Common use of Contracting Requirements Clause in Contracts

Contracting Requirements. a. b. c, 1. Division 1 – General Requirements: * a. b. c. 2. Division 2 – Site Construction: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 3. Division 3 – Concrete: * a. b. c. 4. Division 4 – Masonry: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 5. Division 5 – Metals: * a. b. c. 6. Division 6 – Wood and Plastics: * a. b. c. 7. Division 7 – Thermal & Moisture: ***** a. b. c. Roof: 8. Division 8 – Doors & Windows: * a. b. c. 9. Division 9 – Finishes: * a. b. c. 10. Division 10 – Specialties: * a. b. c. 11. Division 11 – Equipment: *** (i) Fixed or Built-in: a. b. c. (ii) Moveable: a. b. c. 12. Division 12 – Furnishings: *** (i) Fixed or Built-in: a. b. c. (ii) Moveable: a. b. c. 13. Division 13 – Special Construction: * a. b. c. 14. Division 14 – Conveying Systems: * a. b. c. 15. Division 15 – Mechanical: **** (i) Building a. b. c. (ii) Infrastructure a. b. c. 16. Division 16 – Electrical: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 17. Division 17 – Special Inspections: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. (iii) Documents A. Total Amount of original contract B. Plus or minus total previously approved C. O.'s Nos.-----------incl. C. Plus or minus C. O.'s Nos.-----------incl. approved during period covered by this est.----------- D. Total Net Adjusted Amt. NOTES: The following breakdowns must be accomplished in order to comply with Government Accounting requirements. Upon completion of the Project, the final Application for Payment must show all divisions and sections, and a Final Certification of Costs for Capital Asset Accounting completed and submitted with the Application for Final Payment. * Report Items in each division, by CSI division and such other breakdown as is useful to the Contractor or Contract Compliance Specialist. ** These items must be broken down into 2 categories, (i) Building and (ii) Infrastructure, reported by specification section. Infrastructure for these purposes is defined as everything outside a line five feet from the building footprint. *** These items must be broken down into 2 categories; (i) fixed equipment & furnishings and (ii) Moveable equipment & furnishings and reported by specification section. **** Division 15 – Mechanical. This item must be broken down into 2 categories, (i) Building and (ii) Infrastructure, reported by specification section. Chillers and HVAC units that serve the facility are to be included as a part of the Building, even if they are outside the 5-foot limit. Chillers and HVAC units that are outside the 5 foot limit and serve more than one facility, such as equipment used in a central plant, are to be included in Infrastructure. ***** Division 7 – Thermal & Moisture Components of the Roof system should be reported as a separate line item. Generally, this includes components of Sections 7500 and 7600. SUMMARY OF MATERIALS STORED In support Application for Payment No. Project No. Period Ending: Contractor: ITEM NO. NAME (Contractor or Subcontractor) TYPE OF MATERIAL QUANTITY AMOUNT (Dollars) TOTALS Prepared by for (Contractor) Date , and certified by him to be a true and accurate statement. Checked: By: Contract Compliance Specialist Date: SUBCONTRACTOR RETAINAGE RELEASE CERTIFICATE (To be Originated by Subcontractor) TO: Board of Regents of the University System of Georgia, Owner Institution Name, Using Agency RE: Project Name and Number: Project Number and Description, Institution Name, City, State: Certificate Regarding Subcontractor's Completed Work and Retainage Release

Contracting Requirements. a. b. c, 1. Division 1 – General Requirements: * a. b. c. 2. Division 2 – Site Construction: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 3. Division 3 – Concrete: * a. b. c. 4. Division 4 – Masonry: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 5. Division 5 – Metals: * a. b. c. 6. Division 6 – Wood and Plastics: * a. b. c. 7. Division 7 – Thermal & Moisture: ***** a. b. c. Roof: 8. Division 8 – Doors & Windows: * a. b. c. 9. Division 9 – Finishes: * a. b. c. 10. Division 10 – Specialties: * a. b. c. 11. Division 11 – Equipment: *** (i) Fixed or Built-in: a. b. c. (ii) Moveable: a. b. c. 12. Division 12 – Furnishings: *** (i) Fixed or Built-in: a. b. c. (ii) Moveable: a. b. c. 13. Division 13 – Special Construction: * a. b. c. 14. Division 14 – Conveying Systems: * a. b. c. 15. Division 15 – Mechanical: **** (i) Building a. b. c. (ii) Infrastructure a. b. c. 16. Division 16 – Electrical: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 17. Division 17 – Special Inspections: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. (iii) Documents A. Total Amount of original contract B. Plus or minus total previously approved C. O.'s Nos.-----------inclNos.----------- incl. C. Plus or minus C. O.'s Nos.-----------incl. approved during period covered by this est.----------- D. Total Net Adjusted Amt. NOTES: The following breakdowns must be accomplished in order to comply with Government Accounting requirements. Upon completion of the Project, the final Application for Payment must show all divisions and sections, and a Final Certification of Costs for Capital Asset Accounting completed and submitted with the Application for Final Payment. * Report Items in each division, by CSI division and such other breakdown as is useful to the Contractor or Contract Compliance Specialist. ** These items must be broken down into 2 categories, (i) Building and (ii) Infrastructure, reported by specification section. Infrastructure for these purposes is defined as everything outside a line five feet from the building footprint. *** These items must be broken down into 2 categories; (i) fixed equipment & furnishings and (ii) Moveable equipment & furnishings and reported by specification section. **** Division 15 – Mechanical. This item must be broken down into 2 categories, (i) Building and (ii) Infrastructure, reported by specification section. Chillers and HVAC units that serve the facility are to be included as a part of the Building, even if they are outside the 5-foot limit. Chillers and HVAC units that are outside the 5 foot limit and serve more than one facility, such as equipment used in a central plant, are to be included in Infrastructure. ***** Division 7 – Thermal & Moisture Components of the Roof system should be reported as a separate line item. Generally, this includes components of Sections 7500 and 7600. SUMMARY OF MATERIALS STORED In support Application for Payment No. Project No. Period Ending: Contractor: ITEM NO. NAME (Contractor or Subcontractor) TYPE OF MATERIAL QUANTITY AMOUNT (Dollars) TOTALS Prepared by for (Contractor) Date , and certified by him to be a true and accurate statement. Checked: By: :Contract Compliance Specialist Date: SUBCONTRACTOR RETAINAGE RELEASE CERTIFICATE SUBCONTRACTOR RETAINAGE RELEASE CERTIFICATE (To be Originated by Subcontractor) TO: Board of Regents of the University System of Georgia, Owner Institution NameInstitution Name, Using Agency RE: Project Name and Number: Project Project Number and DescriptionDescription, Institution NameInstitution Name, CityCity, StateState: Certificate Regarding Subcontractor's Completed Work and Retainage Release

