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APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT G702 (Instructions on reverse side) PnGe orrs oF PAGES TO OWNER: Marion Co. & Salem Area Transit Attn: John Whittineton 3140 Del Webb Ave NE Salem. OR 97303-4165 FROM CONTRACTOR: Pence/Kelly Construction, Inc. PO Box 4109 Salem, OR 97302-8109 CONTRACT FOR: PROJECT: Courthouse Sauare Court & High Streets Salem, OR 9'7301 VIA ARCHITECT: Arbuckle Costic Architects 363 State Street Salem, OR 97301-3533 APPLICATION NO.: 9900600015 Distribution to: PERIOD TO: 4/30/00 ~ OWNER PROJECT NOS.: 99-006 ^ ARCHITECT ~ CONTRACTOR CONTRACT DATE: 2/17/99 ~ P/K - DH ~ P/K - MS CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned ConEractor certifies that to the best of the Contractor's knowiedge, infor- mation and belief the Work covered by this Application for Payment has been completed Applicatlon is made for payment, as shown below, in connection with the Contract. in accordance with the Contract Documents, that all amounts have been paid by the Continuation Sheet, AIA Document G703, is attached. Contractor for Work which previous Certificates for Payment were issued and pay- ments r ived fro the'Owner, and that current payment shown herein is now due. t . ORIGINAL CONTRACT SUM . . . . . . . . . . . . . . . . . . ~ 18,459,484.00 ; CON'~RACT R: Pence elly Construction, Inc. 2 . Net change by Change Orclers . . . . . . . . . . . . . . . 8 1,763,802.00 20,223,286.00 B ~~~ ~ ; ~ ~ Date: 5/3/00 3 . CONTRACT SUM TO DATE (Line 1 t 2) • . • • . . . . $ Y~ 4 . TOTAL COMPLETED & STORED TO DATE . . . . . . ~ 15,417,016.00 (Column G on G703) • RETAINAGE: a. ~2.Q~'o of Completed Work ~ 0.00 (Columns D + E on G703) b. ~Q~'o of Stored Material f 0.00 (Column F on G703) Total Retainage (Line Sa + 5b or TotalinColumnIofG703).••••••••••••••••~ 0.00 TOTAL EARNED LESS RETAINAGE . . . . . . . . . . . . ~ 15.417.016.00 (Line 4 less Line 5 Total) Scace of: Oregon County of: Marion Subscribed and sworn to before me this 3rd day of M Notary Public: My Commission expires: July 14, OFFICIAL SEAt AAATTHEW L SMI~'FF, NOTARY PUBLIC - OREGON COMMISSION N0, 303013 ~IY COh4MISSION EXpIFIES JULY 14, 2001 ARCHITECT'S CERTIFICATE FOR PAYMENT 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT In accordance with the Contract Documents, based on on-site observations and the`~ta Line 6 from rior Certificate $ 14,073,874.00 comprising this application, the Architect certifies to the Owner that to the best of the ~ P ~ ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' Architect's knowledge, information and belief the Work has progressed as indicated, the 8. CURRENT PAYMENT DUE ................. .~ 1,343,142.0 quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. . 9 . BALANCE TO FINISH, INCLUDING RETAINAGE 4,806,270.00 ~~ AMOUNT CERTIFIED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5~~~_ac~ (Line 3 less Line 6) ~ (Attach explanation if amount certified differs from the amount applied for. lnitial CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Total changes approved in previous months by Owner 1,772,437.0 -14,806.0 Total approved this Month ~ • TOTALS ~ ~ ' ' ' NET CHANGES by Change Order ~ • all figures on this A lication and on the Continuation Sheet that are changed to conform to the a unt erti ' d.) ARC T: Ar ck ostic Architects -~ / g ; Date: _S~>_~~G~~ hi e e is not negotiable. The AMOUNT CERTIFIED is payable only to the Con- tractor named herein. Issuance, payment and acceptance of paymen~ are wichouc prejudice to any rights of the Owner or Contractor under this Contract. ~ . AIA DOCUMENT G702 • APPLICATION AND CERTIFICATE FOR PAYMENT • 1992 EDITION • AIA~ • OO 1992 • THE AMERICAN INS1'ITUTE OF ARCH[TEC'I'S, 1735 NEW YORK `~ AVENUE, N.W., WnSHINGTON, D.C. 20006-5292 • WARNINO: Unlicensed photocopying vlolates U.S. copyrfgM laws and wlil subjeet the Wolator to legal prosecution. I\ ~'a7~ ~J` i•.~.~`i ~i~ CAUTION: You should use an original AIA document which has this caution printed In red. An orfginai assures that changes wlll not be obscured as may occur when documents are pro~ d.