LSJ CONSTRUCTION

LSJ CONSTRUCTION Subcontractor Payout Project: Mechanical Desal October 26, 2010 Trade: Concrete Formwork Requisition #08 Subcontractor Big Bear Construction, Inc. Insurance ex iration: March 1, 2011 Invoice # Phase # Requisition #08 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/ 80% $661,065.00 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: I $33,053.25 z . $514,159.00 V $113,852.75 v7.- $198,284.25 None JEE approval attached YES NO Approved by: Emad Signed: Date: l 0 P1 $661,065.00 Invoice Attached YES NO X Approved by: Gary Signed: Date: October 26, 2010 Approved by: Signed: Date: EFTA00622604 LSJ CONSTRUCTION Prcesct Mechanical Desai iubcontraclor - full legal name. Big Bear Consouction, Inc Phase # 03.120 Trade Concrete Formwork Invoice N: Rpwsrlion 008 Insurance exprratIOn: 1 •11 Paymenl Partial Final X Invoice/Reg, Date ,C70 Amount Reinert Due Paid Date Paid Check/ Balance I COMMet Amouni 03/11/10 821,461 03 COIN CO2 CON3 COM CONS 07/12/10 4,83500 Roquislbon #1 03/31/10 74.400 00 3,720 00 70,88000E 70,680.00 0.00 Requisition #2 04/30110 44,475 00 2.223 75 42,251 25 .i. 42,251.25 0.00 Requisition #3 05/31/10 120.700 00 6.635 00 114,665 00 114.66.5.00 000 Requisition #4 06/31/10 72.025 00 3,801 25 68 423 75qt,, 68.423.75 0.00 Requisition NS 07/21(10 57,325 00 2,866 25 54 458 7 54.458 75 000 Reparation N6 08/25/10 115,040.00 5.752 00 108,288.00 109.288.03 0.00 Requisition 47 09'24/10 57,255.00 2.862.75 54,39225 51,392 25 0.00 Requisition 48 10125110 119.845.00 5,99225 113,862 75 Requisiuon #9 0.00 Total 661»65.00 33,053.25 628,011.75 514,15900 113.852.75 I Date Revised October 26. 2010 Coreracl Amount • Phase CCearad COIN CO42 CONS COM CONS Concrete Femme& 821,461.00 Trench support 4.835.00 Descl19Iton DOWN/lion Description [repeated 3 times] Contracted To Date Balance or Convect wiRetainage 826,296.00 198.284.25 EFTA00622605 APPLICATION AND CERTIFICATION FOR PAYMENT MA DOCUMENT 6702 wue Aat ICA NMINO e C`u4lmle 41,001•01~0TRA ti ROM,. J6N d.0 Afek••• DS Pretir[s WY1/2310 =Wasp CONT‘MC T OR Sy bar CaSS14. Ir31/23 10 =See 5:03 in* bWol ~ER Jam COW PROJECT • 01310 =Con" ~of CONTRACTOWSAPPLCATON FOR PAYMENT ~non rt. INK» to Darla ShOat, Yw CroriKt00•4 on«, tonsupwe Wiet 4A CocreNG7C3 1 OW« 1. ORGINAL CON FP.A.0 f SUM 2 14« EARN. IN One ONIers 3 CONTRACT SUM TO OAT it.. 2. • TOT.. CCAIRLETEC 65TCRE0 TO 5821 461 00 MAW 05 1.11 Rang•Ni ~lap antes vEn ei• FIY d Y Catnettlesste AMP W Ns« et Wen ~es N IY •MRenb ana••••••••••• 00.