EFTA00722170.pdf

LSJ CONSTRUCTION Subcontractor Payout Project: Mechanical Desal October 7, 2010 Trade: Concrete Formwork Requisition #07 Subcontractor Big Bear Construction, Inc. Insurance ex iration: march 1. 2011 Invoice # Phase # Requisition #07 03-120 Original Contract Sum: Change Orders Submitted & Approved: New Change Orders: Total Work Contracted to Date: Total Work Completed to Date: Less Retainage: Total Payments Made to Date: Total Current Payment Due: Balance to Finish including Retainage: Sales Tax Liability: Partial X Final $821,461.00 $4,835.00 $0.00 $826,296.00 65% $541,220.00 a. Subcontractor/Supplier is liable, explaii install only / tax included in contract b. Non-resident Subcontractor/Supplier Bond Applicable: c. Use Tax to be paid by our company: d. Shipping Total Outlays for this contract incl. Sales or Use Tax: JEE approval attached YES NO X Submitted Bill Signed: Date: October 7. 2010 Approved by: Ema signed. fThte $27,061.00 $459,766.75," $54,392.25 dr $312,137.00 None $541.220.00 YES X Invoice Attached NO Approved by: Gary Signed: Date: October 7, 2010 Approved by: Signed: Date: EFTA00722170 LSJ CONSTRUCTION Propel Mechanical Desal hatcontractor full legal name Big BSI COnflruCtiOn, Inc Phases 03.120 Trade Concrete Cannon Ithaca ft Requisition s07 Insurance espiranon 1-Mar.11 Pavan:nil Partial final X Invc•ce/Regq Dale CIO Amounl ftelainace Due Paid Dale Pad Checks Balance COONICI Amount U3,1 1 ,10 621.461.00 CO111 COII2 CO113 CUM COO 07712:10 4.635 00 Requisition el 03/31;10 74 400 00 772000 70 680 00 " 'IL 70.680 00 0.00 RequiStIU)n #2 04/3010 44.475 00 2,223 75 42.25125 ‘/j.. 42.251 25 0.00 Roquisthon #3 05'31110 120.7W 00 6,03500 114.665 00 V Il4,665 4)0 000 Requisition #4 C6/31.10 72.025 00 3.601 25 68.423.75 Vie 68.423 75 000 RequisiemS5 07121/10 57 325 00 2.866 25 54.458 75 r•ore 54 458 75 000 Requismon MS 08/25/10 115,04000 5,75200 109.268110 he I 09 288 CO 000 Raoul:Mon te7 09124110 57255.00 2.862.75 54 392 25 Remo/ben 18 0.00 Recansilon 4/9 000 • Tao 1 541.220.00 1 27.061 00 1 514.15940 459.766.75 54,392 251 Date Revised OCI0Opf 7. 2010 Contract Amount • Phase Contract coo con con COH4 C005 Concrete SW/nye:wig 821,401 00 Trench StapOrt 4,835 00 Downoeun beconaliOn Descnotion Deacnotion Description Contracted To Dale Banc. of Contract w1Relanage 826.296.00 312,137.00 EFTA00722171 APPLICATION AND CERTIFICATION FOR PAYMENT AIA DOCUMENT G702 /ROY :ON/ RA: TOR .I•X Rww ON1S In .14 'Nano VW, OCKO OR Si.. /ewer aC %CV Ef.e•C/19.90P411 9 Rh, 00,41 rqt.14:1 uvneu,Oes &M. ' ,O. ' 04....V_A I .C.N &awe, CVO 1,..,2•1 !tun 20,0 11 9 :0 TO 9'30.221O "4:....4C I a •I310 CONTRACTORS APPECATON FOR OAYMENT KCk.19•S mme ft, Seinen, IS Shao. 002a CO, CCLO' WI. 0.• :C010:t CIMAI39", S'ett O0CV' 4C7h4 S !rag • ORO/1N CONTA.Att REY 2 wtewq.M CAIF9i CA0/1 1 CONTRACT WM /0 OATE Rae I a 21 1 IOTA:. COD/A.11EO. STORED TO DATE :C0'.rG en CVOS s RETANAGE kIVenir•I lityaity tees. no %ire goal N .a.nru wonlele norowcom Dag 9,0NO try r•Ateenon £r4l, nanny...num .r A. Lawnlfi Opactefis MI al nuts '.10.11 Ism ca. ite IVOfi PO anti, pfikyl.C.Wgreafi W 01. MaI nw.uA.. reowti.ce-peof 'roue Dye in' or can wren s`c..., woo. C Nas V.JI.W. CO CONTRACTOR. $4.