Contracting Requirements. a. b. c, 1. Division 1 – General Requirements: * a. b. c. 2. Division 2 – Site Construction: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 3. Division 3 – Concrete: * a. b. c. 4. Division 4 – Masonry: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 5. Division 5 – Metals: * a. b. c. 6. Division 6 – Wood and Plastics: * a. b. c. 7. Division 7 – Thermal & Moisture: ***** a. b. c. Roof: 8. Division 8 – Doors & Windows: * a. b. c. 9. Division 9 – Finishes: * a. b. c. 10. Division 10 – Specialties: * a. b. c. 11. Division 11 – Equipment: *** (i) Fixed or Built-in: a. b. c. (ii) Moveable: a. b. c. 12. Division 12 – Furnishings: *** (i) Fixed or Built-in: a. b. c. (ii) Moveable: a. b. c. 13. Division 13 – Special Construction: * a. b. c. 14. Division 14 – Conveying Systems: * a. b. c. 15. Division 15 – Mechanical: **** (i) Building a. b. c. (ii) Infrastructure a. b. c. 16. Division 16 – Electrical: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 17. Division 17 – Special Inspections: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. (iii) Documents A. Total Amount of original contract B. Plus or minus total previously approved C. O.'s Nos.-----------inclNos.----------- incl. C. Plus or minus C. O.'s Nos.-----------incl. approved during period covered by this est.----------- D. Total Net Adjusted Amt. NOTES: The following breakdowns must be accomplished in order to comply with Government Accounting requirements. Upon completion of the Project, the final Application for Payment must show all divisions and sections, and a Final Certification of Costs for Capital Asset Accounting completed and submitted with the Application for Final Payment. * Report Items in each division, by CSI division and such other breakdown as is useful to the Contractor or Contract Compliance Specialist. ** These items must be broken down into 2 categories, (i) Building and (ii) Infrastructure, reported by specification section. Infrastructure for these purposes is defined as everything outside a line five feet from the building footprint. *** These items must be broken down into 2 categories; (i) fixed equipment & furnishings and (ii) Moveable equipment & furnishings and reported by specification section. **** Division 15 – Mechanical. This item must be broken down into 2 categories, (i) Building and (ii) Infrastructure, reported by specification section. Chillers and HVAC units that serve the facility are to be included as a part of the Building, even if they are outside the 5-foot limit. Chillers and HVAC units that are outside the 5 foot limit and serve more than one facility, such as equipment used in a central plant, are to be included in Infrastructure. ***** Division 7 – Thermal & Moisture Components of the Roof system should be reported as a separate line item. Generally, this includes components of Sections 7500 and 7600. SUMMARY OF MATERIALS STORED In support Application for Payment No. Project No. Period Ending: Contractor: ITEM NO. NAME (Contractor or Subcontractor) TYPE OF MATERIAL QUANTITY AMOUNT (Dollars) TOTALS Prepared by for (Contractor) Date , and certified by him to be a true and accurate statement. Checked: By: :Contract Compliance Specialist Date: SUBCONTRACTOR RETAINAGE RELEASE CERTIFICATE (To be Originated by Subcontractor) TO: Board of Regents of the University System of Georgia, Owner Institution NameInstitution Name, Using Agency RE: Project Name and Number: Project Project Number and DescriptionDescription, Institution NameInstitution Name, CityCity, StateState: Certificate Regarding Subcontractor's Completed Work and Retainage Release

Contracting Requirements. a. b. c, 1. Division 1 – General Requirements: * a. b. c. 2. Division 2 – Site Construction: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 3. Division 3 – Concrete: * a. b. c. 4. Division 4 – Masonry: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 5. Division 5 – Metals: * a. b. c. 6. Division 6 – Wood and Plastics: * a. b. c. 7. Division 7 – Thermal & Moisture: ***** a. b. c. Roof: 8. Division 8 – Doors & Windows: * a. b. c. 9. Division 9 – Finishes: * a. b. c. 10. Division 10 – Specialties: * a. b. c. 11. Division 11 – Equipment: *** (i) Fixed or Built-in: a. b. c. (ii) Moveable: a. b. c. 12. Division 12 – Furnishings: *** (i) Fixed or Built-in: a. b. c. (ii) Moveable: a. b. c. 13. Division 13 – Special Construction: * a. b. c. 14. Division 14 – Conveying Systems: * a. b. c. 15. Division 15 – Mechanical: **** (i) Building a. b. c. (ii) Infrastructure a. b. c. 16. Division 16 – Electrical: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 17. Division 17 – Special Inspections: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. (iii) Documents A. Total Amount of original contract B. Plus or minus total previously approved C. O.'s Nos.-----------inclNos.----------- incl. C. Plus or minus C. O.'s Nos.-----------incl. approved during period covered by this est.----------- D. Total Net Adjusted Amt. NOTES: The following breakdowns must be accomplished in order to comply with Government Accounting requirements. Upon completion of the Project, the final Application for Payment must show all divisions and sections, and a Final Certification of Costs for Capital Asset Accounting completed and submitted with the Application for Final Payment. * Report Items in each division, by CSI division and such other breakdown as is useful to the Contractor or Contract Compliance Specialist. ** These items must be broken down into 2 categories, (i) Building and (ii) Infrastructure, reported by specification section. Infrastructure for these purposes is defined as everything outside a line five feet from the building footprint. *** These items must be broken down into 2 categories; (i) fixed equipment & furnishings and (ii) Moveable equipment & furnishings and reported by specification section. **** Division 15 – Mechanical. This item must be broken down into 2 categories, (i) Building and (ii) Infrastructure, reported by specification section. Chillers and HVAC units that serve the facility are to be included as a part of the Building, even if they are outside the 5-foot limit. Chillers and HVAC units that are outside the 5 foot limit and serve more than one facility, such as equipment used in a central plant, are to be included in Infrastructure. ***** Division 7 – Thermal & Moisture Components of the Roof system should be reported as a separate line item. Generally, this includes components of Sections 7500 and 7600. SUMMARY OF MATERIALS STORED In support Application for Payment No. Project No. Period Ending: Contractor: ITEM NO. NAME (Contractor or Subcontractor) TYPE OF MATERIAL QUANTITY AMOUNT (Dollars) TOTALS Prepared by for (Contractor) Date , and certified by him to be a true and accurate statement. Checked: By: :Contract Compliance Specialist Date: SUBCONTRACTOR RETAINAGE RELEASE CERTIFICATE SUBCONTRACTOR RETAINAGE RELEASE CERTIFICATE (To be Originated by Subcontractor) TO: Board of Regents of the University System of Georgia, Owner Institution NameINSTITUTION NAME, Using Agency RE: Project Name and Number: Project Number and DescriptionPROEJECT NUMBER, Institution NameDESCRIPTION, CityINSTITUTION NAME, StateCITY (LOCATION OF PROJECT - NOT NECESSARILY MAIN CAMPUS), Georgia: Certificate Regarding Subcontractor's Completed Work and Retainage Release