~ fee ~el ~RA OM, all end ea• Now. re Ow — Iel twm• Onnin !New Ism • re. Ode CONTRACTOR: By Eeq Bow Onruson 0818 1025/20` $82629001 lall • DM 05 OAT! (CO"' O GM) 5 RETANAGE Mr co Ca" of a 5 00% 510recaolneallonisluetnzalen ese emus 9.4.0./.1 *ad NO., » bdo. night la, 40 (Coltem to • ca 0703) M1n, Pat a. 5.o0í %or Wow Mont 50x0 1•17 Cnanesen ICON" • 386703) -RR ~We :- res 5a • WO. CERTIFICATE FOR PAYMENT Tow RCA"! R07031 53305225 8 701A. EARNE O LESS RE TMNAGL 5009 0•1 TO Ilea 4 Lea Ins WWI 7. Less PfteV1OVS Ittft PAYMENT Rea 0 ire% we« Csolkaw 5514.15000 ...combo. ~beaten tau," 0~ a• ea Ma ~Wen And P• 1.• Comavn Wear or% -eNY Vey., $113,807$ Oa, Sui • r• Pin as P....Cones. ~OW oc•••••• iod re~ a••••• Fr Coln« Canna. tea •• 0o~ • awl .c n1••.d go AMOUR (li .... I. CURRENT PAYMENT DUE 9 IIALANCE TO FINS,. INCLUO•NO RETA 1/414E 5.98]46 2.5 Dr• 3 less Drat) MEOW« CERTIFIED 5' 13 352 75 ~WE ~II Wu Ry i ADOITCNS 0E0J2T10•4 Togo chimps 11COYMC e V•0:•,s ~ea ry Omar $4 035 00 50 CC Wu apoeve0 tin urn I 1 5000 5000 TOTALS 14 03600 50 05 NET CrLAA415 by Owe/ DroN SI 03500 'maws. ~al!~ et •••.•~Ice AN or• Can neon memo no ..• f • • wire e• weal ~me, Conswõre Br. Dale: ...tna n m• ~Mt lhe AVEL•17 CI#TRFO • ~Ms ••• WSCarly fend •••• Lisa wow.. AM smiles,» a. to "xen-er tdme •S Canal AA (»O.M.HT ^KA /tn. COM*XaT)311 FOR P•OILM In I:, ToON Au O.W.7 Uses ney Alwyn nenal,a, of let; dOtAirMal by mowing a coneM•ana AN ~NeatDWI • Certrt.caboa oi Dec.Arne% AuRene:1y 00•••••• L.C49, YA 11.4 MAJNIC4% Mil NU OF ARO. MVI YORK Ay!: FM VO~/ ON DC ~WIC Sumrn.in iln, l EFTA00622606 CONTINUATION SHEET MA DOCUMENT G703 ALA Document 0702. APPLICATION ANO CERTIFICATION FOR PAYMENT. containing APPLICATION NO. 8 Conttactor's SOSIICI CellEcaten of attached. APPLICATION DATE: 10.01/10 In tabutaborts below. aniOunIS are staled 10 one nearest dollar. PERIOD TO: 10,11/10 Use Cok.mn I on Contracts wnere winabie retainage Sh. me items may apply A B C 0 E G H I ITEM NO OF-SCRPTION OF WORM SEMEDULE0 VALUE WORMCOMPLE TED MAILRiALS PRESENTLY STORED (NOT N 0 & E) DORE) TOTAL COIATLETE0 ME STORED TO GATE M•r) % OTI • CI BALANCE TO MOH IC • GI RETANAOE 1W VASII.EllE RMEI FROM PREVIOUS APPLICATION ID•E) THIS PEROO 00001 Showy Ramat $68.350.00 568.350.00 $0.00 $0.00 568.350 00 100 00% 50.00 341750 00002 Ties are Accessooes $25.500.00 $28.50000 $0.00 $0.00 $28.500.00 100.00% SO OD 1425 00 00003 Form Rental $23.500.00 523.500 00 $0.03 $0.00 $23.50000 100.00% $0.00 1175 00 00004 fl ora:See 58.503.00 $8,50000 $0.00 $000 18.500.00 100.00% 50.00 42500 00005 Rey* $19.600.00 $15000.00 $4.500.00 $0 .00 519.500.00 100.00% 40.00 975,0C 00006 Formate MattialS 15030.00 54.000.00 $1.00060 WOO 