EFTA00622593.pdf

LSJ CONSTRUCTION Subcontractor Payout Project: Mechanical Desal May 31, 2010 Trade: Concrete Formwork Requisition #03 Subcontractor Big Bear Construction, Inc. Insurance ex iration: March 1, 2011 Invoice # Requisition #03 Partial Final Phase # 03-120 X Original Contract Sum: $821,461.00 Change Orders Submitted & Approved: $0.00 New Change Orders: $0.00 Total Work Contracted to Date: $821,461.00 Total Work Completed to Date: 29% $239,575.00 Less Retainage: $11,978.75 Total Payments Made to Date: $112,931.25 Total Current Payment Due: $114,665.00 Balance to Finish including Retainage: $593,864.75 Sales Tax Liability: a. Subcontractor/Supplier is liable, explaiiinstall only / tax included in contract b. Non-resident Subcontractor/Supplier Bond Applicable: c. Use Tax to be paid by our company: d. Shipping None Total Outlays for this contract incl. Sales or Use Tax: $239,575.00 JEE approval attached Invoice Attached YES NO YES NO Submitted Bill Approved by: G Signed: Signed: Date: June 3, 2010 Date: June 3, 2010 Approved by: Signed: Date: EFTA00622593  LSJ CONSTRUCTION Project Mechanical Desal ubcontraclor fun legal name. Big Bear Construction. Inc. Date Revised May 31. 2010 Phase ft 03-120 Trade: Concrete Formwork Invoice It Reckisition N03 Insurance expiration: 1-Mar-11 Payment Partial Final X 'Invoice/Reef, Date CIO Amount Retainer Due Paid Dale Paid Checke oaiancefl [Contract Amount 01/I IMO 821.461.00 COrtl Con CONS COW COPS Requisition NI 0341110 74.400.00 3.720.00 70.600.00 70.68000 ✓. 0.00 Requisition //2 04/30/10 44.475.00 2.223.75 42,251.25 42.25125 ✓ 0.00 Requisition 63 05/31/10 120.70500 6.03500 114,865.00 114,466.00 Requisition 64 0.00 - 0.00 Requisition Nti 0.00 Requisition #6 0.00 • Requisition #7 0.00 - Requisition NB 0.00 Requisition /19 0.00 • IlTotst 1239.67500 11,978.75 227,696.26 112,931.26 114,666.001 Contract Amount -Phase Contract Concrete Farm** 821.461.00 CON1 Description CON2 - Description CON3 Description COW Description CONS Description Contracted To Dale 821,461.00 Balance of Connect wlRelainage 593,864.75 EFTA00622594  APPLICATION AND CERTIFICATION FOR PAYMENT ALA DOCUMENT G702 0555456. t]: Ls PRO aCT it. .IOatBan, air< ...atC4Trat 45:0 4.4 ~a 0154381 3 aaan uSa ~CO Axiolmin rind Fn., $ .112010 FROM CONTRCTCR Cennac•ar~ S tar Careasa IK f/NI00 TO 5/314010 WO Ease 61~0 PUSS ker klan 00~ reto.<6* • 91010 CONTRACTORS APPLCATOR FOR PAYNE/4T ACIM•19.1.1, iMb te, Ilaymlier.8.~ Oro«. in ~tab ins anrs Ceenait 4naaala rif• fir C0, 011. 444~4.41414 bad~wan aped 4445$ ~Oa let Paw«?as ~4 Caaralial 54.441. AU OtatneetGra. a 01~2 eemprs$ nnavatane Inir ~ma Oreacias tlui N•504771a• Wm OW in f'ane> ~tin 04a~ Wawa hoer 4 ab. 444•41One thrall ~MI Were a ereata I ~Al CONTACT SUE $131.46100 CONTRACTOR: 2. Net 490•04 ty ChrRO Otters 5000 3 CONTRACT Vitro DATER" I F 2) $1471A1100 by 1144•CcemDtamn NC. 4 TOTAL COUPLITIO &STORM 6C DMA 5.014010 5219.576 00 DATE ICUS, G on G703) 5 RETAINAGE 5~01 Caren/ SØ %Of Conoeced ~lc Ins httdaten $17 A78 7$ arrur Mr1am•w Mere ow Wm 4.74 42.4).~ • E cs 0703) Nam ask 5 OA tortetteltrenat KIM waaaaaa,sea Itotat cA 0/03T TaalRabraPt, araS 54 • 50 or CERTIFICATE FOR PAYMENT Taal Otani , I 0.67121 1)1071 75 6 TOTAL EARNED LESS RUMNAGE $227.5131525 41.9* 4 Lass le* 5 T0191 LESS ~US CERTIFICATES IFOR PAYMENT tat S IromtnCetEs149) $11293125 4/4 acamaame ~la Cowed 0.4.44n. lamas 0564•445~40 4r4 45»raw* as Ss, Maresffixta.14~ aviter CuRRENT PAY4.46.2 DUE 044. Oweimannaga ~grim tiltai in•••••4 5114,414140 •"" stone tan Gala Doan ••••114 et ~nor • «Ma a **Alai« CERallED 9 IIAMDCE 74)1144191.11K.AUCING RETAtUGE I/936U is ea 3 Ins La 4/ AMOUNT GERMREO 1114.665.00 ~NM OROCA SUm~Y ADoillONS DEDUCTIONS Ilea ~yawn 44~ ow444 Traser4V941ØØ 4451‘6, tas Ac~a4 al an CaniaMen 96.4 ea nee ro catab e. net ainfsil an a tams it 0~ $0.00 $0 00 C 167443970•496is Nfl 5000 1000 By Date: TOTALS $0 00 PIN 1544 a444aa •ne 7.4~ Mair Tia10 • saa. ca5 Sao Caw 54~ ~so 64~ ea wawa of 5., an w e 4,44444 a in laba d to Ora a arraaa 46:4 as Caftan NE7 omNcAs gowns OA« 5000 MA 000~4T CM ~Oak aN 440 CalltatiaramICA PATIENT . 