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 )

CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's Knowledge , infor- mation and belief
the Work covered by this Application for Payment has been completed in accordance with the Contract
Application is made for payment, as shown below,in connection 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 the current payment shown herein
Continuation Sheets, AIA Documentation G703, as attached. 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
Contractor under this Contract.
Total changes approved in
previous months by Owner
CONCURRED:
Total approved this Month
TOTALS By: Secretary of Public Works:
NET CHANGES by Change Order
CONTINUATION SHEET AIA DOCUMENT G703 (Instructions on reverse side) PAGE 2 OF 2 PAGES

AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, APPLICATION NO.: 1
containing Contractor's signed Certification, is attached. APPLICATION DATE: 8-Dec-22
In tabulations below, amounts are stated to the nearest dollar. PERIOD TO:
Use Column I on Contracts where variable retainage for line items may apply. ENGINEER'S PROJECT NO: IDMP-222

A B C D E F G H I
WORK COMPLETED
MATERIALS TOTAL COMPLETED BALANCE
ITEM FROM PREVIOUS MATERIALS PRESENTLY STORED AND STORED % (G ÷ TO RETAINAGE (IF
DESCRIPTION OF WORK SCHEDULED VALUE
NO. APPLICATION (D + PREVIOUSLY THIS PERIOD (NOT IN D TO DATE C) FINISH VARIABLE RATE)
E) STORED OR E) (D+E+F) (C - G)

1. Mobilization and Demobilization 0.00%

1 Move-in/Move out Clearing $ 51,500.00 $ 15,450.00 $ 15,450.00 30.00% $ 36,050.00 $ 1,545.00
A. Girls Dormitory (Sleeping Area) BECA Design
1 Provide to prepare and clean stain in Bunk bed and apply new paint $ 16,480.00 $ 4,944.00 $ 4,944.00 30.00% $ 11,536.00 $ 494.40

2 Replace damaged lockers $ 15,450.00 $ 4,635.00 $ 4,635.00 30.00% $ 10,815.00 $ 463.50

3 Replace and install new light $ 927.00 $ 278.10 $ 278.10 30.00% $ 648.90 $ 27.81
4 Replace and install new door lockset with new lockset and all necessary $ 3,090.00 $ 927.00 $ 927.00 30.00% $ 2,163.00 $ 92.70
accessories
5 Replace and Install new solid core door with stainless steel door $ 2,060.00 $ 618.00 $ 618.00 30.00% $ 1,442.00 $ 61.80
hinges,door knob and door stopper.
6 Replace damaged lights switches( Interior) $ 1,030.00 $ 309.00 $ 309.00 30.00% $ 721.00 $ 30.90
7 Replace and install damaged light switches ( Exterior) $ 412.00 $ 123.60 $ 123.60 30.00% $ 288.40 $ 12.36
8 Pressure wash windows, walls and roofs $ 2,575.00 $ 772.50 $ 772.50 30.00% $ 1,802.50 $ 77.25
9 Exterior/Interior Painting (2coats) $ 25,750.00 $ 7,725.00 $ 7,725.00 30.00% $ 18,025.00 $ 772.50
10 Repair all gutters and downspouts $ 4,120.00 $ 1,236.00 $ 1,236.00 30.00% $ 2,884.00 $ 123.60
11 Fix all water catchments $ 3,090.00 $ 927.00 $ 927.00 30.00% $ 2,163.00 $ 92.70
B. Girls Toilets/Shower
1 Replace and install new sink with fixtures $ 2,884.00 $ 865.20 $ 865.20 30.00% $ 2,018.80 $ 86.52
2 Replace and install new Faucet for Bath with all necessary accessories. $ 1,030.00 $ 309.00 $ 309.00 30.00% $ 721.00 $ 30.90

3 Replace doors at WC with Paint Finish $ 2,575.00 $ 772.50 $ 772.50 30.00% $ 1,802.50 $ 77.25
4 Repair water supply and replacement of WC include new tank fittings $ 7,725.00 $ 2,317.50 $ 2,317.50 30.00% $ 5,407.50 $ 231.75

5 Complete Repair of Pump and Pumphouse $ 6,180.00 $ 1,854.00 $ 1,854.00 30.00% $ 4,326.00 $ 185.40
6 New Septic Tank $ 18,540.00 $ 5,562.00 $ 5,562.00 30.00% $ 12,978.00 $ 556.20
7 General Clean up of Toilets and Shower Area $ 5,150.00 $ 1,545.00 $ 1,545.00 30.00% $ 3,605.00 $ 154.50
8 Install new faucets to washing area and repair supply and waste $ 3,090.00 $ 927.00 $ 927.00 30.00% $ 2,163.00 $ 92.70

