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<br />Document G70311 -1992
<br />Continuation Sheet
<br />AIA Document G702®, Application and Certificate for Payment, or G732TM, Application and Certificate for APPLICATION NO: 8
<br />Payment, Construction Manager as Adviser Edition, containing Contractor's signed certification is attached. APPLICATION DATE: 1/05/2023
<br />Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: 1/05/2023
<br />ARCHITECT'S PROJECT NO: 117-06A
<br />A
<br />B
<br />C
<br />D E
<br />F
<br />G
<br />H
<br />I
<br />WORK COMPLETED
<br />MATERIALS
<br />TOTAL
<br />BALANCE TO
<br />ITEM
<br />DESCRIPTION OF WORK
<br />SCHEDULED
<br />FROM PREVIOUS
<br />PRESENTLY
<br />COMPLETED AND
<br />%
<br />FINISH
<br />RETAINAGE
<br />NO.
<br />VALUE
<br />APPLICATION
<br />THIS PERIOD
<br />STORED
<br />STORED TO DATE
<br />(G + C)
<br />(C _ G)
<br />(If variable rate)
<br />(D + E)
<br />(Not in D or E)
<br />(D+E+F)
<br />1
<br />WM 12" DIP (Base Bid)
<br />464,300.00
<br />464,300.00
<br />0.00
<br />464,300.00
<br />0.00
<br />23,215.00
<br />1A
<br />WM 12" DIP Directionally Drill
<br />183,680.00
<br />183,680.00
<br />0.00
<br />183,680.00
<br />0.00
<br />9,184.00
<br />2
<br />Structure Backfill, Type 1 or 2
<br />52,360.00
<br />23,452.00
<br />2,483.35
<br />25,935.35
<br />26,424.63
<br />1,296.77
<br />3
<br />US 20 Jack & Bore (12" Carrier Pipe)
<br />234,500.00
<br />236,600.00
<br />0.00
<br />236,600.00
<br />(2,100.00)
<br />11,830.00
<br />4
<br />Gate Valve & Box 12"
<br />21,000.00
<br />21,000.00
<br />0.00
<br />21,000.00
<br />0.00
<br />1,050.00
<br />5
<br />Fire Hydrant Assembly
<br />30,000.00
<br />30,000.00
<br />0.00
<br />30,000.00
<br />0.00
<br />1,500.00
<br />6
<br />Air Release ValveNault
<br />24,000.00
<br />24,000.00
<br />0.00
<br />24,000.00
<br />0.00
<br />1,200.00
<br />7
<br />Conn Existing WM
<br />8,000.00
<br />8,000.00
<br />0.00
<br />8,000.00
<br />0.00
<br />400.00
<br />8
<br />1" Corp Stop Water Service
<br />2,100.00
<br />2,100.00
<br />0.00
<br />2,100.00
<br />0.00
<br />105.00
<br />9
<br />1" Type K Copper Water Service
<br />2,960.00
<br />2,645.50
<br />0.00
<br />2,645.50
<br />314.50
<br />132.28
<br />10
<br />Curb Stop & Box
<br />2,100.00
<br />2,100.00
<br />0.00
<br />2,100.00
<br />0.00
<br />105.00
<br />11
<br />HMA Surface 9.5mm Type C
<br />11,100.00
<br />11,100.00
<br />0.00
<br />11,100.00
<br />0.00
<br />555.00
<br />12
<br />HMA Intermediate 19.5mm Type C
<br />12,000.00
<br />12,000.00
<br />0.00
<br />12,000.00
<br />0.00
<br />600.00
<br />13
<br />HMA Base 25.Omm Type C
<br />23,100.00
<br />23,100.00
<br />0.00
<br />23,100.00
<br />0.00
<br />1,155.00
<br />14
<br />PCCP 12" SR 23 Pavement Base
<br />55,000.00
<br />0.00
<br />0.00
<br />0.00
<br />55,000.00
<br />0.00
<br />15
<br />Recycle Conc No 53 Pvmt Sub -base
<br />18,500.00
<br />18,500.00
<br />0.00
<br />18,500.00
<br />0.00
<br />925.00
<br />16
<br />HMA Approaches
<br />26,875.00
<br />6,039.71
<br />0.00
<br />6,039.71
<br />20,835.29
<br />301.99
<br />17
<br />PCCP Approaches
<br />5,340.00
<br />5,251.00
<br />0.00
<br />5,251.00
<br />89.00
<br />262.55
<br />18
<br />Stone Driveway Repair (Undist)
<br />1,500.00
<br />2,237.00
<br />0.00
<br />2,237.00
<br />(737.00)
<br />111.85
<br />19
<br />Milling 1-1/2"
<br />20,236.00
<br />0.00
<br />0.00
<br />0.00
<br />20,236.00
<br />0.00
<br />20
<br />HMA Resurface Type C 1-112"
<br />33,820.00
<br />0.00
<br />0.00
<br />0.00
<br />33,820.00
<br />0.00
<br />21
<br />Utility Allowance
<br />10,000.00
<br />0.00
<br />0.00
<br />0.00
<br />10,000.00
<br />0.00
<br />22
<br />Clearing Right -of -Way
<br />98,000.00
<br />98,000.00
<br />0.00
<br />98,000.00
<br />0.00
<br />4,900.00
<br />23
<br />Erosion Control
<br />33,000.00
<br />27,720.00
<br />5,280.00
<br />33,000.00
<br />0.00
<br />1,650.00
<br />24
<br />Seeding & Restoration
<br />66,750,00
<br />21,137.50
<br />45,612.50
<br />66,750.00
<br />0.00
<br />3,337.50
<br />25
<br />Pvmt Mark, Thermo Solid WH 4"
<br />2,337.00
<br />2,622.00
<br />0.00
<br />2,622.00
<br />(285.00)
<br />131.10
<br />26
<br />Pvmt Mark Casino Park Lot Yellow 4"
<br />230.00
<br />0.00
<br />0.00
<br />0.00
<br />230.00
<br />0.00
<br />27
<br />Dewatering
<br />1.00
<br />0.00
<br />0.00
<br />0.00
<br />1.00
<br />0.00
<br />28
<br />Lawn Restore Sod & Topsoil
<br />8,610.00
<br />23,534.00
<br />0.00
<br />23,534.00
<br />(14,924.00)
<br />1,176.70
<br />29
<br />Maintenance of Traffic
<br />125,132.00
<br />125,132.00
<br />0.00
<br />125,132.00
<br />0.00
<br />6,256.60
<br />30
<br />Construction Engineering
<br />9,969.00
<br />9,969.00
<br />0.00
<br />9,969.00
<br />0.00
<br />498.45
<br />31
<br />Mobilization/Demobilization
<br />85,000.00
<br />63,882.60
<br />21,117.40
<br />85,000.00
<br />0.00
<br />4,250.00
<br />GRAND TOTAL
<br />1,671,500.00
<br />1,448,102.31
<br />74,493.26
<br />1,522,595.57
<br />148,904.43 1
<br />76,129.79
<br />AIA Document G703® -1992. Copyright ® 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, "G703,"
<br />and "AIA Contract Documents" are registered trademarks and may not be used without permission. To report copyright violations of AIA Contract Documents, e-mail copyright@aia.org.
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