 5,000 50 5,000 5 CURBS S MISC.CONC. 5,000 0 0 0 0 0 5,000 6 PAVING,UPPER DRIVE 20,000 0 0 0 0 0 20,000 7 PAVING,LOWER DRIVE 20,000 0 0 0 0 0 20,000 8 PAVERS 20,000 0 0 10,000 10,000 50 10,000 9 BRICK WORK 5,000 0 0 0 0 0 5,000 10 11 GRAND TOTAL. 105,000 20,000 10,000 10,000 40,000 65,000 AEA Document G703TM-1992.Copyright©1963,1965,1966,1967,1970,1978, 1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING: This AIA®Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AlA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent 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 counsel,copyright @aia.org. ERMCO Contract 1't 2695-4320 = Document G7O3TM — 1992 124070 • Continuation Sheet AIA Document G702TM,Application and Certification for Payment, APPLICATION'NO: containing Contractor's signed certification is attached. APPLICATION DATE: 33 In tabulations below amounts are stated to the nearest dollar. _; 12/15/2010 Use Column 1 on Contracts where variable may apply. PERIOD T0: retainage for line items g Y PP Y 12/31/2010 ARCHITECT'S PROJECT NO: A B C D E F G H WORK COMPLETED TOTAL MATERIALS BALANCE ITEM DESCRIPTION OF WORK SCHEDULED FROM PREVIOUS PRESENTLY COMPLETED TO RETAINAGE VALUE APPLICATION THIS PERIOD STORED AND STORED (G-C) FINISH Of variable rare) NO. TO DATE (D+E) (Not inDorE) (D +F) (C G) 00.101 BRANCH F- M 1,000.00 1,000.00 1,000.00 100 00.102 BRANCH F L 2.500.00 2,500.00 2,500.00 100,:,: 00.103 E2.07A 00.104 BRANCH R M 15.000.00 15,000.00 15,000.00' 100 00.105 BRANCH R- L 20,000.00 20.000.00 20,000 00 100 00.106 BRANCH F M 9,000.00 9,000.00 9000.00 100 00107 BRANCH:: : F L 10,000.00 10,000.00 10,000.00 100 00.108 E2.08 00.109 BRANCH R-M 6.000.00 6,000.00 6,000.00 100 00.110 BRANCH R- L 8,000.00 8,000.00 8,000.00 100 00.111 BRANCH F-M 2,000.00 2,000.00 2,000.00 100 00.112 BRANCH F- L 3,500.00 3,500.00 3,500.00 100 00.113 E2.09 00.114 EQ R-M 8,000.00 8,000.00 8,000.00 100 00.115 EQ R- L 10,000.00 10,000.00 10,000.00 100 00.116 EQ F- M 2.500.00 2,500.00 • 2,500.00 100 00.117 EQ F- L 3,000.00 3,000.00 3,000.00 100 00.118, E2.10 " 00.119 BRANCH R-M 1,000.00 1,000.00 1,000.00 100 00.120 BRANCH R- L 2,500.00 2,500.00 2,500.00'' 100 00.121 BRANCH F- M 100.00 100.00 100.00.: 100 00.122 BRANCH F- L " 500.00 500.00 500.00 100 00.123 EQ R-`M 6,000.00 6,000 00 6000.00 100 • GRAND TOTAL • CAUTION:You should sign an original AIA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AIA Document G703TM-1992.Copyright 01963, 1965, 1966, 1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This Ale Document is protected by U.S.Copyright, Law and International Treaties.Unauthorized reproduction or distribution of this AIA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent 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 - counsel,copyright @aia.org. kg4A • IA Document G7031M- 1992 Instructions Continuation Sheet GENERAL INFORMATION Purpose and Related Documents.AIA Document G702TM,Application and Certificate for Payment,is to be used in conjunction with AIA Document G703,Continuation Sheet.These documents are designed for use on Projects where the Contractor has a direct Agreement with the Owner.Procedures for their use are covered in AIA Document A201TM,General Conditions of the Contract for Construction. Use of Current Documents.Prior to using any AIA Contract Document,users should consult www.aia.org or a local AIA component to verify the most recent edition. Reproductions.This document is a copyrighted work and may not he reproduced or excerpted from without the express written permission of the AIA.There is no implied permission to reproduce this document,nor does membership in The American Institute of Architects confer any further rights to reproduce this document.The AIA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed G703,but only for use in connection with a particular project.The AIA will not permit reproduction outside of the limited license for reproduction granted above,except upon written request and receipt of written permission from the AIA. Rights to reproduce the document may vary for users of AIA software.Licensed AIA software users should consult the End User License Agreement(EULA).To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. COMPLETING G703-1992 Heading.This information should be completed in a manner consistent with similar information on ALA Document 0702,Application and Certificate for Payment. Columns A,B&C.These columns should be completed by identifying the various portions of the Project and their scheduled values consistent with the schedule of values submitted to the Architect at the commencement of the Project or as subsequently adjusted.The breakdown may be by sections of the Work or by Subcontractors and should remain consistent throughout the Project. Multiple pages should be used when required. Column C should be subtotaled at the bottom when more than one page is used and totaled on the last page.Initially,this total should equal the original Contract Sum.The total of column C may be adjusted by Change Orders during the Project. Column D.Enter in this column the amount of completed Work covered by the previous application(columns D&E from the previous application).Values from column F(Materials Presently Stored)from the previous application should not be entered in this column. Column E.Enter here the value of Work completed at the time of this application,including the value of materials incorporated in the project that were listed on the previous application under Materials Presently Stored(column F). Column F.Enter here the value of Materials Presently Stored for which payment is sought.The total of the column must be recalculated at the end of each pay period.This value covers both materials newly stored for which payment is sought and materials previously stored which are not yet incorporated into the Project.Mere payment by the Owner for stored materials does not result in a deduction from this column.Only as materials are incorporated into the Project is their value deducted from this column and incorporated into column E(Work Completed—This Period.) Column G.Enter here the total of columns D,E and F. Calculate the percentage completed by dividing column G by column C. Column H.Enter here the difference between column C(Scheduled Value)and column G(Total Completed and Stored to Date). - Column I.This column is normally used only for contracts where variable retainage is permitted on a line-item basis. It need not be completed on projects where a constant retainage is withheld from the overall contract amount. Change Orders.Although Change Orders could be incorporated by changing the schedule of values each time a Change Order is added to the Project,this is not normally done.Usually,Change Orders are listed separately,either on their own G703 form or at the end of the basic schedule. The amount of the original contract adjusted by Change Orders is to be entered in the appropriate location on the 0702 form. Construction Change Directives.Amounts not in dispute that have been included in Construction Change Directives should be incorporated into one or more Change Orders.Amounts remaining in dispute