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APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT G702 (instructions on reverse side) PAGE ONE OF PAGES TO OWNER: Marion Co. & Salem Area Transit Attn: John Whittin¢ton 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 97301 VIA ARCHITECT: Arbuckle Costic Architects 363 State Street Salem, OR 97301-3533 APPLICATION NO.: 9900600018 Distribution to: PERIOD TO: 6/30/00 $~ OWNER PROJECT NOS.: 99-006 ~I ARCHITECT ~ CONTRACTOR CONTRACT DATE: 2/17/99 ~I P/K - DH ~.l P/K - MS CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for payment, as shown below, in connection with the Contract. Concinuation Sheet, AIA Document G703, is attached. t . ORIGINAL CONTRACT SUM . . . . . . . . . . . . . . . . . . E 18,459,484.00 z . Net change by Change Orders . . . . . . . . . . . . . . . t 2.067,1$Q.04 i. CONTRACT SUM TO DATE (Line 1 t 2) •••.•••• t 20 526,664.00 4. TOTAL COMPLETED & STORED TO DATE ...... E 18,054.861.00 (Column G on G703) ~ 5. RETAINAGE: a. __9.Q06 of Completed Work t 0.00 (Columns D + E on G703) b. ~.Q06 of Stored Material E 0.00 (Column F on G703) Total Rerainage (Line 5a + 5b or TotalinColumntofG703)•....•••.••.•••••E 0.00 6 . TOTAL EARNED LESS RETAINAGE . . . . . . . . . . . . f 18,054,861.00 (Line 4 lcss Linc 5 'Ibca1) 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT (Line 6 froin prior Certificate) . . . . . . . . . . . . . . . . . t 17,019,329.00 8. CURRENT PAYMENT DUE . . . . . . . . . . . . . . . . . t 1,035,532.0 9. BALANCE TO FINISH, INCLUDING RETAINAGE 2~471,803.00 (Line 3 less Line 6) E CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Toal changes approved in previous months by Owner 1,969,068.0 -14,806.0 Toral a roved this Month ~ • TOTALS ~ ~ ' ' ' NET CHANGES by Change Order ~ + • The undersigned Contractor certifies that co the best of the Contractor's knowledge, infor- mation and belief the Work covered by this Application for Payment has been 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 pay- ments received from Owner, and that current payment shown herein is now due. C TttA R: Pen etly Construction, Inc. By: Date: 6/26/00 scace of: Oregon County of: ~on Subscribed and sworn to before . me this 26~ da of Ju OFFICIAL SEAL ~ , ~~. ML~TTHEW L SM1Ttl' ~~ •: ~OTARY PU6LIC - OREGON Notary Public: . COA^0.~ISSI~N N0. 303013 My Commission expires: ~4Y CO~~tISS10t~ EXPIRES JULY 14, 2001 July 14, 2001 ARCNITECT'S CERTIFICATE FOR PAYMENT ~'~ In accordance with the Contract Documents, based on on-site observations and the data comprising this application, the Architect cettifles to the Owner that to the best of the Architect's knowledge, information and belief the Work has progressed as ~ndicated, the quality of the Work is in accordancc with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. . AMOUNT CERTIFIED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E~D35 . S~Z.,o (Attach explanation if amount certified differs jrom the amount applied for. Initia! alt jigures on this A plfcation and on the Continuatton Sheet that are changed to conform to the am nt certift .) ARCH Arb t stic Architects By: Date: ~ This erti icate is not negotiable. The AM CERTIFIED is paya le on to the Con- tractor named herein. Issuance, payment and acceptance of payment are withoul~J prejudice to any rIghts of the Owner or Contractor under this Contract. ~ ~ AIA DOCUAAENT G702 • APPLIG'CION AND CERTIFIGTE FOR PAYMENT • 1992 EDITION • AIA~ •~1992 • THE AMERICAN INSfITUTE OF ARCHITECTS, 1735 NEW YORK `rI AVENUE, N W., WASHINGTON, D.C. 2000Cr5292 • ~NARNINQ: Unlicen~ed photocopying vlolatea U.S. copyrigM iaws and witl aubJeet the vloletor to tegai prosecuNon. \ ~ ~'~i ii /`A 1^pl. V~~.•~ RI+~~11.1 ~I~P Pn n~l/.inql I1IA dl~n~l/nnn~ u~F.lrh ho~ fhlq ~f+UHnn nrinterl i~1 rpA AA f1fI~7InRI A4R11-PA ~hA1 PMAfH7P4 WI~I flnf I1P f~M4MIMf~ R4 MPV (1I`CII- WF1qI1 I~f1CUITIA/1t4 AM