Loading...
HomeMy WebLinkAboutCIRCLE B CONSTRUCTION SYSTEMS - 1333 - 191,157.86 - 11/18/2010 = 1& Document 6702/CMaT" - 1992 Application and Certificate"for Payment Construction Manager-Adviser Edition TO OWNER: ..:r PROJECT: APPLICATION NO: 24 Distribution to: CARPIEL REDEVELOPMENT COMMISSION CARMEL PERFORMING ARTS CENTER "-ONE CIVIC SQUARE " PERIOD TO: 8/18/2010 OWNER El ' CARMEL, IN 46032 CONSTRUCTION MANAGER ❑ • t. FROM CONTRACTOR: VIA CONSTRUCTION MANAGER: CONTRACT DATE: 4/72/08 ARCHITECT El CIRCLE B CONSTRUCTION SYSTEMS SHIEL SEXTON COMPANY PROJECT NOS: l / CONTRACTOR El 5636 S. MERIDIAN ST. VIA ARCHITECT: 2695/4090 FIELD ❑ • INDIANAPOLIS, IN 46217 a • - CONTRACT FOR: TNT/EXT FINISHES . ., CSO ARCHTIECTS El 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 G7U3, is attached. Contract Docu nt .that all amounts have been paid by the Contractor for Work for which previous Certificates - r P m m vere issued and payments received from the Owner, and that current 1.ORIGINAL CONTRACT SUM - _ $ 6,394,500, 00pavment own • c is ow due. 2.Net change by Change Orders $ 28,431 .00 CONT'r•C e + ; CONSTRUCTION' SYSTEMS, LLG 3.CONTRACT SUM TO DATE (tine I ±.2) ' $ 6,422,931. 00Hy. // /may Date: ,B, .6�.�„ 0 4.TOTAL COMPLETED&STOREDTODATE(Column(innG703) $ 6,290,841 .857tatco ` V'IA%%A �sv`$$ l;p A% 5 RETAINAGE County //MARION ��•,,,,�„ a . a. %of CompletedW"ork Subse edandsMorn ob•fore 6"AT+47 • CINDER"1-.43;" I%• Colwnn0+ EonG703 $ 318,7416 ,55 met c f ARY'. Uet F4NdlA0�' ( ) t 31 ; f AUG AU 010 1< -�1 �I�t�•6 :%of Stored Material Notary Public: / t CO ON air' iii , • (Column F on G703) $ My Cmnmiss�, i .s; lie--A'•.� Total Retainage(Lines in+5b or Total in Column I of G703) 318,746.55 CERTIFICATE Icordon ICF n Contract Documents.M h on on-site f nnservat�#.' v\r" 6.TOTAL EARNED LESS RETAINAGE...... ... .... .... ... .... ... ... .... S 5,972,095. 30 idinerli(;it tl V lie best of heir _ -- application. certify Owner th"5�'tb file best of their • (Line 4 Less Line S Total) knowledge,information and belief the Work has progressed as indicated.the quality of the Work is in 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT $ 5,780, 937.44 accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT -- - CERTIFIED. (Line 6 from prior Certificate) ``p� I 8.CURRENT PAYMENT DUE - s 191 .157-86 L 157.86 AMOUNT CERTIFIED _ $ {t ,4G1 ' TEHa 9. BALANCE TO FINISH,INCLUDING RETAINAGE (Attach erplanatian fmnoset certified differcfr t the nnouni applied Initial all figures on this Application and an the Cantnetaliaa S/i tha ate chi iged to r aiifnrin with the amount certified) (Line 3 less Line 6) $ 450,835. 70 . CON' RUCTIO M• AGE": ,p . By: = �...:‘ Date: be Sr I D CHANGE ORDER SUMMARY ADDITTONS I DEDUCTIONS ARC ' CT: r l Total changes approved-'€ii previous months by Owner S $ By: �' `1 _ ' - " Date: 97 31 " Total approved.this Month $ $ This Certificat- €s no negotiable. The AMOUNT CERTIFIED is payable only to the Contractor TOTALS $ $ named hereist Issu ce;payment and accaptun e of payment are without prejudice to any rights of NET CHANGES by Change Order $ the Owner fir Can doctor 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 G7021CMalu-1992. copyright ©1992 by The American Instiute 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- .131. / Document G702/CMaTM - 1992 Instructions Application and Certificate for Payment Construction Manager-Adviser Edition A.General Information AlA Document G7021CMa,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 A201CCMa,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(or reproduction granted above,except upon written request and receipt of written permission from the AIA. flights 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 G7021CMa Form After the Contractor has completed AIA Document G703,Continuation Sheet,summary information should be transferred to AIA Document G702/CMa.Application and Certificate for Payment,Construction Manager-Adviser Edition. The Contractor should sign G7021CMa,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 3703 and,i1 they