should be dealt with according to Section 7.3 in A201. The following is an example of a Continuation Sheet for work in progress.Please note that dollar amounts shown below are for illustrative purposes only,and are not intended to reflect actual construction costs. A B O U E F 0 I I ] WORK COMPLETED TOt'AL MATF.RIAI,S BALANCE ITEM SCHEDULED CODS LIB RPU DESCRIPTION OF WORK FROM PREVIOUS PRESENTLY AND STOR ED 'PO RETA!NAGE 1(1. VALUE AI'PLLCA'FION TI IIS PERIOD STORED TI>DATE. (G—C) FlNISII (if variable.rest) (1) E1 (M,i,Unr El (C— C/ (D,E+F) 1 MOBILIZATION 5000 5,000 0 0 5,000 100 0 2 STUMP REMOVAL 5,000 5000 0 0 5,000 100 0 3 EARTH WORK 15,000 10000 5,000 0 15,000 100 0 4 LOWER RETAINING WALL 10,000 0 5,000 0 5,000 50 5,000 5 CURBS&MISC,CONC. 5,000 0 0 0 0 0 5,000 6 PAVING,UPPER DRIVE 20,000 0 0 0 0 0 20,000 7 PAVING,LOWER DRIVE 20,000 0 0 0 0 0 20,000 8 PAVERS 20,000 0 0 10,000 10,000 50 10,000 9 BRICK WORK 5,000 0 0 0 0 0 5,000 10 11 ORANI)TO'T'AL 105,000 20,000 10,000 10,000 40,000 65,000 AIA Document G703T"–1992.Copyright©1963, 1965, 1966, 1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING: This Ale Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent 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 counsel,copyright @aia.org. 0 ERMCO Contract # 2695-4320 Document G7O3TM - 1992 124070 Continuation Sheet pP Payment, APPLICATION.NO:AIA Document G7O2TM,A hcahon''and Certification for Pa ment, 0: 33 containing Contractors signed certification is attached. APPLICATION DATE: In tabulations below.amounts are stated to the nearest dollar. 12/15/2010 Use Column I on Contracts where variable retainage for line items may apply. ..:' PERIOD TO: 12/31/2010 ARCHITECT'S PROJECT NO: A B C 0 E F � G H I WORK COMPLETED TOTAL MATERIALS COMPLETED BALANCE ITEM DESCRIPTION OF WORK SCHEDULED FROM PREVIOUS PRESENTLY % TO RETAINAGE NO. VALUE APPLICATION THIS PERIOD STORED AND STORED (G-�C) FINISH (If variable rate) (D+E) (Mot inDorE) TO DATE (C—C) (D+E+F) 00.124 EQ R- L 10,000.00 10,000.00 10,000.00 100 00.125 EQ F-M 1,500.00 1,500.00 1,500.00 100 • 00.126 EQ F- L 2,000.00 2,000.00 2,000.00 100 • .. 00.162 E4.00&A& P 00.163 SOUND R M 75,000.00 75,000.00 75,000.00 100 00.164 SOUND 60,000.00 60;000.00 60;000.00 100 - ,, 00.165 E4.01 &A. . 00.166 SOUND R- M 40,000.00 40,000.00 40,000.00 100 00.167 SOUND R- L 25,000.00 25,000.00 25,000.00 100 • 00.168 E4.02 &A 00.169 SOUND R- M 40,000.00 40,000.00 40,000.00 100 00.170 SOUND R- L 25,000.00 25,000.00 25,000.00 100 00.171 E4.03 00.172 SOUND R-M 25,000.00 25,000.00 25,000.00 100 00.173 SOUND - R- L 18,000.00 18,000.00 18,000.00 100 00.174 E4.04 00.175 SOUND R- M 25,000.00 25,000.00 25,000.00 100 00.176 SOUND R- L 18,000.00 18.000.00 18,000.00 100 00.177 E4.05& .06& .07& .09 • 00.178 SOUND R- M 80,000.00 80,000.00 80,000.00 100' 00.179 SOUND R- L .. 65,000.00 65,000.00 65,000.00 100 00.180 E5.00 & P . 00.181 F.A. 15,000.00 15,000.00 15,000.00 100 GRAND TOTAL CAUTION:You should sign an original AIA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. MA Document G7O3TM—1992.Copyright©1963,1965, 1966,1967,1970,1978, 1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA®Document Is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AlA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent 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 counsel,copyright @aia.org. Document G7O3TM- 1992 Instructions Continuation Sheet GENERAL INFORMATION Purpose and Related Documents.AIA Document G702TM,Application and Certificate for Payment,is to be used in conjunction with AIA Document G703,Continuation Sheet.These documents are designed for use on Projects where the Contractor has a direct Agreement with the Owner. Procedures for their use are covered in AIA Document A201TM,General Conditions of the Contract for Construction. Use of Current Documents.Prior to using any AIA Contract Document,users should consult www.aia.org or a local AIA component to verify the most recent edition. 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 no implied permission to reproduce this document,nor does membership in The American Institute of Architects confer any further rights to reproduce this document.The AIA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed • 0703,but only for use in connection with a particular project,The AIA will not permit reproduction outside of the limited license for reproduction granted above,except upon written request and receipt of written permission from the AIA. Rights to reproduce the document may vary for users of AIA software.Licensed ALA software users should consult the End User License Agreement(EULA).To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. COMPLETING G703-1992 Heading,This information should be completed in a manner consistent with similar information on AlA Document G702,Application and Certificate for Payment. Columns A,B&C.These columns should be completed by identifying the various portions of the Project and their scheduled values consistent with the schedule of values submitted to the Architect at the commencement of the Project or as subsequently adjusted.The breakdown may be by sections of the Work or by Subcontractors and should remain consistent throughout the Project.Multiple pages should be used when required. Column C should be subtotaled at the bottom when more than one page is used and totaled on the last page. Initially,this total should equal the original Contract Sum.The total of column C may be adjusted by Change Orders during the Project. Column D.Enter in this column the amount of completed Work covered by the previous application(columns D&E from the previous application).Values from column F(Materials Presently Stored)from the previous application should not be entered in this column. Column E.Enter here the value of Work completed at the time of this application,including the value of materials incorporated in the project that were listed on the previous application under Materials Presently Stored(column F). Column F.Enter here the value of Materials Presently Stored for which payment is sought.The total of the column must be recalculated at the end of each pay period.This value covers both materials newly stored for which payment is sought and materials previously stored which are not yet incorporated into the Project. Mere payment by the Owner for stored materials does not result in a deduction from this column.Only as materials are incorporated into the Project is their value deducted from this column and incorporated into column E(Work Completed—This Period.) Column G.Enter here the total of columns D,E and F.Calculate the percentage completed by dividing column G by column C. Column H.Enter here the difference between column C(Scheduled Value)and column G(Total Completed and Stored to Date). Column I.This column is normally used only for contracts where variable retainage is permitted on a line-item basis. It need not be completed on projects where a constant retainage is withheld from the overall contract amount. Change Orders.Although Change Orders could be incorporated by changing the schedule of values each time a Change Order is added to the Project,this is not