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Home My WebLink AboutITEM V-C-4 CITY OF AUBURN AGENDA BILL APPROVAL FORM - WASHINGTON Agenda Subject: Date: November 8, 2010 Final Pa Applications #6 & 7 to Contract CP0809 Department: Attachments: Budget Impact: 0.00 Human Resources Final Pay Apps #6 & #7 & Budget Status Sheet Administrative Recommendation: City Council approve Final Pay Applications #6 and #7 to Sierra Construction, Inc., in the amount of - ($45,527), release retainage and accept construction of Project No. CP0809, City Hall Annex Tenant Improvement. Background Summary: The project consists of a tenant improvement of approximately 44,455 s.f. at the 2nd and 3`d floors of the Auburn Professional Plaza Building. The scope of work includes general interior construction, finishes, casework and cabinetry, mechanical, electrical and stand-by generator. Final payment is a credit of $45,527, which will be deducted from the retainage account. S1115-3 04.4.11 CP0809 Reviewed by Council & Committees: Reviewed by Departments & Divisions: ❑ Arts Commission COUNCIL COMMITTEES: ❑ Building ❑ M&O ❑ Airport ® Finance ❑ Cemetery ❑ Mayor ❑ Hearing Examiner ❑ Municipal Serv. ❑ Finance ❑ Parks ❑ Human Services ❑ Planning & CD ❑ Fire ❑ Planning ❑ Park Board ❑ Public Works ❑ Legal ❑ Police ❑ Planning Comm. ❑ Other ❑ Public Works ❑ Human Resources ❑ Information Services Action: Committee Approval: ❑Yes ❑No Council Approval: ❑Yes ❑No Call for Public Hearing Referred to Until Tabled Until Councilmember: Backus Staff: Heineman Meeting Date: November 15, 2010 Item Number: V.C.4 AUBURN *MOPE THAN YOU IMAGINED i i , INVOICE I I TO: City of Auburn City of Auburn Annex TI REQUEST 6 25 West Main Street One Main Street PERIOD TO: 30-Apr-10 Auburn, WA 98001 Auburn, WA 98001 JOB 02-09-16 i FROM: Sierra Construction Co., Inc. 19900 144th Avenue NE Woodinville, WA 98072 VALUE OF PREVIOUSLY CURRENT INVOICE SUMMARY WORK COMPLETE COMPLETED AMOUNT DUE Amount per Attached Listing $2,193,872 $2,183,203 $10,669 -5% Retention -$109,694 -$109,160 -$534 SUBTOTAL $2,084,179 $2,074,043 $10,136 $207,724 $206,710 $1,014 9.5% WSST TOTAL - $2,291,903 $2,280,753 $11,150 REIMBURSABLE $0.00 TOTAL DUE 5/31/2010 $11,150 APPLICATION AND CERTIFICATION FOR PAYMENT AIADOCUMEN7TG702 PAGE I 9F PAGE TO OWNER: City of Atibum PROJECT-- t r ^ of At,buur`:Anrc~ TI APPLICATION. IO: 6 Distribution to- 25 WfST bin Streit One Mails Sn•eet Fx OWNER Xuburn, WA 9$0301 Aub,,w-n. WA 9SOOT 'PERIOD TO: 30-Apr-10 DARCHY11ECT FROM CflNITIRACTQR:' ARCHITECT, Dorbritz At hitects Ex CONTRACTOR Sirrrra Construction Co , inc. 90i r rnwood Pacific 19900 144th Avenue NT_ Topznp, CA 90290 PROJECT N0: 02-09 ]b a Woodinville, WA 98074 ' C01Nj'k4C'T FOR City of dub-am, Annex TI CONTRACT DATE: 15-Sep-09 CONTRACTOR'S APPLICATION FOR PAYMENT ihe`undersignedContractore-~rtilesthm,tothebtsto tbcGi~atcactvts;knpwlcdge; A~licatior. is rtaoe for pays