55.000.00 100.00% $000 250 00 00007 Misc. Materials 510.000.00 1,6.500.00 $3.500.00 50.00 $10000.00 100.00% 50.00 50000 00008 Aliso Sae Work $30.750.00 512.300.00 $18.450.03 50.00 1,30750.00 100.00% $0.00 1537.50 00009 Base Sao Form $16.703.03 516.70000 $0.00 $0.00 $16.700.00 100.00% $0.00 835.00 00010 Base Slab Ranforong $34.803.00 $34200.03 $0.00 $000 234.80000 100.00% $0.00 1740.00 00011 Base Slab Pal 15.950.00 25.950.03 $0.00 $0 00 15.050 00 103.00% 10.00 29750 00012 Base Walls Form 156.30000 556300.03 $0.00 $0.00 $56300.00 103.00% $0.00 281500 00013 Base Walls Reweaving $32.70)20 $32.700.00 $0.00 $0.00 $32.70000 100.00% $000 163500 00014 Base Walls Pour $8.300.03 $6.300.03 $0.00 $0.00 16.30000 100.00% 10.00 31500 00015 1st &hated Slab Form $41950.00 $37,755.00 $4.195.00 $0.00 541.950.00 100.00% W OD 2097 50 00016 1st Elevated Slab Reinforcing $37.25000 537250.03 $000 $0.00 $37.25000 100.00% 50.00 1862.50 00017 1st Bemuse Slab Poor $8.400 03 $4200.00 14.200.00 $0.00 $8.400.00 100.00% $0.00 420.00 00018 1st Ft. Walls Form $79.00000 531.600.00 $47.40000 $0.00 579.000.00 100.00% $0 .00 3950.00 00019 1st Fl Walls Reinforcing $4170300 516.680.00 $2010000 50.00 538880.00 88.44% 34.820 00 1844.00 00020 1st Ft Walls Pour $5.603.00 $0.00 50.00 50.00 $0.00 000% 55.600 00 0.00 00021 Roof Dab Form 564250.00 10.00 10.00 50.00 $0.00 0.00% $54.650.00 0.00 00022 Roof Slab Reerlorcans 542.50203 $0.00 [repeated 3 times] 50.00 0.03% $42.500.03 0.00 00023 Roof Sob Pour 19.100.00 50.00 $0.00 $0 00 50.00 0.00% $9.100.00 0.00 00024 Parapet Wail Form $11.450.00 $000 $000 $0.00 50.00 0.00% 511.450.00 0.00 00025 Parapet Wan Reirdorong $2.80000 $0.00 [repeated 3 times] 50.00 0.00% $2.800.00 0.00 00026 Penal Wall Pour 33.303.00 $0.00 $0.00 $0 .00 $0.00 0.00% 23.300.00 000 00027 Overhead 534.228.00 $22.500.00 $4.100.00 10.00 $26.60000 77.71% 57.628.00 133000 03028 Profit 1102.683.00 $67.000.00 $12.300.00 $0.00 579.300.00 77.23% 523.383 00 3965.00 03029 C041 Trench SupporUVB Cram $4.835.00 54.835.00 $0.00 10.00 54.835.00 100.00% $0 00 241.75 00030 50.00 $0.00 [repeated 3 times] IODIWO! 50.00 0.00 03031 $0.00 [repeated 4 times] ODIWO! $0.00 0.00 03032 $0.00 [repeated 4 times] aC4W0 $0.00 0.00 GRAND TOTALS 5626296.00 - 2541.220.03 5119.845.00 5000 56(11.085 00 8000% $165.231.00 $33 053 25 EFTA00622607 Emad Hanna From: Monique Harry ( Sent: Wednesday. October 27. 2010 11 17 AM To: Emad Hanna Subject: B:g Bear Construction Req 8 Attachments: BBC Req 8 pdf Emad, Attached for payment Big Bear Construction Req 8 in the amount $113,852.75. Project 1010 Code 03-120 Monique EFTA00622608