normally done. Usually,Change Orders are listed separately,either on their own G703 form or at the end of the basic schedule. The amount of the original contract adjusted by Change Orders is to be entered in the appropriate location on the G702 form. Construction Change Directives.Amounts not in dispute that have been included in Construction Change Directives should be incorporated into one or more Change Orders.Amounts remaining in dispute should be dealt with according to Section 7.3 in A201. The following is an example of a Continuation Sheet for work in progress.Please note that dollar amounts shown below are for illustrative purposes only,and are not intended to reflect actual construction costs. A WORK COMPLETED TOTAL MATERIALS BALANCE COMI'L1iTED ITEM SCI I1:13ULED FROM I'R[.VIOU,y' PRESENTLY % TO RI:TAINAGE DESCRIPTION OF WORK AND STORBD r (fvarta NO. VALUE APPLICATION THIS PERIOD STORED TO DATE G+L FINISH / 8/e rare) (0*5) �uor taw F,) (V E+(J (C-.0) 1 MOBILIZATION 5,000 5,000 0 0 5,000 100 0 2 STUMP REMOVAL 5,000 5,000 0 0 5,000 100 0 •3 EARTH WORK 15,000 10,000 5,000 0 15,000 100 0 4 LOWER RETAINING WALL 10,000 0 5,000 0 5,000 50 5,000 5 CURBS d MISC.CONC. 5,000 0 0 0 0 0 5,000 6 PAVING,UPPER DRIVE 20,000 0 0 0 0 0 20,000 7 PAVING,LOWER DRIVE 20000 0 0 0 0 0 20,000 8 PAVERS 20,000 0 0 10,000 10,000 50 10,000 9 BRICKWORK 5,000 0 0 0 0 0 5,000 10 11 GRAND TOTAL 105,000 20 000 10,000 10,000 40,000 65,000 AIA Document G703TM–1992.Copyright CD 1963,1965,1966,1967,1970,1978, 1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING: This Ale Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this Ale Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent 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 counsel,copyright @aia.org. ERMCO Contract # 2695-4320 1>iltAIA Document G703TM - 1992 124070 Continuation Sheet AIA Document G702TM,Application and Certification for Payment, APPLICATION NO: containing Contractors signed certification is attached. APPLICATION DATE: 33 In tabulations below,amounts are stated to the nearest dollar. 12/15/2010 Use Column I on Contracts where variable retainage for line items may apply. "PERIOD TO 12/31/2010 • ARCHITECT'S PROJECT NO • A B C D E F C H I WORK COMPLETED TOTAL MATERIALS BALANCE SCHEDULED FROM PREVIOUS COMPLETED ITEM DESCRIPTION OF WORK PRESENTLY AND STORED % TO RETAINAGE NO. VALUE APPLICATION THIS PERIOD STORED (G_C) FINISH Of variable rate) ' (D+E) (Not inDorE) TO DATE (C G) (D+E+F) 00.182 F.A. R- L 9,000.00 9,000.00 9,000.00 100 00.183 F.A. F-M 20,000.00 20,000.00 20,000.00 100 00.184 F.A. F- L 5,000.00 5,000.00 .. . .. 5,000.00 100."" 00.1.85 E5.01 & .02& .03 00.186 F.A. R M 17,000.00 17,000.00 17;400:00!' 100 00.187 F.A. 10,000.00 10,000.00 . 0000.00 100 00.188 F.A. F M "' 20,000.00 20,000.00 20,00000 100 00.189 F.A. F-L 5,000.00 5,000.00 5,000.00 100 00.190 E5.04& .05& .06 00.191 F.A R-M 20,000.00 20,000.00 20,000.00 100 00.192 F.A. R-L 17,000.00 17,000.00 17,000.00 100 00.193 F.A. F-M 20,000.00 20,000.00 20,000.00 100 00.194 F.A. F- L 5,000.00 5,000.00 5,000.00 100 00.195 E5.07& .08 & .09& .10 00.196 F.A. R- M 20,000.00 20,000.00 20,000.00 100 00.197 F.A. R-L 15,000.00 15,000.00 15,000.00 100 00.198 F.A. F-M 16,000.00 16,000.00 16,000.00 100 00.199 F.A. F- L 3,000.00 3,000.00 3,000.00 100 i.. 00.200 E6.02 00.201 EQ M 55,000.00 55,000 00 . 100 00.202 EQ L 20,000.00 20,000.00 20,000.00:;'' 100 00.203 CABLE M 35,000.00 35,000.00 35;000.00 100 00.204 CABLE L 45,000.00 45,000.00 45,000.00 100 GRAND TOTAL . i CAUTION:You should sign an original AIA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AIA Document G703”."—1992.Copyright©1963,1965,1966, 1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AlAe Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this Ale Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent 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 - counsel,copyright @aia.org. ---t-m-fr-AIA Document G703 - 1992 Instructions Continuation Sheet GENERAL INFORMATION Purpose and Related Documents.AIA Document G702Tm,Application and Certificate for Payment,is to be used in conjunction with AlA Document G703,Continuation Sheet,These documents are designed for use on Projects where the Contractor has a direct Agreement with the Owner.Procedures for their use are covered in AIA Document A20ITM,General Conditions of the Contract for Construction. Use of Current Documents. Prior to using any AIA Contract Document,users should consult www.aia.org or a local ALA component to verify the most recent edition. 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 no implied permission to reproduce this document,nor does membership in The American Institute of Architects confer any further rights to reproduce this document.The AIA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed G703,but only for use in connection with a particular project.The AIA will not permit reproduction outside of the limited license for reproduction granted above,except upon written request and receipt of written permission from the AIA. Rights to reproduce the document may vary for users of AIA software.Licensed AlA software users should consult the End User License Agreement(EULA).To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. COMPLETING G703-1992 Heading.This information should be completed in a manner consistent with similar information on AIA Document G702,Application and Certificate for Payment. . Columns A,B&C.These columns should be completed by identifying the various portions of the Project and their scheduled values consistent with the schedule of values submitted to the Architect at the commencement of the Project or as subsequently adjusted.The breakdown may be by sections of the Work or by Subcontractors and should remain consistent throughout the Project.Multiple pages should be used when required. Column C should be subtotaled at the bottom when more than one page is used and totaled on the last page. Initially,this total should equal the original Contract Sum.The total of column C may be adjusted by Change Orders during the Project. Column D.Enter in this column the amount of completed Work covered by the previous application{columns D&E from the previous application).Values from column F(Materials Presently Stored)from the previous application should not be entered in this column. Column E.Enter here the value of Work completed at the time of this application,including the value of materials incorporated in the project that were listed on the previous application under Materials Presently Stored(column F). Column F. Enter here the value of Materials Presently Stored for which payment is sought.The total of the column must be recalculated at the end of each pay period.This value covers both materials newly stored for which payment is sought and materials previously stored which are not yet incorporated into the Project.Mere payment by the Owner for stored materials does not result in a deduction from this column.Only as materials are incorporated into the Project is their value deducted from this column and incorporated into column E(Work Completed-This Period.) Column C.Enter here the total of columns