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=AIA Document G703r" -1992
<br />Continuation Sheet
<br />Page 2
<br />ALA Document G702Tm-1992, Application and Leviticus for Payment, or G732TN-2009,
<br />APPLICATION NO:
<br />6
<br />Application and Certificate for Payment, Construction Manager as Adviser Edition,
<br />APPLICATION DATE:
<br />1
<br />containing Contractor's signed certification is attached.
<br />202017
<br />/ /
<br />In tabulations below, amounts are in US dollars.
<br />PERIOD TO:
<br />1/20/2020
<br />Use Column 1 on Contracts where variable retainage for line items may apply.
<br />ARCHITECT'S PROJECT NO:
<br />A
<br />B
<br />C
<br />D E
<br />F
<br />G
<br />H
<br />1
<br />WORK COMPLETED
<br />DIEM
<br />DESCRIPTION OF WORK
<br />DESCRIPTION
<br />MATERIALS
<br />PRESENTLY
<br />TOTAL
<br />COMPLETED AND
<br />%
<br />BALANCE TO
<br />FINISH
<br />RETAINAGE
<br />FROMPREVIOUS
<br />NO
<br />VA�IIE
<br />APPLICATION
<br />THIS PERIOD
<br />STORED
<br />STOREDTO DATE
<br />(G.Q
<br />(C-G)
<br />(Ifioriableralcl
<br />(D+E)
<br />(Net inDarE)
<br />())+E+F)
<br />PIPING MATERIAL
<br />1
<br />10.105: BOND
<br />10,333.00
<br />10,333.00
<br />0.G0
<br />0.00
<br />10,333.00
<br />100
<br />0.00
<br />516.65
<br />2
<br />10.109: ALLOWANCE
<br />7,500.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0
<br />7,50D.00
<br />0.00
<br />3
<br />10.115: PIPE & FITTINGS
<br />235,689.00
<br />124,000.00
<br />13,000.00
<br />0.00
<br />137,000.00
<br />58
<br />98,689.00
<br />6,850.00
<br />4
<br />10.119: DRAINS & CARRIERS
<br />47,196.00
<br />25,000.00
<br />15,000.00
<br />0.00
<br />40,000.00
<br />85
<br />7,196.00
<br />2,000.oa
<br />5
<br />10.123: PUMPS&TANKS
<br />5,400.00
<br />0.00
<br />4,0D0.00
<br />0.00
<br />4,000.00
<br />74
<br />1,400.00
<br />200.00
<br />6
<br />10.127; WATER HEATERS
<br />82,739.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0
<br />82,739.00
<br />0.00
<br />7
<br />10.137: PLBG FIXT & TRIM
<br />79,004.00
<br />1,500.00
<br />8,000.00
<br />0.00
<br />91500.00
<br />12
<br />69,5D4.00
<br />475.00
<br />8
<br />10.139: MISC PLUMBING
<br />42,488.00
<br />2,200.Do
<br />4,000.00
<br />0.00
<br />6,200.00
<br />15
<br />36,288.00
<br />310.00
<br />510,349.00
<br />163,033.00
<br />44,000.00
<br />0.00
<br />207,033.00
<br />Al
<br />303,316.00
<br />SO,351.65
<br />PIPING LABOR
<br />9
<br />11.185: LABOR - PLUMBING
<br />560,753.00
<br />124,600.00
<br />29,000.00
<br />0.00
<br />153,600.00
<br />27
<br />407,153.00
<br />7,680.00
<br />560,753.00
<br />124,6W 00
<br />29,000.00
<br />0.00
<br />153,6M 00
<br />27
<br />407,153.00
<br />T990.00
<br />SUBCONTRACTS
<br />SO
<br />0.300: DIGGING/BACKFILL
<br />37,034.00
<br />0.00
<br />37,ODD.00
<br />0.00
<br />37,000.00
<br />100
<br />34.00
<br />1,850.00
<br />11
<br />0.325: RENTALS
<br />13,DDo.00
<br />6,100.00
<br />4,0D0.00
<br />0.00
<br />10,1Do.00
<br />78
<br />2,900.00
<br />505.00
<br />12
<br />0.360: PIPE COVERING
<br />84,864.00
<br />11,0Do.00
<br />10,000.00
<br />0.00
<br />21AG0.00
<br />25
<br />63,864.00
<br />1,050.00
<br />134,898.00
<br />17, 100.00
<br />51,ODO.00
<br />0.00
<br />68,100.00
<br />50
<br />65,798.00
<br />T405.00
<br />13
<br />0.300: CH ORDER #3
<br />-2,980.OD
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0
<br />-2,980.00
<br />0.00
<br />11 GRAND TOTAL
<br />CAUTION: You should sign an original MA Contract Document, on which this text appears in RED. An original assures that changes will not be obscured.
<br />MIA Document G703ov -1992. Copyright ®1963,1965, 1966,1967, 1970. 1978, 1983 and 1992 by The American Institute of Nch9etls. All rights reserved WARNING: This Ate Document Is protected by U.S. Copyright
<br />Law and International Treaties. Unauthorized reproduction or distribution of this Me Document, or any portion of It, may result in severe civil and criminal penalties, and will be prosecuted to Me maximum extent
<br />possible under the Ise. Parmeare are permitted to reproduce ten (10) copies of tills document Men completed. To report Wpynght violations of MIA Contact Documents, e-mail The Amencan Infinite of Architects' legal
<br />counsel, copyrightiIiaia.or4 m,aaca.
<br />
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