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Home My WebLink AboutERMCO, INC. -002167 -8/18/2011 CARMEL REDEVELOPMENT COMMISSION 002167 Ermco, Inc. Check: 2167 PO Box 1507 Date: 8/18/2011 Indianapolis, IN 46206 Vendor: ERMCO Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 39 36 44,867.00 44,867.00 0.00 0.00 44,867.00 App39onP7 44,867.00 44,867.00 0.00 0.00 44,867.00 4 *AIA Docu Document G 7 2 I M a M — 1992 . Application and Certificate for Payment Construction Manager-Adviser Edition 3 TO OWNER: Carmel Redevelopment Commission_PROJECT. Parcel 7A, Regional Performing Arts APPLICATION NO 39' Distribution to 1 Civic Square Center Interior Rough .TO 7/31/2011 OWNER ❑ Carmel, IN 46032 Construction Package P4 CONSTRUCTION MANAGER FROM CONTRACTOR: VIA CONSTRUCTION MANAGER: CONTRACT DATE: ARCHITECT ❑ ERMCO, INC. 1 ' P.O. Box 1507 Shiel Sexton PROJECT NOS: 2695-4320 / CONTRACTOR ❑ Indianapolis, IN 46206 VIA ARCHITECT: FIELD ❑ CONTRACT FJO : CSO Architects ❑ ectrical tnstaliatinn Prnjcrt It 7c1.3101-1 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 '. ent were issued and payments received from the Owner, and that current 1.ORIGINAL CONTRACT SUM 7}505,000.00 payment show e in is now due. 2.Net change by Change Orders $ (4,237.00) CONTRACT••: •i' 0 INC 3.CONTRACT SUM TO DATE(Line 1 ±2) . 7500,763.00 By if Datg,�ej 77/2011 4.TOTAL COMPLETED&STORED:TO DATE(Column G on G703) 7,(,490,090.35 State of Indiana .. 1� `�'O A. 5.RETAINAGE County . Marion Oil '�6 a. %of Completed Work Subscr''+:e d sworn to before 8�a :;) 10,0 0.00 " July, 1� (Column D+Eon 0703) me this day of b. T of Stored Material Notary Public: r-•( _J2- (Column F on 0703) $ My Commission expires: 12/19/2015 d Total Retainage(Lines 5a+5b or Total in Column I of G703).. $ 10,000.00 CERTIFICATE FOR PAYMENT `1 f'i.u pi ^ 7,480,090.35 In accordance with the Contract Documents, based on on-site obseQtt iZ i' iiata comprising 6.TOTAL EARNED LESS RETAINAGE $ this application,the Construction Manager and Architect certify to the aiR-•; - `;11 to the best of their (Line 4 Less Line 5 Total) knowledge,information and belief the Work has progressed as indicated,the quality of the Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 7,435,223.35 accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT (Line 6 from prior Certificate) CERTIFIED. ear • 8.CURRENT PAYMENT DUE _$ 44,867.00 AMOUNT CERTIFIED $ 41 V41 9.BALANCE TO FINISH,INCLUDING RETAINAGE (Attach explanation i'•-mount certified differs frog the ar ount applied. Initial all f figures on this Application and on ontinuation She g, a e chat ed to conform with the amount •ertifled.) (Line 3 less Line 6) $ 20,672.65 CONS CTION MA �/�/, BY' `►_:' � /5,�. a A 1 Date: rt CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHIT o,,w Total changes approved.in previous months by Owner59 082.00 e39,307.00) By Si' 111 - Date i Z' ,"( , Total approved this Month 42,988.00 $ This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor I TOTALS 633,070.00 (639.307.00) named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of NET CHANGES by Change Order -' $ (4,237.00) the Owner or Contractor under this Contract. CAUTION:You should sign an original AIA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AIA Document G702/CMaTM+-1992.Copyright a 01992 by The American Institute of Architects.All rights reserved.WARNING:This Ale Document is protected by U.S.Copyright Law and International Treaties. 101191/�� 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. O Document G702/CMaTM - 1992 Instructions Application and Certificate for Payment Construction Manager-Adviser Edition A.General Information AIA Document G702/CMa,Application and Certificate for Payment,Construction Manager-Adviser Edition,is to be used in conjunction with AIA Document G703, Continuation Sheet.These documents are designed to be used on a Project where a Construction Manager is employed as an adviser to the Owner,but not as a constructor,and where multiple Contractors have direct Agreements with the Owner.Procedures for their use are covered in AIA Document A201/CMa,General Conditions of the Contract for Construction,Construction Manager-Adviser Edition,1992 Edition. B.Reproductions This document is a copyrighted work and may not be reproduced or excerpted from without the express written permission of the AIA.There is no implied permission to reproduce this document,nor does membership in The American Institute of Architects confer any further rights to reproduce this document. The AIA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed G702/CMa,but only for use in connection with a particular project.The AIA will not permit reproduction outside of the limited license for reproduction granted above,except upon written request and receipt of written permission from the AIA. Rights to reproduce the document may vary for users of AIA software.Licensed AIA software users should consult the End User License Agreement(EULA). To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. C.Completing the G702/CMa Form After the Contractor has completed AlA Document G703,Continuation Sheet,summary information should be transferred to AIA Document G702/CMa,Application and Certificate for Payment,Construction Manager-Adviser Edition. The Contractor should sign G702/CMa,have it notarized and submit it,together with G703,to the Construction Manager and Architect. The Construction Manager and Architect should review G702/CMa and G703 and,if they are acceptable,complete the Certificate for Payment on G702/CMa.The Construction Manager and Architect may certify a different amount than that applied for pursuant to Sections 9.5 and 9.6 of A2011CMa.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 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 0:Enter in this column the amount of completed work covered by the previous application(columns D&E from the previous application).Values from column F (Materials Presently Stored)from the previous application should not be entered in this column. Column E:Enter here the value of Work completed at the time of this application,including the value of materials incorporated into the project which were listed on the previous application under Materials Presently Stored(column F). Column F:Enter here the value of Materials Presently Stored for which payment is sought.The total of the column must be recalculated at the end of each pay period. This value covers both materials newly stored for which payment is sought and materials previously stored which are not yet incorporated into the Project.Mere payment by the Owner for stored materials does not result in a deduction from this column.Only as materials are incorporated into the 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/CMa farm. Construction Change Directives:Amounts not in dispute that have been included ir%Construction Change Directives should be incorporated into one or more Change Orders.Amounts remaining in dispute should be dealt with according to Section 7.3 in.A201/CMa. • E.Making Payment - "— The Owner should make payment directly to the Contractor based on the amount certified by the Construction Manager and Architect on°•AIA Doclar)ent G702/CMa, Application and Certificate for Payment,Construction Manager-Adviser Edition.The-completed form contains the name aril a4dress of the.Contracter.Payment should not be made to any other party unless specifically indicated on G7021CMa. - - AIA Document G702/CMa TM-1992.Copyright ©1992 by The American Institute of Architects.All rights reserved.WARNING:This AIAe Document is protected by U.S. Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIAe Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.Purchasers are permitted to reproduce ten(10)copies of this document when completed. To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. Document G703 TM - 1992- ERMCO Contract d` 2695-4320 124070 !AIA Continuation Sheet AIA Document G702TM,Application and Certification for Payment, APPLICATION NO 38 containing Contractor's signed certification is attached. APPLICATION DATE: 7/27/2011 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 7/31/2011 ARCHITECT'S PROJECT NO A B C D E F G H I WORK COMPLETED TOTAL MATERIALS BALANCE COMPLETED SCHEDULED FROM PREVIOUS PRESENTLY % TO RETAINAGE ITEM DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD STORED AND STORED (G=C) FINISH (Lila,!able t ate) NO. TO DATE (D+E) (NO111DofE) (D+E+F) (C—G) 00.001 MOBILIZATION 15.000.00 15.000.00 15,000.00 100 00.0(2 P.M. 200,000.00 200,000.00 200,000.00 100:;, 00.0(3 CAD ENG 80,000.00 80,000.00 80,000.00 , 100 00.0(4 TEMP-L 75,000.00 75000.00 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 15000.00 15,000:00 100 00.007 BOND 72.000 00 72000.00 ... 72,400.Of1 100 00.008 TESTING 18,000.00 18000.00 18,000.00 100 00.009 SITE OFFICE 23,000 00 23.000.00 23.000 00 100 00.010 DEMOBILIZATION 5.000.00 5000.00 5.000 00 100 00.01 1 ALLOWANCE 12 550.000.00 549,964.00 (3,955.01) 546,009.00 99 3,991.03 00.0 2 ALLOWNACE 13 350,000.00 343,488.35 343,488.35 98 6,511.65 00.0.3 ALLOWANCE 14 100,000.00 99,763.00 231.01 99,994.00 100 6.00 00.0 4 ALLOWANCE 15 5,000.00 5,000.00 5.000.00 100 00.0 5 ALLOWANCE 16 .10,000.00 10,000.00 (164.00) 9,836.00 98 164.00 00.0 6 EO.11 00.0 7 MAT 10.000.00 10.000.00 10.00000 100 00.0 8 LABOR 6.000.00 6,000.00 6,000.00 100 • 00.0 9 EXCAVATION 35.000.00 35,000.00 35,000.00 100;' 00.0.0 E0.12 00.0.5 BRANCH R- M 500.00 500.00 500.0 100 00.0 6 BRANCH R- L 1500.00 1,500 00 1,500.0 100 00.0 7 BRANCH F-M 100.00 100.00 100.0 100 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 AIA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. ! AiA Document G703"- 1992 Instructions . Continuation Sheet GENERAL INFORMATION Purpose and Related Documents.AIA Document 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 TA1,General Conditions of the Contract for Construction. Use of Current Documents. Prior to using any AIA Contract Document,users should consult www.aia.org or a local AIA component to verify the most recent edition. Reproductions.This document is a copyrighted work and may not be reproduced or excerpted from without the express written permission of the AIA.There is no implied permission to reproduce this document,nor does membership in The American Institute of Architects confer any further rights to reproduce this document.The AIA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed G703,but only for use in connection with a particular project.The AIA will not permit reproduction outside of the limited license for reproduction granted above,except upon written request and receipt of written permission from the AIA. Rights to reproduce the document may vary for users of AIA software. Licensed ALA software users should consult the End User License Agreement(EULA).To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. COMPLETING G703-1992 Heading.This information should be completed in a manner consistent with similar information on AIA Document G702,Application and Certificate for Payment. Columns A,B&C.These columns should be completed by identifying the various portions of the Project and their scheduled values consistent with the schedule of values submitted to the Architect at the commencement of the Project or as subsequently adjusted.The breakdown may be by sections of the Work or by Subcontractors and should remain consistent throughout the Project. Multiple pages should be used when required. Column C should be subtotaled at the bottom when more than one page is used and totaled on the last page. Initially,this total should equal the original Contract Sum.The total of column C may be adjusted by Change Orders during the Project. Column D.Enter in this column the amount of completed Work covered by the previous application(columns D& E from the previous application).Values from column F(Materials Presently Stored)from the previous application should not be entered in this column. Column E. Enter here the value of Work completed at the time of this application, including the value of materials incorporated in the project that were listed on the previous application under Materials Presently Stored(column F). Column F. Enter here the value of Materials Presently Stored for which payment is sought.The total of the column must be recalculated at the end of each pay period.This value covers both materials newly stored for which payment is sought and materials previously stored which are not yet incorporated into the Project. Mere payment by the Owner for stored materials does not result in a deduction from this column.Only as materials are incorporated into the Project is their value deducted from this column and incorporated into column E(Work Completed This Period.) Column C.Enter here the total of columns D,E and F.Calculate the percentage completed by dividing column G by column C. Column H.Enter here the difference between column C(Scheduled Value)and column 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 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 WORK CONIPLETI'I) TUTAL MA'I'Gk[ALS BALANCE, COMPLETED 1TP,M SCH[:OULE:D FROM PREVIOUS PRESL•N'CLY % TO RIiTAI NAG h, NO. OF.SCRII'TI0, OF WORK VALUFn ANDS"I'ORIiD APPLICATION THIS PERIOD STORED ,DATE (C=C1 FINISH (If Nar!<,ble rah') (D+EI (Not DorEl (f0*S*El (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 15,000 10,000 5,000 0 15,000 100 0 4 LOWER RETAINING WALL 10,000 0 5,000 0 5,000 50 5,000 5 CURBS S MISC.CONC. 5,000 0 0 0 0 0 5 000 6 PAVING,UPPER DRIVE 20,000 0 0 0 0 0 20,000 7 PAVING,LOWER DRIVE 20,000 0 0 0 0 0 20,000 8 PAVERS 20,000 0 0 10,000 10,000 50 10,000 9 BRICK WORK 5,000 0 0 0 0 0 5,000 10 11 GRAND I01AL 105,000 20,000 10,000 10,000 40,000 65,000 AIA Document GM"'-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'5Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org, 0�V� IA Document G7D3 ERMCO Contract # 2695-4320 ` pa rM - 1992 124070 _• Continuation Sheet : AIA Document G702T"1,Application and Certification for Payment, APPLICATION N O` 38 containing Contractor's signed certification is attached. APPLICATION DATE: 7/27/2011 In tabulations below,amounts are stated to the nearest dollar. Use Column Ion.Contracts where variable retainage for line items may apply. PERIOD TO 7/31/2011 ARCHITECT'S PROJECT NO: A B C D E F G H WORK COMPLETED TOTAL MATERIALS BALANCE SCHEDULED FROM PREVIOUS COMPLETED ITEM DESCRIPTION OF WORK PRESENTLY % TO RETAINAGE NO VALUE APPLICATION THIS PERIOD STORED A TO DAOTEED (C C) FINISH (If variable rate) (D+E) (Not inDorE) (D+E+F) (C—C) 00.028 BRANCH F-L 200.00 200.00 200.00 100 00.09 E1.01 00 01'0 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 E1.02 . 