D,E and F.Calculate the percentage completed by dividing column G by column C. Column H.Enter here the difference between column C(Scheduled Value)and column G(Total Completed and Stored to Date). Column I.This column is normally used only for contracts where variable retainage is permitted on a line-item basis.It need not be completed on projects where a constant retainage is withheld from the overall contract amount. Change Orders.Although Change Orders could be incorporated by changing the schedule of values each time a Change Order is added to the Project,this is not normally done. Usually,Change Orders are listed separately,either on their own G703 form or at the end of the basic schedule. The amount of the original contract adjusted by Change Orders is to be entered in the appropriate location on the G702 form. Construction Change Directives.Amounts not in dispute that have been included in Construction Change Directives should be incorporated into one or more Change Orders.Amounts remaining in dispute should be dealt with according to Section 7.3 in A20t. The following is an example of a Continuation Sheet for work in progress.Please note that dollar amounts shown below are for illustrative purposes only.and are not intended to reflect actual construction costs. A Si C n I1 F (1 II I )YORK COMPLETES) TOTAL MATERIALS BALANCE ITEM COMP!FM) DESCRIPTION OF WORK SCIIE,DU LED FROM PREVIOUS PRESENT Ll' % TO tillAINACE AND NO. VALUE ,\PI'LICXHON THIS 1'13RI01] STORED Grt FINISH I hlc-rmo (0..El rSHb,DoOE (1,'O C ,, (C-01 1 MOBILIZATION 5,000 5,000 0 0 5,000 100 0 2 STUMP REMOVAL 5,000 5,000 0 0 5,000 100 0 3 EARTH WORK 15,000 10,000 5,000 0 15,000 100 0 4 LOWER.RETAINING WALL 10,000 0 5,000 0 5,000 50 5,000 5 CURBS S MISC.CONIC, 5,000 0 0 0 0 0 5,000 6 PAVING,UPPER DRIVE 20.000 0 0 0 0 0 20,000 7 PAVING,LOWER DRIVE 20,000 0 0 0 0 0 20,000 8 PAVERS 20,000 0 0 10,000 10,000 50 10,000 9 BRICK WORK 5,000 0 0 0 0 0 5,000 10 I1 GRAND'rOTAL _ 105,000 20,000 10,000 10,000 40,000 65,000 AIA Document G703Tm-1992.Copyright©1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING: This AIA®Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.Purchasers are permitted to I 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 counsel,copyright @aia.org. ERMCO Contract I/ 2695-4320 =� = Document G703" 1992 � - 124070 Continuation Sheet AEA Document G702TM,Application and Certification for Payment, APPLICATION NO: containing Contractors signed certification is attached. 33 In tabulations below,amounts are stated to the nearest dollar. APPLICATION BATE: Use Column 1 on Contracts where variable retainage for line items may apply PERIOD T0: 12/15/2010 ARCHITECT'S PROJECT N0: 12/31/2010 A B C d D E F G H I WORK COMPLETED - TOTAL MATERIALS BALANCE COMPLETED SCHEDULED FROM PREVIOUS PRESENTLY AND STORED % TO RETAINAGE ITEM DESCRIPTION OF WORK NO VALUE APPLICATION THIS PERIOD STORED TO DATE (G'C) FINISH (If variable rate) (D+E) (Not nDorE) (D+E+F) (C—G) 00.205 GR M 5,000.00 5,000.00 5,000.00 100 00.206 GR L 2,000.00 2,000.00 2,000.00 100 00.207 E6.03 00208 SECURITY R M 40,000.00 40,000.00 40,000.00 100 00.209 SECURITY R L 20,000.00 20,000.00 20,000.00 100 00.210 SECURITY F M 18,000.00 18,000.00 I8.000.00 100 00.211 SECURITY F L 6,000.00 6,000.00 6000.00 100 00.212 E6.05 00.213 DIMMING M . 60,000.00 60,000.00 60,000.00 100 00.214 DIMMING L 45,000.00 45,000.00 45,000.00 100 00.215 E6.06 00.216 OPTIC SENSOR M 8,000.00 8,000.00 8,000.00 100 00.217 OPTIC SENSOR L 4,000.00 4,000.00 4,000.00 100 00.218 E7.09 00.219 S&C M 100,000.00 100,000.00 100,000.00 100 00.220 S&C L 80,000.00 80,000.00 '80,000.00 100 00.221 E8.00 00.222 LIGHTNING PRO M 42,000.00 42,000.00 42,000.00 100 00.223 LIGHTNING PRO L 18,000.00 18,000.00 18,000.00.- 100;' 00.224 ALLOWANCE 17 40.000 00 20.765 00 15.876 00 36,641.00 92 3.359 00 00.225 CHANGE ORDER#1 00.226 OCULUS ALTERNATE 1.000 00 1.000 00 1,000 00 100 00.227 CHANGE ORDER#2 GRAND TOTAL CAUTION:You should sign an original AIA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AIA Document G703TM—1992.Copyright©1963,.1965,1966, 1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA®Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AlA®Document,,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent 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 counsel,copyright @aia.org. =N4s.00:-AIA Document 6703 -- 1992 Instructions Continuation Sheet GENERAL INFORMATION Purpose and Related Documents.ALA Document G702Tft,Application and Certificate for Payment,is to be used in conjunction with ALA Document G703,Continuation Sheet.These documents are designed for use on Projects where the Contractor has a direct Agreement with the Owner. Procedures for their use are covered in AIA Document.A20 TM,General Conditions of the Contract for Construction. Use of Current Documents.Prior to using any AIA Contract Document,users should consult www.aia.org or a local AIA component to verify the most recent edition. 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 no implied permission to reproduce this document,nor does membership in The American Institute of Architects confer any further rights to reproduce this document.The ALA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed G703,but only for use in connection with a particular project.The AIA will not permit reproduction outside of the limited license for reproduction granted above,except upon written request and receipt of written permission from the AIA.Rights to reproduce the document may vary for users of AlA software. Licensed AIA software users should consult the End User License Agreement(EULA).To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects' legal counsel,copyright @aia.org. COMPLETING G703-1992 Heading.This information should be completed in a manner consistent with similar information on ALA Document 0702,Application and Certificate for Payment. Columns A, B&C.These columns should be completed by identifying the various portions of the Project and their scheduled values consistent with the schedule of values submitted to the Architect at the commencement of the Project or as subsequently adjusted.The breakdown may be by • sections of the Work or by Subcontractors and should remain consistent throughout the Project. Multiple pages should be used when required. Column C should be subtotaled at the bottom when more than one page is used and totaled on the last page.Initially,this total should equal the original Contract Sum.The total of column C may be adjusted by Change Orders during the Project. Column D.Enter in this column the amount of completed Work covered by the previous application(columns D&E from the previous application).Values from column F(Materials Presently Stored)from the previous application should not be entered in this column. Column E.Enter here the value of Work completed at the time of this application, including the value of materials incorporated in the project that were listed on the previous application under Materials Presently Stored(column F). Column F.Enter here the value of Materials Presently Stored for which payment is sought.The total of the column must be recalculated at