are acceptable,complete the Certificate for Payment on G702(CMa.The Construction Manager and Architect may certify a different amount than that applied for pursuant to Sections 9.5 and 9.6 of A201/CMa.They should then initial all figures on G702/CMa and G703 that have been changed to conform to the amount certified and attach an explanation.The completed G702/CMa and G703 should be forwarded to the Owner. D.Completing the 0703 Form Heading:This information should be completed to be consistent with similar information on AIA Document G702/CMa,Application and Certificate for Payment, Construction Manager-Adviser Edition. Columns A,B&C:These columns should be completed by identifying the various portions of the Project and their scheduled value consistent with the schedule of values submitted to the Architect at the commencement of the Project or as subsequently adjusted.The breakdown may be by sections of the Work or by Subcontractors and should remain consistent throughout the Project. Multiple pages should be used when required. Column C should be subtotaled at the bottom when more than one page is used and totaled on the last page. Initially,this total should equal the original Contract Sum. The total of column C may be adjusted by Change Orders during the Project. Column D:Enter in this column the amount of completed work covered by the previous application(columns D & E from the previous application).Values from column F (Materials Presently Stored)from the previous application should not be entered in this column. Column E:Enter here the value of Work completed at the time of this application,including the value of materials incorporated into the project which were listed on the previous application under Materials Presently Stored(column F. Column F:Enter here the value of Materials Presently Stored for which payment is sought.The total of the column must be recalculated at the end of each pay period. This value covers both materials newly stored for which payment is sought and materials previously stored which are not yet incorporated into the Project.Mere payment by the Owner for stored materials does not result in a deduction from this column.Only as materials are incorporated into the 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 permittedgn 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 6702/CMi 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 Sectio •7.3 in A201ICMa. _--° E.Making Payment s The Owner should make payment directly to the Contractor based on the amount certified by the Construction Manager arid-Architect on AIA-Dodument G702/CMa, Application and Certificate for Payment,Construction Manager-Adviser Edition.The completed form contains the name and address of the Contfactor.Payment should not be made to any other party unless specifically indicated on G702/CMa. - AIA Document 6702/Chia-FM-1992.Copyright @ 1992 by The American Institute of Architects.All rights reserved.WARNING:This Ale Document is protected by U.S. Copyright Law and international Treaties.Unauthorized reproduction or distribution of this 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 len(10)copies of this document when completed. To report copyright violations or AIA Contract Documents,email The American institute of Architects'legal counsel.copyrighl @aia.org. NI TM " (%I . AIA Document G703 - 1992 Continuation Sheet Si9s14096 A]A Document 0702,APPLICATION AND CERTIFICATION FOR PAYMENT. APPLICATION NO it- containing Contractor's signed certification is attached. APPLICATION DATE: 24 In tabulations below.amounts clic stated to the nearest dollar. PERIOD TO: 0813 112011 I Use Column] on Contracts where variable retainage for line items may apply, - F; ARCHITECT'S PROJECT NO: 0831/201(1 A B C 0 E F O H I I WORK COMPLETED NI1TER[ALS TOTAL ITEM PRESENTLY COMPLETED BALANCE RETAIN ALE DESCRIPTIOYOP WORK SCHEDULED FROM PREVIOU.9 3a TO STORED AND STORED HF VARI 1BEF - VALUE APPLICATION THIS PERIOQ 16`�-) FINISH (NOT IN TO DATE RAT E) (0-E} D DR E) (D+E+F} I C G) IOU BASEMENT FRAME MAIL 107,779.00 107-259 00 107,259.00 100.00 101 BASEMENT PRAM! LABOR 85,992.00 85,992.00 55,992.00 100.00 102 I BASEMENT HANG Al V I L 125.006.00 125.006.00 125,006-00 100-00 103 13AS[MI3N1 HANG LABOR 133.158.00 133.158,00 133,155-00 10000 104 ORCHESTRA FRAME 61A-11,. 