00.033 EQ M 250.000.00 250,000.00 250,000.00 100 00.034 EQ L 150,000.00 150,000.00 150000.00 100 00.05 El 03 00 02'6 EQ R-M 10,000.00 10;000.00 ■ 10;000.00 100 00.0 7.-EQ R- L 15,000.00 15,000.00 15,000.00 100 00.0:8" EQ F - M 30,000.00 30,000.00 30,000.00 100 00.0.9 EQ F- L 8,000.00 8,000.00 8,000.00 100 00.040 E1.04 . 00.0L-1 EQ R- M 10,000.00 10.000.00 10,000.00 100 00.0L2 EQ R- L 15;000.00 15.000.00 15,000.00 100 00.04 3 EQ F- M 25,000.00 25,000.00 25,000.00 100 00 0,4 EQ F- L 8,000.00 8,000.00 8,000.00 100 00.045 E1.05 00 0L 6 EQ R M 5000.00 5,000.00 5,000.00 100' 00.0,7 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 00.0 9 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 G703'"—1992.Copyright 01963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This Ale Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this 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. • ires#A IA Document G703"- 1992 Instructions Continuation Sheet GENERAL INFORMATION Purpose and Related Documents.AIA Document G702TM,Application and Certificate for Payment,is to be used in conjunction with AIA Document G703,Continuation Sheet.These documents are designed for use on Projects where the Contractor has a direct Agreement with the Owner. Procedures for their use are covered in AIA Document A201TM,General Conditions of the Contract for Construction. Use of Current Documents.Prior to using any AIA Contract Document,users should consult www.aia.org or a local AIA component to verify the most recent edition. Reproductions.This document is a copyrighted work and may not be reproduced or excerpted from without the express written permission of the AIA.There is no implied permission to reproduce this document,nor does membership in The American Institute of Architects confer any further rights to reproduce this document.The AIA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed 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 AIA Contract Documents,e-mail The American Institute of Architects' legal counsel,copyright cilaia.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 II C D I: F G 11 I WORK COMPLETE l) TOTAL MATERIALS I' AND SIGRL'D) 13A LANCE CONIPLETED U N DESCRIPTION OP WORK SCIIEDUL,i) PR M PREVIOUS PRESENTLY TO RETAINAGE NO VALUE APPLICATION TIIIS PERIOD STORED TO DATE. (G=C) FINIS❑ (IJrnrirr6)o ravel (D E!) iVor nurE 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 A 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 AIA®Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIAeDocument,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. ERMCO Contract # 2695-4320 TM 124070 !AIA Document G703 - 1992 Continuation Sheet AIA Document G702TM,Application and Certification for Payment, APPLICATION NO: 38 containing Contractor's signed certification is attached. APPLICATION DATE: 7/27/2011 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: 7/31/2011 ARCHITECT'S PROJECT NO A B C D E F -:- G H I WORK COMPLETED TOTAL MATERIALS BALANCE COMPLETED SCHEDULED FROM PREVIOUS PRESENTLY % TO RETAINAGE ITEM DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD STORED AND STORED (G_C) FINISH (If variable rule) NO' (D+E) (Not mDorc) (TDODAT�) (C G) 00.0f I RIGGING . 35.000.00 35,000.00 35,000.00 100 00.0``-2 EQ R-M • 30.000.00 30,000.00 30.000.00 100 00.0`3 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 30,000.00. ' 100 00.0'16 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 00.0`8 BRANCH F M 7;000.00 7,000.00 7,000.00 100 00.0 9 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 6.000.01 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 00.0b5 RIGGING 10,000.00 10.000.00 10,000.00 100 00.010 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 00.0'2 BRANCH F-M 2,500.00 2,500.00 2,500.00 100 00.0'3 BRANCH F- L 3.500.00 3.500.0) 3,500.00 100' 00.04 E2.03&A 00.0'5 BRANCH R-M.. ... ; • 20,000.00 20,000.00 20,000.00"' 100 00.076 BRANCH R L - 16,000.0) 16.000.0) :.16;000.00 100 00 077 BRANCH F M . 1,000.0) 1.000.0) 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 G7t13TM—1992.Copyright©1963, 1965,1966, 1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA®Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AlA'Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIR Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. •44T4® Document G703"- 1992 Instructions Continuation Sheet GENERAL INFORMATION Purpose and Related Documents.AIA Document 0702T51,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 A2O1TM,General Conditions of the Contract for Construction. Use of Current Documents.Prior to using any AIA Contract.Document,users should consult www.aia.org or a local ALA component to verify the most recent edition. Reproductions.This document is a copyrighted work and may not be reproduced or excerpted from without the express written permission of the AIA.There is no implied permission to reproduce this document,nor does membership in The American Institute of Architects confer any further rights to reproduce this document.The ALA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed G703,but only for use in connection with a particular project.The AIA will not permit reproduction outside of the limited license for reproduction granted above,except upon written request and receipt of written permission from the AIA.Rights to reproduce the document may vary for users of AlA software. Licensed ALA software users should consult the End User License Agreement(EULA).To report copyright violations of ALA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. COMPLETING G703-1992 Heading.This information should be completed in a manner consistent with similar information on ALA Document 0702,Application and Certificate for Payment. Columns A, 13&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 A20I. The following is an evanrple of a Continuation Sheet for work in progress.Please note that dollar cunourus shown below are for illustrative purposes only,and are not intended to reflect actual construction casts. Fl WORK COMPI.ETI.P TOlV. CIATEERIALS BALANCE CC"MPLLII?D ITEM SCHEDULED FROM I'RE:VIOUS PRESENTLY % TO RETAINACE: NO. DI..CRIPT10. OF WORK VAI.US - APPLICATION THIS PERIOD STORED 'ti'. S1OKIiD (C+(.f FINISII (IfrnrmhR',s 1 OF-E.) (SE inDor P7 CO DA {C-0 E+r7 1 MOBILIZATION 5,000 5,0015 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 CURES&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 AIA®Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. ERMCO Contract # 2695-4320 124070 !AIA Document G7031M - 1992 Continuation Sheet AlA Document 0702TM,Application and Certification for Payment, APPLICATION-NO: 38 containing Contractor's signed certification is attached. In tabulations below,amounts are stated to the nearest dollar. APPLICATION DATE: 7/27/2011 Use Column,1 on Contracts where variable retainage for line items may apply. PERIOD TO 7/31/2011 ARCHITECT'S PROJECT NO A B C D E F G 11 I WORK COMPLETED TOTAL MATERIALS BALANCE COMPLETED SCHEDULED FROM PREVIOUS PRESENTLY % TO RETAINAGE ITEM DESCRIPTION OF WORK AND STORED NO. VALUE APPLICATION THIS PERIOD STORED TO DATE (G=C) FINISH (/fvarlablelate) (LI+E) (NorinDorC) (D+E+7) (C-G) 00.0 8 BRANCH F- L 2,500.00 2;500.00 2,500.00 100 00.0 9 FEEDER R- M 65.000.00 65,000.00 65,000.00 100:: 00 0.0 FEEDER R- L 45.000 00 45,000 00 45,000 00 100 !. 