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NIHS 2nd Page Advance Payment 30%
NIHS 2nd Page Advance Payment 30%
NIHS 2nd Page Advance Payment 30%
AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, APPLICATION NO.: 1
containing Contractor's signed Certification, is attached. APPLICATION DATE: 8-Dec-22
In tabulations below, amounts are stated to the nearest dollar. PERIOD TO:
Use Column I on Contracts where variable retainage for line items may apply. ENGINEER'S PROJECT NO: IDMP-222
A B C D E F G H I
WORK COMPLETED TOTAL COMPLETED BALANCE
MATERIALS PRESENTLY
ITEM FROM PREVIOUS MATERIALS AND STORED % (G TO RETAINAGE (IF
DESCRIPTION OF WORK SCHEDULED VALUE STORED
NO. APPLICATION (D PREVIOUSLY THIS PERIOD TO DATE ÷ C) FINISH VARIABLE RATE)
(NOT IN D OR E)
+ E) STORED (D+E+F) (C - G)
2 Replace all ceilings to treated plywood, joist, and repair $ 46,350.00 $ 13,905.00 $ 13,905.00 $ 32,445.00 $ 1,390.50
Lockers and accessories
3 Replace & Install new 12"x12" Vinyl Tiles. $ 22,309.80 $ 6,692.94 $ 6,692.94 $ 15,616.86 $ 669.29
4 Replace damaged door with doorknob,hinges $ 7,725.00 $ 2,317.50 $ 2,317.50 $ 5,407.50 $ 231.75
5 Provide to construct new window with fix glass and window frame$ 25,956.00 $ 7,786.80 $ 7,786.80 $ 18,169.20 $ 778.68
6 Replace all gutters, downspouts and connections to catchments $ 5,150.00 $ 1,545.00 $ 1,545.00 $ 3,605.00 $ 154.50
7 Repair existing catchments and provide new pumps $ 2,575.00 $ 772.50 $ 772.50 $ 1,802.50 $ 77.25
8 Exterior and Interior Paintings $ 24,514.00 $ 7,354.20 $ 7,354.20 $ 17,159.80 $ 735.42
G. Boys Dormitory Toilet/Shower
1 Removal of Plumbing Fixtures and Shut down of existing water $ 2,060.00 $ 618.00 $ 618.00 $ 1,442.00 $ 61.80
supply pipelines
2 Demolition of Toilet/shower partition walls and cement plaster $ 3,090.00 $ 927.00 $ 927.00 $ 2,163.00 $ 92.70
of walls and floor to even surface
3 Replace and install new light $ 2,781.00 $ 834.30 $ 834.30 $ 1,946.70 $ 83.43
4 Exterior and Interior Paintings $ 4,635.00 $ 1,390.50 $ 1,390.50 $ 3,244.50 $ 139.05
H. Provisional Sum
$ 103,000.00 $ 30,900.00 $ 30,900.00 $ 72,100.00 $ 3,090.00