Contracting Requirements. a. b. c, 1. Division 1 – General Requirements: * a. b. c. 2. Division 2 – Site Construction: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 3. Division 3 – Concrete: * a. b. c. 4. Division 4 – Masonry: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 5. Division 5 – Metals: * a. b. c. 6. Division 6 – Wood and Plastics: * a. b. c. 7. Division 7 – Thermal & Moisture: ***** a. b. c. Roof: 8. Division 8 – Doors & Windows: * a. b. c. 9. Division 9 – Finishes: * a. b. c. 10. Division 10 – Specialties: * a. b. c. 11. Division 11 – Equipment: *** (i) Fixed or Built-in: a. b. c. (ii) Moveable: a. b. c. 12. Division 12 – Furnishings: *** (i) Fixed or Built-in: a. b. c. (ii) Moveable: a. b. c. 13. Division 13 – Special Construction: * a. b. c. 14. Division 14 – Conveying Systems: * a. b. c. 15. Division 15 – Mechanical: **** (i) Building a. b. c. (ii) Infrastructure a. b. c. 16. Division 16 – Electrical: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 17. Division 17 – Special Inspections: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. (iii) Documents A. Total Amount GMP of original contract B. Plus or minus total previously approved C. O.'s Nos.-----------incl. C. Plus or minus C. O.'s Nos.-----------incl. approved during period covered by this est.----------- D. Total Net Adjusted Amt. GMP NOTES: The following breakdowns must be accomplished in order to comply with Government Accounting requirements. Upon completion of the Project, the final Application for Payment must show all divisions and sections, and a Final Certification of Costs for Capital Asset Accounting completed and submitted with the Application for Final Payment. * Report Items in each division, by CSI division and such other breakdown as is useful to the Contractor or Contract Compliance Specialist. ** These items must be broken down into 2 categories, (i) Building and (ii) Infrastructure, reported by specification section. Infrastructure for these purposes is defined as everything outside a line five feet from the building footprint. *** These items must be broken down into 2 categories; (i) fixed equipment & furnishings and (ii) Moveable equipment & furnishings and reported by specification section. **** Division 15 – Mechanical. This item must be broken down into 2 categories, (i) Building and (ii) Infrastructure, reported by specification section. Chillers and HVAC units that serve the facility are to be included as a part of the Building, even if they are outside the 5-foot limit. Chillers and HVAC units that are outside the 5 foot limit and serve more than one facility, such as equipment used in a central plant, are to be included in Infrastructure. ***** Division 7 – Thermal & Moisture Components of the Roof system should be reported as a separate line item. Generally, this includes components of Sections 7500 and 7600. SUMMARY OF MATERIALS STORED In support Application for Payment No. Project No. Period Ending: ContractorCM/GC: ITEM NO. NAME (Contractor or Subcontractor) TYPE OF MATERIAL QUANTITY AMOUNT (Dollars) TOTALS Prepared by for (Contractor) Date , and certified by him to be a true and accurate statement. Checked: By: Contract Compliance Specialist Date: SUBCONTRACTOR RETAINAGE RELEASE CERTIFICATE FINAL CERTIFICATION OF COSTS FOR CAPITAL ASSET ACCOUNTING Date: ____________________________________ To: BOARD OF REGENTS OF THE UNIVERSITY SYSTEM OF GEORGIA (To be Originated by SubcontractorOwner) TOThe following accounting of costs for Project No. Number, Description, and Location is submitted as follows, with the breakdown of costs as specified in the Final Pay Request attached hereto and incorporated herein, for the purposes of capital asset accounting pursuant to GASB 34 Accounting Statements: Board of Regents of the University System of Georgia, Owner Institution Name, Using Agency RE1. BUILDING AND BUILDING IMPROVEMENTS: Project Name and Number: Project Number and Description, Institution Name, City, State: Certificate Regarding Subcontractor's Completed Work and Retainage Release* $ _____________________________________

Contracting Requirements. a. b. c, 1. Division 1 – General Requirements: * a. b. c. 2. Division 2 – Site Construction: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 3. Division 3 – Concrete: * a. b. c. 4. Division 4 – Masonry: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 5. Division 5 – Metals: * a. b. c. 6. Division 6 – Wood and Plastics: * a. b. c. 7. Division 7 – Thermal & Moisture: ***** a. b. c. Roof: 8. Division 8 – Doors & Windows: * a. b. c. 9. Division 9 – Finishes: * a. b. c. 10. Division 10 – Specialties: * a. b. c. 11. Division 11 – Equipment: *** (i) Fixed or Built-in: a. b. c. (ii) Moveable: a. b. c. 12. Division 12 – Furnishings: *** (i) Fixed or Built-in: a. b. c. (ii) Moveable: a. b. c. 13. Division 13 – Special Construction: * a. b. c. 14. Division 14 – Conveying Systems: * a. b. c. 15. Division 15 – Mechanical: **** (i) Building a. b. c. (ii) Infrastructure a. b. c. 16. Division 16 – Electrical: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 17. Division 17 – Special Inspections: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. (iii) Documents A. Total Amount of original contract B. Plus or minus total previously approved C. O.'s Nos.-----------inclNos.----------- incl. C. Plus or minus C. O.'s Nos.-----------incl. approved during period covered by this est.----------- D. Total Net Adjusted Amt. NOTES: The following breakdowns must be accomplished in order to comply with Government Accounting requirements. Upon completion of the Project, the final Application for Payment must show all divisions and sections, and a Final Certification of Costs for Capital Asset Accounting completed and submitted with the Application for Final Payment. * Report Items in each division, by CSI division and such other breakdown as is useful to the Contractor or Contract Compliance Specialist. ** These items must be broken down into 2 categories, (i) Building and (ii) Infrastructure, reported by specification section. Infrastructure for these purposes is defined as everything outside a line five feet from the building footprint. *** These items must be broken down into 2 categories; (i) fixed equipment & furnishings and (ii) Moveable equipment & furnishings and reported by specification section. **** Division 15 – Mechanical. This item must be broken down into 2 categories, (i) Building and (ii) Infrastructure, reported by specification section. Chillers and HVAC units that serve the facility are to be included as a part of the Building, even if they are outside the 5-foot limit. Chillers and HVAC units that are outside the 5 foot limit and serve more than one facility, such as equipment used in a central plant, are to be included in Infrastructure. ***** Division 7 – Thermal & Moisture Components of the Roof system should be reported as a separate line item. Generally, this includes components of Sections 7500 and 7600. SUMMARY OF MATERIALS STORED In support Application for Payment No. Project No. Period Ending: Contractor: ITEM NO. NAME (Contractor or Subcontractor) TYPE OF MATERIAL QUANTITY AMOUNT (Dollars) TOTALS Prepared by for (Contractor) Date , and certified by him to be a true and accurate statement. Checked: By: :Contract Compliance Specialist Date: SUBCONTRACTOR RETAINAGE RELEASE CERTIFICATE (To be Originated by Subcontractor) TO: Board of Regents of the University System of Georgia, Owner Institution NameINSTITUTION NAME, Using Agency RE: Project Name and Number: Project Number and DescriptionPROEJECT NUMBER, Institution NameDESCRIPTION, CityINSTITUTION NAME, StateCITY (LOCATION OF PROJECT - NOT NECESSARILY MAIN CAMPUS), Georgia: Certificate Regarding Subcontractor's Completed Work and Retainage Release

