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ToolsVault Contractor Network • AIA Standard Format

AIA Document G702 & G703 Progress Billing Engine

Application and Certificate for Payment • Continuation Sheet Schedule of Values • 1-Click Print / PDF

Application and Certificate for Payment

AIA DOCUMENT G702™ FORMAT • TOOLSVAULT COMMERCIAL DISPATCH EDITION
PAGE 1 OF 2
DOC REF: TV-AIA-702-2026
TO OWNER / GC:
FROM SUB / VENDOR:
PROJECT NAME:
ARCHITECT / ENGINEER:
APPLICATION NO:
PERIOD TO:
CONTRACT DATE:
TRADE DIVISION:
Contractor's Application For Payment Summary Automated Calculations
1. ORIGINAL CONTRACT SUM:
$
2. Net change by Change Orders:
$
3. CONTRACT SUM TO DATE (Line 1 ± 2): $513,450.00
4. TOTAL COMPLETED & STORED TO DATE (Col G): $215,800.00
5. RETAINAGE:
Rate:
a. Retainage on Completed Work: $19,580.00
b. Retainage on Stored Material: $2,000.00
TOTAL RETAINAGE (Line 5a + 5b): $21,580.00
6. TOTAL EARNED LESS RETAINAGE (Line 4 less 5): $194,220.00
7. LESS PREVIOUS CERTIFICATES (Line 6 Prior):
$
8. CURRENT PAYMENT DUE: $75,720.00
9. BALANCE TO FINISH, INCLUDING RETAINAGE: $319,230.00
Change Order Tracking Summary
SUMMARY ADDITIONS DEDUCTIONS
Approved Prior Months: $18,450.00 $0.00
Approved This Month: $10,000.00 $0.00
TOTALS: $28,450.00 $0.00
Contractor's Signed Certification

The undersigned Contractor certifies that to the best of their 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 that current payment shown herein is now due.

CONTRACTOR SIGNATURE:
Authorized Commercial Principal
DATE:
Architect / General Contractor Approval
AMOUNT CERTIFIED: $75,720.00
Architect: ____________________
Date: _________

Continuation Sheet (AIA Document G703™ Schedule of Values)

Breakdown of work completed, materials stored, and retainage per CSI line item.

ITEM DESCRIPTION OF WORK (CSI SCOPE) SCHEDULED VALUE (C) PREV COMPLETED (D) THIS PERIOD (E) STORED MAT. (F) TOTAL COMPL. (G) % (G/C) BALANCE (C-G) RETAINAGE ACT
GRAND TOTALS: $0.00 $0.00 $0.00 $0.00 $0.00 0% $0.00 $0.00
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