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<br />CONTINUATION SHEET AIA DOCZIMENT G703 PAGE OF PAGES
<br />ere n,,,•,,,..P.,r r7m APPT.iCATTON AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 3
<br />Contractor's signed certification is attached.
<br />In tabulations below, amounts are stated to the nearest dollar.
<br />Use Column I on Contracts where variable retainage for line items may apply.
<br />APPLICATION DATE: 11 /24/03
<br />PERIOD TO: 11 /24/03
<br />ARCHITECTS PROJECT NO: 313.00
<br />A
<br />ITEM B
<br />DES RIPTION OF WORK C
<br />S REDUCED D
<br />RK E
<br />LE F
<br />MA G
<br />T TAL % H
<br />BALANCE I
<br />AINA
<br />RIABLE
<br /> VALUE FROM REVI US THI PERI PRESENTLY COMPLETED (G = C) TO FINISH (IF VA
<br />NO. APPLICATION STORED AND STORED (C - G) RATE)
<br /> (D + E) (NOT IN TO DATE
<br /> D OR E) (D+E+F)
<br />1 Bond $9,800.00 $9,800.00 $0.00 $9,800.00 100.00% $0.00
<br />2 Mobilization $8,644.00 $0.00 $8,644.00 58,644.00 100.00%
<br />3 Demolition 513,000.00 511,000.00 $1,500.00 $12,500.00 96.15% $500.00
<br />4 Site Utilites 519,500.00 $0.00 517,500.00 $17,500.00 89.74% $2,000.00
<br />5 Concrete Slab/Walks $21,000.00 $0.00 $13,705.00 $13,705.00 65.26% $7,295.00
<br />6 Masonry 520,725.00 $0.00 $15,554.00 $15,554.00 75.05% $5,171.00
<br />7 Metal Fabrication $2,000.00 50.00 50.00 0.00% $2,000.00
<br />8 Carpentry $17,000.00 50.00 $0.00 0.00% $17,000.00
<br />9 Insulation/Metal Panels $10,390.00 50.00 $0.00 0.00% $10,390.00
<br />10 Doors/Frames $8,800.00 50.00 $0.00 0.00% $8,800.00
<br />11 Finishes $4,500.00 $0.00 $0.00 0.00% $4,500.00
<br />12 Plumbing/Mechanical 525,892.00 $0.00 $4,237.00 $4,237.00 16.36% $21,655.00
<br />13 O & P/ Supervision /Admin. 520,000.00 53,000.00 $3,000.00 $6,000.00 30.00% $14,000.00
<br />14 AlternateNo.1 $174,688.00 $117,578.00 $0.00 $117,578.00 67.31% $57,110.00
<br />1S AlternateNo.2 $1,882.00 S0.00 $0.00 0.00% $1,882.00
<br />16 Alternate No. 3 $910.00 $0.00 $0.00 0.00% $910.00
<br />17 Temporary Electricity $702.00 $0.00 5702.00 $702.00 100.00%
<br /> GRAND TOTALS $359,433.00 $141,378.00 $64,842.00 $0.00 $206,220.00 57.37% $153,213.00
<br /> t
<br />D D401 - Certi~''sN nn of [~nr_um enYs Authenticity
<br />OC
<br />Users may obtain validation of this document by requesting of the license a completed AIA umen
<br />AiA DOCUMENT 6703 ~ CONTINUATION SHEET FOR G702. 1992 EDITKNJ ~ AIA®~ O 1992 GTO8-1882
<br />THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHING70N, D.C. 20008-5232
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