Contracting Requirements. a. b. c, 1. Division 1 – General Requirements: * a. b. c. 2. Division 2 – Site Construction: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 3. Division 3 – Concrete: * a. b. c. 4. Division 4 – Masonry: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 5. Division 5 – Metals: * a. b. c. 6. Division 6 – Wood and Plastics: * a. b. c. 7. Division 7 – Thermal & Moisture: ***** a. b. c. Roof: 8. Division 8 – Doors & Windows: * a. b. c. 9. Division 9 – Finishes: * a. b. c. 10. Division 10 – Specialties: * a. b. c. 11. Division 11 – Equipment: *** (i) Fixed or Built-in: a. b. c. (ii) Moveable: a. b. c. 12. Division 12 – Furnishings: *** (i) Fixed or Built-in: a. b. c. (ii) Moveable: a. b. c. 13. Division 13 – Special Construction: * a. b. c. 14. Division 14 – Conveying Systems: * a. b. c. 15. Division 15 – Mechanical: **** (i) Building a. b. c. (ii) Infrastructure a. b. c. 16. Division 16 – Electrical: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 17. Division 17 – Special Inspections: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. (iii) Documents A. Total Amount of original contract B. Plus or minus total previously approved C. O.'s Nos.-----------inclNos.----------- incl. C. Plus or minus C. O.'s Nos.-----------incl. approved during period covered by this est.----------- D. Total Net Adjusted Amt. NOTES: The following breakdowns must be accomplished in order to comply with Government Accounting requirements. Upon completion of the Project, the final Application for Payment must show all divisions and sections, and a Final Certification of Costs for Capital Asset Accounting completed and submitted with the Application for Final Payment. * Report Items in each division, by CSI division and such other breakdown as is useful to the Contractor or Contract Compliance Specialist. ** These items must be broken down into 2 categories, (i) Building and (ii) Infrastructure, reported by specification section. Infrastructure for these purposes is defined as everything outside a line five feet from the building footprint. *** These items must be broken down into 2 categories; (i) fixed equipment & furnishings and (ii) Moveable equipment & furnishings and reported by specification section. **** Division 15 – Mechanical. This item must be broken down into 2 categories, (i) Building and (ii) Infrastructure, reported by specification section. Chillers and HVAC units that serve the facility are to be included as a part of the Building, even if they are outside the 5-foot limit. Chillers and HVAC units that are outside the 5 foot limit and serve more than one facility, such as equipment used in a central plant, are to be included in Infrastructure. ***** Division 7 – Thermal & Moisture Components of the Roof system should be reported as a separate line item. Generally, this includes components of Sections 7500 and 7600. SUMMARY OF MATERIALS STORED In support Application for Payment No. Project No. Period Ending: Contractor: ITEM NO. NAME (Contractor or Subcontractor) TYPE OF MATERIAL QUANTITY AMOUNT (Dollars) TOTALS Prepared by for (Contractor) Date , and certified by him to be a true and accurate statement. Checked: By: :Contract Compliance Specialist Date: SUBCONTRACTOR RETAINAGE RELEASE CERTIFICATE (To be Originated by Subcontractor) TO: Board of Regents of the University System of Georgia, Owner Institution NameGeorgia Southwestern State University, Using Agency RE: Project Name and Number: Project Number and DescriptionGSW-39-01-17 Campus Signage Phase I, Institution NameGeorgia Southwestern State University, CityAmericus, StateGeorgia: Certificate Regarding Subcontractor's Completed Work and Retainage Release

Contracting Requirements. a. b. c, 1. Division 1 – General Requirements: * a. b. c. 2. Division 2 – Site Construction: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 3. Division 3 – Concrete: * a. b. c. 4. Division 4 – Masonry: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 5. Division 5 – Metals: * a. b. c. 6. Division 6 – Wood and Plastics: * a. b. c. 7. Division 7 – Thermal & Moisture: ***** a. b. c. Roof: 8. Division 8 – Doors & Windows: * a. b. c. 9. Division 9 – Finishes: * a. b. c. 10. Division 10 – Specialties: * a. b. c. 11. Division 11 – Equipment: *** (i) Fixed or Built-in: a. b. c. (ii) Moveable: a. b. c. 12. Division 12 – Furnishings: *** (i) Fixed or Built-in: a. b. c. (ii) Moveable: a. b. c. 13. Division 13 – Special Construction: * a. b. c. 14. Division 14 – Conveying Systems: * a. b. c. 15. Division 15 – Mechanical: **** (i) Building a. b. c. (ii) Infrastructure a. b. c. 16. Division 16 – Electrical: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 17. Division 17 – Special Inspections: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. (iii) Documents A. Total Amount of original contract B. Plus or minus total previously approved C. O.'s Nos.-----------incl. C. Plus or minus C. O.'s Nos.-----------incl. approved during period covered by this est.----------- D. Total Net Adjusted Amt. NOTES: The following breakdowns must be accomplished in order to comply with Government Accounting requirements. Upon completion of the Project, the final Application for Payment must show all divisions and sections, and a Final Certification of Costs for Capital Asset Accounting completed and submitted with the Application for Final Payment. * Report Items in each division, by CSI division and such other breakdown as is useful to the Contractor or Contract Compliance Specialist. ** These items must be broken down into 2 categories, (i) Building and (ii) Infrastructure, reported by specification section. Infrastructure for these purposes is defined as everything outside a line five feet from the building footprint. *** These items must be broken down into 2 categories; (i) fixed equipment & furnishings and (ii) Moveable equipment & furnishings and reported by specification section. **** Division 15 – Mechanical. This item must be broken down into 2 categories, (i) Building and (ii) Infrastructure, reported by specification section. Chillers and HVAC units that serve the facility are to be included as a part of the Building, even if they are outside the 5-foot limit. Chillers and HVAC units that are outside the 5 foot limit and serve more than one facility, such as equipment used in a central plant, are to be included in Infrastructure. ***** Division 7 – Thermal & Moisture Components of the Roof system should be reported as a separate line item. Generally, this includes components of Sections 7500 and 7600. SUMMARY OF MATERIALS STORED In support Application for Payment No. Project No. Period Ending: Contractor: ITEM NO. NAME (Contractor or Subcontractor) TYPE OF MATERIAL QUANTITY AMOUNT (Dollars) TOTALS Prepared by for (Contractor) Date , and certified by him to be a true and accurate statement. Checked: By: Contract Compliance Specialist Date: SUBCONTRACTOR RETAINAGE RELEASE CERTIFICATE (To be Originated by Subcontractor) TO: Board of Regents of the University System of Georgia, Owner Institution Name, Using Agency RE: Project Name and Number: Project Number and Description, Institution Name, City, State: Certificate Regarding Subcontractor's Completed Work and Retainage ReleaseNos.----------- incl.

