Professional Documents
Culture Documents
PAGE 1 OF 2
APPLICATION NO: 1
ARCHITECT:
ARCHITECTS
PROJECT NO.: 61064
Distribution to:
Architect
Owner
Contractor
CONTRACT DATE:
8/27/2014
Application is made for Payment, as shown below, in connection with the Contract.
Continuation Sheet, AIA Document G703, is attached.
DEDUCT
$0.00
$
$
$
$
4,108,842.00
0.00
4,108,842.00
74,862.88
$
$
7,486.29
67,376.59
$
$
$
0.00
67,376.59
4,041,465.41
(Column G on G703)
5. RETAINAGE
a. 10% of completed Work
7,486.29
0.00
(Column F on G703)
Total Retainage (Line 5a + 5b or
$0.00
$0.00
$0.00
information and belief the Work covered by this Application for Payment has been
completed in accordance with the Contract Documents, that all amounts have been
The undersigned Contractor certifies that to the best of the Contractor's knowledge,
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
State of: NC
County of:
Cumberland
Subscribed and sworn to before me this 30th day of September 2014
Notary Public:
Janene Sargent Symms
CONTRACTOR:
By:
Date: 09/30/2014
By:
67,376.59
Mike Rogers
Date: 09/30/2014
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.
APPLICATION AND CERTIFICATE FOR PAYMENT - MAY 1983 EDITION -AIA C 1983
THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C. 20006
(Attach explanation if amount certified differs from the amount applied for.)
ARCHITECT: LDDI
CONTINUATION SHEET
PAGE 2
APPLICATION NUMBER:
APPLICATION DATE:
PERIOD TO:
ARCHITECT PROJECT NO:
B
DESCRIPTION OF WORK
C
SCHEDULED
VALUE
OF 2
D
E
WORK COMPLETED
FROM PREVIOUS THIS PERIOD
APPLICATION
(D+E)
F
MATERIALS
PRESENTLY
STORED
(NOT IN D OR E)
G
TOTAL
COMPLETED
AND STORED
TO DATE
(D+E+F)
%
(G/C)
PAGES
1
9/30/2014
9/30/2014
61064
H
BALANCE
TO FINISH
(C-G)
I
RETAINAGE
10.00%
SITEWORK
$556,295.07
$0.00
$39,985.50
$0.00
$39,985.50
7.19%
$516,309.57
$3,998.55
STRIPING
$962.34
$0.00
$0.00
$0.00
$0.00
0.00%
$962.34
$0.00
FENCING
$54,076.37
$0.00
$0.00
$0.00
$0.00
0.00%
$54,076.37
$0.00
CONCRETE
$215,419.41
$0.00
$0.00
$0.00
$0.00
0.00%
$215,419.41
$0.00
METALS
$506,800.12
$0.00
$0.00
$0.00
$0.00
0.00%
$506,800.12
$0.00
MASONRY
$341,605.95
$0.00
$0.00
$0.00
$0.00
0.00%
$341,605.95
$0.00
$29,961.69
$0.00
$0.00
$0.00
$0.00
0.00%
$29,961.69
$0.00
ROOFING
$299,344.17
$0.00
$0.00
$0.00
$0.00
0.00%
$299,344.17
$0.00
GC INSTALL
$507,860.26
$0.00
$0.00
$0.00
$0.00
0.00%
$507,860.26
$0.00
$26,684.67
$0.00
$0.00
$0.00
$0.00
0.00%
$26,684.67
$0.00
$188,163.31
$0.00
$0.00
$0.00
$0.00
0.00%
$188,163.31
$0.00
PORCELAIN TILE
$53,931.88
$0.00
$0.00
$0.00
$0.00
0.00%
$53,931.88
$0.00
13
ACOUSTICAL CEILING
$34,031.45
$0.00
$0.00
$0.00
$0.00
0.00%
$34,031.45
$0.00
14
FLOORING
$21,871.75
$0.00
$0.00
$0.00
$0.00
0.00%
$21,871.75
$0.00
15
PAINTING
$67,016.10
$0.00
$0.00
$0.00
$0.00
0.00%
$67,016.10
$0.00
16
FIRE SUPPRESSION
$77,962.40
$0.00
$0.00
$0.00
$0.00
0.00%
$77,962.40
$0.00
17
PLUMBING
$176,324.91
$0.00
$0.00
$0.00
$0.00
0.00%
$176,324.91