C. Staff Housing Building 4 Beca Design

C1. Exterior Wall
1 Replace & Install new led lights with fixtures $ 8,343.00 $ 2,502.90 $ 2,502.90 30.00% $ 5,840.10 $ 250.29
2 Replace damaged balconies floor joist. Refers to beca design. $ 15,450.00 $ 4,635.00 $ 4,635.00 30.00% $ 10,815.00 $ 463.50
3 Pressure wash windows, walls and roofs $ 2,575.00 $ 772.50 $ 772.50 30.00% $ 1,802.50 $ 77.25
4 Exterior and Interior Painting $ 24,720.00 $ 7,416.00 $ 7,416.00 30.00% $ 17,304.00 $ 741.60
C2. Living Room
1 Replace & Install new 12"x12" Vinyl Tiles. $ 12,013.92 $ 3,604.18 $ 3,604.18 30.00% $ 8,409.74 $ 360.42
2 Replace and Install new ceiling fan $ 3,708.00 $ 1,112.40 $ 1,112.40 30.00% $ 2,595.60 $ 111.24
3 Replace and install new led light with fixtures $ 1,854.00 $ 556.20 $ 556.20 30.00% $ 1,297.80 $ 55.62
C3. Kitchen Area
1 Replace and install new sink with WC. See BECA design $ 12,360.00 $ 3,708.00 $ 3,708.00 30.00% $ 8,652.00 $ 370.80
2 Replace and install new exhaust fans $ 3,708.00 $ 1,112.40 $ 1,112.40 30.00% $ 2,595.60 $ 111.24
3 Replace and install 2 led light with fixtures $ 16,686.00 $ 5,005.80 $ 5,005.80 30.00% $ 11,680.20 $ 500.58
4 Remove & Replace cooking range stove (Option) $ 18,540.00 $ 5,562.00 $ 5,562.00 30.00% $ 12,978.00 $ 556.20
5 Repair all Kitchen Cabinets, paint and including handles $ 9,270.00 $ 2,781.00 $ 2,781.00 30.00% $ 6,489.00 $ 278.10
6 Check all water supply to Kitchen and faucets $ 5,150.00 $ 1,545.00 $ 1,545.00 30.00% $ 3,605.00 $ 154.50
C4. Hallway
1 Replace and install new led light with fixtures $ 16,686.00 $ 5,005.80 $ 5,005.80 30.00% $ 11,680.20 $ 500.58
C5. Toilet/Shower Room
1 Replace and install new toilet bowl with accessories $ 5,407.50 $ 1,622.25 $ 1,622.25 30.00% $ 3,785.25 $ 162.23
2 Check and fix leak and replace ceilings $ 3,090.00 $ 927.00 $ 927.00 30.00% $ 2,163.00 $ 92.70
3 Replace and install new led light with fixtures $ 5,562.00 $ 1,668.60 $ 1,668.60 30.00% $ 3,893.40 $ 166.86
4 Repair sinks, check faucets and water supply $ 4,326.00 $ 1,297.80 $ 1,297.80 30.00% $ 3,028.20 $ 129.78
5 Replace and install new Faucet for Bath with all necessary accessories & $ 1,236.00 $ 370.80 $ 370.80 30.00% $ 865.20 $ 37.08
Repair Shower Stall
C6. PUMPS
1 Remove and replace pumps (4) and repair water supply $ 10,300.00 $ 3,090.00 $ 3,090.00 30.00% $ 7,210.00 $ 309.00
2 Repair Fresh and Well water supply lines from Pump Room to Building $ 8,240.00 $ 2,472.00 $ 2,472.00 30.00% $ 5,768.00 $ 247.20