the end of each pay period.This value covers both materials newly stored for which payment is sought and materials previously stored which are not yet incorporated into the Project. Mere payment by the Owner for stored materials does not result in a deduction from this column.Only as materials are incorporated into the Project is their value deducted from this column and incorporated into column E(Work Completed—This Period.) Column C.Enter here the total of columns D,E and F.Calculate the percentage completed by dividing column G by column C. Column H.Enter here the difference between column C(Scheduled Value)and column G{Total Completed and Stored to Date). Column I.This column is normally used only for contracts where variable retainage is permitted on a line-item basis. It need not be completed on projects where a constant retainage is withheld from the overall contract amount. Change Orders.Although Change Orders could be incorporated by changing the schedule of values each time a Change Order is added to the Project,this is not normally done. Usually,Change Orders are listed separately,either on their own 0703 form or at the end of the basic schedule. The amount of the original contract adjusted by Change Orders is to be entered in the appropriate location on the 0702 form. Construction Change Directives.Amounts not in dispute that have been included in Construction Change Directives should be incorporated into one or more Change Orders. Amounts remaining in dispute should be dealt with according to Section 7.3 in A201. The following is an example of a Continuation Sheet for work in progress.Please note that dollar amounts shown below ore for illrustroiive purposes only,and are not intended to reflect actual construction costs. A 0 C 1) E F G H WORK COMPLETED TOTAL MATERIALS BALANCE COMPLETED ITEM Sel(MUTED PROM PREVIOUS PRI:SIiNT1.V % TO REI'AINAGE NO. ULSCEiII'TiON OP WORK VALOR APPLICATION TH IS PERIOD STORED AND ST[I4I I:D (0 C) IINISII (if Purimk ra(e) /0+ (Nan u,l),,rEl TO 17. (C—G) 1 MOBILIZATION 5,000 5,000 0 0 5,000 100 0 2 STOMP REMOVAL 5 000 5.000 0 0 5.000 100 0 3 EARTH WORK 15,000 10000 5,000 0 15000 100 0 4 LOWER RETAINING WALL 10,000 0 5,000 0 5,000 50 5,000 5 CURBS A MISC.CONG. 5,000 0 0 0 0 0 5,000 6 PAVING,UPPER DRIVE 20,000 0 0 0 0 0 20,000 7 PAVING,LOWER DPI VE 20000 0 0 0 0 0 20,000 B PAVERS 20,000 0 0 10,000 10,000 50 10,000 9 BRICK WORK 5000 0 0 0 0 0 5,000 10 11 GRAND TUTAE. 105,000 20,000 10,000 10.000 40,000 65,000 AIA Document G703°'-1992.Copyright©1963, 1965,1966, 1967, 1970, 1978, 1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING: This AlA0 Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent 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 counsel,copyright©aia.org. * ATAERMCO Contract # 2695-4320 Document G7O3TM - 1992 124070 Continuation Sheet ALA Document G70211",Application and Certification for Payment, APPLICATION.NO: containing Contractor's signed certification is attached. APPLICATION DATE: 33 In tabulations below,amounts are stated to the nearest dollar. 12/15/2010 Use Column I on_Contracts where variable retainage for line items may apply. PERIOD TO: 12/31/2010 ARCHITECT'S PROJECT NO: A B C D E F G H I WORK COMPLETED TOTAL MATERIALS BALANCE SCHEDULED FROM PREVIOUS COMPLETED PRESENTLY % TO RETAINAGE ITEM DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD STORED AND STORED (G-C) FINISH (If variable rate) NO. (D+E) (Not In D or E) (DO DA+�) (C G) 00.228 MACHINELESS ELEVATOR 11,500.00 11,500.00 11,500.00 100 00.229 CHANGE ORDER#3 00.230 RCP 4 (58,852.00) (58,852.00) . (58,852.00) 100..` 00.231 CHANGE ORDER#004 No COAT 00.232 CHANGE ORDER#005: 00.233 ASI-037, RCP-006 23,177.00 23,177.00 23,177.00 100 00.234 CHANGE ORDER`°#006 00.235 RCP-011 '° (7,554.00) (7,554.00) (7,554.00) 100 00.236 CHANGE ORDER#007 00.237 ASI-038 18,732.00 18,732.00 18,732.00 100 00.238 CHANGE ORDER#008 00.239 ALLOWANCE 4320A ELEC GENEc (350,000.00) (350,000.00) (350,000.00) 100 ' 00.240 ALLOWANCE 4330A FIRE ALARM (75,000.00) (75,000.00) (75,000.00) 100 00.241 ALLOWANCE 4330B FIRE/SECUR (5,000.00) (5,000.00) (5,000.00) 100 . 00.242 ALLOWANCE 4320D ELECTRICAL (10,000.00) (10,000.00) (10,000.00) 100 00.243 BOND REDUCTION FOR ALLOW 1 (2,715.00) (2,715.00) (2,715.00) 100 00.244 CHANGE ORDER#009 00.245 WORK DIRECTIVE 4320-001 NEW 00.246 CHANGE ORDER#010 00.247 ASI-PAC-104 WATER HEATER AD 17,090.00 17,090.00 17,090.00 100 00.248 E3.03 ; 00.249 LIGHTING R-M .. 30,000.00 30,000.00 30,000.00 100 00.250 LIGHTING R-L 35,000.00 35,000.00 35 000.00 100 GRAND TOTAL CAUTION:You should sign an original AIA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AIA Document G703-rm-1992.Copyright b 1963,1965,1966, 1967,1970, 1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA®Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent 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 counsel,copyright @aia.org. • ! AIA ■Document G703"- 1992 Instructions Continuation Sheet GENERAL INFORMATION Purpose and Related Documents.AIA Document 0702TM,Application and Certificate for Payment,is to be used in conjunction with ALA Document 0703,Continuation Sheet.These documents are designed for use on Projects where the Contractor has a direct Agreement with the Owner. Procedures for their use are covered in ALA Document A201 TM,General Conditions of the Contract for Construction. Use of Current Documents.Prior to using any AIA Contract Document,users should consult www.aia.org or a local AIA component to verify the most recent edition. 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 no implied permission to reproduce this document,nor does membership in The American Institute of Architects confer any further rights to reproduce this document.The AIA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed G703,but only for use in connection with a particular project.The AIA will not permit reproduction outside of the limited license for reproduction granted above,except upon written request and receipt of written permission from the AIA.Rights to reproduce the document may vary for users of AIA software.Licensed AIA software users should consult the End User License Agreement(EULA).To report copyright violations of ALA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. COMPLETING G703-1992 Heading.This information should be completed in a manner consistent with similar information on AlA Document 0702,Application and Certificate for Payment. Columns A,B&C.These columns should be completed by identifying the various portions of the Project and their scheduled values consistent with the schedule of values submitted to the Architect at the commencement of the Project or as subsequently adjusted.The breakdown may be by sections of the Work or by Subcontractors and should remain consistent throughout the Project.Multiple pages should be used when required. Column C should be subtotaled at the bottom when more than one page is used and totaled on the last page. Initially,this total should equal the original Contract Sum.The total of column C may be adjusted by Change Orders during the Project. . Column D. Enter in this column the amount of completed Work covered by