$0.00
18
HVAC
$289,760.59
$0.00
$0.00
$0.00
$0.00
0.00%
$289,760.59
$0.00
19
ELECTRICAL
$277,156.00
$0.00
$0.00
$0.00
$0.00
0.00%
$277,156.00
$0.00
20
COMMUNICATIONS
$154,105.32
$0.00
$19,263.16
$0.00
$19,263.16
12.50%
$134,842.16
$1,926.32
21
ESS SYSTEM
$195,112.90
$0.00
$0.00
$0.00
$0.00
0.00%
$195,112.90
$0.00
$0.00
$0.00
$0.00
$0.00
0.00%
$18,781.12
$0.00
$0.00
$1,561.42
$4,033,979.12
$7,486.29
10
11
12
22
LANDSCAPING
$18,781.12
23
JOBSITE OVERHEAD
$15,614.22
$0.00
$15,614.22
$0.00
$15,614.22
$4,108,842
$0.00
$74,862.88
$0.00
$74,862.88
SUB TOTALS
AIA DOCUMENT G703 - APPLICATION AND CERTIFICATE FOR PAYMENT - MAY 1983 EDITION - AIA C 1983
THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C., 20006
100.00%
1.82%
PAGE 1 OF 2
APPLICATION NO: 2
ARCHITECT:
ARCHITECTS
PROJECT NO.: 61064
Distribution to:
Architect
Owner
Contractor
CONTRACT DATE:
8/27/2014
Application is made for Payment, as shown below, in connection with the Contract.
Continuation Sheet, AIA Document G703, is attached.
DEDUCT
$0.00
$
$
$
$
4,108,842.00
0.00
4,108,842.00
390,226.43
$
$
39,022.64
351,203.79
$
$
$
67,376.59
283,827.20
3,757,638.21
283,827.20
(Column G on G703)
5. RETAINAGE
a. 10% of completed Work
29,642.64
9,380.00
(Column F on G703)
Total Retainage (Line 5a + 5b or
$0.00
$0.00
$0.00
information and belief the Work covered by this Application for Payment has been
completed in accordance with the Contract Documents, that all amounts have been
The undersigned Contractor certifies that to the best of the Contractor's knowledge,
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
State of: NC
County of:
Cumberland
Subscribed and sworn to before me this 31st day of October 2014
Notary Public:
Janene Sargent Symms
CONTRACTOR:
By:
Date: 10/31/2014
(Attach explanation if amount certified differs from the amount applied for.)
ARCHITECT: LDDI
By:
Mike Rogers
payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract.
APPLICATION AND CERTIFICATE FOR PAYMENT - MAY 1983 EDITION -AIA C 1983
THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C. 20006
Date: 10/31/2014
This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance,
CONTINUATION SHEET
PAGE 2
APPLICATION NUMBER:
APPLICATION DATE:
PERIOD TO:
ARCHITECT PROJECT NO:
B
DESCRIPTION OF WORK
C
SCHEDULED
VALUE
OF 2
D
E
WORK COMPLETED
FROM PREVIOUS THIS PERIOD
APPLICATION
(D+E)
F
MATERIALS
PRESENTLY
STORED
(NOT IN D OR E)
G
TOTAL
COMPLETED
AND STORED
TO DATE
(D+E+F)
%
(G/C)
PAGES
2
10/31/2014
10/31/2014
61064
H
BALANCE
TO FINISH
(C-G)
I
RETAINAGE
10.00%
SITEWORK
$556,295.07
$39,985.50
$148,363.52
$0.00
$188,349.02
33.86%
$367,946.05
STRIPING
$962.34
$0.00
$0.00
$0.00
$0.00
0.00%
$962.34
$0.00
FENCING
$54,076.37
$0.00
$0.00
$21,300.00
$21,300.00
39.39%
$32,776.37
$2,130.00
CONCRETE
$215,419.41
$0.00
$0.00
$0.00
$0.00
0.00%
$215,419.41
$0.00
METALS
$506,800.12
$0.00
$0.00
$0.00
$0.00
0.00%
$506,800.12
$0.00
MASONRY
$341,605.95
$0.00
$0.00
