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ERMCO, INC. -001682 -3/3/2011
`CARMEI:REDEVELOPMENT COMMISSION 001682 Ermco, Inc. Check: 1682 PO Box 1507 Date: 3/3/2011 Indianapolis, IN 46206 Vendor: ERMCO Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 34 36 56,745.57 56,745.57 0.00 0.00 56,745.57 Application 34 56,745.57 56,745.57 0.00 0..00 56,745.57 *tAIA TMDocument 6702/CMa -- 1992 - Application and Certificate for Payment Construction Manager-Adviser Edition 3 TO OWNER: Carmel Redevelopment CommiSPROJECT: Parcel 7A, Regional Performing ArtsAPPLICATION NO ." 34 Distribution to 1 Civic Square' Center Interior Rough PERIOD TO 1/31/2011 OWNER ❑ Cannel, IN 46032 : Construction Package P4 CONSTRUCTION MANAGER "❑ FROM CONTRNW, INC VIA CONSTRUCTION MANAGER: • CONTRACT DATE: ARCHITECT ❑ P.O. Box 1507 Shiel Sexton PROJECT NOS: 2695-4320 / CONTRACTOR El Indianapolis, IN 46206 VIA ARCHITECT: FIELD ❑ CSO Architects CONTRACT FMctrical 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 8,505,000.00 payment shown herein is now due. 2. Net change by Change Orders $(129,895.00) CONTRACTO • 3.CONTRACT SUM TO DATE(Line.1 +2) x,375,105.00 By: Date: 1/24/2011 4.TOTAL COMPLETED&STORED;:TO DATE(Column G on G703) 8,251,972.35 State of Indiana 5.RETAINAGE , County of Marion a. %of Completed Work 368,7 5.25 Subscribecl4 sworn to before Janua , 2011 (Column D+E on G703) $ me this day of �{ b. %of Stored Material Notary Public —v--'^ ` (Column F on G703) $ My Commission expires: 12/19/2015 Total Retainage(Lines 5a+5b or Total in Column I of G703). $ 368,755.25 CERTIFICATE FOR PAYMENT 6,883,217.10 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) 6,826;471.53 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 $ 56,745.57 AMOUNT CERTIFIED $ CPd it.155/ BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation if amount certified differs fron t amount;applied. Initial all figures on this Application and on Continuation Sit that[ c c1 angel to conform with the amount .ertifed.) (Line 3 less Line 6) $ 491,887.90 CONS UCTION M,, r BY: k�u r :aiir _,% - - Date: ®� (l CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHI T: • ' Total changes approved in previous months by OwnerS(l,412.00 ` 639,307.00) By: i Date: Olt SLIII Total approved this Month PP $ $ This Ceificate is :neg,f_aule. The AMOUNT CERTIFIED is payable only to the Contractor TOTALS 509,412.00 639,307.00) named :rein Is .iar.eyment and acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order $ (129,895.00) the Owrfrntractor 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 AlA® 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 exte_t possible under the law. Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of ALA Contract Documents,e-mail The American Institute of Architects'I'gal counsel,copyright @aia.org. Director of Redevelopment //60877 t 1]4 ® -'� Document G702/CMaTM - 19 92 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 0703,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 0702ICMa,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 G703 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 P 9 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 afthe 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 0(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. rj E.Making Payment The Owner should make payment directly to the Contractor based on the amount certified by the Construction Manager and-Architect on AlA Document G702/CMa, Application and Certificate for Payment,Construction Manager-Adviser Edition.The completed form contains the name and'address of the Contraclor,Payment should not be made to any other party unless specifically indicated on 0702/CMa. AIA Document G702/CMa TM-1992.Copyright O 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. !AIA ERMCO Contract i6 2695-4320 TM 124070 Document G703 - 1992 Continuation Sheet AIA Document G7O2TM,Application and Certification for Payment, APPLICA_T;14N NQ: 34 containing Contractors signed certification is attached. 1/24/2011 APPLICATION DATE: In tabulations below,amounts are stated to the nearest dollar, 1/31/2011 Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: ARCHITECT'S PROJECT NO: A B C D E F G H 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 rote) NO. TO DATE (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. 00A04 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 - . 