the previous application(columns D&E from the previous application).Values from column F(Materials Presently Stored)from the previous application should not be entered in this column. Column E.Enter here the value of Work completed at the time of this application,including the value of materials incorporated in the project that were listed on the previous application under Materials Presently Stored(column F). Column F.Enter here the value of Materials Presently Stored for which payment is sought.The total of the column must be recalculated at the end of each pay period. This value covers both materials newly stored for which payment is sought and materials previously stored which are not yet incorporated into the Project.Mere payment by the Owner for stored materials does not result in a deduction from this column.Only as materials are incorporated into the Project is their value deducted from this column and incorporated into column E(Work Completed This Period.) Column G.Enter here the total of columns D,E and F.Calculate the percentage completed by dividing column G by column C. Column H. Enter here the difference between column C(Scheduled Value)and column G(Total Completed and Stored to Date). Column I,This column is normally used only for contracts where variable retainage is permitted on a line-item basis. It need not be completed on projects where a constant retainage is withheld from the overall contract amount. Change Orders.Although Change Orders could be incorporated by changing the schedule of values each time a Change Order is added to the Project,this is not normally done. Usually,Change Orders are listed separately,either on their own G703 form or at the end of the basic schedule. The amount of the original contract adjusted by Change Orders is to be entered in the appropriate location on the G702 form. Construction Change Directives.Amounts not in dispute that have been included in Construction Change Directives should be incorporated into one or more Change Orders.Amounts remaining in dispute should be dealt with according to Section 7.3 in A201. The following is an example of a Continuation Sheet for work in progress.Please note that dollar amounts shown below are for illustrative purposes only,and are not intended to reflect actual construction costs. A 11 C I) I L I' 0 I I I WORK COMPLETED TOTAL MATERIALS HA LANCE: COMPLETED I'I'GM SCI IP,DU LED FROM PREVIOUS PRESENTLY % TO RETAINA(',f; NO. DFSGRII'I ION OF WORK 551.011 APPLICATION TIIIS PERIOD 5TOREU AND DATE ll 6+C PIN151I TO DATE l Of''e+''treble n,Ir) n-,eJ (Norm 0, � +E+r) (C n 1 MOBILIZATION • 5000 5,000 0 0 5,000 100 0 2 STUMP REMOVAL 5,000 5,000 0 0 5,000 100 0 3 EARTH WORK 15,000 10.000 5,000 0 15,000 100 0 4 LOWER RETAINING WALL 10000 0 5,000 0 5.000 50 5,000 5 CURBS 4 MISC,CONIC. 5,000 0 0 0 0 0 5,000 6 PAVING,UPPER DRIVE 20,000 0 0 0 0 0 20,000 7 PAVING,LOWER DRIVE 20,000 0 0 0 0 0 20,000 8 PAVERS 20,000 0 0 10,009 10,000 50 10,000 9 BRICK WORK 5,000 0 0 0 0 0 5,000 10 11 GRAND TOTAL 105,000 20,000 10,000 10,000 40,000 65,000 AIA Document G703T"—1992.Copyright©1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING: This AIA®Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the Jaw.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 counsel,copyright @aia.org. ® ERMCO Contract it 2695-4320 9-,_ Document G703TM — 1992 124070 Continuation Sheet AIA Document G702TM,Application and Certification for Payment, APPLICATION NO containing Contractors signed,certification is attached. 33 In tabulations below amounts are stated to the nearest dollar. APPLICATION DATE: 12/15/2010 Use Column 1 on Contracts where variable retainage for line items may apply. PERIOD TO 12/31/2010 ARCHITECT'S PROJECT NO A B C D E F ° .'`` G H I WORK COMPLETED TOTAL MATERIALS BALANCE SCHEDULED COMPLETED ITEM DESCRIPTION OF WORK FROM PREVIOUS PRESENTLY AND STORED % TO RETAINAGE NO VALUE APPLICATION THIS PERIOD STORED TO DATE (G—C) FINISH ()flap labia ate) (D+E) (Not inDorE) (D+E+F) (C G) *0.251 LIGHTING F-M 350,000.00 350,000.00 350,000.00 100 10.252 LIGHTING F- L 22,000.00 22,000.00 22,000.00 100 10.253 CHANGE ORDER# 11 10.254 ALLOWANCE FROM 4320B ALLO' (100,000 00) (100,000 00) (100,000.00)" 100 10.255 ALLOWANCE TO 4320A.ALLOW 1 100,000.00 100,000.00 100,000 00 _ '` 100 *0.256 ALLOW REDUCTION 432 0B ALLO (30 000 00) (30,000 00) (30.000 00) 100 *0.257 BOND REDUCTION (186 00) (186 00) (186 00) 100 10.258 CHANGE ORDER# 12 *0.259 ALLOWANCE FROM 4320E ALLO (50,000 00) (50,000 00) (50,000 00) 100 10.260 ALLOWANCE TO 4320A ALLOWA 50,000.00 50,000.00 50,000.00 100 10.261 ALLOWANCE FROM 4320D ALLO (10,000.00) (10,000.00) (10,000.00) 100 10.262 ALLOWANCE TO 4320A ALLOWA 10,000.00 10,000.00 10,000.00 100 10.263 CHANGE ORDER# 13 10.264 ASI-PAC-147 28,549.00 28,549.00 28,549.00 100 10.265 CHANGE ORDER# 14 10.266 RCP-PAC-028 8,950.00 8,950.00 8,950.00 100 *0.267 CHANGE ORDER# 15 10.268 RCP-PAC-029 3,214.00 3,214.00 3.214.00 100 *0.269 CHANGE ORDER# 16 , *0.270 ALLOWANCE REALLOCATION4a 51,500.00 51,500.00 51,500 00?` 100 10.271 CHANGE ORDER# 17 *0.272 STEEL DELAY ISSUES 50,000 00 50000.00 50,000:00 100 10.273 CHANGE ORDER#18 GRAND TOTAL CAUTION:You should sign an original AIA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AIA Document G703TM—1992.Copyright©1963, 1965,1966, 1967,1970,1978, 1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This Ale Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AlA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent Mail 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- ail The American Institute of Architects'legal counsel,copyright @aia.org. 'W° AIA Document G7031M— 1992 Instructions Continuation Sheet GENERAL INFORMATION Purpose•and Related Documents.AlA Document G702TM,Application and Certificate for Payment,is to be used in conjunction with A1A Document G703,Continuation Sheet.These documents are designed for use on Projects where the Contractor has a direct Agreement with the Owner.Procedures for their use are covered in AIA Document A201 T",General Conditions of the Contract for Construction. Use of Current Documents.Prior to using any AIA Contract Document,users should consult www.aia.org or a local AIA component to verify the most recent edition. 