1 18,670-00 11867000 138-670.00 100.00 105 ORC1-1E131 RA FRA,17E L1B 100-71'-00 98-698.74 2,014.20 100,713.00 100.00 IOG ORCI-IESTRAHAN 'MAIL 124.796.00 124.796,00 124,796.00 100.00 107 ORCHESTRA HANG LAB 141.631.00 127467.90 14,163.10 141,131-00 100-00 108 BALCONY 1 RAMI1 mix 11 108.051 .00 108.051,00 In‘, 0,i 00 100.00 109 BAI.COATY FRAME LAI'3OR 92 419 00 57.795 05 87 79S.05 95.00 4.(3.20.9.5 110 BALC0\21 HANG EMAIL 117-73100 11.731.00 115,731.00 100.00 I 1 1 BALCONY HANG LABOR 129-223.00 96.91735 19.353.45 116300.70 90.00 12,922.30 112 BOX TIER FRAMF.MATL- 135-171 00 135 171-00 135-171.00 100,00 113 BOX TIER FRAME LABOR 113.521 00 11;_521-00 113,521 00 100.00 114 BOX TIER HANG NIA'1'L. 140.3:0.00 140.350.00 140,350.00 100.00 • 11.) BOX TIER HANG LABOR 175-554 00 175-554.00 1 78.584.00 100.00 1 16 ATTIC FRAME t19A1 L 102.176 00 102-176-00 102,176.00 100.00 117 A-C1'IL FRAp43 LA BOP 57.922.00 87.922.00 87.922.00 100.00 118 ATTIC HANG NT 111 90126.00 90,226.(10 98 22600 10000 119 A'I"1'IC 1-1ANG LABOR 110,889.00 110 8‘,,i no 110,859.00 100.00 120 ACOLiS CEILING MATL 52,941.00 52,941.00 52.941,00 100-00 PAGE TOTALS: 2.394-429.0(] 2,341,324.94 35.560,81 ,00 2,376.88'5.75 17.543.25 .00 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 G703110-1992.Copyright 01963,1965,1966 1967,1970,1978, 1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIM Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIM 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,a-mail The American Institute of Architects legal counsel,copyright @aia,org. .. = = ® Document G703r" - 1992 Instructions Continuation Sheet _ - GENERAL INFORMATION --Purpose and Related Documents. AIA Document G702, Application and Certificate for Payment,is to be used in conjunction with AIA Document G703, ContinuationSheet.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.General Conditions of the Contract for Construction. UJse-el Current Documents. Prior td-using any ANA Contract Document,users should consult www.aia.org or a local AIR 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 at 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 AlA. Rightsioreproduce 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©ala,org. COMPLETING THEG703 FORM/J• ' 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 tbeicommencement 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 shdold.be subtotaled at ihebottom v)hen 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 maybe adjusted,by Change Orders during the Project. Column E /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 heretthe value of_Wotk completed at the time of this application, including the value of materials incorporated in the project that were listed on the,prevlous application UnderMateriald'Presently Stored(column F. Column P. 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 coversboth 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-thiscolurtin and incorporated into column E(Work Completed-This Period). Column G: Enter here the-totalof columns DIE and F. Calculate the percentage completed by dividing column G by column C. Column,H:Enter here the difference-between columnC'(Scheduled Value)and the column G(Total Completed and Stored to Date). Column I:Tliis column is normally used only far 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 1he'overall'contract amount. ' 'Change Orders:Alti ough Change Orders could be incdrporated by changing the schedule of values each time a Change Order is added to the Project,this is not 1 normally-done.Usually,Change'Orders are listed separately,either on the own G703 form or at the end of the basic schedule.The amount of the original contract adjusted -Change Orders is to'be.entered in the appropriate location of 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 