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CONTINUATION SHEET AIA DOCUMENT G703 PAGE 2 OF 2 PAGES
<br />AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, containing CB&I INC. - INVOICE NUMBER:235318-12
<br />Contractor's signed Certification is attached.APPLICATION NUMBER:12
<br />in tabulations below, amounts are stated to the nearest dollar.APPLICATION DATE:07/30/20
<br />Use Column 1 on Contracts where variable retainage for line items may apply.WORK FROM DATE:07/03/20
<br />WORK THRU DATE:07/31/20
<br />A B C E F G H I J K
<br />ITEM DESCRIPTION OF WORK TOTAL COST PER SCHEDULED WORK PREVIOUS WORK MATERIALS TOTAL TOTAL BALANCE PREVIOUS CURRENT TOTAL
<br />NO.OUANTITY UNIT VALUE FROM %COMPLETED PRESENTLY COMPLETED TO DATE TO FINISH RETAINAGE RETAINAGE RETAINAGE
<br />PREVIOUS (D div C)THIS PERIOD STORED AND STORED %( C - G )5%5%5%
<br />APPLICATIONS ( NOT IN TO DATE (G div.C)
<br /> D OR E )( D + E + F )
<br />1 INSURANCE AND BONDS 1.00 $79,500.00 $79,500.00 79,500.00 100%0.00 79,500.00 100%0.00 3,975.00 0.00 3,975.00
<br />2 ENGINEERING & APPROVAL 1.00 $346,500.00 $346,500.00 329,173.45 95.0%0.00 329,173.45 95.0%17,326.55 16,458.67 0.00 16,458.67
<br />3 TANK MATERIAL 1.00 $502,300.00 $502,300.00 502,300.00 100%0.00 502,300.00 100%0.00 25,115.00 0.00 25,115.00
<br />4 TANK FABRICATION & SHIP 1.00 $517,275.00 $517,275.00 517,275.00 100%0.00 517,275.00 100%0.00 25,863.75 0.00 25,863.75
<br />5 SITE PREPARATION / MOBILIZATION OF EQUIPMENT 1.00 $20,000.00 $20,000.00 20,000.00 100%0.00 20,000.00 100%0.00 1,000.00 0.00 1,000.00
<br />6 CIP 12" CONCRETE PILING DELIVERED 5,850.00 $40.00 $234,000.00 93,600.00 2340.00 0.00 93,600.00 2340.00 140,400.00 4,680.00 0.00 4,680.00
<br />6.1 CIP 12" CONCRETE PILING DRIVEN 5,850.00 $2.50 $14,625.00 5,850.00 2340.00 0.00 5,850.00 2340.00 8,775.00 292.50 0.00 292.50
<br />6.2 CIP 120' DEEP=12" CONCRETE TEST PILE 1.00 $13,000.00 $13,000.00 13,000.00 1.00 0.00 13,000.00 1.00 0.00 650.00 0.00 650.00
<br />7 DRILLED PIER INSPECTION 1.00 $20,000.00 $20,000.00 20,000.00 100%0.00 20,000.00 100%0.00 1,000.00 0.00 1,000.00
<br />8 FOUNDATION CONSTRUCTION 1.00 $468,600.00 $468,600.00 468,600.00 100%0.00 468,600.00 100%0.00 23,430.00 0.00 23,430.00
<br />9 SHAFT ERECTION 1.00 $420,300.00 $420,300.00 420,300.00 100%0.00 420,300.00 100%0.00 21,015.00 0.00 21,015.00
<br />10 TANK ERECTION 1.00 $209,600.00 $209,600.00 199,120.00 95%10,480.00 209,600.00 100%0.00 9,956.00 524.00 10,480.00
<br />11 TANK HOIST / ROOF 1.00 $95,000.00 $95,000.00 0.00 0%95,000.00 95,000.00 100%0.00 0.00 4,750.00 4,750.00
<br />12 TANK PAINT - AIR 1.00 $422,300.00 $422,300.00 0.00 0%84,460.00 84,460.00 20%337,840.00 0.00 4,223.00 4,223.00
<br />13 STERILIZE AND TEST 1.00 $1,000.00 $1,000.00 0.00 0%0.00 0.00 0%1,000.00 0.00 0.00 0.00
<br />14 ELECTRICAL 1.00 $125,200.00 $125,200.00 0.00 0%0.00 0.00 0%125,200.00 0.00 0.00 0.00
<br />15 FINAL SITE WORK 1.00 $21,300.00 $21,300.00 0.00 0%0.00 0.00 0%21,300.00 0.00 0.00 0.00
<br />CO1 Credit 1.00 -$22,000.00 -$22,000.00 (22,000.00)100%0.00 (22,000.00)100%0.00 (1,100.00)0.00 (1,100.00)
<br />CO2 Credit 1.00 -$5,500.00 -$5,500.00 0.00 0%(5,500.00)(5,500.00)100%0.00 0.00 (275.00)(275.00)
<br />3,483,000.00 2,646,718.45 76%184,440.00 0.00 2,831,158.45 81.29%651,841.55 132,335.92 9,222.00 141,557.92
<br />AIA DOCUMENT G703 - APPLICATION AND CERTIFICATE FOR PAYMENT - MAY 1983 - AIA*-1992
<br />THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C. 20006 G703-1992
<br />D
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