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Use the Sample pay application below to establish the Current Payment Due (line 8.) FROM CONTRACTOR: VIAARCHITECT: CONTRACT SmithConstructionCompanyBrown&Assoc.9/15/2019 CONTRACTOR'S APPLICATION FOR The undersigned Contractor certifies that to the best of the Contractor's PAYMENT knowledge. Application is made for payment, as shown below, in connection with information and belief the Work covered by this Application for Payment the Contract. Continuation Sheet, AlA Document G703, is has been 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 1. ORIGINAL CONTRACT SUM S 1,848,000.00 payments received from the Owner, and that current payment shown herein 2. Net change by Change Orders 3. CONTRACT SUM TO DATE (Line 1 +2) 4. TOTAL COMPLETED \& STORED 3. CUNIRACI SUM IU UAIE (LINe 1 \$ 1,848,000.00 CONTRACTOR +2 ) 4. TOTAL COMPLETED \& STORED TO DATE \$ $164,170 By: Date: 5 RETAINAGE: Total in Column 1 of G703) 6. TOTAL EARNED LESS RETAINAGE ARCHITECTS CERTIFICATE FOR PAYMENT (Line 4 Less Line 5 Total) In acoordance with the Contract Documents, based on on-site observations 7. LESS PREVIOUS CERTIFICATES FOR and the data PAYMENT (Line 6 from prior Certificate) 8. CURRENT PAYMENT DUE 9. BALANCE TO FINISH, INCLUDING RETAINAGE (Line 3 less Line 6 ) CHANGE ORDER SUMMARY $65,647.80 comprising the Total changes approved in previous months by Owner Architect's knowledge, information and belief th eWork has progressed Total approved this Month as indicated, the quality of the eWork is in acoordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT TOTALS ADDITIONSDEDUCTIONSAMOUNTCERTIFIEDArchtect: NET CHANGES by Ch Ord Use the Sample pay application below to establish the Current Payment Due (line 8.) FROM CONTRACTOR: VIAARCHITECT: CONTRACT SmithConstructionCompanyBrown&Assoc.9/15/2019 CONTRACTOR'S APPLICATION FOR The undersigned Contractor certifies that to the best of the Contractor's PAYMENT knowledge. Application is made for payment, as shown below, in connection with information and belief the Work covered by this Application for Payment the Contract. Continuation Sheet, AlA Document G703, is has been 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 1. ORIGINAL CONTRACT SUM S 1,848,000.00 payments received from the Owner, and that current payment shown herein 2. Net change by Change Orders 3. CONTRACT SUM TO DATE (Line 1 +2) 4. TOTAL COMPLETED \& STORED 3. CUNIRACI SUM IU UAIE (LINe 1 \$ 1,848,000.00 CONTRACTOR +2 ) 4. TOTAL COMPLETED \& STORED TO DATE \$ $164,170 By: Date: 5 RETAINAGE: Total in Column 1 of G703) 6. TOTAL EARNED LESS RETAINAGE ARCHITECTS CERTIFICATE FOR PAYMENT (Line 4 Less Line 5 Total) In acoordance with the Contract Documents, based on on-site observations 7. LESS PREVIOUS CERTIFICATES FOR and the data PAYMENT (Line 6 from prior Certificate) 8. CURRENT PAYMENT DUE 9. BALANCE TO FINISH, INCLUDING RETAINAGE (Line 3 less Line 6 ) CHANGE ORDER SUMMARY $65,647.80 comprising the Total changes approved in previous months by Owner Architect's knowledge, information and belief th eWork has progressed Total approved this Month as indicated, the quality of the eWork is in acoordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT TOTALS ADDITIONSDEDUCTIONSAMOUNTCERTIFIEDArchtect: NET CHANGES by Ch Ord