CONTRACTOR'S APPLICATION FOR PAYMENT - Application No 22 - Project ACC Highland Phase 2 Offsite Utilities

Sep 19, 2026

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Contractor's Application for Payment No. 22 for the project “ACC Highland Phase 2 Offsite Utilities” under Contract Date 24-Apr-2018. States original contract sum of $8,880,987.00, net change by change orders of $348,215.13, and contract sum to date of $9,229,202.13. Details completed and stored amounts, retainage calculations at 5%, and computes current payment due of $398,335.95, with attachments including continuation sheet AIA Document G703 and certifications supporting payment.

LanguageEnglish

CategoryInvoices

FormatPDF

Pages6

Reading Time2 min

AccessFree to download

Contractor's Application for Payment

Project and contract information

Payment calculations and retainage

Change order summary

Work item tabulations

TO OWNER: Austin Community College District 5930 Middle Fiskville Road Austin, Texas 78752 FROM CONTRACTOR: JOB \# 18011.000 FLINTCO, LLC 8100 Cross Park Drive Austin, Texas 78754-5249 CONTRACT FOR: PROJECT: ACC Highland Phase 2 Offsite Utilities 'S REPRESENTATIVE: RedLeaf Properties, LLC 4015 Guadalupe St. Austin, TX 78751 ACC Highland Phase 2 Offsite Utilities APPLICATION NO: \#22 PERIOD TO: 29-Feb-2020 PROJECT NO: 18011 BPO 14354 CONTRACT DATE: 24-Apr-18 Distribution to: | X | | --- | | X | | X | | | | | OWNER ENGINEER CONTRACTOR CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for payment, as shown below, in connection with the Contract. Continuation Sheet, AIA Document G703, is attached. 1. ORIGINAL CONTRACT SUM $ 8,880,987.00 2. Net change by Change Orders $ 348,215.13 3. CONTRACT SUM TO DATE (Line 1 ± 2) $ $ 9,229,202.13 4. TOTAL COMPLETED & STORED TO $ 8,713,944.15 DATE (Column H&I G703) 5. RETAINAGE: a. 5% of Completed Work 435,697.21 (Column D+E on G703) b. 5% of Stored Materials 0.00 (Column F on G703) Total Retainage (Lines 5a + 5b or Total in Column I ofG703) $ 435,697.21 6. TOTAL EARNED LESS RETAINAGE $ 8,278,246.94 (Line 4 Less Line 5 Total) 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT (Line 6 from prior Certificate) $ 7,879,910.99 8. CURRENT PAYMENT DUE $ 398,335.95 9. BALANCE TO FINISH, PLUS RETAINAGE $ 950,955.19 (Line 3 less Line 6) | CHANGE ORDER SUMMARY | ADDITIONS | DEDUCTIONS | | --- | --- | --- | | Total changes approved
in previous months by Owner | $442,548.30 | ($94,333.17) | | Total approved this Month | $0.00 | $0.00 | | TOTALS | $442,548.30 | ($94,333.17) | | NET CHANGES by Change Order | | $348,215.13 | The undersigned Contractor certifies that to the best ofthe Contractor's knowledge, information 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 payments received from the Owner, and that current payment shown herein is now due. AIA DOCUMENT G702 · APPLICATION AND CERTIFICATION FOR PAYMENT · 1992 EDITION · AIA · ©1992 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE. , N.W. , WASHINGTON, DC 20006-5292 CONTINUATION SHEET PAGE 1 OF 4 AIA Document G702, Application and Certificate for Payment. Application No: \#22 containing Contractor's signed Certification, is attached. Application Date: 4/14/2020 In tabulations below, amounts are stated to the nearest dollar. Period To: 2/29/2020 Use Column I on Contracts where variable retainage for line items may apply. PROJECT NAME: ACC Highland Phase 2 Offsite Utilities | Item
No. | Description of Work | Scheduled
Value | | Work Completed | | | | Material
Presently
Stored | Total
Completed and
Stored to Date | | % | Balance
to
Finish | | Retainage | | | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | | | | | | From Previous
Applications | | This Period | | | | | | | | This
Period | | Completed and
Stored to Date | | | 104S-A | 1.00-Wastewater Line A
Remove PC Concrete Curb | $ | 375 | $ | 375 | $ | - | | $ | 375 | 100% | $ | - | $ | - | $ | 19 | | 104S-C | Remove PC Concrete Sidewalks and Driveways | $ | 55,825 | $ | 55,825 | $ | - | | $ | 55,825 | 100% | $ | 0 | $ | - | $ | 2,791 | | 432SR-4 | Reconstruct Concrete Sidewalks to 4-Inch thickness including removal of existing sidewalks | $ | 22,631 | $ | 22,631 | $ | - | | $ | 22,631 | 100% | $ | - | $ | - | $ | 1,132 | | 433S-C | Type II PC Concrete Driveway | $ | 125,685 | $ | 125,685 | $ | - | | $ | 125,685 | 100% | $ | - | $ | - | $ | 6,284 | | 504S-1RM | Repositioning and Adjusting Water Meters | $ | 1,231 | $ | 1,231 | $ | - | | $ | 1,231 | 100% | $ | - | $ | - | $

FAQs

What is this document’s purpose?

It is a contractor’s application requesting payment in connection with the specified contract and project, including certification and supporting continuation sheet information.

What are the key payment totals shown?

It lists original contract sum, contract sum to date, total completed and stored to date, retainage totals, and the computed current payment due and balance to finish plus retainage.

How is retainage handled in the calculations?

Retainage is shown as 5% of completed work and 5% of stored materials, with a total retainage amount included in the earned less retainage figure.

Sep 19, 2026

Upload by Violet