00.0.1 FEEDER F-M 2,500.00 2,500.00 2,500.00;' 100 00.0'2 FEEDER F- L 5,000.00 5,000 00 5.000 00 100 00.0:3 E2.04 00.0:4 BRANCH. R° M 6000.00 6,000.00 6,000.00 100 00.0"5 BRANCH R- L 8000.00 8,00000 8,000 00 100 00.0 6 BRANCH F-M 1-000.00 1,000.00 1.000.00 100 00.0 7 BRANCH F- L 2,500.00 2,500.00 2,500.00 100 00.0:8 E2.05 00.0'9 BRANCH R-M 15,000.00 15,000.00 15,000.00 100 00.0 0 BRANCH R-L 14,000.00 14;000.00 14.000.00 100 00.0'1 BRANCH F-M 800.00 800.00 800.00 100 00.0'2 BRANCH F- L 1.500.00 1,500.00 150000 100 00.0'3 E2.06 00.0'4 BRANCH R- M 4.000.00 4,000.00 4,000.00 100 00.0'> BRANCH R L 6,000.00 6.000.00 6,000.00 100 00 0'6 BRANCH F-M 600.00 600.00 600.00 100 00.0'7 BRANCH F- L 1,200.00 1.200.00 1,200.00; 100 00.0'8 E2.07 00.0'9 BRANCH R-M. .. 8;000.00 8.000.00 8,000:00 100 00.1 10 BRANCH R . L 10.000.00 10,000.00 10000.00 100 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 AleDocument 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"- 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 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 A IA 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 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 MA 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 evatnple of a Continuation Sheet for work in progress.('lease note that dollar 0010101Is shown below are for illustrative purposes only,and are not intended to reflect actual construction costs. n LI C D Ei I' G II 1 WORK COMPLETED TOTAL MATERIALS BALANCE COO PLF_TED ITEM SCHEDULED FROM PREVIOUS PRESENTLY % TO RETAINAGP. DESCRIPTION OF WORK AND STORI:D NO VALUE APPLICATION THIS PERIOD STOR En To DATE {G+C) FINIS!! (I('m'irrhle rare) (0'E) (,,k�x in Dm F,) (0 Ut F) (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 d.MISC.CONC. 5.000 0 0 0 0 0 5,000 6 PAVING,UPPER DRIVE 20,000 0 0 0 0 0 .20 000 7 PAVING,LOWER DRIVE 20,000 0 0 0 0 0 20,000 8 PAVERS 20,000 0 0 10,000 10,000 50 10,000 9 BRICK WORK 5,000 0 0 0 0 0 5,000 10 I1 GRAND TOTAL 105,000 20,000 10,000 10,000 40,000 65,000 AIA Document G703'""–1992.Copyright O 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. r../� ARMCO Contract ✓� 2695-4320•!1AIA TM 124070 Document G7O3TM - 1992 Continuation Sheet AlA Document G702TM Application and Certification for Payment, APPLICATION NO 38 , containing Contractor's signed certification is attached. In tabulations below,amounts are stated to the nearest dollar. APPLICATION DATE: 7/27/201 1 Use Column,I on.Contracts where variable retainage for line items may apply. PERIOD TO 7/31/2011 ARCHITECT'S PROJECT NO A B C D E F -: 0 1-1 1 - WORK COMPLETED. TOTAL MATERIALS BALANCE COMPLETED SCHEDULED FROM PREVIOUS PRESENTLY % TO RETAINAGE ITEM DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD STORED AND STORED (G-C) FINISH (If variable rare) NO. (D+E) (Nor inDorE) TO E +DATA) (G_G) • 00.1(1 BRANCH F-M 1,000.00 1,000.00 1,000.00 100 00.1(2 BRANCH F-L 2,500.00 2.500.00 2.500.00 . 100 00.1(3 E2.07A 00.1(4 BRANCH R- M • 15,000.00 15,000.00 15,000 00` 100 00.1(5 BRANCH R- L .. 20,000.00 20;000.00 20,000 00 100 00.1(6 BRANCH F M 9,000.00 9;000.00 :9,000.00 100 00.10 BRANCH •F L 10.000.00 10;000"00 10,000.00 100 00.1(8 E2.08 00.1(9 .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 00.1 1` BRANCH F- M 2,000.00 2,000.00 2,000.00 100 00.112 BRANCH F- L 3,500.00 3,500.00 3,500.00 100 00.113 E2.09 00.114 EQ R-M 8,000.00 8,000.00 8.000.00 100 00.115 EQ R- L 10,000.00 10,000.00 10,000.00 100 00.116 EQ F- M 2,500.00 2,500.00 2,500.00 100 00.117 EQ F- L 3,000.00 3,000.00 3,000.00 100 00.118 E2.10 00.119 BRANCH R- M .... 1,000.00 1,000.00 1,000"00 100 00.110 BRANCH R- L 2,500.00 2,500.00 2,500.00;; 100 00.1'1 BRANCH F M 100.00 100.00 100.00'' 100 00.122 BRANCH F- L 500.00 500.00 500.00 100 00.1'3 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 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 AlA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. • Document G703 7M- 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 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 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 AIA Contract Documents,e-mail The American Institute of Architects' legal counsel,copyright @aia.org. COMPLETING G703-1992 Heading.This information should be completed in a manner consistent with similar information on AIA Document 0702,Application and Certificate for Payment. Columns A,B&C.These columns should be completed by identifying the various portions of the Project and their scheduled values consistent with the schedule of values submitted to the Architect at the commencement of the Project or as subsequently adjusted.The breakdown may be by sections of the Work or by Subcontractors and should remain consistent throughout the Project.Multiple pages should be used when required. Column C should be subtotaled at the bottom when more than one page is used and totaled on the last page. Initially,this total should equal the original Contract Sum.The total of column C may be adjusted by Change Orders during the Project. Column D.Enter in this column the amount of completed Work covered by the previous application(columns D&E from the previous application).Values from column F(Materials Presently Stored)from the previous application should not be entered in this column. Column E.Enter here the value of Work completed at the time of this application,including the value of materials incorporated in the project that were listed on the previous application under Materials Presently Stored(column F). Column F.Enter here the value of Materials Presently Stored for which payment is sought.The total of the column must be recalculated at the end of each pay period.This value covers both materials newly stored for which payment is sought and materials previously stored which are not yet incorporated into the Project. Mere payment by the Owner for stored materials does not result in a deduction from this column.Only as materials are incorporated into the Project is their value deducted from this column and incorporated into column E(Work Completed—This Period.) Column G.Enter here the total of:columns D, E and F.Calculate the percentage completed by dividing column G by column C. Column H. Enter here the difference between column C(Scheduled Value)and column G(Total Completed and Stored to Date). Column I.This column is normally used only for contracts where variable retainage is permitted on a line-item basis. It need not be completed on projects where a constant retainage is withheld from the overall contract amount. Change Orders.Although Change Orders could be incorporated by changing the schedule of values each time a Change Order is added to the Project,this is not normally done. Usually,Change Orders are listed separately,either on their own 0703 form or at the end of the basic schedule. The amount of the original contract adjusted by Change Orders is to be entered in the appropriate location on the G702 form. Construction Change Directives.Amounts not in dispute that have been included in Construction Change Directives should be incorporated into one or more Change Orders.Amounts remaining in dispute should be dealt with according to Section 7,3 in A20 I The following is on 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. F 0 H t WORK COMPLETE) TOTAL MATERIALS EALANCE I'T'EM SCHEDULED l'OMPLI_'I'EI) FROM PREVIOUS PRESENTLY % TO R1:TAINAGE NO DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD (Tout) AND S'CORIiCI (G+C) FINISH trf.nr,abre r■F (D E) (\4xbrDnr Fl I)TO*EL*E (C_GJ r)+r.