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 no implied permission to reproduce this document,nor does membership in The American Institute of Architects confer any further rights to reproduce this document,The AIA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed 0703,but only for use in connection with a particular project.The AIA will not permit reproduction outside of the limited license for reproduction granted above,except upon written request and receipt of written permission from the Al A. Rights to reproduce the document may vary for users of AIA software.Licensed AIA software users should consult the End User License Agreement(EULA).To report copyright violations of ALA Contract Documents,e-mail The American Institute of Architects' legal counsel,copyright@aia.org. aia.org. COMPLETING G703-1992 Heading.This information should be completed in a manner consistent with similar information on AIA Document G702,Application and Certificate for Payment. Columns A,B&C.These columns should be completed by identifying the various portions of the Project and their scheduled values consistent with the schedule of values submitted to the Architect at the commencement of the Project or as subsequently adjusted.The breakdown may be by sections of the Work or by Subcontractors and should remain consistent throughout the Project.Multiple pages should be used when required. Column C should be subtotaled at the bottom when more than one page is used and totaled on the last page. Initially,this total should equal the original Contract Sum.The total of column C may be adjusted by Change Orders during the Project. Column D.Enter in this column the amount of completed Work covered by the previous application(columns D&E from the previous application).Values from column F(Materials Presently Stored)from the previous application should not be entered in this column. Column E.Enter here the value of Work completed at the time of this application,including the value of materials incorporated in the project that were listed on the previous application under Materials Presently Stored(column F). Column F.Enter here the value of Materials Presently Stored for which payment is sought.The total of the column must be recalculated at the end of each pay period.This value covers both materials newly stored for which payment is sought and materials previously stored which are not yet incorporated into the Project. Mere payment by the Owner for stored materials does not result in a deduction from this column.Only as materials are incorporated into the Project is their value deducted from this column and incorporated into column E(Work Completed This Period.) Column G.Enter here the total of columns D,E and F.Calculate the percentage completed by dividing column G by column C. Column H.Enter here the difference between column C{Scheduled Value)and column G(Total Completed and Stored to Date). Column I.This column is normally used only for contracts where variable retainage is permitted on a line-item basis. It need not be completed on projects where a constant retainage is withheld from the overall contract amount. Change Orders.Although Change Orders could be incorporated by changing the schedule of values each time a Change Order is added to the • Project,this is not normally done. Usually,Change Orders are listed separately,either on their own G703 form or at the end of the basic schedule. The amount of the original contract adjusted by Change Orders is to be entered in the appropriate location on the G702 form. Construction Change Directives.Amounts not in dispute that have been included in Construction Change Directives should be incorporated into one or more Change Orders.Amounts remaining in dispute should be dealt with according to Section 7.3 in A201. The following is an example of a Continuation Sheet for work in progress. Please note that dollar amounts shown below are for illustrative purposes only,and are not intended to reflect actual construction costs. A WORK COMPLETED TOTAL MATERIALS BALANCE COMPLETED ITEM SCHEDULED FROM PREVIOUS PRESENTLY % TO RETAINAG NO DESCRIPTION OF WORK VALUE AND STORED APPLICATION TIES PERIOD STORED TO DATE l0-0 FINISH (lfinrEthic rare} (U+F.') INuzn or El (C-G1 !D+-F+l7 I MOBILIZATION 5,000 5,000 0 ' 0 5,000 100 0 2 STOMP REMOVAL 5,000 5,000 0 0 5.000 100 0 3 EARTH WORK 15,000 10,000 5,000 0 15,000 100 0 4 LOWER RETAINING WALL 10,000 0 5,000 0 5,000 50 5,000 5 CURBS S MISC.CONC. 5,000 0 0 0 0 0 5,000 6 PAVING,UPPER DRIVE 20,000 0 0 0 0 0 20,000 7 PAVING,LOWER DRIVE 20,000 0 0 0 0 0 20,000 8 PAVERS 20000 0 0 10,000 10,000 50 10,000 9 BRICK WORK 5,000 0 0 0 '0 0 5,000 10 11 GRAND TOTAI. 105,000 20,000 10,000 , 10,000 40,000 65,000 AIA Document G70375—1992.Copyright©1963, 1965, 1966, 1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING: This AIA®Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this Ale Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent 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 counsel,copyright @aia.org. P4IA® ERMCO Contract # 2695-4320 .. Document G703 rrul - 1992 124070 Continuation Sheet AlA Document G702TM,Appltcation'and Certification for Payment, APPLICATION NO`. 33 containing Contractors signed certification is attached. APPLICATION DATE: 12/15/2010 In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. . PERIOD TO 12/31/2010 ARCHITECT'S PROJECT NO: WORK COMPLETED TOTAL MATERIALS BALANCE SCHEDULED FROM PREVIOUS PRESENTLY COMPLETED TO RETAINAGE ITEM DESCRIPTION OF WORK VALUE AND STORED NO. APPLICATION THIS PERIOD STORED TO DATE (G+C) FINISH (If variable rare) (D+E) (Not DorE) (o+E+r) (C—G) • 00.274 GENERAL ALLOWANCE INCREP. 195,700.00 195,700.00 195,700.00 100 • GRAND TOTAL 7,375,105.00 7,047.271.78 147,955.00 7,195,226.78 98 179,878.22 CAUTION:You should sign an original AIA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AIA Document G703T""—1992.Copyright©1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This Ale Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this Ale Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent 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 ' counsel,copyright©aia.org. AIADocument G7O3TM- 1992 Instructions Continuation Sheet GENERAL INFORMATION Purpose and Related Documents.AIA Document G702TM,Application and Certificate for Payment,is to be used in conjunction with AIA Document G703,Continuation Sheet.These documents are designed for use on Projects where the Contractor has a direct Agreement with the Owner. Procedures for their use are covered in AIA Document A201TM,General Conditions of the Contract for Construction. Use of Current Documents.Prior to using any AIA Contract Document,users should consult www.aia.org or a local AlA component to verify the most recent edition. 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 no implied permission to reproduce this document,nor does membership in The American Institute of Architects confer any further rights to reproduce this document.The AIA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed G703,but only for use in connection with a particular project.The AIA will not permit reproduction outside of the limited license for reproduction granted above,except upon written request and receipt of written permission from the AIA.Rights to reproduce the document may vary for users of ALA software.Licensed A1A software users should consult the End User License Agreement(EULA).To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright@aia.org. COMPLETING G703-1992 Heading.This information should be completed in a manner consistent with similar information on AIA Document G702,Application and Certificate for Payment. Columns A,B&C.These columns should be completed by identifying the various portions of the Project and their scheduled values consistent with the schedule of values submitted to the Architect at the commencement of the Project or as subsequently adjusted.The breakdown may be by sections of the Work or by Subcontractors and should remain consistent throughout the Project.Multiple pages should be used when