tc t, as slinan be ocv, i>g connection with the Contract intdruauott and 6e1iel`Lfe tVdri covered by°flns Appiica#Ip3! iLi <I'symCnY;I>8s bccrr Continuation Sheet; ATA nacument CT703, is afllc std completer] in accordance with the Contract Documents, thatch' ngunrs have bcen paid by the C©ntractw for wWU7f for xluch preaioUsCc rlCates farT?aytnatf Were issued and psyri ents received Prom the Owacr, and that current pkt-rent sliown herein is now due. . ORIGR la CONTRA('T SI3,tu wl WSST $ . 2,390,636 2. Netcngc by Cltaage Orders g 10,960 CGPd1R Q:R Stcr . crostTttction Company, tra: 3. CONTRACT SUM TO DA1Y (Line I ± 2) $ 2-401,596 . QMPI-PTED & STR 1,I) TO $ 2;401,596 4. TQTAL P DATE (Cetuma G on G?03) By: Dates 5. RETMNAGE: 546 ofCorhple ed Work 109,694 State a>° Li~l4 }1 I t 1 NIL t. um;--, D 4 F on C703) Subscribed and swo ro:before me this ; X010 b. 1VA of StoretlMatetiai S i3 Notary Public: (t olrawrt F on 0703) }~{}C€Y~/ My Commission expires, 5~~ -1© Total Re,ainage (Lines 5a + 5b or Total in Column I ofG703 109,694 ARCHITECT'S CERTf T MENT TOW, EARNED LE&S.RETATNAC~ S 2,291,903 In accordaiiec with-Ahe ContractDoevriten Lionsand the data (Line 4 Less Line-5bt71) comprising theapplicadon, the Archrtect to the hest of the 7. LfiSS I'REVIt)US C}ininC.,ATES FOR Architect's knowledge, information lndbclief vscd as indicated, PAYMENT (Line 6 fm,, prior Cerafieate) <&L 753 the quality of the Work is in accordance iv' h the cuni"ts, aiand the Contractor 8. CURRENT PAYMENT DUE is'entltW to payment of the AMOUNT CERTIFIED. 9. BALANCE TO FINISH, INCLUDING RETAINAGE $ IOg<6~ ` (Line 3 less Line b) AMO( NT CERTIFIED , , , $ /f y { 1 t I " -ORDBRSU [ ADDI T IDVB D-W)U; .i"A.SIDNS {.llfltCjl "I~iun0/inl) f'am0,w CCN,iCddffcriflo. fh: Oftln wapphed. ]n ~(fej a« ~11'C4 my thfj ZOta1 Chattge5-approved: Fptieinrrm lrod+M.tAt ^'Rnsnfiw sh : 'hMare ehpigvd oronfarr rr /Ura aaraf*ct a"~ m,revtatstttanthshyQwner S 37,960,W E (38;b$300'' ARCHITECT: 6. a4e, Toila roved:thrs;IvIonih $ bV411;683;00, ; $y T01*ALS . 49,643:00 1 (38.683.00 This.Certr cats ' not ne ti ble, Al AM TNT CERT'IHE. D isPaya6le~mly .,:the contraetbr 'm d tier cih Issuance, paymentantl acciptance'ofpayTnenta cwttriUUL sec to of the Owner o: Contractor under this Contract NET CHANGFsS b Change Qrder 10,460:00: prejud rights - -:THE iSNERr ANJNSTsTfJI}-OF"ARCHITECTS 7735 NEVJ YORK NV V_ DC: 20006•5292 ALA66cvwENTG7M APPIOC.At6NAy'l6COTilTCA'nONFORPAYMENT 1 o97 E[a?iON•P3A rCt'K2 ASE APPLICATION AND CERTIFICATION FOR PAYMENT _AIA DOCUMENT G702 PAGE I OF 1 TO OWNER: City of Auburn PROJECT`. City of Auburn Annex TI APPLICATION NO: 6 Distribution to: 25 West Main Street One Main Street DOWNER ARCHITECT F-J Auburn, WA 98001 Auburn; WA 98001 PERIOD TO: 30-Apr-10 FROM CONTRACTOR: ARCHITECT: Dorbritz Architects E]CONTRACTOR Sierra Construction Co., Inc. 800 Fernwood Pacific 0 19900 ] 44th Avenue NE 10 Pyga, CA 90290 PROJECT NO: 