+n 1 MOBILIZATION 5,000 5 000 0 0 5,000 100 0 2 STUMP f2EMOVAL 5,000 5 000 0 0 5,000 100 0 3 EARTH WORK 15,000 10000 5,000 0 15,000 100 0 4 LOWER RETAINING WALL 10,000 0 5,000 0 5000 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 20000 0 0 0 0 0 29,000 8 PAVERS 20,000 0 0 10000 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 j 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. ERMCO Contract # 2695-4320 !AIA Document 6703 TM - 1992 124070 Continuation Sheet AIA Document 0702TM,Application and Certification for Payment, APPLICATION NO 38 containing Contractor's signed certification is attached. APPLICATION DATE: 7/27/2011 In tabulations below,amounts are stated to the nearest dollar. Use Column,1 on Contracts where variable retainage for line items may apply. PERIOD TO: 7/31/2011 ARCHITECT'S PROJECT NO A B C D E ",.F G II I WORK COMPLETED TOTAL MATERIALS BALANCE SCHEDULED COMPLETED ITEM DESCRIPTION OF WORK FROM PREVIOUS PRESENTLY % TO RETAINAGE VALUE AND STORED NO. APPLICATION THIS PERIOD STORED (G-C} FINISH (If variable rate) (D+E) (Not inDof E) D+E+ (c G) (D+E+F) 00.1 .4 EQ R- L 10,000.00 10,000.00 10,000.00 100 00.15 EQ F-M 1,500.00 1,500.00 1,500.00 100,, 00.126 EQ F- L 2.000.0 2,000.00 2,000.00 100 :. 00.162 E4.00&A& P 00.143 SOUND R M 75.000.0 75,000.00 75,000.00 100 00.164 SOUND R L 60.000.0 60,000.00 60,000'00 100 00.165 E4.01 &A 00.166 SOUND R-M 40,000.0 40000.00 40,000.00 100 00.167 SOUND R- L 25000.00 25,000.00 25000.00 100 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 00.12 SOUND R-M 25,000.00 25,000.00 25,000.00 100 00.13 SOUND R- L 18.000.00 18,000.00 18.000.00 100 00.1'4 E4.04 00.[5 SOUND R-M 25,000.00 25000.00 25,000.00 100 00.16 SOUND R- L 18,000.0) 18,000.00 18,000.00 100 00.177 E4.05& .06& .07 & .09 00.178 SOUND R- M 80,000.00 80,000.00 80,000 00 100 00.179 SOUND R- L 65,000.00 65,000.00 65,000 00 100 00.180 E5.00& P 00.181 F . R :,M 15,000.00 15,000.00 15,000.00 100 GRAND TOTAL CAUTION:You should sign an original AIA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AIA Document G703T"—1992.Copyright©1963,1965, 1966,1967,1970,1978,1963 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA®Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this Ale Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. IADocument G703 TM- 1992 Instructions Continuation Sheet GENERAL INFORMATION Purpose and Related Documents.AIA Document G702Thl,Application and Certificate for Payment,is to be used in conjunction with AIA Document 0703,Continuation Sheet.These documents are designed for use on Projects where the Contractor has a direct Agreement with the Owner. Procedures for their use are covered in AIA Document A201 Tm,General Conditions of the Contract for Construction. Use of Current Documents. Prior to using any AIA Contract Document,users should consult www.aia.org or a local AIA component to verify the most recent edition. Reproductions.This document is a copyrighted work and may not be reproduced or excerpted from without the express written permission of the AIA.There is no implied permission to reproduce this document,nor does membership in The American Institute of Architects confer any further rights to reproduce this document.The AIA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed G703,but only for use in connection with a particular project.The AIA will not permit reproduction outside of the limited license for reproduction granted above,except upon written request and receipt of written permission from the AIA. Rights to reproduce the document may vary for users of 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 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 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 drat dollar amounts shown below are for illustrative purposes only and are not intended to reflect actual construction costs. A 13 C D I; F ri El I WORK COMPLETE') TCIT.1 L NIA TERIALS BALANCE 1TLM SCHEDULED FROM PREVIOUS CCIM11PC.PTfiD DESCRIPTION OF WORK OUti I'liLmen)Y % TO KI:TAINAGL' N'O. VALUE APPLICATLON THIS PHRI00 STORED AN'll S'rO RED C=C FINISH l ll r- D+L•' TO DA EH 1 Clrartiui cru cJ ( 1 0.4uiDarEJ lD+E+r) (C-O) 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 5 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 Ale Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this Ale Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. ERMCO Contract # 2695-4320 k -.=��v Document G7O3TM - 1992 124070 Continuation Sheet A1A Document G702TM,Application and Certification for Payment, APPLICATION NO: 38 containing Contractor's signed certification is attached. APPLICATION DATE: 7/27/2011 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: 7/31!201 1 ARCHITECT'S PROJECT NO A B C D E J G H I WORK COMPLETED TOTAL MATERIALS BALANCE SCHEDULED FROM PREVIOUS COMPLETED ITEM DESCRIPTION OF WORK PRESENTLY % TO RETAINAGE VALUE AND STORED N0. APPLICATION THIS PERIOD STORED (G—C) FINISH (If tar ruble rn(e) TO DATE (D+E) (Not in D or E) (D+E+F) (C G) 00.182 F.A. R- L 9,000.0 9,000.00 9,000:00 100 00.183 F.A. F- M 20.000.0 20,000.00 20,000.00 100 00.184 F.A. F- L 5;000.0 5,000.00 5,000.00 100 00.185 E5.01 & .02& .03 00.186 F.A. R-M .. 17.000.0 17,000.00 17.000 00 100 00.187 F . R L 10,000.0 10000,00 10,000:00 100 00.188 F . F M 20,000.00 20,000.00 20000.00 100 00.189 F A F-L 5,000 00 5000.00 5,000.00 1.00 00.150 E5.04& 05& .06 00.191 F R- M 20,000.00 20,000.00 20,000.00 100 00.152` F.A. R- L 17,000.00 17,000.00 17,000.00 100 00.193 F.A. F- M 20,000.00 20.000.00 20,000.00 100 00.154 F.A. F- L 5,000.00 5.000 ON 5.000.00 100 00.155 E5.07 & .08& .09& .10 00.156 F.A. R-M 20,000.00 20;000.00 20.000 00 100 00.197 F.A. R- L 15,000.00 15,000.00 15,000.00 100 00.198 F.A. F= M 16,000.00 16,000.00 16,000.00 100 00.159 F.A. F- L 3,000.00 3,000.00 3,000.00 100 00200 E6.02 002(1 EQ M 55,000.00 55,000.00 55,000.00;` 100 00.2(2 EQ L 20000.00 20,000.00 20.000.00'_ 100 00.2(3 CABLE M 35000.00 35,000.00 "35,000.00 100 00.2(4 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. 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 AIA®Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AlAe 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. IAL& Document G703TM-- 1992 Instructions Continuation Sheet GENERAL INFORMATION Purpose and Related Documents.AIA Document G702TM,Application and Certificate for Payment,is to be used in conjunction with AIA Document G703,Continuation Sheet.These documents are designed for use on Projects where the Contractor has a direct Agreement with the Owner. Procedures for their use are covered in AIA Document A2O1TM,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 AIA will not permit reproduction outside of the limited license for reproduction granted above,except upon written request and receipt of written permission from the AIA.Rights to reproduce the document may vary for users of ALA software.Licensed AlA software users should consult the End User License Agreement(EULA).To report copyright violations of ALA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. COMPLETING G703-1992 Heading.This information should be completed in a manner consistent with similar information on AIA Document G702,Application and Certificate for Payment. Columns