Contracting Requirements. a. b. c, 1. Division 1 – General Requirements: * a. b. c. 2. Division 2 – Site Construction: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 3. Division 3 – Concrete: * a. b. c. 4. Division 4 – Masonry: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 5. Division 5 – Metals: * a. b. c. 6. Division 6 – Wood and Plastics: * a. b. c. 7. Division 7 – Thermal & Moisture: ***** a. b. c. Roof: 8. Division 8 – Doors & Windows: * a. b. c. 9. Division 9 – Finishes: * a. b. c. 10. Division 10 – Specialties: * a. b. c. 11. Division 11 – Equipment: *** (i) Fixed or Built-in: a. b. c. (ii) Moveable: a. b. c. 12. Division 12 – Furnishings: *** (i) Fixed or Built-in: a. b. c. (ii) Moveable: a. b. c. 13. Division 13 – Special Construction: * a. b. c. 14. Division 14 – Conveying Systems: * a. b. c. 15. Division 15 – Mechanical: **** (i) Building a. b. c. (ii) Infrastructure a. b. c. 16. Division 16 – Electrical: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 17. Division 17 – Special Inspections: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. (iii) Documents A. Total Amount of original contract B. Plus or minus total previously approved C. O.'s Nos.-----------incl. C. Plus or minus C. O.'s Nos.-----------incl. approved during period covered by this est.----------- D. Total Net Adjusted Amt. NOTES: The following breakdowns must be accomplished in order to comply with Government Accounting requirements. Upon completion of the Project, the final Application for Payment must show all divisions and sections, and a Final Certification of Costs for Capital Asset Accounting completed and submitted with the Application for Final Payment. * Report Items in each division, by CSI division and such other breakdown as is useful to the Contractor or Contract Compliance Specialist. ** These items must be broken down into 2 categories, (i) Building and (ii) Infrastructure, reported by specification section. Infrastructure for these purposes is defined as everything outside a line five feet from the building footprint. *** These items must be broken down into 2 categories; (i) fixed equipment & furnishings and (ii) Moveable equipment & furnishings and reported by specification section. **** Division 15 – Mechanical. This item must be broken down into 2 categories, (i) Building and (ii) Infrastructure, reported by specification section. Chillers and HVAC units that serve the facility are to be included as a part of the Building, even if they are outside the 5-foot limit. Chillers and HVAC units that are outside the 5 foot limit and serve more than one facility, such as equipment used in a central plant, are to be included in Infrastructure. ***** Division 7 – Thermal & Moisture Components of the Roof system should be reported as a separate line item. Generally, this includes components of Sections 7500 and 7600. SUMMARY OF MATERIALS STORED In support Application for Payment No. Project No. Period Ending: Contractor: ITEM NO. NAME (Contractor or Subcontractor) TYPE OF MATERIAL QUANTITY AMOUNT (Dollars) TOTALS Prepared by for (Contractor) Date , and certified by him to be a true and accurate statement. Checked: By: Contract Compliance Specialist Date: SUBCONTRACTOR RETAINAGE RELEASE CERTIFICATE (To be Originated by Subcontractor) TO: Board of Regents of the University System of Georgia, Owner Institution Institution Name, Using Agency RE: Project Name and Number: Project Project Number and Description, Institution Institution Name, CityCity, State: Certificate Regarding Subcontractor's Completed Work and Retainage Release

Contracting Requirements. a. b. c, 1. Division 1 – General Requirements: * a. b. c. 2. Division 2 – Site Construction: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 3. Division 3 – Concrete: * a. b. c. 4. Division 4 – Masonry: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 5. Division 5 – Metals: * a. b. c. 6. Division 6 – Wood and Plastics: * a. b. c. 7. Division 7 – Thermal & Moisture: ***** a. b. c. Roof: 8. Division 8 – Doors & Windows: * a. b. c. 9. Division 9 – Finishes: * a. b. c. 10. Division 10 – Specialties: * a. b. c. 11. Division 11 – Equipment: *** (i) Fixed or Built-in: a. b. c. (ii) Moveable: a. b. c. 12. Division 12 – Furnishings: *** (i) Fixed or Built-in: a. b. c. (ii) Moveable: a. b. c. 13. Division 13 – Special Construction: * a. b. c. 14. Division 14 – Conveying Systems: * a. b. c. 15. Division 15 – Mechanical: **** (i) Building a. b. c. (ii) Infrastructure a. b. c. 16. Division 16 – Electrical: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 17. Division 17 – Special Inspections: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. (iii) Documents A. Total Amount of original contract B. Plus or minus total previously approved C. O.'s Nos.-----------incl. C. Plus or minus C. O.'s Nos.-----------incl. approved during period covered by this est.----------- D. Total Net Adjusted Amt. NOTES: The following breakdowns must be accomplished in order to comply with Government Accounting requirements. Upon completion of the Project, the final Application for Payment must show all divisions and sections, and a Final Certification of Costs for Capital Asset Accounting completed and submitted with the Application for Final Payment. * Report Items in each division, by CSI division and such other breakdown as is useful to the Contractor or Contract Compliance Specialist. ** These items must be broken down into 2 categories, (i) Building and (ii) Infrastructure, reported by specification section. Infrastructure for these purposes is defined as everything outside a line five feet from the building footprint. *** These items must be broken down into 2 categories; (i) fixed equipment & furnishings and (ii) Moveable equipment & furnishings and reported by specification section. **** Division 15 – Mechanical. This item must be broken down into 2 categories, (i) Building and (ii) Infrastructure, reported by specification section. Chillers and HVAC units that serve the facility are to be included as a part of the Building, even if they are outside the 5-foot limit. Chillers and HVAC units that are outside the 5 foot limit and serve more than one facility, such as equipment used in a central plant, are to be included in Infrastructure. ***** Division 7 – Thermal & Moisture Components of the Roof system should be reported as a separate line item. Generally, this includes components of Sections 7500 and 7600. SUMMARY OF MATERIALS STORED In support Application for Payment No. Project No. Period Ending: Contractor: ITEM NO. NAME (Contractor or Subcontractor) TYPE OF MATERIAL QUANTITY AMOUNT (Dollars) TOTALS Prepared by for (Contractor) Date , and certified by him to be a true and accurate statement. Checked: By: Contract Compliance Specialist Date: SUBCONTRACTOR RETAINAGE RELEASE CERTIFICATE (To be Originated by Subcontractor) TO: Board of Regents of the University System of Georgia, Owner Institution Name, Using Agency RE: Project Name and Number: Project Number and DescriptionProeject Number, Institution NameDescription, CityInstitution Name, StateCity (location of project - not necessarily main campus), Georgia: Certificate Regarding Subcontractor's Completed Work and Retainage Release