092~ &A 0.932 ha ~CAM Man" Olt A.C.4714414 54,4 5644 Per Mw 4644~4014 OC 400555400 U1444 marfatife ~dada, . «at% Mammal bynasneag • waphned ChawrelaI 0401. Ceruhcation d Decwainrs AImMIb112ROAMLRM.441. Samarv SLAMS 1 or I EFTA00622595  CONTINUATION SHEET .414 DOCUMENT D703 At& Document G702, APPLY:01710N AND CERTIFICATION FOR PAYMENT. contemning APPLICATION NO: 3 ComraClOr5 signed cerbfic.abon is attached. APPLICATION DATE ' 05/24/10 In tabulations beam. amounts we stated to the nearest delta/. PERIOD TO: 05/31/10 Use Column I on Contracts were vertab1e relarago !or line items may softly. A a c 0 r I E G H I TEM OESaainsout SCHEMED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAHAGE NO OF WORK VALUE FROM PREVIOUS 1X15 PRESENTLY COMPLETED (6•C) T0 FINISal OF VAR/ABLE AP:LIGATION PERIOD STORED ANO STORED r0 • 6) RATE) (0 • E) (NOT et 0 8 E) TO DATE DOPE) (D•E•FI 00001 Swan) Rental $64.350.00 50.00 $68350.00 50.00 $68.350.00 100.00% 50.00 3417.50 00002 Ties and Accessories 528.50003 320.000.00 10.00 $0.00 $20.000.00 70.10% 58.500.60 1000.00 00003 Form Rental $23.50300 $23.500.00 $0.00 $0.00 523.50100 100.00% 50.00 1175.00 00004 Insurance $1.500.00 $6.5430.00 $0.00 50.00 58.500.00 100.00% 50.00 425.00 00005 Freight 519.500.03 $15.000.00 $0.00 $0.00 515.000.00 76.92% $4500.00 750 CO 00006 Forming Materials $5.000.00 $0.00 $1,000.00 $0.00 51030.00 20.00% 54000.00 50 00 00007 Misc. Maceriais $10.000.00 $0.00 $1.000.00 $0.00 $1.000.00 10.00% 5900000 60 00 Misc. Site Work 530.75103 53.075.00 50.00 $000 $3075.00 10.00% 527.67500 153.75 00009 BOW Slab FOITT1 $16.700.00 $15.000.00 SI /00.00 $0.00 516.70300 100.00% $0.00 835.00 00010 Base Stab Reinforcing 534.800.00 517.403.00 $17.400.00 50.00 $34.800.00 100.00% 50.00 1740.00 00011 Brno Stab Pour 35.950 00 5000 35.950.00 $0.00 $5.950.00 I 100.00% $0.00 297.50 00012 Base Wails Form 556.30000 50.00 55.63000 50.00 5503000 10.00% $5017000 281 50 00011 Ban Wails Rankoc.ng $32.700.00 30 00 $3.270.00 $0.00 53.270.00 10.00% $29.430.03 163.50 00014 Base Wails Pour 56.300.00 SOW $0.00 50.00 $0.00 0.00% $6.300.00 000 00015 1st Elevated Slab Form $41.950.00 3000 50.00 50.00 30.00 0.00% $41.950.00 0.00 00016 1st Elevated Slab Reinforcing 337.25000 $000 so.00 $0.00 $0.00 0.00% $37.250.00 0.00 00017 1st Elevated Slab Pour 55.40000 50.00 30.00 30.00 $0.00 0.00% $8.400.03 0.00 00018 1st Fl. Walls Form 579.000 00 50.00 $0.00 $000 50.00 0.00% 579.030.00 0.00 00019 1st Fl. Walls Rein/atone $41/0000 $0.00 $0.00 50.00 50.00 0.00% $41.700.03 0.00 00020 1st Fl. Wails Pour 55.600.10 $0.00 $0.00 $0.00 30.00 0.00% 55.600.00 0.00 00021 Roof Slab Form $54.650.00 $0.00 50.00 $0.00 50.00 0.00% 554.650.00 0.00 00022 Root Slab Rotriforcep $42.500.00 $0.00 $0.00 $0.00 $0.00 0.00% $42.530.00 0.03 00023 Roof Slab Pour $9.10000 $0.00 $0.00 $0.00 $0.00 0.00% $910000 000 00024 Parapet wall Form $11.45000 $0.00 $0.00 $0.00 50.00 0.00% $11.450.03 0.00 00025 Parapet Wall Reinforcing 52.80000 50.00 50.00 $0.00 50.00 0.00% 52.800.03 0.00 00026 Parapet Wall Pour 53.300.00 50.00 50.00 50.03 50.00 0.00% $3.300.00 0.00 00027 Overhead $34.22800 $4.100.00 54.100 00 $0.00 $8.20000 23.98% 526 028 CO 410.00 00028 Profit 3102.683.00 $12300.00 $12.310.00 50.00 $24.600.00 23.96% 578.08300 1230.00 00029 $0.00 50.00 $0.00 $0.00 elledit 30.00 0.00 00030 $0.00 50.00 $0.00 50.00 #0800! $0.00 0.00 00031 10.00 50.00 30.00 50.00 "DNA)! 50.00 0.00 00032 50.00 50.00 $0.00 $0.00 tiON/Ot 50.00 0.00 GRAND TOTALS $821.461.00 3118.875.00 5120.730.00 $O 00 $239.575.00 29.16% 5581 686.03 $11978.75 EFTA00622596