required. Column C should be subtotaled at the bottom when more than one page is used and totaled on the last page. Initially,this total should equal the original Contract Sum.The total of column C may be adjusted by Change Orders during the Project. Column D.Enter in this column the amount of completed Work covered by the previous application(columns D& E from the previous application).Values from column F(Materials Presently Stored)from the previous application should not be entered in this column. Column E.Enter here the value of Work completed at the time of this application,including the value of materials incorporated in the project that were listed on the previous application under Materials Presently Stored(column F). Column F. Enter here the value of Materials Presently Stored for which payment is sought.The total of the column must be recalculated at the end • of each pay period.This value covers both materials newly stored for which payment is sought and materials previously stored which are not yet incorporated into the Project.Mere payment by the Owner for stored materials does not result in a deduction from this column.Only as materials are incorporated into the Project is their value deducted from this column and incorporated into column E(Work Completed This Period.) Column G.Enter here the total of columns D,E and F.Calculate the percentage completed by dividing column G by column C. . Column H.Enter here the difference between column C(Scheduled Value)and column G(Total Completed and Stored to Date). Column I.This column is normally used only for contracts where variable retainage is permitted on a line-item basis. It need not be completed on projects where a constant retainage is withheld from the overall contract amount. Change Orders.Although Change Orders could be incorporated by changing the schedule of values each time a Change Order is added to the Project,this is not normally done.Usually,Change Orders are listed separately,either on their own G703 form or at the end of the basic schedule. The amount of the original contract adjusted by Change Orders is to be entered in the appropriate location on the G702 form. Construction Change Directives.Amounts not in dispute that have been included in Construction Change Directives should be incorporated into one or more Change Orders.Amounts remaining in dispute should be dealt with according to Section 7.3 in A201. The following is an example of a Continuation Sheet for work in progress.Please note that dollar amounts shown below are for illustrative purposes only,and are not intended to reflect actual construction costs. A B C D E F G I I I WORK COMPLETED T<TAI, MATERIALS BALANCE COMPLETED ITEM SCEIEDULED TRW PREVIOUS PRESENTLY % TO RETAINAGE NO DESCRIPTION OF WORK VALUI? APPLICATION THIS PERIOD STORI.D AN T D STOKED (G-C) FINISH Invariable rate) (D+5) (A■,1 brDrnrPJ ODA'rP (C-G) 1 MOBILIZATION 5,000 5,000 0 0 5,000 100 0 2 STUMP REMOVAL 5,000 5,000 0 0 5,000 100 0 3 EARTH WORK 15,000 10000 5,000 0 15,000 100 0 4 LOWER RETAINING WALL 10,000 0 5.000 0 5,000 50 5,000 5 CURBS 4 MISC.CONC. 5,000 0 0 0 0 0 5,000 6 PAVING,UPPER DRIVE 20,000 0 0 0 0 0 20,000 7 PAVING,LOWER DRIVE 20,000 0 0 0 0 0 20000 8 PAVERS 20,000 0 0 10,000 10,000 50 10,000 9 BRICK WORK 5,000 0 0 0 0 0 5,000 10 11 GRAND TOTAI. 105,000 20000 10,000 10,000 40,000 65,000 AIA Document G703T"—1992.Copyright©1963, 1965, 1966, 1967,1970, 1978, 1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING: This AlA®Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent 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 counsel,copyright @aia.org. AFFIDAVIT AND WAIVER OF LIEN STATE OF INDIANA •) Final Partial X )SS: COUNTY OF MARION ) Rod Burton being duly sworn states that he is the Controller of ERMCO, INC. having contracted with City of Carmel (124070.033) to furnish certain materials and /or labor as follows: Electrical Installation for a project known as Parcel 7A, Regional Performing Arts Center Interior Rough Construction Package P4 located in Carmel, IN and does further state: PARTIAL WAIVER: That the balance due from the owner is the sum of ONE HUNDRED THIRTY EIGHT THOUSAND ONE HUNDRED SEVENTY DOLLARS AND NO/100($13 8,170.00) the receipt of which is hereby acknowledged: or X the payment of which has been promised as the sole consideration for this Affidavit and Partial Waiver of Lien which is given to and for said amount, effective upon receipt of such payment: FINAL WAIVER: . That the final balance due from the owner is the sum of receipt of which is hereby acknowledged: or • the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which is given to and for said amount, effective upon receipt of such payment: THEREFORE, the undersigned waives and releases unto Owner of said premises any and all lien and claim whatsoever on the above-described property and improvements thereon on account of labor or material or both, furnished by the undersigned thereto, and further certifies that no other party has any claim or right to a lien on account of any work performed or material furnished to the undersigned for said project, and within the scope of this affidavit and waiver. ERMCO INC. by ∎ *4)4t Rod Burton Controller Witness my hand and notarial seal, this 15`h day of December, 2010 Notary Public . My Commission Expires: 12/19/72015 Lou Anne Puckett Notary Public-Printed Signature County of Residence: Marion • AFFIDAVIT AND WAIVER OF LIEN STATE OF INDIANA ) Final Partial X )SS: COUNTY OF MARION ) Rod Burton being duly sworn states that he is the Controller of ERMCO, INC. having contracted with City of Carmel (124070.031&32) to furnish certain materials and/or labor as follows: Electrical Installation for a project known as Parcel 7A, Regional Performing Arts Center Interior Rough Construction Package P4 located in Carmel, IN and does further state: PARTIAL WAIVER: That the balance due from the owner is the sum of NINETY NINE THOUSAND THREE HUNDRED FORTY THREE DOLLARS AND NO/100($99,343.00) X the receipt of which is hereby acknowledged: or the payment of which has been promised as the sole consideration for this Affidavit and Partial Waiver of Lien which is given to and for said amount, effective upon receipt of such payment: FINAL WAIVER: That the final balance due from the owner is the sum of receipt of which is hereby acknowledged: or the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which is given to and for said amount, effective upon receipt of such payment: THEREFORE, the undersigned waives and releases unto Owner of said premises any and all lien and claim whatsoever on the above-described property and improvements thereon on account of labor or material or both, furnished by the undersigned thereto, and further certifies that no other party has any claim or right to a lien on account of any work performed or material furnished to the undersigned for said project, and within the scope of this affidavit and waiver. ERMCO, by Lf / Rod Burton Controller Witness my hand and notarial seal, this 21st day of December, 2010 Notary Public My Commission.Expires: 12/19/2015 Lou Anne Puckett Notary Public-Printed Signature County of Residence: Marion