$38,000.00
$38,000.00
11.12%
$303,605.95
$3,800.00
$29,961.69
$0.00
$0.00
$0.00
$0.00
0.00%
$29,961.69
$0.00
ROOFING
$299,344.17
$0.00
$0.00
$0.00
$0.00
0.00%
$299,344.17
$0.00
GC INSTALL
$507,860.26
$0.00
$0.00
$0.00
$0.00
0.00%
$507,860.26
$0.00
$18,834.90
$26,684.67
$0.00
$0.00
$0.00
$0.00
0.00%
$26,684.67
$0.00
$188,163.31
$0.00
$0.00
$0.00
$0.00
0.00%
$188,163.31
$0.00
PORCELAIN TILE
$53,931.88
$0.00
$0.00
$0.00
$0.00
0.00%
$53,931.88
$0.00
13
ACOUSTICAL CEILING
$34,031.45
$0.00
$0.00
$0.00
$0.00
0.00%
$34,031.45
$0.00
14
FLOORING
$21,871.75
$0.00
$0.00
$0.00
$0.00
0.00%
$21,871.75
$0.00
15
PAINTING
$67,016.10
$0.00
$0.00
$0.00
$0.00
0.00%
$67,016.10
$0.00
16
FIRE SUPPRESSION
$77,962.40
$0.00
$0.00
$0.00
$0.00
0.00%
$77,962.40
$0.00
17
PLUMBING
$176,324.91
$0.00
$0.00
$34,500.00
$34,500.00
19.57%
$141,824.91
$3,450.00
18
10
11
12
HVAC
$289,760.59
$0.00
$0.00
$0.00
$0.00
0.00%
$289,760.59
$0.00
19
ELECTRICAL
$277,156.00
$0.00
$0.00
$0.00
$0.00
0.00%
$277,156.00
$0.00
20
COMMUNICATIONS
$154,105.32
$19,263.16
$73,200.03
$0.00
$92,463.19
60.00%
$61,642.13
$9,246.32
21
ESS SYSTEM
$195,112.90
$0.00
$0.00
$0.00
$0.00
0.00%
$195,112.90
$0.00
$0.00
$0.00
$0.00
$0.00
0.00%
$18,781.12
$0.00
$0.00
$1,561.42
$3,718,615.57
$39,022.64
22
LANDSCAPING
$18,781.12
23
JOBSITE OVERHEAD
$15,614.22
$15,614.22
$0.00
$0.00
$15,614.22
$4,108,842
$74,862.88
$221,563.55
$93,800.00
$390,226.43
SUB TOTALS
AIA DOCUMENT G703 - APPLICATION AND CERTIFICATE FOR PAYMENT - MAY 1983 EDITION - AIA C 1983
THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C., 20006
100.00%
9.50%
PAGE 1 OF 2
APPLICATION NO: 3
ARCHITECT:
ARCHITECTS
PROJECT NO.: 61064
Distribution to:
Architect
Owner
Contractor
CONTRACT DATE:
8/27/2014
Application is made for Payment, as shown below, in connection with the Contract.
Continuation Sheet, AIA Document G703, is attached.
DEDUCT
$0.00
$
$
$
$
4,108,842.00
34,644.00
4,143,486.00
840,429.34
$
$
84,042.93
756,386.41
$
$
$
351,203.79
405,182.62
3,387,099.59
(Column G on G703)
5. RETAINAGE
a. 10% of completed Work
74,104.33
9,938.60
(Column F on G703)
Total Retainage (Line 5a + 5b or
$34,644.00
$0.00
$34,644.00
information and belief the Work covered by this Application for Payment has been
completed in accordance with the Contract Documents, that all amounts have been
The undersigned Contractor certifies that to the best of the Contractor's knowledge,
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
State of: NC
County of:
Cumberland
Subscribed and sworn to before me this 30th day of November 2014
Notary Public:
Janene Sargent Symms
CONTRACTOR:
By:
Date: 11/30/2014
By:
405,182.62
Mike Rogers
Date: 11/30/2014
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.
APPLICATION AND CERTIFICATE FOR PAYMENT - MAY 1983 EDITION -AIA C 1983
THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C. 20006
(Attach explanation if amount certified differs from the amount applied for.)