02-09-16 Woodinville, WA 98072 CONTRACT FOR: City of Auburn Annex TI CONTRACT DATE: 15-Sep-09 CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractors knowledge, Application. is made for payment, as shown below, in connection with the Contract. information and belief the Work covered by this Application for Payment has been Continuation Sheet, AIA Document G703, is attached. completed in accordance with the Contract Documents, that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and payments received from the Owner, and that current payment shown herein is now due. 1. ORIGINAL CONTRACT SUM w/ WSST $ 2,390,636 2. Net change by Change Orders $ 10,960 CONT TOR. Sid onstruction Company, Inc. 3.. CONTRACT SUM TO DATE (Line I 2) $ 2,401,596 4. TOTAL COMPLETED & STORED TO $ 2,401,596 DATE (Column G on G703) By: Date: 5. RETAINAGE: a. 5% of Completed Work $ 109,694 State of: WA-6f4- (Column D + E on 6703) Subscribed and swon to before me this (p ` ga I o 0 -}ZQly~ tvlti b. 10 /o of Stored Material $ 0 Notary Public: p (Column F_on G703) My ConTmission ex ices: t Total Retainage (Lines 5a+ 5b or 6~~^ $ 109,694 ARCHITECT'S CERTIF fi a TES I , R: f ~ MENT Total in Column I of 6703) 6. TOTAL EARNED LESS RETAINAGE $ 2,291,903 in accordance, with die Contract Docpme I c&eMi s, tions and the data Line 4 Less Line 5 Total) comprising the application, the Architect ce shs> f to the best of the 7. LESS ( PREVIOUS CERTIFICATES FOR Architect's knowledge, information and belief I~. r gressed as indicated, PAYMENT (Line 6 from prior Certificate) $ 2;280,753 the quality of the Work is in accordance with the Contract Documents, and the Contractor 8. CURRENT PAYMENT DUE $ ~ _ 1 K 4 is entitled to payment of the AMOUNT CERTIFIED. 9. BALANCE TO FINISH, INCLUDING RETAINAGE $ 109,693 (Line 3 less Line 6) AMOUNT CERTIFIED $ CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS (Anaeh explanation it amount certified d filers firm the amattnt applied. hilial all figures on this Applicarion and awr the Cominuation Sheet that are dumged m conform wish die amount certified) Total changes approved in previous months by Owner $ 37,960.00 $ 38,683.00) ARCHITECT: $ 11,683.00 By: Date: Total approved this Month TOTALS $ 49,643.00 $ (38,683.00) This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment and acceptance of payment are without NET CHANGES by Change Order $ 10,960.00 prejudice to any rights of the Owner or Contractor under this Contract. MENT 1992 EDITION AIA - 81992 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE.. N.W.