A,B&C.These columns should be completed by identifying the various portions of the Project and their scheduled values consistent with the schedule of values submitted to the Architect at the commencement of the Project or as subsequently adjusted.The breakdown may be by sections of the Work or by Subcontractors and should remain consistent throughout the Project.Multiple pages should be used when required. Column C should be subtotaled at the bottom when more than one page is used and totaled on the last page. Initially,this total should equal the original Contract Sum.The total of column C may be adjusted by Change Orders during the Project. Column D.Enter in this column the amount of completed Work covered by the previous application(columns D& E from the previous application). Values from column F(Materials Presently Stored)from the previous application should not be entered in this column. Column E.Enter here the value of Work completed at the time of this application, including the value of materials incorporated in the project that were listed on the previous application under Materials Presently Stored(column F). Column F.Enter here the value of Materials Presently Stored for which payment is sought.The total of the column must be recalculated at the end of each pay period.This value covers both materials newly stored for which payment is sought and materials previously stored which are not yet incorporated into the Project.Mere payment by the Owner for stored materials does not result in a deduction from this column.Only as materials are incorporated into the Project is their value deducted from this column and incorporated into column E(Work Completed—This Period.) Column 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 cm 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) 0 F (1 FI WORK COMPLETED WPM, BALANCE ITEM SCEIEUULEll COMf'LF_TEI7 FROM PREVIOUS PRIiti ENTLY / TO RE'rAINAGE NO DI:SI;RIPTION OF WORK VALUI? AND STORED APPLICATION THIS PERIOD STONI;I) TO DATE (G, FINISH rlJ+'r+rin8lc+xrtc) (E1 E.) (sOl,bw0 fU+E+F) (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 S MISC.CONC. 5.000 0 0 0 0 0 5,000 6 PAVING,UPPER DRIVE 20,000 0 0 0 0 0 20,000 7 PAVING,LOWER DRIVE 20,000 0 0 0 0 0 20,000 8 PAVERS 20,000 0 0 10,000 10,000 50 10,000 9 BRICK WORK 5.000 0 0 0 0 0 5,000 10 11 GRAND TI)I'AL 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 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. ERMCO Contract # 2695-4320 l G7O3TM 124070 :v Document G703 ® 1992 Continuation Sheet AIA Document G702",Application and Certification for Payment, APPLICATION NO 38 containing Contractor's signed certification is attached. APPLICATION DATE: 7/27/2011 In tabulations below,amounts are stated to the nearest dollar. Use Column,I on Contracts where variable retainage for tine items may apply. PERIOD TO 7/31/2011 ARCHITECT'S PROJECT NO A B C D E F '° G H 1 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 Of variable rate) (D+[) (Not uiDorE) (D+E+F) (C—G) 00.205 GR M 5,000.00 5.000.00 5,000.00 100 00.206 GR L 2,000.00 2.000.00 2,000.00 100;,; 00.207 E6.03 00.208 SECURITY R- M 40,000.0) 40000.0) 40 000.00 100 00.209 SECURITY R L 20,000.0) 20000.0) 20;000 00 100 00.2 0 SECURITY F M 18,000.00 18,000.0) 18,000 00 100 00.2 1 SECURITY F- L 6,000.0) 6,000.0) 6000.00 100 00.2 2 E6 05 002 3 DIMMING M 60000.0) 60,000.00 60000.00 100 002 4..DIMMING L 45,000.0) 45,000.00 45,000.0) 100 00.2 5 E6.06 00.2 6 OPTIC SENSOR M 8,000.0) 8,000.0) 8,000.0) 100 00.2 7 OPTIC SENSOR L 4,000.01 4,000.0) 4,000.0 100 00.2 8 E7.09 00.219 S & C M 100,0000) 100,000.03 100.000.00 100 00.220 S & C L 80,000.00 80,000.0) 80,000.0) 100 00.221 E8.00 00.222 LIGHTNING PRO M 42.000.0) 42,000.0) 42,000.0) 100;, 00.223 LIGHTNING PRO L 18000.00 18,000.0) 18000.0) 100 00.224 ALLOWANCE 17 40000.03 36641.03 3,359 00 40;000.0) 100 00.225 CHANGE ORDER#1 00.226 OCULUS ALTERNATE 1,000.03 1.000.00 1,000.0) 100 00.227 CHANGE ORDER#2 GRAND TOTAL CAUTION:You should sign an original AIA Contract Document,on which this text appears in RED.An original assures that changes will not be obscured. AIA Document 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 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. * AT A® -'� Document G703"- 1992 Instructions Continuation Sheet GENERAL INFORMATION Purpose and Related Documents.AIA Document G702TM,Application and Certificate for Payment,is to be used in conjunction with AIA Document G703,Continuation Sheet.These documents are designed for use on Projects where the Contractor has a direct Agreement with the Owner. Procedures for their use are covered in AIA Document A201TS1,General Conditions of the Contract for Construction. Use of Current Documents.Prior to using any AIA Contract Document,users should consult www.aia.org or a local AIA component to verify the most recent edition. Reproductions.This document is a copyrighted work and may not be reproduced or excerpted from without the express written permission of the AIA.There is no implied permission to reproduce this document,nor does membership in The American Institute of Architects confer any further rights to reproduce this document.The AIA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of a completed G703,but only for use in connection with a particular project.The AIA will not permit reproduction outside of the limited license for reproduction granted above,except upon written request and receipt of written permission from the AIA.Rights to reproduce the document may vary for users of AIA software.Licensed AIA software users should consult the End User License Agreement(EULA).To report copyright violations of 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 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 et-ample 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. n B C D I° F 0 H I WIRK COMPLETED ] TOTAL MATERIALS BALANCE CUM PLFTE]) 1TI6M SCHEDULED FROM PREVIOUS PRESENTLY % TO RETAINAGE NO I?135CK11''IJON CI WI AK VALUE.. APPLICATION TIIIS PERIOD STUR$0 AND S10CC (G+C) P01151I (lfvari,,1le rare) (U+6J (Nw tnUw6) TO DATE D+ (C-G) li+Fl I 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 ]0,000 5,000 0 15,000 100 0 4 LOWER RETAINING WALL 10,000 0 5,000 0 5,000 50 5,000 5 CURBS S MISC.CONC. 5,000 0 0 0 0 0 5,000 • 6 PAVING,UPPER DRIVE 20,000 0 0 0 0 0 20,000 7 PAVING,LOWER DRIVE 20,000 0 0 0 0 0 20,000 8 PAVERS 20,000 0 0 10,000 10,000 50 10,000 9 BRICK WORK 5,000 0 0 0 0 0 5,000 10 ]I 0RANDTO1AL 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 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. .,_.. ® E12MC0 Contract # 2695-4320 w-, : , Tnt 124070• Document G703 1992 Continuation Sheet AIA Document G702TM,Application and Certification for Payment, APPLICATION NO': 38' containing Contractor's signed!.certification is attached. APPLICATION DATE: 7/27/2011 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: 7/31/2011 ARCHITECT'S PROJECT NO: A B C D E F G 11 I WORK COMPLETED TOTAL MATERIALS BALANCE COMPLETED SCHEDULED FROM PREVIOUS PRESENTLY % TO RETAINAGE ITEM DESCRIPTION OF WORK VALUE AND STORED NO. APPLICATION THIS PERIOD STORED (G C) FINISH (If variable role) O (D+E) (Noti)DorE) (D+E+F) (C—G) 00.228 MACHINELESS ELEVATOR 11,500.00 11,500.00 11,500.00 100 00.229 CHANGE ORDER#3 00-230 RCP 4 (58,852.00) (58,852.00) (58,852.00) 100 . 