Attachment_5_-_AIA_Document_G703_Template.xls

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Attached to
Asphalt Requirement Federal contract opportunity
Solicitation number
W911S2-19-B-8000
Issued by
Department of the Army Materiel Command Mission and Installation Contracting Command Fort Drum

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AIA Document G703

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sheet 1

CONTINUATION SHEETAIA DOCUMENT G703/WGPD
AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containingAPPLICATION NO:/wir.{d 25}~{r 6}/cf~~{L 6}~
Contractor's signed certification is attached.APPLICATION DATE:/wgpe
In tabulations below, amounts are stated to the nearest dollar.PERIOD TO:/ru.{d 26}
Use Column I on Contracts where variable retainage for line items may apply.ARCHITECT'S PROJECT NO:{L 5}
{L 9}
ABCDEFGHI/ru.{d 26}~
ACTIVITYDESCRIPTION OF WORKSCHEDULEDWORK COMPLETEDMATERIALSTOTAL%BALANCERETAINAGE
IDVALUEFROM PREVIOUSTHIS PERIODPRESENTLYCOMPLETED(G ÷ C)TO FINISH(IF VARIABLE
APPLICATIONSTOREDAND STORED(C - G)RATE)
(D + E)(NOT INTO DATE
D OR E)(D+E+F)
PROJECT OVERVIEW
$0.00$0.000.00%$0.00
$0.00$0.000.00%$0.00
$0.00$0.000.00%$0.00
$0.00$0.000.00%$0.00
$0.00$0.000.00%$0.00
$0.00$0.000.00%$0.00
$0.00$0.000.00%$0.00
$0.00$0.000.00%$0.00
$0.00$0.000.00%$0.00
$0.00$0.000.00%$0.00
$0.00$0.000.00%$0.00
$0.00$0.000.00%$0.00
$0.00$0.000.00%$0.00
$0.00$0.000.00%$0.00
$0.00$0.000.00%$0.00
$0.00$0.000.00%$0.00
$0.00$0.000.00%$0.00
$0.00$0.000.00%$0.00
$0.00$0.000.00%$0.00
$0.00$0.000.00%$0.00
$0.00$0.000.00%$0.00
$0.00$0.000.00%$0.00
$0.00$0.000.00%$0.00
$0.00$0.000.00%$0.00
$0.00$0.000.00%$0.00
$0.00$0.000.00%$0.00
$0.00$0.000.00%$0.00
$0.00$0.000.00%$0.00
$0.00$0.000.00%$0.00
$0.00$0.000.00%$0.00
0.00%$0.00
CHANGE ORDERS
$0.00$0.000.00%$0.00
$0.00$0.00$0.00$0.00$0.000.00%$0.00
AIA DOCUMENT G703 · CONTINUATION SHEET FOR G702 · 1992 EDITION · AIA · © 1992G703-1992
THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W. WASHINGTON, D.C. 20006-5292
$0.000.00%$0.00

Page &P of &N &L&"Arial"&6AIA DOCUMENT G703 · CONTINUATION SHEET FOR G702 · 1992 EDITION · AIA · ©1992 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W. WASHINGTON, D.C. 20006-5232&R&"Arial"&8&BG703-1992

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