• WASHINGTON, DC 20006-5292 AIA DOCUMENT 6702 APPLICATION AND CERTIFICATION FOR PAY CONTINUATION SHEET AIA DOCUMENT G703 PAGE IOF1PAGE AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 6 Contractor's signed certification is attached. APPLICATION DATE: 05-May-10 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 30-Apr-10 Use Column I on Contracts where variable retainage for line items may apply. PROJECT NO: 02-09-16 A B C D E F G H 1 ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE NO. VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G _ C) TO FINISH (IF VARIABLE APPLICATION STORED AND STORED (C - G) RATE) (D + E) (NOT IN TO DATE D OR E) (D+E+F) 1 GENERAL CONDITIONS $96,735 $96,735 $0 $0 $96,735 100% $0 $4,837 2 METAL FABRICATIONS $9,398 $9,398 $0 $0 $9,398 100% $0 $470 3 ROUGH CARPENTRY $12,493 $12,493 $0 $0 $12,493 100% $0 $625 4 FINIS14 CARPENTRY $90,012 $90,012 $0 $0 $90,012 100% $0 $4,501 5INSULATION $17,448 $17,448 $0 $0 $17,448 100% $0 $872 6 FIRE & SMOKE PROTECTION $3,095 $3,095 $0 $0 $3,095 100% $0 $155 7 DOORS & FRAMES $56,543 $56,543 $0 $0 $56,543 100% $0 $2,827 8 SPECIALTY DOORS $13,000 $13,000 $0 $0 $13,000 100% $0 $650 9 BREAK SHAPES $2,550 $2,550 $0 $0 $2,550 100% $0 $128 HARDWARE $33,454 $33,454 $0 $0 $33,454 100% $0 $1,673 10 11 G FINISH NISH HARDWARE $170,000 $170,000 $0 $0 $170,000 100% $0 $8,500 12 CEILINGS $77,800 $77,800 $0 $0 $77,800 100% $0 $3,890 13 FLOORING $178,854 $178,854 $0 $0 $178,854 100% $0 $8,943 $44,045 $44,045 $0 $0 $44,045 100% $0 $2,202 14 PAINTING 15 SPECIALTIES $51,189 $51,189 $0 $0 $51,189 100% $0 $2,559 16 FINAL CLEAN $14,226 $14,226 $0 $0 $14,226 100% $0 $711 17 BLINDS $20,700 $20,700 $0 $0 $20,700 100% $0 $1,035 $78,200 $78,200 $0 $0 $78,200 100.00% $0 $3,910 18 FIRE PROTECTION $0 $425 19 PLUMBING $8,500 $8,500 $0 $0 $8,500 100% 20 PLUM $384,806 $384,806 $0 $0 $384,806 100.00% $0 $19,240 $0 $35,219 HVAC 21 ELECTRICAL & LOW VOLTAGE $704,376 $704,376 $0 $0 $6 100.00% $0 $1,636 22 TAXES & INSURANCE $32,728 $32,728 $0 $0 $ $3232.72.728 100.000% $83,713 $83,713 $0 $0 $83,713 100.000% $0 $4,186 23 FEE $0 $968 24 CHANGE ORDER#1 $19,356 $19,356 $0 $0 $19,356 100.000% $0 -$35,327 -$35,327 $0 $0 -$35,327 100.000% $0 $309 $309 25 CHANGE ORDER #2 26 CHANGE ORDL R #3 $6,184 $6,184 $0 $0 $6,184 100.000% $0 $9 26 CHANGE ORDER #4 $9,126 $9,126 $0 .126 100.000% $U $456 $3,913 $0 $3,913 $0 $3.913 100.000% $0 $196 27 C14ANGE ORDER #5 $0 $338 28 CHANGE ORDER #6 $6,756 $0 $6,756 $0 $6,756 100.000% 724 $206,710 $1,014 $0 $207>?24 100.000% $0 $0 29 Washington State Sales Tax $207, $0 $109,694 TOTAL $2,401,596 $2,389,913 $11,683 $0 $2,401.596 100.000% INVOICE i TO: City of Auburn City of Auburn Annex TI REQUEST 7 25 West Main Street One Main Street PERIOD TO: 30-Apr-10 Auburn, WA 98001 Auburn, WA 98001 JOB 02-09-16 FROM: Sierra Construction Co., Inc. 19900 144th Avenue NE Woodinville, WA 98072 VALUE OF PREVIOUSLY CURRENT INVOICE SUMMARY WORK COMPLETE COMPLETED AMOUNT DUE - - - - - - - Amount per Attached Listing $2,139,637 $2,193,872 -$54,235 -5% Retention -$106,982 -$109,694 $2,712 SUBTOTAL $2,032,655 $2,084,179 -$51,524 9.5% WSST $202,571 $207,724 45,153 TOTAL $2,235,226 $2,291,903 -$56,677 REIMBURSABLE $0.00 TOTAL DUE 5/31/2010 -$56,677 APPLICATION AOD C5RTIFICATION'FOR _PAYMEIVT AI&DOCUMENT 6702 PAGE I of PAGE - PROJECT! Cltu ir? Atibum Ann& Ti APPLICATION NO. 7 I3 tributton *to! . C44Cai Atilitlrst ~ 25 ~7est Ittt Street. 