APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT G702 (Instructions on reverse side) PAGE 1 OF 2 PAGES

TO OWNER: PROJECT: IDMP-222 APPLICATION NO: 01 Distribution to:

Government of Republic of Marshall Islands NIHS & Wotje ES School Repairs & Maintenance PERIOD: X OWNER
Lot 1- Student Dormitories & 2-storey Staff Accomodation
X ENGINEER
PROJECT NO: IDMP-222
FROM CONTRACTOR: VIA ENGINEER: X CONTRACTOR

RMI BUILDERS & ENTERPRISES Ministry of Works, Infrastructure & Utilities ( MWIU )

The undersigned Contractor certifies that to the best of the Contractor's Knowledge , infor- mation and
CONTRACTOR'S APPLICATION FOR PAYMENT belief the Work covered by this Application for Payment has been completed in accordance with the
Application is made for payment, as shown below,in connection with the Contract. Contract Documents, that all amounts have been paid by the Contractor for Work for which previous
Continuation Sheets, AIA Documentation G703, as attached. certificates for Payment were issued and payments received from the Owner, and that the current payment
shown herein is now due.
1. ORIGINAL CONTRACT SUM…………………………………….. $ 787,408.22
2. Net change by Variation Order…………………………………. $0.00 CONTRACTOR: RMI BUILDERS & ENTERPRISES

3. CONTRACT SUM TO DATE (LINE 1 ± 2)……………………….. $787,408.22 By: ANTONIO PANAGUITON Date: December 8, 2022
4. TOTAL COMPLETED & STORED TO DATE……………… $ 236,222.47 Proecct Manager
5. RETAINAGE: ENGINEER'S CERTIFICATE FOR PAYMENT
a. 10 % of Completed Work $ 23,622.25 In accordance with the Contract documents, based on on-site observations and the data comprising this
(Columns D + E on G703) application, the Engineer certifies to the Owner that to the best of the Engineer's knowledge, information
and belief the Work has progressed as indicated, the quality of the Work is in accordance with the Contract
b. 5 % of Stored Material $ -
Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED.
(Column F on G703)
Total retainage (line 5a + 5b or
Total in Column I of G703)………………………………………. $23,622.25
6. TOTAL EARNED LESS RETAINAGE……………………… $212,600.22 AMOUNT CERTIFIED $212,600.22
(Line 4 less Line 5 Total)
7. LESS PREVIOUS CERTIFICATES FOR PAYMENT (Attach explanation if amount certified differs from the amount applied for. Initial all figures on this
(Line 6 from prior Certificate)……………………………………….. $0.00 Application and on the Continuation Sheet that are changed to conform to the amount certified)

8. CURRENT PAYMENT DUE………………………………………… $212,600.22

9. BALANCE TO FINISH, INCLUDING RETAINAGE PMU MANAGER:
(Line 3 less Line 6) $574,808.00 By: JAMES F. MYAZOE II Date: December 8, 2022
This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named
VARIATION ORDER SUMMARY ADDITIONS DEDUCTIONS herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or
Total changes approved in Contractor under this Contract.
previous months by Owner
CONCURRED:
Total approved this Month
TOTALS By: Secretary of Public Works:
NET CHANGES by Change Order