$35 OC So262Vo '0 6, R9 Near C.0./111ADCA Nt a'C t.1 .4201C 5.444.22020 ! a 5.9)+4 SCanoewo .SrN en WO g/100 $27 6, ‘,111/.../ :Calm C • t ir 0703) 500% /1 cl SON. 4/11rai SO CO taYNO CNON31 -cti; RetnNile Lets 5,a • SO ar TOwr COVrn a 0703, • TOTAE EARNED/ORS RETMNOSE a Fe 4 ENS.Ne1 To1A1 • 6RESPRENICUS CERTIFICATES FOR 9AY1.ENT 4. no ONONtiv Ctlicxel • CURRENT PAYMENT DUE • (*NANCE TO' NSN INCO.ONCI RETO"ACIC 0.%• on Lae E. lv.a soatenan Nn ...conga Ma* ••• ..9‘0, FAN •Ate,i f ' RTINCATE FOR PAYMENT 127 ow co I, ' v •4 'so CO . , $4,0 ys D Ncrenoo rine Cervatt ONE-Am wry re. N. ssANNA. worse.. Nyrry•00.•Nuo. noNnue user "NT* SU-322Th Any ON A0 °Awn. vroC•nacta a Non 0 ANNAN a NamO/A.T<ARIAttO SS le +a rim YS Cane" n9embhin We.. Abp%N. Oi•eNs3 NNANI Aspen a nt Ain 1.1 /2 13700 %%tat/ AMOUNT CERTIFIED CAORGE OROER sip.01./Fo• ail:/';•.S DEDOVIONS %5(0.theconsta0.4.0 0fleNcua 0crAyo• 0000. 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Pow 5595000 1595000 SO 03 1000 169000 10300%1 000 2r JO 00042 Use WoOle Fan SS X0 CO 15600000 1000 50 00 556.13000 10000% 50 00 26'5W 02313 Bate Vous Airbag 1/2 MO 03 53230007 $000 WOO 13220) 00 10300% 50 .00 16350 03014 lias4 Wals Poi 1630000 18 300 CO 1 SO 0) 000 16.130 04 10000% SO OC 3'500 03075 's1 014/04140 SW ram SO See CO 520.97500 171 MO CO 000 132 n5 CO 000% 1419500 115771 COOS '14 0 mad Sao Iberian 537 7W CO SW 625 03 $W 625 03 50 00 1372000 MOM. ION 18624 00012 1s1 04,44165 St Poo UAW CO 54.20003 SOO) WOO $422000 000% 5420000 2100 00)1 1st IN Pont Fan 1»000= in 750 CO otys„ 05003 1000 SS 030 00 4000% 547:0300 12300 00319 'u1, Walls R002420-0 $41 TOO CO 576.68000 WO) SOW SW 083 00 4000% 12502003 BUM MOW 'MR wan. Pc., ISOM CO SO 03 1000 1003 10 00 0004 156[000 0 0) 0)321 Root Soo Fon 0 40000 SO W SOW 000 SO 00 000% 554.4!00: 000 WOZ2 Awl Sob Raker% PO 300 CO SO 0) 1000 1000 w00 COI% 142.00)00 530 W023 Nog Sue Poo $9 KOOS SOW SOW SOW SOW 080% 19.10003 C 01 0;022 Pam% ww Pr Ill 450 CO 000 000 SOW I WOO OW% sl i 45000 cm C0325 Prom wall arnlacte 12 ECO CO SO CO 00O woo we) 000% S2.11000 OW OW26 Prow! WAI Etu. SI 300 CO SOW SOW 1003, WOO 000'4 S390003 000 %COO 10...mese SU 225t0 120.50000 \ a% Se CO:K0 ID 00 : 1.12.90,0) 65 741: III 72100 '125'6 00025 Rao 519268300 $r 5C0 CO 11ka 53.93°C° SOW 36160000 6525% $35(411)0 235000 0:029 COv1 Twos LownY8 CAS 544300) 14435W SO OS SOW 14 WSW 10300%. 000 54175 00330 SOW 5003 10.00 5000 *Own SO 00 000 0,331 WW $1)01 SOW 1000 Kat 10 00 OK OM WM SO 00 9300 SO 03 /1COACt 5000 000 OR01,6000 TOTALS US 2160i $A M 365 CO 05 2 25501 0 000 SS4400 - 6150 % Mid-- S265.01600 t.S/Vri-- $2 , C6 1to vsAte.... 2000 EFTA00722173 Emad Hanna From: Monique Harry Sent: Thursday, October 07, 2010 2:31 PM To: Emad Hanna Subject: Big Bear Construction, Inc Attachments: Big Bear Construction Req 7.pdf I I Emad, Attached for payment via wire Big Bear Construcion, Inc Req 7 in the amount of $54,392.25. Project 1010 Code 03-120. Monique &044) /0//0 EFTA00722174