4rt?Vlatn Stmt ► tGtVdNR Atslilartt, s1l!%ft..9$(1Q2 AtsElum, VirA980.(tl PERIOD TO. 30-Apr-1:0 ~JA"RCIi]TECT PROIy C{3IuT AG OR ARCHITECT DoxArttz ArcWtec% Fx CONTRACTOR S on C'0" Inc. $OQ Femwoo l Pacific Q I-900I44thAveiitteNE TopangaCA90290 P"RO7EGTNOs 02-09-16 Q wmgodm' t .i e. wXt:9S022 CO CT~pOR PWO, i~Annex TI Ct?AfiIt, C` PATE l5-Sep=09 - - . CONTRACTOR` AP['LICAT16 . FOR PAYMENT t ,z tindt~s,su d oat ~ i « figs t>iac , me be ti t~tc C ttil tor°s> rti+ vlixtaa App1Li tiAce is itiade for }!inenl as hatvrL below M c4timection with the Contract liifoemaEicarand beliefYhe ork ca>xeted by:tlxDS Ag .lficat~olt. for PBymen has beep p CoAtinnatton Sheet AIls E.4etttitost4G7Q2 is attactnd. coitrplcted tn•accosdartot wtth.#xc ConAact l3ocumcnfs, thaZalf"?icunt> 1sa> a bcei aid by 11rr ;Coatac A'ttrl'fpr. WticFi'ptcuiaus".C~titiQr Paydtettt wwzreu~.arid" recetveri Cam, attda3t ~teracuti payrtteitfslioam Itcrejtt s'uuiv. dtie phyitteltts 1.OVGM1L~(3NT1tAGE S wL:1~SST ~ . 2,390,636 2. Net ct artge b C•Itan O ii $ (484_28). CON. R. C trub#ion .Company; Inc 3 CONTRACT S`iJ1t I TO Df4TE f I rite 12) $ 2.'$8 _ 4 TOTAL COWtE1~D'keoRI . TD $ 2 3!_2;208 .S b - / Ayr AA3'C ~~oliuttn".CrorraC",r.43).: Date: 5 RETAIN AGE $r ~n€cotl,pletedlork $ 166;9s2Stateaf Gl~ , ((,olwtttt D + 9-on G703) Subscribed and before,*ethW . f 410 b low~•Stow, lviatet`W NotaryPolilic; - My Commission expires: (Cglumtt ~ on G'~0~) , f.~J Drat l(eTaiits~ (Idriesa # 5t or MIEN rotas tttfiahsmltl 00703 $ iR6 ,982 AFB NtTECT' 'CERTf in accordance with the Cottract. Doclun 9 ions oLt6 the 6. TOTAI,'E~t3 M. LEI $ 2'Aif~iAGE $ 223~;~fi. {1 mt 4 Le5* Una 5 Tota comprising the applicatiation 2ud the he~of tote , -67 7. LESS pRh%q )l)S t l7l~SCATES P4R (.Architects knowledge, , infarm $ 101 903. the quality of the Work is in armor dance with the CrlntMMr i}A IZUfP T c 6 cai5`pnar:Cefificaiej 8. Ei Ti2JiIIi T PAYttLPI IT Dt IE $ g - isescu`tlnd to payment PMF !(MQt133`d t~R I - 9. RAL ,NCETp:f K S NC-1,U01 KGAUAP,vAGE $ iti6, 991, (i me ies Ltnc b) A)1SUC~,1T GLPTIF~ _ _ S t~ GA T a ?1 ~"~j 11f7D 0 13 ('I1 Gtiktiir:~m VA mrlifxddfersfrom uniap#ied Inwol ailfigureson Als ;tppticqucao and ort Can ' conform w)th the mnavul cerl~ed.J Total' changes approved Sheer rhea Lhc omo L Ri, revSous mantlts bS ;Owner $ 49,643.60 " S (38,693.00 ARCM Zeta $ 59;387.9 By:: Totala rovedthisMonth. r ' TOTALS $ 49;643.00 S98;070A. ~Iii.Cert cBIs negouable.' AMUUNT TIMIEDispayable n1yt :be t plt named , :ern Issuance, payment and a , tance ol-payment a W1 ul Ms of the Owncr,or Contracto rider this Contract 427 NEi G1. A GES by Cl1ange Ordet -93) ` prcjU any n c u G z szsz -KM " s{g AMERjCAFItNSSrrUTF OF A.RCF$TFCI'S 1735 NEW YORK AVE_, RW.