00.231 CHANGE ORDER#004 NO CO^T 00.232 CHANGE ORDER#005 • 00.233 AS1-037, RCP-006 • 23,177.0) 23,177.00 23,177.00 100 00.234 CHANGE ORDER#006 . 00.235 RCP 011 (7;554.00) (7,554.00) . ' (7,554.00) 100 00.236..CHANGE ORDER#007 00.237 AS1-038 18,732.00 18;732.00 18,732.00 100 00.238 CHANGE ORDER#008 00.239 ALLOWANCE 4320A ELEC GE EF (350.000.0)) (350,000.00) (350,000.00) 100 00.240 ALLOWANCE 4330A FIRE ALA"M (75,000.03) (75,000.0)) (75.000.00) 100 00.241 ALLOWANCE 4330B FIRE/SEC R (5.000.00 (5,000.0)) (5,000.00) 100 00.242 ALLOWANCE 4320D ELECTRII AL (10,000.03) (10,000.0)) (10,000.00) 100 00.243 BOND REDUCTION FOR ALLO I (2,715.0)) (2,715.0)) (2,715.00) 100 00.244 CHANGE ORDER#009 • 00.245 WORK DIRECTIVE 4320-001 N 'A 00.246 CHANGE ORDER#010 00.247 ASI-PAC-104 WATER HEATER AD 17,090.03 17,090.0) 17,090.0). 100 00.248 E3.03 • 00.249 LIGHTING R M 30,000.0) 30,000.0) 30,000.0) 100 00.250 LIGHTING R L 35,000.0) 35,000.0) 35,000.0) 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 01963,1965, 1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA®Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this Ale Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. - kVIV/ ® = Document G7O3TM- 1992 Instructions Continuation Sheet GENERAL INFORMATION Purpose and Related Documents.AIA Document G702TM,Application and Certificate for Payment,is to be used in conjunction with AIA Document G703,Continuation Sheet.These documents are designed for use on Projects where the Contractor has a direct Agreement with the Owner. Procedures for their use are covered in AlA Document A201TM,General Conditions of the Contract for Construction. Use of Current Documents.Prior to using any AIA Contract Document,users should consult www.aia.org or a local AIA component to verify the most recent edition. Reproductions.This document is a copyrighted work and may not be reproduced or excerpted from without the express written permission of the AIA.There is no implied permission to reproduce this document,nor does membership in The American Institute of Architects confer any further rights to reproduce this document.The AIA hereby grants the purchaser a limited license to reproduce a maximum of ten copies of'a completed G703,but only for use in connection with a particular project.The AIA will not permit reproduction outside of the limited license for reproduction granted above,except upon written request and receipt of written permission from the AIA. Rights to reproduce the document may vary for users of AIA software. Licensed AIA software users should consult the End User License Agreement(EULA).To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. COMPLETING G703-1992 Heading.This information should be completed in a manner consistent with similar information on AIA Document 0702,Application and Certificate for Payment. Columns A,B&C.These columns should be completed by identifying the various portions of the Project and their scheduled values consistent with the schedule of values submitted to the Architect at the commencement of the Project or as subsequently adjusted.The breakdown may be by sections of the Work or by Subcontractors and should remain consistent throughout the Project.Multiple pages should be used when required. Column C should be subtotaled at the bottom when more than one page is used and totaled on the last page. Initially,this total should equal the original Contract Sum.The total of column C may be adjusted by Change Orders during the Project. Column D.Enter in this column the amount of completed Work covered by the previous application(columns D& E from the previous application).Values from column F(Materials Presently Stored)from the previous application should not be entered in this column. Column E.Enter here the value of Work completed at the time of'this application, including the value of materials incorporated in the project that were listed on the previous application under Materials Presently Stored(column F). Column F. Enter here the value of Materials Presently Stored for which payment is sought.The total of the column must be recalculated at the end of each pay period.This value covers both materials newly stored for which payment is sought and materials previously stored which are not yet incorporated into the Project. Mere payment by the Owner for stored materials does not result in a deduction from this column.Only as materials are incorporated into the Project is their value deducted from this column and incorporated into column E(Work Completed-This Period.) Column G.Enter here the total of columns D, E and F.Calculate the percentage completed by dividing column G by column C. Column H. Enter here the difference between column C(Scheduled Value)and column G(Total Completed and Stored to Date). Column I.This column is normally used only for contracts where variable retainage is permitted on a line-item basis. It need not be completed on projects where a constant retainage is withheld from the overall contract amount. Change Orders.Although Change Orders could be incorporated by changing the schedule of values each time a Change Order is added to the Project,this is not normally done. Usually,Change Orders are listed separately,either on their own 0703 form or at the end of the basic schedule. The amount of the original contract adjusted by Change Orders is to be entered in the appropriate location on the 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 A20 I, The following is an example of a Continuation Sheet fin.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 U C n I C P 0 H I WORK COMPLETED TOTAL MATERIALS 1IALANCI. COMPLETED SCHEDULED PROM PREVIOUS PRESENTLY % TO RE,TAINAGE ITEM NO DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD STOKED AND STORED TO DATE { CJ FINIS)! (II-variable rurel tD*El (Aix HD or E.) (D+F,FI (C-G) 1 MOBILIZATION 5,000 5,000 0 0 5000 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 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 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. ERMCO Contract # 2695-4320 TM 124070 !AIA Document G793 1992 Continuation Sheet AIA Document G702T 1,Application and Certification for Payment, APPLICATION NO: ... 38 containing;Contractor's signed certification is attached. APPLICATION DATE: 7/27/2011 In tabulations below,amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. 2 PERIOD TO 7/31/2011 ARCHITECT'S PROJECT NO B C D E F G H I WORK COMPLETED TOTAL MATERIALS BALANCE SCHEDULED FROM PREVIOUS PRESENTLY COMPLETED % 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°C) 00.251 LIGHTING F-M 350,000.0) 350,000.09 350,000.00 100 00.252 LIGHTING F- L 22,000.0) 22,000.00 22,000.00 100... • 00.253 CHANGE ORDER# 11 . 00.234 ALLOWANCE FROM 43208 ALLOT (100.000.0 ) (100,000.00) (100,000.00) .:100 00.255 ALLOWANCE TO 4320A ALLOW 1 100,000.00 100,000.00 100,000 00 100 00256 ALLOW REDUCTION 4320B ALLO (30,000.0)) (30;000.00) (30, 000.00) - 100 00.2 7 BOND REDUCTION (186.0)) (186.00) (186.0)) 100 00.258 CHANGE ORDER# 12 00.209 ALLOWANCE FROM 4320B ALLO\ (50,000.0)) (50,000.00) (50,000.00) 100 00.200 ALLOWANCE TO 4320A ALLOWAI 50,000.0) . 