72000.00 100 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 12 550,000.00 401,464.00 38,511.00 439,975.00 80 110,025.00 00.012 ALLOWNACE 13 350,000.00 325,253.78 18,234.57 343,488.35 98 6,511.65 00.013 ALLOWANCE 14 100,000.00 99,763.00 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 . XCAVATION 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 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. ® TM 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 ALA Document A201TM,General Conditions of the Contract for Construction. Use of Current Documents.Prior to using any ALA 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 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 fa C 1) Ii P G II I WORK COMPLETED TOTAI. .MATERIALS COmPLI.Tl BALANCE ITEM ITEM SCHEDULED FRO,'v!PREVIOUS PRESENTLY N TO RETAINAGE NO IIESCRllIION OF WORK VALUEI APPLICATION TEAS PERIOD STORED AND ST(ELI) (G-C FINIS!' hlr rare TO nA'rE J N (If J (f3-EI iSI,K,Da'Lf (D*E+F) (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 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 8 MISC.CONC. 5,009 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 4 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 G703"-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. iiAIAERMCO Contract tI 2695-4320 124070 Document G703 rtn — 1992 Continuation Sheet AIA Document G702TM,Application and Certification for Payment, APPLICATION NO` 34 containing Contractors signed certification is attached. 1/24/2011 APPLICATION DATE: In tabulations below,amounts are stated to the nearest dollar. 1/31/2011 Use Column I on,Contracts where variable retainage for line items may apply. PERIOD TO: ARCHITECT'S PROJECT NO A B C D E F G H 1 WORK COMPLETED TOTAL MATERIALS BALANCE COMPLETED TO RETAINAGE ITEM DESCRIPTION!OF WORK SCHEDULED FROM PREVIOUS PRESENTLY AND STORED %° N0. VALUE APPLICATION THIS PERIOD STORED TO DATE (G C) FINISH (Ifvat table rare) (D+E) (Not trnDorE) (D+E+F) (C—G) 00.028 BRANCH F- L 200.00 200.00 200.00 100 00.029 El 01 00.030 FEEDER M 975,000.00 975,000.00 975,000.00 100.: 00.031 FEEDER L 600,000.00 600,000.00 600,000.00 100 00.032 El 02 00.033 EQ M 250,000.00 250,000.00 250,00000 100 00.034 EQ L 150,000.00 150,000.00 150,000.00 100 00.035 El.03 00.036 EQ R- M 10,000.00 10,000.00 10,000.00 100 00.037 EQ .` R- L 15,000.00 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 El.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 G703TM—1992.Copyright 01963 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, • &V. AIA TM e re , 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 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 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 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 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 ofcompleted 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 1.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 ntn000ts shown below are for illustrative purposes only,and are not intended to reflect actual construction costs_ A 13 C D V F 0 11 I WORK COMPLETED TOTAL MATERIALS VALANCE CO1''I.I:TIID FITM SCIIEDULBll PROS?PREVIOUS PRESENTLY ! TO RETAININE DESCRIPTION OF WORK AND SNORED NO. VALUE APPLICATION Tills PERIOD STOKED ,. I)\TI3 (0-C) FINISH (If variable rule) (I) (Mw in D.El tD+E+F) (C—C) 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 15000 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 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 B 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 20,000 10000 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 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 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. _.. ERNCO Contract # 2695-4320 1!tAIA 7M 124070 Document G7O3TM - 1992 Continuation Sheet AIA Document G702TM,Application'and Certification for Payment, APPLICATION NO: 34 containing Contractors signed certification is attached, APPLICATION DATE: 1/24/2011 In tabulations below amounts are stated to the nearest dollar. 1/31/2011 Use Column Ion Con tracts where variable retainage for line items may apply. PERIOD TO: • ARCHITECT'S PROJECT NO: A B C D E F C H 1 WORK COMPLETED TOTAL MATERIALS BALANCE SCHEDULED FROM PREVIOUS COMPLETED PRESENTLY V. TO RETAINAGE • ITEM DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD STORED AND STORED (G-C) FINISH (If variable rate) NO. TO DATE (D+E) (No/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 20,000.00 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 30.0.00.00 ` 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';,; 00.074 E2.03&A . 00.075 BRANCH R- M 20,000.00 20,000.00 20,000 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 G703'"'—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. ® TM ■ Document 6103 - 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 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 A1A.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 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 A20 . 