CharigoOrders!AmduNs refraining indispute'should be dealt with according to Section 7.3 in A201. The logos/Mg is an example Cr a Continuation Sheet for work in progress.Please note that dollar amounts shown are for illusfrarive purposes only.and are not intended to ,, - reflect actual construction casts. \ r I A • 'B ._:G o E Y c I if i • "05K cUMPLEreu uNERial s 'I'uFA,. I . ... PKtiI1II COMPLETED °h To H,tIAINA[I) NOk. 01:00Ia CON CP WOE K VALUP PRFSIhIVS ' STORM N)x o (G:C) INSIl 61:VM1RIAIILE APPLICATION /HS ,NU11 "U DATE is•nt Rx1'L'I rn 4E4 not EI CD•11+0 • - 1 M0e102A11QN 0.000 5000 0 5000 '00 0 • 2 51LIMPRYb10VAL 5000 5.)00 O 5.000 '00 0 b EARTH'WORK '5,000 10.000 5. 00 0 10,000 :00 0 4 L00ER%E7661106 WALL 10000 0 5. 00 0 5000 50 0.000 5 CV/35 d MISC.L01E0. 5,000 0 0 0 0 5.000 6 DEMO.LITER 001 20.000 0 0 0 0 20.000 _7_ Pn51NG.LOVES PRISE • 20_000 0 0 0 0 20,000 b r'AVe66 20.000 0 10.090 10,000 50 10.000 a ERILK nO@. 5.000 0 0 0 0 5.000 10 7 ILEUVO t1.6.161l 6. vu IULw -o.U1X. 6.0...v. Ala Document GTO3r"-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 on 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 Tile American Institute of Architects'legal counsel,co pyright@aia,orig, biz( I I' 1 tr_ .JAIA Document G703" - 1992 Continuation Sheet !/�� AIA Document G702.APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: rt containing Contractor's signed certification is attached. APPLICATION DATE: 24 In tabulations below.amounts arc stated to the nearest dollar. PERIOD TO: 0S/31/2010 Use Column Ion Contracts where variable retainage for line items may apply. 1, ARCHITECT'S PROJECT NO: 05/31/2010 A B I C D I E F G H I WORK COMPLETED MATERIALS TOTAL ITF:M m BALANCE DESCRIPTION OF WORK SCHF--DOLED PRESENTLY}' COMPLETED ,I,O RE ARIA GE FROM PREVIOUS STORED AND SPORED (IP VARIABLE NO VALUE APPLICATION THIS PERIOD (C'+C) FINISH (NOT IN TO DATE RATE) (D+E) D ORE) (D+E+F) (C-(1) 121 ACOTJS CEILING LAI3OR 40.759.00 30.56925 6.113,85 36.683.10 90.00 4,075.90 122 INSULATION MATL 82.670.00 82.670.00 82.670.00 100.00 123 INSULATION LABOR 117-3 30.00 111.463.50 11 1.463.50 95.00 5.866.50 200 N/S FLIP CLG METAL Ni 51,331.00 51,331.00 51,331.00 100.00 201 N/S FLIP CLO METAL I. 201,384.00 201,384.00 201.384.00 100.00 202 N/S ELIP CLG PLAS NI 74,360.00 74.360,00 74,360.00 100.00 203 N/S FLIP CLG PLAS L 438.153.00 438.153.00 438.153.00 100.00 204 MAIN FLIP CLG METL M 52412.00 5).412,00 52.412.00 100.00 205 MAIN ELIP CL,G MFTL L 168.703.00 168.703.00 168.703.00 100.00 206 MAIN FLIP CLG PLAS NI 71273.00 71,273.00 71273.00 100.00 207 MAIN ELIP CLG PLAS I, 430.314.00 430.314,00 430.314.00 100.00 208 UP/LOW I3ALCNY METL NI 15,304.00 15,304.00 15,304.00 100.00 209 UP/LOW BALCNY METL L 143,518.00 143.518.00 14 3,518.00 100.00 210 IJPILOW BALCNY PLAS NI 37.975.00 37.975.00 37.975.00 100.00 211 UP/LOW BALCNY PLAS L 633.522.00 633.522.00 633,522.00 100.00 212 BOX TIER/COL METAI. NI 10245.00 10 245,00 10245.00 100.00 213 130X TIER/COL METAL L 118.363.00 118,363.00 118,363.00 100.00 214 130XTIER/COL PLAS :NI 70.300.00 70.300.00 70.300.00 100.00 215 BOX TIER/COL PLAS L 319,455.00 319.455.00 319,455.00 100.00 216 ORChlI-IiLMETAL .M 5,317.00 5.317.00 5,317.00 100.00 217 ORCI-I H/L METAL L 112,967.00 112.967.00 112.967.00 100.00 218 ORCIJ WI, PLAS NI 15,260.00 15.260.00 15260.00 1.00.00 - PACE TOTALS : 3210,915.00 3.194,858.75 6,113.85 .00 3.200972.60 9,942.40 .00 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 07031M-1992.Copyright C 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 AIM 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. . $fl1fl Document G7031M - 1992 Instructions Continuation Sheet GENERAL INFORMATION - Purpose and Related Documents. AIA Document G702,Application and Certificate for Payment,is to be used in conjunction with AIA Document G703, Continuation Sheet.These Documents are designed for use on Projects where the Contractor has a direct Agreement with the Owner. Procedures for their use are covered in AIA Document A201,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 THE 6703 FORM • , Heading:This information should be completed in a manner consistent with similar information on AIA Document 6702,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 maybe 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 he 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 fromithis column and incorporated into column E(Work Completed-This Period). Column G:Enter here the total of columns P.