Contracting Requirements. a. b. c, 1. Division 1 – General Requirements: * a. b. c. 2. Division 2 – Site Construction: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 3. Division 3 – Concrete: * a. b. c. 4. Division 4 – Masonry: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 5. Division 5 – Metals: * a. b. c. 6. Division 6 – Wood and Plastics: * a. b. c. 7. Division 7 – Thermal & Moisture: ***** a. b. c. Roof: 8. Division 8 – Doors & Windows: * a. b. c. 9. Division 9 – Finishes: * a. b. c. 10. Division 10 – Specialties: * a. b. c. 11. Division 11 – Equipment: *** (i) Fixed or Built-in: a. b. c. (ii) Moveable: a. b. c. 12. Division 12 – Furnishings: *** (i) Fixed or Built-in: a. b. c. (ii) Moveable: a. b. c. 13. Division 13 – Special Construction: * a. b. c. 14. Division 14 – Conveying Systems: * a. b. c. 15. Division 15 – Mechanical: **** (i) Building a. b. c. (ii) Infrastructure a. b. c. 16. Division 16 – Electrical: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 17. Division 17 – Special Inspections: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. (iii) Documents A. Total Amount GMP of original contract B. Plus or minus total previously approved C. O.'s Nos.-----------incl. C. Plus or minus C. O.'s Nos.-----------incl. approved during period covered by this est.----------- D. Total Net Adjusted Amt. GMP NOTES: The following breakdowns must be accomplished in order to comply with Government Accounting requirements. Upon completion of the Project, the final Application for Payment must show all divisions and sections, and a Final Certification of Costs for Capital Asset Accounting completed and submitted with the Application for Final Payment. * Report Items in each division, by CSI division and such other breakdown as is useful to the Contractor or Contract Compliance Specialist. ** These items must be broken down into 2 categories, (i) Building and (ii) Infrastructure, reported by specification section. Infrastructure for these purposes is defined as everything outside a line five feet from the building footprint. *** These items must be broken down into 2 categories; (i) fixed equipment & furnishings and (ii) Moveable equipment & furnishings and reported by specification section. **** Division 15 – Mechanical. This item must be broken down into 2 categories, (i) Building and (ii) Infrastructure, reported by specification section. Chillers and HVAC units that serve the facility are to be included as a part of the Building, even if they are outside the 5-foot limit. Chillers and HVAC units that are outside the 5 foot limit and serve more than one facility, such as equipment used in a central plant, are to be included in Infrastructure. ***** Division 7 – Thermal & Moisture Components of the Roof system should be reported as a separate line item. Generally, this includes components of Sections 7500 and 7600. SUMMARY OF MATERIALS STORED In support Application for Payment No. Project No. Period Ending: ContractorCM/GC: ITEM NO. NAME (Contractor or Subcontractor) TYPE OF MATERIAL QUANTITY AMOUNT (Dollars) TOTALS Prepared by for (Contractor) Date , and certified by him to be a true and accurate statement. Checked: By: Contract Compliance Specialist Date: SUBCONTRACTOR RETAINAGE RELEASE CERTIFICATE EXHIBIT L FINAL CERTIFICATION OF COSTS FOR CAPITAL ASSET ACCOUNTING Date: ____________________________________ To: BOARD OF REGENTS OF THE UNIVERSITY SYSTEM OF GEORGIA (To be Originated by SubcontractorOwner) TOThe following accounting of costs for Project No. Number, Description, and Location is submitted as follows, with the breakdown of costs as specified in the Final Pay Request attached hereto and incorporated herein, for the purposes of capital asset accounting pursuant to GASB 34 Accounting Statements: Board of Regents of the University System of Georgia, Owner Institution Name, Using Agency RE1. BUILDING AND BUILDING IMPROVEMENTS: Project Name and Number: Project Number and Description, Institution Name, City, State: Certificate Regarding Subcontractor's Completed Work and Retainage Release* $ _____________________________________