3 Repair Pump Room enclosures and paint $ 3,090.00 $ 927.00 $ 927.00 30.00% $ 2,163.00 $ 92.70
D. ADB Building Staff House/2 Unit $ - $ - $ -
1 Repair existing Kitche Cabinets, replace and install new kitchen counter $ 12,360.00 $ 3,708.00 $ 3,708.00 30.00% $ 8,652.00 $ 370.80
and doors ,sinks,faucets & water supply
2 Replace and install new Water Pump with fittings $ 4,120.00 $ 1,236.00 $ 1,236.00 30.00% $ 2,884.00 $ 123.60
3 Replace and install new water pressure tank. $ 4,120.00 $ 1,236.00 $ 1,236.00 30.00% $ 2,884.00 $ 123.60
4 Provide to Install 2 new 1,500gals water catchment $ 7,210.00 $ 2,163.00 $ 2,163.00 30.00% $ 5,047.00 $ 216.30
5 Clean gutter,downspout. Ensure to connect to catchment $ 5,150.00 $ 1,545.00 $ 1,545.00 30.00% $ 3,605.00 $ 154.50
6 Replace and install new Led light with fixtures $ 6,489.00 $ 1,946.70 $ 1,946.70 30.00% $ 4,542.30 $ 194.67
7 Clean roofs, walls, gutter,downspout and repair connection to catchment $ 3,090.00 $ 927.00 $ 927.00 30.00% $ 2,163.00 $ 92.70

8 Exterior and Interior Painting $ 20,600.00 $ 6,180.00 $ 6,180.00 30.00% $ 14,420.00 $ 618.00
9 Repair of Toilets, Shower and Cleaning of Tiles $ 1,030.00 $ 309.00 $ 309.00 30.00% $ 721.00 $ 30.90
E. New Boy's Toilet/Shower
1 Replace and install new Faucet for Bath with all necessary accessories & $ 24,720.00 $ 7,416.00 $ 7,416.00 30.00% $ 17,304.00 $ 741.60
Repair Shower Stall
2 Replace and install water cabinet sink with white marble on top $ 5,150.00 $ 1,545.00 $ 1,545.00 30.00% $ 3,605.00 $ 154.50
3 Constructed new washing sink with faucet. $ 7,725.00 $ 2,317.50 $ 2,317.50 30.00% $ 5,407.50 $ 231.75
F. Boy's Dormitory
1 Replacement Roof Framing and new roof by using aluminum roofing tin, $ 69,525.00 $ 20,857.50 $ 20,857.50 30.00% $ 48,667.50 $ 2,085.75
treated lumber (rafters and trusses), treated plywood (gusset plate) and
aluminum ridge cap.

2 Replace all ceilings to treated plywood, joist, and repair Lockers and $ 46,350.00 $ 13,905.00 $ 13,905.00 30.00% $ 32,445.00 $ 1,390.50
accessories
3 Replace & Install new 12"x12" Vinyl Tiles. $ 22,309.80 $ 6,692.94 $ 6,692.94 30.00% $ 15,616.86 $ 669.29
4 Replace damaged door with doorknob,hinges $ 7,725.00 $ 2,317.50 $ 2,317.50 30.00% $ 5,407.50 $ 231.75
5 Provide to construct new window with fix glass and window frame $ 25,956.00 $ 7,786.80 $ 7,786.80 30.00% $ 18,169.20 $ 778.68
6 Replace all gutters, downspouts and connections to catchments $ 5,150.00 $ 1,545.00 $ 1,545.00 30.00% $ 3,605.00 $ 154.50
7 Repair existing catchments and provide new pumps $ 2,575.00 $ 772.50 $ 772.50 30.00% $ 1,802.50 $ 77.25
8 Exterior and Interior Paintings $ 24,514.00 $ 7,354.20 $ 7,354.20 30.00% $ 17,159.80 $ 735.42
G. Boys Dormitory Toilet/Shower
1 Removal of Plumbing Fixtures and Shut down of existing water supply $ 2,060.00 $ 618.00 $ 618.00 30.00% $ 1,442.00 $ 61.80
pipelines
2 Demolition of Toilet/shower partition walls and cement plaster of walls $ 3,090.00 $ 927.00 $ 927.00 30.00% $ 2,163.00 $ 92.70
and floor to even surface
3 Replace and install new light $ 2,781.00 $ 834.30 $ 834.30 30.00% $ 1,946.70 $ 83.43
4 Exterior and Interior Paintings $ 4,635.00 $ 1,390.50 $ 1,390.50 30.00% $ 3,244.50 $ 139.05
H. Provisional Sum
$ 103,000.00 $ 30,900.00 $ 30,900.00 30.00% $ 72,100.00 $ 3,090.00

TOTAL $ 787,408.22 $ - $ - $ 236,222.47 $ - $ 236,222.47 30.00% $ 551,185.75 $ 23,622.25

Advance Payment $ 212,600.22

$ 212,600.22 Total