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 the column G(Total Completed and Stored to Date). .Column(:-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. •ChangetOrders: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 the own 6703 form or at the end of the basic schedule.The amount of the original contract adjusted by Change Orders is to'beentered in the appropriate location of 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 indispute'should be dealt with according to Section 7.3 in A201. The tollowing is an example of a Continuation Sheet for work in progress.Please note that dollar amounts shown are for illustrative purposes only,and are not intended to reflect actual construction costs. A WORK CON1P1.Lr[l! MATIIRIAI] I DIAL NpI,A6Cli INI). SCHEDULED FROM I•RRAfT'l l.l' ANt'ST CLEU IU (IF V,RIARI.I NIj, DESCRIPTION OF WORK v.\LUI! PI'LICATIO STORM) ANU TOTED nE VARIAI11.1: 'ITiIti PCRIOp (G+Ct FINISH AI'1'It*IllU\ D RIV 1DF. I'. IC-ill HATLI ID ai) DOR IT ID.P.,P� 1 tAOILIZAT10N 5000 5000 0 5000 100 0 2 571021"REDOAL 5.000 5000 0 5.000 100 0 ' 3 6112111 WORK 15000 10000 5.000 15,000 100 0 4 LOWER RE1ARaUG WALL, 10000 5.000 5.000 50 5.000 5 CURDS d U130.GONE. 5.000 0 0 0 5.000 6 RAVING,UPPER DPTE 20000 0 0 0 20000 7 PAANG.LOAF:DRIVE 20.000 0 0 0 20.000 d PACERS 20000 0 10. 00 10000 50 10.000 5.000 0 0 0 5.000 10 Iv2,WL wLVJ 10.0UJ JET-.) Nl,005 ohplN' AIA Document 07031°-1992.Copyright©1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING: This AIM Document is protected by U.S.Copyright law and International Treaties,Unauthorized reproduction or distribution on 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.orig. tit AIA Document G703 - 1992 / Continuation Sheet a�/ S-4. " Cga .AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT. APPLICATION NO: i eonraining Contractor-s signed certification is attached. APPLICATION DATE: 24 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 08/31/20 I0 Use Column I on Contracts where variable retninage for line items may apply, ARCHITECT'S PROJECT ND: 08/3 0 2010 A 13 C D F. F G H 1 WORK COMPLETED MATERIALS 'I DIAL RAI.ANCF. ITEM PRESENTLY COMPLETED RF.TAINAGE DF.SCRIPrlON'OF WORK SCHEDULED FROM PREVIOUS x' T� NO. VALUE S O•TIN AND (G+C) FINISH CIF VARIABLE APPLICATION 'PHIS PERIOD (NUT IN 'r0 DATE RATE) ID-L) U OR H) (D+E+F) (C Co 219 ORC1-1 HII- PLA S L 31-.844.00 159.50640 94.755.20 224.259.60 90 00 3 1.55440 220 40904. (3EN_ ALLOWANCE 225000 00 203,176.37 203.176.57 90.30 21,823 1; 22] 409013 CAI) Af,L ow,AVCE 5,000.00 5000.00 5.000.00 100.00 222 41004. GLN ALLOWANCE 17-,000.00 130.734.03 25000.00 153,734.03 90.71 16,265,97 223 410913 CAD ALLOWANCE 5.000.00 3000.00 5.000.00 100.00 224 ADll1'I'ONAL4090AI.L(MY 29.000.00 29.000.00 29.000.00 100.00 1244, Di 11 1 I• LINE 224 -29.000,00 -29.009(I0 -29.00.00 100.00 300 130N1) PREMIUM 63,312.00 63.3 12,00 63.312,00 100.00 30! C C. #1/OCR#1005 60.100.00 54,090.00 54,090.00 90.00 6,010.00 302 C_O.42/1-17,12 #1011 27,970.00 27.970.00 2.7.970.00 100.00 3111 CO.#3/CCR#1012 1,200.00 1,200.00 304 C_0'#4,C Ch' #1014 19,800.00 9.900.00 .5.940.00 15.540.00 50.00 3.96000 305 CO.#'5/CCR #1015 31,65200 7,920,00 1] 085.00 19,008.00 60 00 12,672.00 306 C.1) #6/C1.21.1 #1016 27.720.00 6,930.00 9,702.1)0 16,632.00 00 00 11,08500 308 CO#3,1,Ac 0) 20,490,00 20.490.00 20.490.00 100.00 309 C0 9/A1IOWAi'CEAD.] ' -226,269.00 -226.269.00 -226,269.00 10000 310 CO#1IIHIGH RAH LING 17.740.00 17.740.00 17.740.00 10000 ill C_O.#12 'DOME STEEL. 