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Sheet 1: SofV
| CONTINUATION SHEET FOR AIA DOCUMENT G702 | ||||||||||
| APPLICATION AND CERTIFICATE FOR PAYMENT | PAGE 2 OF 2 | |||||||||
| APPLICATION NUMBER: | 1 | |||||||||
| PROJECT NAME: | APPLICATION DATE: | |||||||||
| CONTRACTOR'S PROJECT NO.: | PERIOD FROM: | |||||||||
| TO: | ||||||||||
| ITEM | ORIGINAL | REVISED | PREVIOUS | WORK IN PLACE | STORED | PERCENT | BALANCE | |||
| NO. | DESCRIPTION OF WORK | VALUE | VALUE | APPLICATIONS | THIS MONTH | MATERIALS | TOTAL TO DATE | COMPLETE | TO FINISH | RETAINAGE |
| 1 | 0 | 0 | 0 | 0 | 0 | #DIV/0! | - | - | ||
| 2 | 0 | 0 | 0 | 0 | 0 | #DIV/0! | - | - | ||
| 3 | 0 | 0 | 0 | 0 | 0 | #DIV/0! | - | - | ||
| 4 | 0 | 0 | 0 | 0 | 0 | #DIV/0! | - | - | ||
| 5 | 0 | 0 | 0 | 0 | 0 | #DIV/0! | - | - | ||
| 6 | 0 | 0 | 0 | 0 | 0 | #DIV/0! | - | - | ||
| 7 | 0 | 0 | 0 | 0 | 0 | #DIV/0! | - | - | ||
| 8 | 0 | 0 | 0 | 0 | 0 | #DIV/0! | - | - | ||
| 9 | 0 | 0 | 0 | 0 | 0 | #DIV/0! | - | - | ||
| 10 | 0 | 0 | 0 | 0 | 0 | #DIV/0! | - | - | ||
| 11 | 0 | 0 | 0 | 0 | 0 | #DIV/0! | - | - | ||
| 12 | 0 | 0 | 0 | 0 | 0 | #DIV/0! | - | - | ||
| 13 | 0 | 0 | 0 | 0 | 0 | #DIV/0! | - | - | ||
| 14 | 0 | 0 | 0 | 0 | 0 | #DIV/0! | - | - | ||
| 15 | 0 | 0 | 0 | 0 | 0 | #DIV/0! | - | - | ||
| 0 | 0 | 0 | 0 | 0 | #DIV/0! | - | - | |||
| TOTALS | 0 | 0 | 0 | 0 | 0 | 0 | #DIV/0! | 0 | 0 |
| CONTINUATION SHEET FOR AIA DOCUMENT G702 | ||||||||||
| APPLICATION AND CERTIFICATE FOR PAYMENT | PAGE 2 OF 2 | |||||||||
| APPLICATION NUMBER: | 1 | |||||||||
| PROJECT NAME: | APPLICATION DATE: | |||||||||
| CONTRACTOR'S PROJECT NO.: | PERIOD FROM: | |||||||||
| CT Project | TO: | |||||||||
| ITEM | ORIGINAL | REVISED | PREVIOUS | WORK IN PLACE | STORED | PERCENT | BALANCE | |||
| NO. | DESCRIPTION OF WORK | VALUE | VALUE | APPLICATIONS | THIS MONTH | MATERIALS | TOTAL TO DATE | COMPLETE | TO FINISH | RETAINAGE |
| 1 | Tenant Painting | 0 | 0 | 0 | 0 | 0 | #DIV/0! | - | - | |
| 2 | Labor | 0 | 0 | 0 | 0 | 0 | #DIV/0! | - | - | |
| 3 | Material | 0 | 0 | 0 | 0 | 0 | #DIV/0! | - | - | |
| 4 | CO # 1 | 0 | 0 | 0 | 0 | 0 | #DIV/0! | - | - | |
| 5 | Labor | 0 | 0 | 0 | 0 | 0 | #DIV/0! | - | - | |
| 6 | Material | 0 | 0 | 0 | 0 | 0 | #DIV/0! | - | - | |
| 7 | CO # 2 | 0 | 0 | 0 | 0 | 0 | #DIV/0! | - | - | |
| 8 | Labor | 0 | 0 | 0 | 0 | 0 | #DIV/0! | - | - | |
| 9 | Material | 0 | 0 | 0 | 0 | 0 | #DIV/0! | - | - | |
| 10 | CO # 3 | 0 | 0 | 0 | 0 | 0 | #DIV/0! | - | - | |
| 11 | Labor | 0 | 0 | 0 | 0 | 0 | #DIV/0! | - | - | |
| 12 | Material | 0 | 0 | 0 | 0 | 0 | #DIV/0! | - | - | |
| 13 | CO # 4 | 0 | 0 | 0 | 0 | 0 | #DIV/0! | - | - | |
| 14 | Labor | 0 | 0 | 0 | 0 | 0 | #DIV/0! | - | - | |
| 15 | Material | 0 | 0 | 0 | 0 | 0 | #DIV/0! | - | - | |
| Tax on Labor | 0 | 0 | 0 | 0 | 0 | #DIV/0! | - | - | ||
| Tax on Materials | 0 | 0 | 0 | 0 | 0 | #DIV/0! | - | - | ||
| TOTALS | 0 | 0 | 0 | 0 | 0 | 0 | #DIV/0! | 0 | 0 |
| APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT G702 PAGE ONE | |||||||||||
| TO OWNER : | Erland Construction, Inc. | PROJECT: | APPLICATION NO: | ||||||||