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) I: F G II I WORK CUMPLILTED _ TOTAL MATERIALS COMP BALANCE LE'r};D ITEM SCHEDULED FROM PREVIOUS PRESENTLY % TO RETAINAGIi NO. DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD STORED AND Ti DATE (G=C) FINISH ([J',0.hle mu) • (0+E) NoinDa1) 0+E' i (0+E+.F) (C-Gl 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 B 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 n GRAND TOTAL 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 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. lig ERMCO Contract # 2695-4320 rnf 124070 7.1.''Ibilf.1411A Document G7O3 - 1992 Continuation Sheet AIA Document G702TM,Application and Certification for Payment, APPLICATION NO: 34 containing Contractor's signed certification is attached. APPLICATION DATE: 1/24/2011 In tabulations below,amounts are stated to the nearest dollar. 1/31/201 1 Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: ARCHITECT'S PROJECT NO: A B C D E F 0 H I WORK COMPLETED TOTAL MATERIALS BALANCE SCHEDULED FROM PREVIOUS PRESENTLY COMPLETED TO RETAINAGE%ITEM DESCRIPTION OF WORK VALUE AND STORED . . APPLICATION THIS PERIOD STORED (G;C) FINISH Of variable rate) NO TO DATE (D+E) (Not InnorE) 'D+E+F) (C G) 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 2.500.00 100 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.O6 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. AlA Document G703""—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 NA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. = '= I A Document G7031M— 1992 Instructions Continuation Sheet GENERAL INFORMATION Purpose and Related Documents.AIA Document G702",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 MA 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. aia.org. COMPLETING 0703-1992 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 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 0 C I) 1 Ii F G H WORK COMPLETED TOTAL NIATERI ALS BALANCE COMPLETED ITEM SCI I EDU LED FROM PREVIOUS PRESENTLY % TO RETAI NAGE NO. DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD STORED AND DATE STORED tG=C) PINISEI ! 8le rare) TO DATE (f�nnn m t.'1 IN""'Dwtl to,�,E. F) c-ct 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 I0,000 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 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 G703.M-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 ALA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. ® Document G703TM -4.77.0.-AI .....„,,, ._ — 1992 ERMCO Contract # 2695-4320 124070 Continuation Sheet ALA Document G702TM,Application and Certification for Payment, APPLICATION"NO. 34 containing Contractors signed certification is attached. APPLICATION DATE: 1/24/2011 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. 1/31/2011 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 (Ilia??able rate) NO (D+E) (Nat inDorE) (D TO DATE +E±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 9,000.00 100 00.107 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 2,50000 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 6,000.00 100 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 G7O3TM–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. • \'x Document G703 TM- 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 6703,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 AlA 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 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 AlA 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 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 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 H C D E F 0 11 1 WORK COMPLETED TOTAL MATERIALS BALANCE ITEM COMPLETED a, DFSCRII'TIOE'OF WORK SCHEDULED FROM PREVIOUS PRESPNTLY ,o TO RETAINAOF NO_ VALUE APPLICATION MIS PERIOD STORED AND STORED (0 C) FINISH ("If varied*raw)TO DATE I'D+tj Gv,xu,Dav-EJ (n C+Fl IC—C) 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 TOTAL 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 AlA®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. o ERMCO Contract # 2695-4320 %-",rii-AIA TM 124070 Document G7O3TM - 1992 Continuation Sheet AIA Document G702TM,Application and Certification for Payment, - APPLICATION NO: 34 containing Contractors signed certification is attached. APPLICATION DATE: 1/24/2011 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 1/31/2011 ARCHITECT'S PROJECT NO A B C D E F G H WORK COMPLETED TOTAL MATERIALS BALANCE COMPLETED SCHEDULED FROM PREVIOUS PRESENTLY °la TO RETAINAGE ITEM DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD STORED AND STORED (G—C) FINISH (If variable rate) NO. TO