Contracting Requirements. a. b. c, 1. Division 1 – General Requirements: * a. b. c. 2. Division 2 – Site Construction: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 3. Division 3 – Concrete: * a. b. c. 4. Division 4 – Masonry: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 5. Division 5 – Metals: * a. b. c. 6. Division 6 – Wood and Plastics: * a. b. c. 7. Division 7 – Thermal & Moisture: ***** a. b. c. Roof: 8. Division 8 – Doors & Windows: * a. b. c. 9. Division 9 – Finishes: * a. b. c. 10. Division 10 – Specialties: * a. b. c. 11. Division 11 – Equipment: *** (i) Fixed or Built-in: a. b. c. (ii) Moveable: a. b. c. 12. Division 12 – Furnishings: *** (i) Fixed or Built-in: a. b. c. (ii) Moveable: a. b. c. 13. Division 13 – Special Construction: * a. b. c. 14. Division 14 – Conveying Systems: * a. b. c. 15. Division 15 – Mechanical: **** (i) Building a. b. c. (ii) Infrastructure a. b. c. 16. Division 16 – Electrical: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 17. Division 17 – Special Inspections: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. (iii) Documents A. Total Amount of original contract B. Plus or minus total previously approved C. O.'s Nos.-----------incl. C. Plus or minus C. O.'s Nos.-----------incl. approved during period covered by this est.----------- D. Total Net Adjusted Amt. NOTES: The following breakdowns must be accomplished in order to comply with Government Accounting requirements. Upon completion of the Project, the final Application for Payment must show all divisions and sections, and a Final Certification of Costs for Capital Asset Accounting completed and submitted with the Application for Final Payment. * Report Items in each division, by CSI division and such other breakdown as is useful to the Contractor or Contract Compliance Specialist. ** These items must be broken down into 2 categories, (i) Building and (ii) Infrastructure, reported by specification section. Infrastructure for these purposes is defined as everything outside a line five feet from the building footprint. *** These items must be broken down into 2 categories; (i) fixed equipment & furnishings and (ii) Moveable equipment & furnishings and reported by specification section. **** Division 15 – Mechanical. This item must be broken down into 2 categories, (i) Building and (ii) Infrastructure, reported by specification section. Chillers and HVAC units that serve the facility are to be included as a part of the Building, even if they are outside the 5-foot limit. Chillers and HVAC units that are outside the 5 foot limit and serve more than one facility, such as equipment used in a central plant, are to be included in Infrastructure. ***** Division 7 – Thermal & Moisture Components of the Roof system should be reported as a separate line item. Generally, this includes components of Sections 7500 and 7600. SUMMARY OF MATERIALS STORED In support Application for Payment No. Project No. Period Ending: Contractor: ITEM NO. NAME (Contractor or Subcontractor) TYPE OF MATERIAL QUANTITY AMOUNT (Dollars) TOTALS Prepared by for (Contractor) Date Date, and certified by him to be a true and accurate statement. Checked: By: Contract Compliance Specialist Date: SUBCONTRACTOR RETAINAGE RELEASE CERTIFICATE (To be Originated by Subcontractor) TO: Board of Regents of the University System of Georgia, Owner Institution Name, Using Agency RE: Project Name and Number: Project Number:Project Number and Description, Institution Name, City, State: Certificate Regarding Subcontractor's Completed Work and Retainage Release

Contracting Requirements. a. b. c, 1. Division 1 – General Requirements: * a. b. c. 2. Division 2 – Site Construction: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 3. Division 3 – Concrete: * a. b. c. 4. Division 4 – Masonry: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 5. Division 5 – Metals: * a. b. c. 6. Division 6 – Wood and Plastics: * a. b. c. 7. Division 7 – Thermal & Moisture: ***** a. b. c. Roof: 8. Division 8 – Doors & Windows: * a. b. c. 9. Division 9 – Finishes: * a. b. c. 10. Division 10 – Specialties: * a. b. c. 11. Division 11 – Equipment: *** (i) Fixed or Built-in: a. b. c. (ii) Moveable: a. b. c. 12. Division 12 – Furnishings: *** (i) Fixed or Built-in: a. b. c. (ii) Moveable: a. b. c. 13. Division 13 – Special Construction: * a. b. c. 14. Division 14 – Conveying Systems: * a. b. c. 15. Division 15 – Mechanical: **** (i) Building a. b. c. (ii) Infrastructure a. b. c. 16. Division 16 – Electrical: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 17. Division 17 – Special Inspections: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. (iii) Documents A. Total Amount of original contract B. Plus or minus total previously approved C. O.'s Nos.-----------inclNos.----------- incl. C. Plus or minus C. O.'s Nos.-----------incl. approved during period covered by this est.----------- D. Total Net Adjusted Amt. NOTES: The following breakdowns must be accomplished in order to comply with Government Accounting requirements. Upon completion of the Project, the final Application for Payment must show all divisions and sections, and a Final Certification of Costs for Capital Asset Accounting completed and submitted with the Application for Final Payment. * Report Items in each division, by CSI division and such other breakdown as is useful to the Contractor or Contract Compliance Specialist. ** These items must be broken down into 2 categories, (i) Building and (ii) Infrastructure, reported by specification section. Infrastructure for these purposes is defined as everything outside a line five feet from the building footprint. *** These items must be broken down into 2 categories; (i) fixed equipment & furnishings and (ii) Moveable equipment & furnishings and reported by specification section. **** Division 15 – Mechanical. This item must be broken down into 2 categories, (i) Building and (ii) Infrastructure, reported by specification section. Chillers and HVAC units that serve the facility are to be included as a part of the Building, even if they are outside the 5-foot limit. Chillers and HVAC units that are outside the 5 foot limit and serve more than one facility, such as equipment used in a central plant, are to be included in Infrastructure. ***** Division 7 – Thermal & Moisture Components of the Roof system should be reported as a separate line item. Generally, this includes components of Sections 7500 and 7600. SUMMARY OF MATERIALS STORED In support Application for Payment No. Project No. Period Ending: Contractor: ITEM NO. NAME (Contractor or Subcontractor) TYPE OF MATERIAL QUANTITY AMOUNT (Dollars) TOTALS Prepared by for (Contractor) Date , and certified by him to be a true and accurate statement. Checked: By: :Contract Compliance Specialist Date: SUBCONTRACTOR RETAINAGE RELEASE CERTIFICATE FINAL CERTIFICATION OF COSTS FOR CAPITAL ASSET ACCOUNTING Date: To: (To be Originated by SubcontractorOwner) TOThe following accounting of costs for Project No. , Project Name: Board at is submitted as follows, with the breakdown of Regents costs as specified in the Final Pay Request attached hereto and incorporated herein, for the purposes of the University System of Georgia, Owner Institution Name, Using Agency REcapital asset accounting pursuant to GASB 34 Accounting Statements: Project Name and Number1. BUILDING AND BUILDING IMPROVEMENTS: Project Number and Description, Institution Name, City, State* $ 2. INFRASTRUCTURE: Certificate Regarding Subcontractor's Completed Work and Retainage Release** $

