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A11 t__ <br />N, <br />1W-L A_� Document G103 -1992 <br />Continuation Sheet <br />AIA Document G7020, Application and Certification for Payment, or G732TM, <br />Application and Certificate for Payment, Construction Manager as Adviser Edition, <br />containing Contractor's signed certification is attached. <br />Use Column I on Contracts where variable retainage for line items may apply. <br />APPLICATION NO: I20-700-001 <br />APPLICATION DATE: <br />PERIOD TO: <br />ARCHITECT'S PROJECT NO: <br />,November 04, 2020 <br />13, 2020 <br />A <br />B <br />C <br />D <br />E <br />F <br />G <br />H <br />I <br />WORK COMPLETED <br />MATERIALS <br />TOTAL <br />BALANCE TO <br />A AGE <br />ITEM <br />DESCRIPTION OF <br />SCHEDULED <br />PRESENTLY <br />COMPLETED AND <br />% <br />FINISH <br />(IF F VARIABLE <br />FROM <br />NO. <br />WORK <br />VALUE <br />PREVIOUS <br />STORED <br />STORED TO DATE <br />(G =C) <br />(C - G) <br />RATE) <br />THIS PERIOD <br />(NOT IN D OR E) <br />(D + E + F) <br />APPLICATION <br />(D + E) <br />Prc-Construction <br />Services <br />10,000.00 <br />0.00 <br />10,000.00 <br />0.00 <br />10,000.00 <br />100.00%1 <br />0.00 <br />0.00 <br />Bonds & Insurance <br />79,528.00 <br />0.00 <br />47,886.00 <br />0.00 <br />47,886.00 <br />60.21% <br />31,642.00 <br />0.00 <br />Building <br />Permit/SAC/WAC <br />127,156.00 <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />0.00% <br />127,156.00 <br />0.00 <br />CM Contingency <br />238,379.00 <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />0.00% <br />238,379.00 <br />0.00 <br />CM General <br />Requirements <br />789,795.50 <br />0.00 <br />1,198.77 <br />0.00 <br />1.198.77 <br />0.15% <br />788,596.73 <br />0.00 <br />Construction Services <br />4,952,998.50 <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />0.00% <br />4,952,988.50 <br />0.00 <br />CM Fee <br />92,372.00 <br />0.00 <br />867.66 <br />0.00 <br />867.66 <br />0.94%I <br />91 504.34 <br />0.00 <br />GRAND TOTAL <br />$6,290,219.00 <br />$0.00 <br />$59,952.43 <br />$0.00 <br />$59,952.43 <br />0.95% <br />$6,230,266.57 <br />$0.00 <br />AIA Document G7030-1992. Copyright m 1963, 1965, 1966, 1967,1970, 1978, 1983 and 1992 by The American Institute of Architects. All rights reserved. The "American Institute of Architects; "AIA," the AIA Logo, <br />"G703," and 'AIA Contract Documents" are registered trademarks and may not be used without permission. This document was produced by AIA software at 12:50:08 CT on 11104/2020 under Order No.6421824392 <br />which expires on 04/24/2021, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents® Terms of Service. To report copyright violations, e-mail <br />copyright@ais.org. <br />User Notes: (3139ADA4F) <br />