- WASHINGTON, n - AtA COCUMENT 6702. APPLl,CA11ON ANO CERMMAI30N F.OR.PAYMEN7 X992 E{A7,ON • ALA .91992 APPLICATION-AND CERTIFICATION FOR PAYMENT AM DOCUMENT G702 PAGE 1 OF 1 PAGE City OrAuburn PROJECT: City of Auburn Annex TI APPLICATION NO: 7 Distribution to: 25 West Main Street One Main Street F OWNER ,Auburn, WA 98001 Auburn, WA 98001 PERIOD TO: 30-Apr-10 ARCHITECT FROM CONTRACTOR: rbritz Architects QCONTRACTOR Sierra Construction Co., Inc. (Orli 0 Fernwood Pacific 0 opanga, CA 90290 PROJECT NO: Q-09-1.6 C EJ 19900 144th Avenue NE Woodinville, WA 98072 CONTRACT FOR: City of Auburn Annex TI CONTRACT DATE: 15-Sep-09 CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, Application is made for payment, as shown below, in connection with the Contract. information and belief the Work covered by this Application for Payment has been Continuation Sheet; AIA Document G703, is attached. completed in accordance with the Contract Documents, that all amounts have,been paid by the Contractor for Work for which previous Certificates for Payment were issued and payments received from the Owner, and that current payment shown herein is now due. 1. ORIGINAL CONTRACT SUM w/ WSST $ 2,390,636 2. Net change by Change Orders $ (48,428) CON OR: Sier Co truction Company, Inc. 3. CONTRACT SUM TO DATE (Line 1 f 2) $ 2,342,208 4. TOTAL COMPLETED & STORED TO $ 21342,208 ! DATE (Column G on G703) By: Date: 5. RETAINAGE: /I a Ct f: k-rN~ a. 5% of Completed Work $ 106,982 State of unY o (Column D + E on G703) Subscribed and s rn to before me this b. 10% of Stored Material $ 0 Notary Public: Stt?69~ (Column F on 6703) My Commission expires: ~a ly Total Retainage (Lines 5a+ 5b or Total in Column I of G703) $ 106,982 ARCHITECT'S CERTI C T ~-y 130 A - MENT 2,235,226 in accordance with the Contract Docum Nbe,. sedtolIto}~Ete o eF tions and the data 6. TOTAL EARNED LESS RLTAINAGC $ (Line 4 Less Line 5-Total) comprising the application, the Architet:,,t11ECne :f {to the best of the 7. LESS PREVIOUS CERTIFICATES FOR t Architect's knowledge, information ana~ifiiiWork-lr~ " Y€ssed as indicated, PAYMENT (Line 6 from prior Certificate) $ 2,291,903 the quality of the Work is in accordance with k_ ,o, n~Mt de31ments, and the Contractor 8. CURRENT PAYMENT DUB $ is entitled to payment of the AMOUNT CERTIFIED`. 9. BALANCE TO FINISH,-INCLUDING RETAINAGE $ 106,982 (Line 3 less Line 6) AMOUNT CERTIFIED $ CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS (Attach ~gtlnnatial ifaunouln eertijcd differs /Pool the an1a1!!11 applied. hi tial allfigures on this Total changes approved Application and al the Continuation Sheet that air changed to col fain with die amount certified.) in previous months by Owner $ 49,643.00 $ (38,683.00) ARCHITECT: $ (59,387.93) By: Date: Total approved this Month TOTALS $ 49,643.00 $ (98,070.93) This Certificate is not negotiable. "I Ile AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment and acceptance of payment are without $ (483427.93) prejudice to any rights of the Owner or Contractor under this Contract. NET CHANGES by Change Order AIA DOCUMENT G762 -APPLICATION AND CERTIFICATION FOR PAYMENT - 1992 EDITION AIA 01992 THE AMERICAN INSTITUTE OF ARCHITECTS. 