50,000.00 50,000.00 100 00.261 ALLOWANCE FROM 4320D ALLO\ (10,000.0)) (10;000.00) (10,000.00) 100 00.262 ALLOWANCE TO 4320A ALLOWAI 10,000.03 10,000.0) 10,000.0) 100 00.263 CHANGE ORDER# 13 00.264 ASI-PAC-147 28,549.00 28,549.0) 28,549.0) 100 00.265 CHANGE ORDER# 14 00.266 RCP-PAC-028 8,950.00 8,950.0) 8,950.0) 100 00.267 CHANGE ORDER# 15 00.268 RCP-PAC-029 3,214.03 3,214.0) 3,214.0) 100_;, 00.269 CHANGE ORDER# 16 : 00.270 ALLOWANCE REALLOCATION42 51,500.00 51,500.0) 51,500.0) 100 00.271 CHANGE ORDER#1:7 00.272 STEEL DELAY ISSUES' 50,000.0) 50,000.0) 50,000.03 100 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 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 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. IADocument 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 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 TD1,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 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 ofa 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 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 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 IF C U Et P 1 H WORK COM I'LEFED TOTAL MATERIALS BALANCE COMPLETED ITEM SCHEDULED FROM PREVIOUS PRESENTLY % TO RETA I NAUE3 NO DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD STORED AND DATED (0 L7 FINNH (If,,reuhlc"" (O,IF,Do,EI TO DATE (C—G� D+F,+F3 1 MOBILIZATION 5,000 5,000 0 0 5,000 100 0 2 STUMP REMOVAL 5 000 5,000 0 0 5,000 100 0 3 EARTH WORK 15,000 - 10000 5,000 0 15,000 100 0 4 LOWER RETAINING WALL 10,000 0 5,000 0 5,000 50 5,000 5 CURBS&MISC.CONC, 5,000 0 0 C 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 I1 GRAND TO'T'AL 105,000 20,000 10,000 10,000 40,000 65,000 AIA Document GT03T'-1992.Copyright©1963, 1965, 1966, 1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING: This AIA21Document 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. laPd,Ai ® TM ERMCO Contract # 2695-4320 Document G703 . 1992 124070 Continuation Sheet AIA Document G702 1M,Application and Certification for Payment, APPLICATION NO 38 containing Contractor's signed certification is attached. APPLICATION DATE: 7/27/2011 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: 7/31/2011 ARCHITECT'S PROJECT NO A B C D E F G `. H WORK COMPLETED TOTAL MATERIALS I BALANCE SCHEDULED FROM PREVIOUS COMPLETED PRESENTLY % TO RETAINAGE ITEM DESCRIPTION OF WORK AND STORED NO. VALUE APPLICATION THIS PERIOD STORED TO DATE (C-C) FINISH (If variable rate) (D+E) (Not 771DorE) (D+E+F) (C G) 00.2'4 GENERAL ALLOWANCE INCREA; 195,700.00 195,700.00 195,700.00 100 00.2 5 CHANGE ORDER# 19 00.2 6 ALLOWANCE REALLOCATION 40 82,670.00 80,262.00 2,408.00 82.670.00 100' 00.2 7 CHANGE ORDER#020 13016.01 13.016.00 13016.00 100 00.2 8 CHANGE ORDER#021 :: 14;972.00 14,972,00 14,972 00 i. 100 00.2'9 CHANGE ORDER#022 15.000 00 15,000.CO 1 5.00000 100 ■ GRAND TOTAL 7,500763.0D 7,445,223.35 44,867.00 7,490,090.35 100 10,672.65 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 G703T"'-1992.Copyright©1963 1965,1966,1967,1970,1978, 1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AlA®Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA®Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.Purchasers are permitted to reproduce ten(10)copies of this document when completed.To report copyright violations of AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. ® Document G703"- .1992 Instructions Continuation Sheet GENERAL INFORMATION Purpose and Related Documents.AIA Document G702TM,Application and Certificate for Payment,is to be used in conjunction with AIA Document G703,Continuation Sheet.These documents are designed for use on Projects where the Contractor has a direct Agreement with the Owner. Procedures for their use are covered in AIA Document A201T"1,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 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 AIA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright @aia.org. COMPLETING G703-1992 Reading.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 onw,and are not intended to reflect actual construction costs. A R c D I r F G I I I WORK COMPLETED TC71'AL SIATERIAIS BALANCE CU"IPL LTI;I1 rTE,M SCHEDULED PROM PREVIOUS PRESENTLY % TO R ETA INAOE NIJ UP_SCRIP"I'ION OF WORK VALUE APPLICATION THIS PERIOD STORED AND STORED (Ca C) FINISH (rfcrrriuMc rale) (D+EI jNa,L' -C) IO DATE (0-91 1 MOBILIZATION 5,000 5,000 • 0 0 5,000 100 0 2 STUMP REMOVAL 5 000 5.000 0 0 5,000 100 0 3 EARTH WORK 15,000 10000 5,000 0 15,000 100 0 4 LOWER RETAINING WALL 10000 0 5,000 0 5,000 50 5000 5 CURBS A 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 20000 0 0 10,000 10,000 50 10,000 • 9 BRICK WORK 5,000 0 0 0 0 0 5,000 10 11 GRAND 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 AlA5 Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AlA5 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 ) James G. Gossett being duly sworn states that he is the Vice President of ERMCO, INC. having contracted with City of Carmel (124070.039) 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 FORTY FOUR THOUSAND EIGHT HUNDRED SIXTY SEVEN DOLLARS AND NO/100($44,867.00) the receipt of which is hereby acknowledged: or X the payment of which has been promised as the sole consideration for this Affidavit and Partial Waiver of Lien which is given to and for said amount, effective upon receipt of such payment: FINAL WAIVER: That the final balance due from the owner is the sum of receipt of which is hereby acknowledged: or the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which is given to and for said amount, effective upon receipt of such payment: THEREFORE, the undersigned waives and releases unto Owner of said premises any and all lien and claim whatsoever on the above described property ro erty a nd improvements rovements 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. P J p ERMCO, INC. by f Jae °s G. Gossett Vice President ONION/40 0 Witness my hand and. notarial seal, this 27th day of J y, 2011 ��x? %— 69 Notary Public My Commission Expires: 12/19/2015 'J Lou Anne Puckett o' Notary Public-Printed Signature ivNV nO County of Residence: Marion AFFIDAVIT AND WAIVER OF LIEN STATE OF INDIANA ) Final Partial X )SS: COUNTY OF MARION ) James G. Gossett being duly sworn states that he is the Vice President of ERMCO, INC. having contracted with City of Carmel (124070.035,37,36RT&38RT) 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 FIVE HUNDRED FORTY NINE THOUSAND SIX DOLLARS AND 25/100($549,006.25) 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 Jame /G. Gossett Vice Presider aN jp Witness my hand and notarial seal, this 27th day of Jul 2011 4, y y /01"187 �N Notary Public My Commission Expires: 12/19/2015 1.b Lou Anne Puckett b4.0N Notary Public-Printed Sign- p'� County of Residence: Marion °�3NNd c Prescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. �D / GIs' `SG 7 Terms 47,7 ti-��v�5 5620 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 7/3/4/ 3 9 39 0,7 P 7 4q P6 7.00 Total `7/5�S67Gr} I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I i-ye audited same in accordance with IC 5-11-10-1.6. � —t7 , 2011 !=� � - Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 �dX IN SUM OF $ /0O ISO /d/ <��> -�/3 /,) . 7620 $ 1'51/,?67_l9° ON ACCOUNT OF APPROPRIATION FOR 9oz Board Members DEPT. PO# r# INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice (s), or gU2 09 51y6Gcio7 4`y,&2 d° bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except - 3. 20 // n Director o ec�e tuRopment Title Cost distribution ledger classification if claim paid motor vehicle highway fund