DATE (D+E) (Not inDorE) +E+F) (C—G) 00.124 EQ R- L 10,000.00 10,000.00 10,000.00 100 00.125 EQ F-M 1500.00 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 R L 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 18,00000 18,000.00 100 00.177 E4.05& .06& .07 & .09 00.178 SOUND R- M 80,000.00 80,000.00 80000.00 100 00.179 SOUND R- L 65.000.00 65,000.00 65000.00: 100 00.180 E5.00& P 00.181 F A R-'M 15.000.00 15,000.00 1500000 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. \V/4 Document G703"— 1992 Instructions Continuation Sheet GENERAL INFORMATION Purpose and Related Documents.AIA Document G702T"1,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 A2OITM,General Conditions of the Contract for Construction. Use of Current Documents. Prior to using any ALA 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 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. 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 he 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 0(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 illustrative purposes only,and are not intended to reflect actual construction costs. A Ei C I) E F G li I WORK COMPLETED TOTAL MATERIALS DALANC; CNF)L'I,E'I'I'U 1Ti;M17 sC11EI)Ul.l:1) PI2C1SI PREVIOUS I'RHSI;NTI.Y % TO Ri:'I'AINACiEi NCI. OI:SCR71'TION pE N'Ulil: VALUE AI'I'LICATION Tills PERIOD STORE!) AN05'rOKI:U (G-GJ MNISEI (4-variable role) (F) C') (hivini ,-O TOOATE iC- C) Ill+F+FJ 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 5000 0 15,000 100 0 4 LOWER RETAINING WALL 10,000 0 5,000 0 5,000 50 5000 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 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 AIA0Document 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 // 269 -4320 • AIA Tnt 124070 Document G703 - 1992 Continuation Sheet AIA Document G702TM,Application and Certification for Payment, APPLICATION NO` 34 containing Contractor's signed certification is attached. APPLICATION DATE: 1/24/2011 In tabulations below,amounts are stated to the nearest dollar. Use Column Ion Contracts where variable retainage for line items may apply. PERIOD TO 1/31/2011 ARCHITECT'S PROJECT NO: A B C 0 E F G II WORK COMPLETED TOTAL MATERIALS BALANCE COMPLETED SCHEDULED FROM PREVIOUS PRESENTLY % TO RETAINAGE ITEM DESCRIPTION OF WORK VALUE AND STORED NO. APPLICATION THIS PERIOD STORED TO DATE (C—C) FINISH (If variable rate) (D+E) (NotinDorE) (o+E+F) (C G) 00.182 F . 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; 00.185 E5.01 & .02 & .03 00.186 F.A. R- M 17,000.00 17,000.00 17,000.00 ' 100 00.187 F A R- L 10,000.00 10000.00 10000:00 100 00.188 F A F M 20000.00 20000.00 20,000 00 100 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 . 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 4 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 00.200 E6.02 00.201 EQ M 55,000.00 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 35000.00 35,000.00 100 00204 CABLE L 45,000.00 45,000.00 45,000.00 100 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 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 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 ! AIA Document G703"- 1992 Instructions • Continuation Sheet GENERAL INFORMATION Purpose and Related Documents.MA Document G702'1M,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 A1A.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 AlA 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 AIA 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 C.Enter here the total of columns D, E and F.Calculate the percentage completed by dividing column 0 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 6703 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 R C I) F. N G II 1 WORK('OMI'1.F.TFI) 'I'i)'rAL MATFRIALs -COMPLETE!) BALANCE 17'7:AA SC11Ii0ULFD FROM PRI?VIOUS PRI:SI;N'PLY % TO RF FA INA(ili DI3SCRII'rION OF WORK AND STORED l'AI.UIi AI'PL[CAl'ION' THIS PERIOD 5'1 OR1ill (Gr C% FINISII /ff�rrvinh(e rule•) (0-F El EVAI,D or El I'c)DA'rF (C_C) 1 MOBILIZATION 5,000 5,000 0 0 5,000 100 0 2 STUMP REMOVAL 5,000 5,000 0 0 5000 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 5000 50 5.000 5 CURES 6 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 B 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 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. • Min ERMCO Contract # 2695-4320 ��� Document G703 TM - 1992 124070 Continuation Sheet AIA Document G702TM,Application"ad Certification for Payment, APPLICATION NO: 34 containing Contractor's signed certification is attached. APPLICATION DATE: 1/24/2011 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: 1/31/2011 ARCHITECT'S PROJECT NO: A B C D E F G H 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 rare) NO. TO DATE (D+E) (Not inDorE) (D+E+F) (C—C) 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 00.208 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 1.8,000.00 18,000.00 18,006.00 100 00.211 SECURITY F- L 6,000.00 6,000.00 6.000.00 100 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 'i 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 36,641.00 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 00.2.27 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.