43,000.00 48.000.00 48.000.00 100.00 I it D'Il'tALS 642-2d3 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'M-1992.Copyright®1963,1965, 1966 1967,1970,1976, 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 whop completed.To report copyright violations of AIA Contract Documents,email The American Institute of Architects legal counsel,copyright @aia.org. v p T %srAIA Document G703'M' - 1992 Instructions Continuation Sheet • GENERAL INFORMATION Purpose-and Belated Documents. AIA Document G702, Application and Certificate for Payment,is to be used in conjunction with AtA 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,General Conditions of the Contract for Construction. Use of Curren) 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'docdment is a copyrighted work and may not he reproduced or excerpted from without the express written permission of the AIA,There is • no implied permission to reproduce thisldocument,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 AIA software_Licensed AIA software users should consult the End User • License Agreement(EULA).To report Copyright violations of AIR Contract Documents,e-mail The American Institute of Architects'legal counsel, • copyright©aia.org. „ . COMPLETING THE G703 FORM. ' Heading:This information should he 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 et the bottomwhen more than one page is used and totaled on the last page_Initially,this total should_equal the original Contract Sum,The totatof column C may m be adjusted,by Change Orders during the Project. Column Oi Enter in this.column the amount completed Work covered by the previous application(columns D & E from the previous application).Values from ri Y Column F(Materials Presently Stored)rrtrom i tie previous application should not be entered in this column. Column E.Ether 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 Stared for which payment is sought.The total of the column most be recalculated at the end of each pay period.This value covers both materials newly stored for which payment is sought and materials previously stared 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 B:Enter.here the total of columns D;Errand F.Calculate the percentage completed by dividing column G by column C. Column H:Enter here the differencobetween doluinn.C'(Scheduled Value) and the column G(Total Completed and Stared to Date). Columod:'Tbfs•column is normally_used Only for contracts where variable retainage is permitted on a line-item basis. It need not he completed on projects where a 'constant retainage is withheld from the-overall contract amount. Change Orders:Although Change OrdeFS could be inceirporated by changing the schedule of values each time a Change Order is added to the Project,this is not i normally done. Usually,Change-Orders are listed separately,either on the own G703 form or at the end of the basic schedule.The amount of the original • contract adjusledby.Change Orders is to be entered in the appropriate location of 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 indispute'should be dealt with according td Section 7.3 in A201. The following is an exarnpie eta Oontirivation Sheet for work in progress.Please note That dollar amounts shown are for illustrative purposes only,and are not intended to reflect actual construction costs. A 'n C 0 j eg F C H . . \. W)PK CDNIPIn Tn \A]IxLiLS TOTAL dL \ ;[:1 I FROM P y % To rAA M ,utSCeu•l ary uF w[uM1 ALIIE ' 0RE) AM)sto0 (9-C nyv1 IF Nki i I IS LImgm APPLICATION (NOUN IOO ,G [o eAT9 (U+111 IIbx 2, (Uv&l'I I 13051L171nON 5.000 5, 00 0 0 5000 100 0 2 eruiAK KEA1ovAl. ' 5,000 5 00 0 0 5000 100 0 3 EAK1u:00115 ' 15.000 I). 30 5000 0 15000 10.0 0 4 LOWER RETAINING`u4LLl 10,000 5030, 0 5000 50 5,900 5 MOM 31,1155 CONC. . 5.000 0 0 0 0 5,000 PAVING,UKI'EC 0nivE I 20000 0 0 0 0 20000 7 PAVING.Oars MO: ' 20.000 0 0 0 0 20.000 C rouses 20000 0 00000 10.000 50 10000 P. MICK'NORr• 5000 0 0 0 0 5,000 40 n i✓u,JUV ru.vou 1 1U,J00 ,O,Lib HULLOS. 00,■LU MA Document G703Tt-1992.Copyright OO 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 on 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 01 MA Contract Documents,e-mail The American Institute of Architects'legal counsel,copyright®aia.erig.