1735 NEW YORK AVE., N.W-, WASHINGTON, DC 20006-5292 PAGE CONTINUATION SHEET AIA DOCUMENT c7o3 i OF 1PAGE AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 7 Contractor's signed certification is attached. APPLICATION DATE: 05-May-10 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 30-Apr-10 Use Column I on Contracts where variable retainage for line items may apply. PROJECT NO: 02-09-16 A B C D E F G H 1 ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE NO. VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G=C) TO FINISH (IF VARIABLE APPLICATION STORED AND STORED (C - G) RATE) (D + E) (NOT IN TO DATE D OR E) (D+E+F) I GENERAL CONDITIONS $96,735 $96,735 $0 $0 $96,735 100% $0 $4,837 2 METAL FABRICATIONS $9,398 $9,398 $0 $0 $9,398 100% $0 $470 3 ROUGH CARPENTRY $12,493 $12,493 $0 $0 $12,493 100% $0 $625 4 FINISH CARPENTRY $90,012 $90,012 $0 $0 $90,012 100% $0 $4,501 5INSULATION $17,448 $17,448 $0 $0 $17,448 100% $0 $872 6 FIRE & SMOKE PROTECTION $3,095 $3,095 $0 $0 $3,095 100% $0 $155 7 DOORS & FRAMES $56,543 $56,543 $0 $0 $56,543 100% $0 $2,827 8 SPECIALTY DOORS $13,000 $13,000 $0 $0 $13,000 100% $0 $650 9 BREAK SHAPES $2,550 $2,550 $0 $0 $2,550 100% $0 $128 10 FINISH HARDWARE $33,454 $33,454 $0 $0 $33,454 100% $0 $1,673 11 GWB & FRAMING $170,000 $170,000 $0 $0 $170,000 100% $0 $8,500 12 CEILINGS $77,800 $77,800 $0 $0 $77,800 100% $0 $3,890 13 FLOORING $178,854 $178,854 $0 $0 $178,854 100% $0 $8,943 14 PAINTING $44,045 $44,045 $0 $0 $44,045 100% $0 $2,202 15 SPECIALTIES $51,189 $51,189 $0 $0 $51,189 100% $0 $2,559 16 FINAL CLEAN $14,226 $14,226 $0 $0 $14,226 100% $0 $711 17 BLINDS $20,700 $20,700 $0 $0 $20,700 100% $0 $1,035 18 FIRE PROTECTION $78,200 $78,200 $0 $0 $78,200 . 100.00% $0 $3,910 19 PLUMBING $8,500 $8,500 $0 $0 $8,500 . 100% $0 $425 20 HVAC $384,806 $384,806 $0 $0 $384,806 100.00%° $0 $19,240 $0 $35,219 21 ELECTRICAL & LOW VOLTAGE $704,376 $704,376 $0 $0 $704,376 100.00% 22 TAXES & INSURANCE $32,728 $32,728 $0 $0 $32,728 100.000% $0 $1,636 23 FEE $83,713 $83,713 $0 $0 $83,713 100.000% $0 $4,186 $0 $968 24 CHANGE ORDER#1 $19,356 $19,356 $0 $0 $19,356 100.000% 25 C13ANGE ORDER #2 -$35,327 -$35,327 $0 $0 -$35,327 100.000% $0 -$1,766 $0 $6,184 100.000% $0 $309 26 CHANGE ORDER #3 $6,184 $6,184 $0 $0 $456 26 C14ANGE ORDER #4 $9,126 $9,126 $0 $0. $9,126 100.000% $0 $ 196 27 CHANGE ORDER #5 $3,913 $3,913 $0 $0 $3,913 100.000% $0 $338 28 CHANGE: ORDER #6 $6,756 $6,756 $0 $0 $6,756 100.000% $0 _$2 712 29 CHANGE ORDER 47 (savings split) -$54,236 $0 -$54,236 $0 -$54,236 100.000% 30 Washington State Sales Tax $202,571 $207,724 -$5,153 $0 $202,571 100.000% $0 $0 $0 $106,9$0 TOTAL $2,342,208 $2.401,596 -$59,388 $0 $2,342,208 100.000%