ARCHITECT: LDDI
CONTINUATION SHEET
PAGE 2
APPLICATION NUMBER:
APPLICATION DATE:
PERIOD TO:
ARCHITECT PROJECT NO:
B
DESCRIPTION OF WORK
C
SCHEDULED
VALUE
OF 2
D
E
WORK COMPLETED
FROM PREVIOUS THIS PERIOD
APPLICATION
(D+E)
F
MATERIALS
PRESENTLY
STORED
(NOT IN D OR E)
G
TOTAL
COMPLETED
AND STORED
TO DATE
(D+E+F)
%
(G/C)
PAGES
3
11/30/2014
11/30/2014
61064
H
BALANCE
TO FINISH
(C-G)
I
RETAINAGE
10.00%
SITEWORK
$556,295.07
$188,349.02
$242,706.73
$0.00
$431,055.75
77.49%
$125,239.32
STRIPING
$962.34
$0.00
$0.00
$0.00
$0.00
0.00%
$962.34
$0.00
FENCING
$54,076.37
$0.00
$54,076.37
$0.00
$54,076.37
100.00%
$0.00
$5,407.64
CONCRETE
$215,419.41
$0.00
$65,578.37
$0.00
$65,578.37
30.44%
$149,841.04
$6,557.84
METALS
$506,800.12
$0.00
$0.00
$0.00
$0.00
0.00%
$506,800.12
$0.00
MASONRY
$341,605.95
$0.00
$22,354.37
$82,534.00
$104,888.37
30.70%
$236,717.58
$10,488.84
$29,961.69
$0.00
$0.00
$0.00
$0.00
0.00%
$29,961.69
$0.00
ROOFING
$299,344.17
$0.00
$0.00
$0.00
$0.00
0.00%
$299,344.17
$0.00
GC INSTALL
$507,860.26
$0.00
$0.00
$0.00
$0.00
0.00%
$507,860.26
$0.00
$43,105.58
$26,684.67
$0.00
$0.00
$0.00
$0.00
0.00%
$26,684.67
$0.00
$188,163.31
$0.00
$0.00
$0.00
$0.00
0.00%
$188,163.31
$0.00
PORCELAIN TILE
$53,931.88
$0.00
$0.00
$0.00
$0.00
0.00%
$53,931.88
$0.00
13
ACOUSTICAL CEILING
$34,031.45
$0.00
$0.00
$0.00
$0.00
0.00%
$34,031.45
$0.00
14
FLOORING
$21,871.75
$0.00
$0.00
$0.00
$0.00
0.00%
$21,871.75
$0.00
15
PAINTING
$67,016.10
$0.00
$0.00
$0.00
$0.00
0.00%
$67,016.10
$0.00
16
FIRE SUPPRESSION
$77,962.40
$0.00
$0.00
$0.00
$0.00
0.00%
$77,962.40
$0.00
17
PLUMBING
$176,324.91
$0.00
$59,901.07
$16,852.00
$76,753.07
43.53%
$99,571.84
$7,675.31
18
10
11
12
HVAC
$289,760.59
$0.00
$0.00
$0.00
$0.00
0.00%
$289,760.59
$0.00
19
ELECTRICAL
$277,156.00
$0.00
$0.00
$0.00
$0.00
0.00%
$277,156.00
$0.00
20
COMMUNICATIONS
$154,105.32
$92,463.19
$0.00
$0.00
$92,463.19
60.00%
$61,642.13
$9,246.32
21
ESS SYSTEM
$195,112.90
$0.00
$0.00
$0.00
$0.00
0.00%
$195,112.90
$0.00
$0.00
$0.00
$0.00
$0.00
0.00%
$18,781.12
$0.00
$0.00
$1,561.42
$3,268,412.66
$84,042.93
22
LANDSCAPING
$18,781.12
23
JOBSITE OVERHEAD
$15,614.22
$15,614.22
$0.00
$0.00
$15,614.22
$4,108,842
$296,426.43
$444,616.91
$99,386.00
$840,429.34
SUB TOTALS
AIA DOCUMENT G703 - APPLICATION AND CERTIFICATE FOR PAYMENT - MAY 1983 EDITION - AIA C 1983
THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C., 20006
100.00%
20.45%