Contracting Requirements. a. b. c, 1. Division 1 – General Requirements: * a. b. c. 2. Division 2 – Site Construction: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 3. Division 3 – Concrete: * a. b. c. 4. Division 4 – Masonry: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 5. Division 5 – Metals: * a. b. c. 6. Division 6 – Wood and Plastics: * a. b. c. 7. Division 7 – Thermal & Moisture: ***** a. b. c. Roof: 8. Division 8 – Doors & Windows: * a. b. c. 9. Division 9 – Finishes: * a. b. c. 10. Division 10 – Specialties: * a. b. c. 11. Division 11 – Equipment: *** (i) Fixed or Built-in: a. b. c. (ii) Moveable: a. b. c. 12. Division 12 – Furnishings: *** (i) Fixed or Built-in: a. b. c. (ii) Moveable: a. b. c. 13. Division 13 – Special Construction: * a. b. c. 14. Division 14 – Conveying Systems: * a. b. c. 15. Division 15 – Mechanical: **** (i) Building a. b. c. (ii) Infrastructure a. b. c. 16. Division 16 – Electrical: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 17. Division 17 – Special Inspections: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. (iii) Documents A. Total Amount of original contract B. Plus or minus total previously approved C. O.'s Nos.-----------inclNos.----------- incl. C. Plus or minus C. O.'s Nos.-----------incl. approved during period covered by this est.----------- D. Total Net Adjusted Amt. NOTES: The following breakdowns must be accomplished in order to comply with Government Accounting requirements. Upon completion of the Project, the final Application for Payment must show all divisions and sections, and a Final Certification of Costs for Capital Asset Accounting completed and submitted with the Application for Final Payment. * Report Items in each division, by CSI division and such other breakdown as is useful to the Contractor or Contract Compliance Specialist. ** These items must be broken down into 2 categories, (i) Building and (ii) Infrastructure, reported by specification section. Infrastructure for these purposes is defined as everything outside a line five feet from the building footprint. *** These items must be broken down into 2 categories; (i) fixed equipment & furnishings and (ii) Moveable equipment & furnishings and reported by specification section. **** Division 15 – Mechanical. This item must be broken down into 2 categories, (i) Building and (ii) Infrastructure, reported by specification section. Chillers and HVAC units that serve the facility are to be included as a part of the Building, even if they are outside the 5-foot limit. Chillers and HVAC units that are outside the 5 foot limit and serve more than one facility, such as equipment used in a central plant, are to be included in Infrastructure. ***** Division 7 – Thermal & Moisture Components of the Roof system should be reported as a separate line item. Generally, this includes components of Sections 7500 and 7600. SUMMARY OF MATERIALS STORED In support Application for Payment No. Project No. Period Ending: Contractor: ITEM NO. NAME (Contractor or Subcontractor) TYPE OF MATERIAL QUANTITY AMOUNT (Dollars) TOTALS Prepared by for (Contractor) Date , and certified by him to be a true and accurate statement. Checked: By: :Contract Compliance Specialist Date: SUBCONTRACTOR RETAINAGE RELEASE CERTIFICATE (To be Originated by Subcontractor) TO: Board of Regents of the University System of Georgia, Owner Institution NameSAVANNAH STATE UNIVERSITY, Using Agency RE: Project Name and Number: Project Number and DescriptionSSU 1004-219 RENOVATIONS TO XXXX XXXXXXXX AND XXXXXX XXXXXX CLASSROOMS, Institution NameSAVANNAH STATE UNIVERSITY, CitySAVANNAH, StateGA: Certificate Regarding Subcontractor's Completed Work and Retainage Release

Contracting Requirements. a. b. c, 1. Division 1 – General Requirements: * a. b. c. 2. Division 2 – Site Construction: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 3. Division 3 – Concrete: * a. b. c. 4. Division 4 – Masonry: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 5. Division 5 – Metals: * a. b. c. 6. Division 6 – Wood and Plastics: * a. b. c. 7. Division 7 – Thermal & Moisture: ***** a. b. c. Roof: 8. Division 8 – Doors & Windows: * a. b. c. 9. Division 9 – Finishes: * a. b. c. 10. Division 10 – Specialties: * a. b. c. 11. Division 11 – Equipment: *** (i) Fixed or Built-in: a. b. c. (ii) Moveable: a. b. c. 12. Division 12 – Furnishings: *** (i) Fixed or Built-in: a. b. c. (ii) Moveable: a. b. c. 13. Division 13 – Special Construction: * a. b. c. 14. Division 14 – Conveying Systems: * a. b. c. 15. Division 15 – Mechanical: **** (i) Building a. b. c. (ii) Infrastructure a. b. c. 16. Division 16 – Electrical: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. 17. Division 17 – Special Inspections: ** (i) Building a. b. c. (ii) Infrastructure a. b. c. (iii) Documents A. Total Amount of original contract B. Plus or minus total previously approved C. O.'s Nos.-----------inclNos.----------- incl. C. Plus or minus C. O.'s Nos.-----------incl. approved during period covered by this est.----------- D. Total Net Adjusted Amt. NOTES: The following breakdowns must be accomplished in order to comply with Government Accounting requirements. Upon completion of the Project, the final Application for Payment must show all divisions and sections, and a Final Certification of Costs for Capital Asset Accounting completed and submitted with the Application for Final Payment. * Report Items in each division, by CSI division and such other breakdown as is useful to the Contractor or Contract Compliance Specialist. ** These items must be broken down into 2 categories, (i) Building and (ii) Infrastructure, reported by specification section. Infrastructure for these purposes is defined as everything outside a line five feet from the building footprint. *** These items must be broken down into 2 categories; (i) fixed equipment & furnishings and (ii) Moveable equipment & furnishings and reported by specification section. **** Division 15 – Mechanical. This item must be broken down into 2 categories, (i) Building and (ii) Infrastructure, reported by specification section. Chillers and HVAC units that serve the facility are to be included as a part of the Building, even if they are outside the 5-foot limit. Chillers and HVAC units that are outside the 5 foot limit and serve more than one facility, such as equipment used in a central plant, are to be included in Infrastructure. ***** Division 7 – Thermal & Moisture Components of the Roof system should be reported as a separate line item. Generally, this includes components of Sections 7500 and 7600. SUMMARY OF MATERIALS STORED In support Application for Payment No. Project No. Period Ending: Contractor: ITEM NO. NAME (Contractor or Subcontractor) TYPE OF MATERIAL QUANTITY AMOUNT (Dollars) TOTALS Prepared by for (Contractor) Date , and certified by him to be a true and accurate statement. Checked: By: :Contract Compliance Specialist Date: SUBCONTRACTOR RETAINAGE RELEASE CERTIFICATE (To be Originated by Subcontractor) TO: Board of Regents of the University System of Georgia, Owner Institution NameSAVANNAH STATE UNIVERSITY, Using Agency RE: Project Name and Number: Project Number and DescriptionMRRF-J331-4 RENOVATIONS TO XXXX XXXXXXXX RESTROOMS, Institution NameSAVANNAH STATE UNIVERSITY, CitySAVANNAH, StateGA: Certificate Regarding Subcontractor's Completed Work and Retainage Release