| 71 Third Avenue | Job No. | ||||||||||
| Burlington MA 01803 | |||||||||||
| PERIOD TO: | |||||||||||
| FROM CONTRACTOR | VIA ARCHITECT: | ARCHITECT'S | |||||||||
| PROJECT NO: | |||||||||||
| CONTRACT DATE: | |||||||||||
| CONTRACTOR'S APPLICATION FOR PAYMENT | Application is made for payment , as shown below, in connection with the Contract. | ||||||||||
| Continuation sheet, AIA Document G703, is attached. | |||||||||||
| CHANGE ORDER SUMMARY | 1. ORIGINAL CONTRACT SUM | 0 | |||||||||
| 2. NET CHANGE BY CHANGE ORDERS | 0 | ||||||||||
| Change Orders Approved in | 3. CONTRACT SUM TO DATE (LINE 1 & 2) | 0 | |||||||||
| Previous months by Owner | ADDITIONS | DEDUCTIONS | 4. TOTAL COMPLETED & STORED TO DATE | 0 | |||||||
| TOTAL | 0 | ||||||||||
| Approved this month | 5. RETAINAGE | ||||||||||
| Number | Date Approved | a. % of completed work | 0 | ||||||||
| b. % of stored material | |||||||||||
| Total retainage | 0 | ||||||||||
| TOTAL | 0 | 0 | 6. TOTAL EARNED LESS RETAINAGE | 0 | |||||||
| Net Change by Change Orders | 0 | (Line 4 less Line 5 Total) | |||||||||
| The undersigned Contractor certifies that to the best of the Contractor's Knowledge, | 7. LESS PREVIOUS CERTIFICATES FOR | ||||||||||
| information and belief the Work covered by the Application for Payment has been | PAYMENT (Line 6 from prior Certificate) | 0 | |||||||||
| 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 | 8. CURRENT PAYMENT DUE | 0 | |||||||||
| issued and payments received from the Owner, and that current payment shown | 9. BALANCE TO FINISH, PLUS RETAINAGE | 0 | |||||||||
| herein is now due. | (Line 3 less Line 6) | ||||||||||
| CONTRACTOR: | Commonwealth of Massachusetts | County of: | |||||||||
| Subscribed and sworn to before me the | day of | ||||||||||
| Notary Public: | |||||||||||
| By: | Date: | My Commission Expires: | |||||||||
| , Project Manager | |||||||||||
| ARCHITECT'S CERTIFICATE FOR PAYMENT | AMOUNT CERTIFIED | ||||||||||
| In accordance with the Contract Documents, based on on-site observations and the | (Attach explanation if amount certified differs from the amount applied for.) | ||||||||||
| data comprising the above application, the Architect certifies to the Owner that to the | ARCHITECT: | ||||||||||
| best of the Architect's knowledge, information and belief the Work has progressed as | |||||||||||
| indicated, the quality of the Work is in accordance with the Contract Documents, and | By: | Date: | |||||||||
| the Contractor is entitled to payment of the AMOUNT CERTIFIED. | This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the | ||||||||||
| Contractor named herein. Issuance, payment and acceptance of payment are without | |||||||||||
| prejudice to any rights of the Owner or Contractor under this Contract. | |||||||||||
| AIA DOCUMENT G702 APPLICATION AND CERTIFICATE FOR PAYMENT MAY 1983 EDITION AIA @1983 | |||||||||||
| THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE,N.W. WASHINGTON D.C. 20006 | |||||||||||
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