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. ® TM Document 6703 — 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 AlA Document A201TM,General Conditions of the Contract for Construction. Use of Current Documents.Prior to using any ALA 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 ALA. 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 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 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 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' I} S ]' G }I I • WORK COMPLETED TOTAL MATERIALS BALANCE COM PLI,TLU 'TP,M SCHEDULED FROM PREVIOUS PRESENTLY % TO RETAINAGLL NO DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD STORED ANU STOKE[) tG-CJ FINISH (If variable rare) (0*10 (N mbar EJ TO DATE F i Pj (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 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 B 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 AIA Document G703T"–1992.Copyright 0 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. r,/,A ERMCO Contract ti 2695-4320 TM= . Document G703 - 1 992 124070 Continuation Sheet AlA Document G7O2TM,Application and Certification for Payment, APPLICATION NO: 34 containing Contractors signed certification is attached. APPLICATION DATE: In tabulations below,amounts are stated to the nearest dollar. 1/24/2011 Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO 1/31/2011 ARCHITECT'S PROJECT NO A B C D E F .. G H I WORK COMPLETED TOTAL MATERIALS BALANCE SCHEDULED FROM PREVIOUS COMPLETED ITEM DESCRIPTION OF WORK PRESENTLY % TO RETAINAGE VALUE APPLICATION THIS PERIOD STORED AND STORED (G=C) FINISH (//1,11 rabic, NO. TO DATE (D+F) (NurinDorE) (D+E+F) (C-G) 00.228 MACHINELESS ELEVATOR 11,500.00 11,500.00 11,500.00 100 00.229 CHANGE ORDER#3 00.20 RCP 4 (58 ,852 .00) (58,852 00) (58.852 00) 100 00.211 CHANGE ORDER#004 NO COAT 00.212 CHANGE ORDER#005,. 00.213 AS1-037, 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 00.226:.CHANGE ORDER#007 00.227 ASI-038 18,732.00 18,732.00 18.732.00 100 00.238 CHANGE ORDER#008 00.239 ALLOWANCE 4320A ELEC GEN EF (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) 100 002,2 ALLOWANCE 4320D ELECTRICAL (10,000.00) (10,000.00) (10,000.00) 100 00 2,3 BOND REDUCTION FOR ALLOW I (2,715.00) (2;715.00) (2,715.00) 100 00.254 CHANGE ORDER#009 00.245 WORK DIRECTIVE 4320-001 NEW i 00246 CHANGE ORDER#010 00247 ASI-PAC-104 WATER HEATER AD 17,090.00 17,090.00 17,090.00: 100 00.248 E3.03 00.249 LIGHTING RM ! 30,000.00 30,000.00 30.000.00 100 00.2f.0 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 G703TM-1992.Copyright O 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. kVIO dAIA • Document G7O3TM- 1992 Instructions Continuation Sheet GENERAL INFORMATION Purpose and Related Documents.MA 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 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 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 ALA.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 AlA 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 A1A 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 planner 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 1.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 H W C 3) L' F G n I WORK COMPLETED TOTAI, MATERIALS BALANCE Crly1PLETEI) ITEM SCHEDULED FROM PREVIOUS PRESENTLY % TO RLTAINAGI; NO. DI:SCRII'TI6N'OF WORK VALUE APPLICATION TRIS PERIOD STO RED AND STORED G+C FINISH (If 'Alz rage TO DATE t rfnano {D+1;) Art inD.uE) rD+e+r) rc-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 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 6 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 TOTAI. 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 AlA®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. ® m nn ERMCO Contract 1,t 2695-4320 s�r m 11 TM — 1992 124070 - Document t G703 99 Continuation Sheet AEA Document G702TM Application and Certification for Payment, APPLICATION NO` 34 containing Contractors signed certification is attached. APPLICATION DATE: In tabulations below,amounts are stated to the nearest dollar. 1/24/2011 TO • Use Column„l on Contracts where variable retainage for line items may apply. PERIOD 1/31/2011 ARCHITECT'S PROJECT NO A B C D E F ::- C H I WORK COMPLETED TOTAL MATERIALS BALANCE FROM PREVIOUS COMPLETED TO RETAINAGE SCHEDULED PRESENTLY ITEM DESCRIPTION OF WORK AND STORED NO VALUE APPLICATION THIS PERIOD STORED TO DATE (G-C) FINISH (If variable rate) (D+E) (NotinDrnF) (D+E+F) (C-G) 00.251 LIGHTING F-M 350,000.00 350,000.00 350,000.00 100 00.252 LIGHTING F- L 22,000.00 22,000.00 22,000.00 100': 00.253 CHANGE ORDER#11 00.254 ALLOWANCE FROM 4320B ALLOT (100,000.00) (100,000.00) (100,000.00) 100 00.255 ALLOWANCE TO 4320A ALLOW 1 100,000.00 1.00,000.00 100,000.00 100 00.256 ALLOW REDUCTION 43208 ALLO (30,000.00) (30,000.00) - (30.000 00) 100 00.257 BOND REDUCTION (186.00) (186.00) (186 00) 100 00.258 CHANGE ORDER# 12 00.259 ALLOWANCE FROM 4320B ALLOT (50,000.00) (50,000.00) (50,000.00) 100 00.2E0 ALLOWANCE TO 4320A ALLOWAI 50,000.00 50.000.00 50,000.00 100 00.261 ALLOWANCE FROM 4320D ALLO1 (10,000.00) (10,000.00) (10,000.00) 100 00.2E2 ALLOWANCE TO 4320A ALLOWAI 10,000.00 10,000.00 10.000.00 100 00.263 CHANGE ORDER# 13 00.264 ASI-PAC-147 28,549.00 28,549.00 28,549.00 100 • 00.265 CHANGE ORDER# 14 00.266 RCP-PAC-028 8,950.00 8.950.00 8,950.00 100 00.267 CHANGE ORDER# 15 00.268 RCP-PAC-029 3,214.00 3,214.00 3.21.4.00 100 00.269 CHANGE ORDER# 16 00.270 ALLOWANCE REALLOCATION42t 51.500.00 51,500 00 51.500.00 100 00.271 CHANGE ORDER#17 ' n 00.272 STEEL DELAY ISSUES 50,000.00 50,000 00 50 000.00 100 00.273 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 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. • Document G703 TM- 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 MA Document A20I 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 ALA 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(LULA).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 1.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 13 C I) WORK COMPLETED TOTAL. • AIA T ERIAL5 lIALANCE ITEM SCHEDULED CUA1PLf_T'EO FROM PRESENTLY ^h, TO REIAINACE NI). DESCRIPTION OF WORK VALOR APPLICATION THIS PERIOD STORED AND STORED (GT0 FINISH (If (U+G) (Not vi Lu'S) TO DATE E) (C—C) (0.r +F) 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.LONG. 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 II GRANT)TOTAL. 105,000 20,000 10,000 10,000 40,000 65,000 AIA Document 0703TM–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,copyrighta©aia.org. 1174 ERMCO Contract II 2695-4320 Document G703 TM - 1992 124070 Continuation Sheet - . AlA Document G702TM Application'and Certification for Payment, APPLICATION NO: containing Contractors signed certification is attached. APPLICATION DATE: 34 In tabulations below,'amounts are stated to,the nearest dollar. 1/24/2011 Use Column I on Contracts where variable may apply. PERIOD TO: retaina e for line items g Y PP Y = 1/31/2011 • ARCHITECTS PROJECT NO: A B C D E F G I-1 I WORK COMPLETED • TOTAL MATERIALS BALANCE SCHEDULED FROM PREVIOUS COMPLETED 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) 00.274 GENERAL ALLOWANCE INCREAE 195,700.00 195,700.00 195,700.00 100 • GRANDTOiTAL 7,375,105.00 7,195,226.73 56,745.57 7,251,972 35 98 • 123,132.65 •. 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 AIAeDocument 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. ® tarrA • Document G7031M- 1 992 In structions 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 ALA 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 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 13 C I) E F G I I WORK COMPLETED TOTAL MATERIALS BALANCE CND PLE'I'EU ITEM SCIIEUULEU 00051 PREVIOUS PRESENTLY % TO It I:rAINAGE NO. DGSCRII'IION OF WORK VALUE APPLICATION THIS PERIOD STORED AND STORED (0+(;)1 PINS!' ('II variable:BO TO DATE tD+.G7 6V,pork) LO+F+FI (C GJ 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 6 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 S 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 (IRANI)'FOTAL 105000 20,000 10,000 10,000 40,000 65,000 AIA Document G703'M-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. 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 (124070.034) 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 FIFTY SIX THOUSAND SEVEN HUNDRED FORTY FIVE DOLLARS AND 57/100($56,745.57) 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 Rod Burton Controller Witness my hand and notarial seal, this 24th day of Janua 011 PI/2-0f Notary Public My Commission Expires: 12/19/2015 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, INC. by Rod Burton Controller Witness my hand and notarial seal, this 24th day of January, 2011. Notary Public My Commission Expires: 12/19/2015 Lou Anne Puckett Notary Public-Printed Signature County of Residence: Marion