APPLICATION AND CERTIFICATE FOR PAYMENT
AIA DOCUMENT G702/CMa PAGE ONE OF 1 PAGES
To Contractor: Jermax Construction Inc. PROJECT: Holly Park APPLICATION NO: 7 Distribution to:
11275 San Fernando Rd 2058 W 120th st 3326 W 52nd St., Los Angeles, CA 90043 PERIOD TO: 6/1/2026-6/15/2026 OWNER San Fernando CA 91340 Hawthorne CA 90250 PROJECT NO: 2507 ARCHITECT FROM SUBCONTRACTOR: SUBMITTED DATE: X CONTRACTOR
CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, Application is made for payment, as shown below, in connection with the Contract. information and belief the Work covered by this Application for Payment has been Continuation Sheet, AIA Document G703, is attached. 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 payments received from the Owner, and that current payment shown herein is now due.
1. ORIGINAL CONTRACT SUM $ 779,000.00 CONTRACTOR:
2. Net change by Change Orders $ 80,707.31
3. CONTRACT SUM TO DATE (Line 1 ± 2) $ 859,707.31
4. TOTAL COMPLETED & STORED TO DATE $ 833,407.31 By: ____________________________________________________________ Date: ___________________ (Column G on G703) State of: County of:
5. RETAINAGE: Subscribed and sworn to before me this day of a. 5 % of Completed Work $ 41,670.37 Notary Public:
(Column D + E on G703) My Commission expires:
b. 5 % of Stored Material $ -
(Column F on G703)
Total Retainage (Lines 5a + 5b or
Total in Column I of G703) $ 41,670.37
6. TOTAL EARNED LESS RETAINAGE $ 791,736.94
(Line 4 less Line 5 Total)
7. LESS PREVIOUS CERTIFICATES FOR $ 742,588.42
PAYMENT (Line 6 from prior Certificate)
8. CURRENT PAYMENT DUE $ 49,148.52
9. BALANCE TO FINISH, INCLUDING RETAINAGE $ 67,970.37
(Line 3 less Line 6)
CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS
Total changes approved in previous months by Owner $0.00 $0.00 Total approved this Month $0.00 $0.00
$0.00 $0.00
AIA DOCUMENT G702/CMa · APPLICATION AND CERTIFICATION FOR PAYMENT · CONSTRUCTION MANAGER-ADVISER EDITION · 1992 EDITION · AIA · ©1992 THE AMERICAN INSTITUTE OF ARCHITECTS, 1745 NEW YORK AVE., N.W., WASHINGTON, DC 20006-5292 $0.00
Totals:
Net Change by Change Order
9/15/2026
7 Use Column I on Contracts where variable retainage for line items may apply.
B. C. D. E. F. H. I.
1 DEMOLITION, CLEARING AND GRUBBING /
IMPLEMENTATION OF BMPS/SWPPP $ 68,500.00 $ 68,500.00 $ - $ - $ 68,500.00 100.0% $ - $ 3,425.00 2 DRAINAGE $ 22,500.00 $ 22,500.00 $ - $ 22,500.00 100.0% $ - $ 1,125.00 3 SEWER $ 25,000.00 $ 25,000.00 $ - $ - $ 25,000.00 100.0% $ - $ 1,250.00 4 CONCRETE PAVING $ 55,000.00 $ 55,000.00 $ - $ 55,000.00 100.0% $ - $ 2,750.00 5 PLUMBING $ 288,000.00 $ 288,000.00 $ - $ - $ 288,000.00 100.0% $ - $ 14,400.00 6 PAINTING $ 30,000.00 $ 30,000.00 $ - $ - $ 30,000.00 100.0% $ - $ 1,500.00 7 RESTROOM BUILDING $ 88,000.00 $ 88,000.00 $ - $ - $ 88,000.00 100.0% $ - $ 4,400.00 8 ELECTRICAL $ 65,000.00 $ 61,500.00 $ 3,500.00 $ - $ 65,000.00 100.0% $ - $ 3,250.00 9 PLANTING/LANDSCAPING $ 41,000.00 $ 20,500.00 $ 15,000.00 $ - $ 35,500.00 86.6% $ 5,500.00 $ 1,775.00 10 IRRIGATION ** Digging $ 51,000.00 $ 30,200.00 $ - $ 30,200.00 59.2% $ 20,800.00 $ 1,510.00 11 FLAG POLE REMOVAL AND INSTALLATION $ 35,000.00 $ 35,000.00 $ - $ - $ 35,000.00 100.0% $ - $ 1,750.00 12 PROJECT CONSTRUCTION SIGN $ 10,000.00 $ 10,000.00 $ - $ - $ 10,000.00 100.0% $ - $ 500.00 13 $ - $ - $ - $ - #DIV/0! $ - $ -
14 $ - $ - $ - $ - $ - #DIV/0! $ - $ -
ORIGINAL CONTRACT TOTAL: $ 779,000.00 $ 734,200.00 $ 18,500.00 $ - $ 752,700.00 96.6% $ 26,300.00 $ 37,635.00 1 Change Order No. 1 $ 4,223.08 $ 4,223.08 $ - $ - $ 4,223.08 100.0% $ - $ 211.15 2 Change Order No. 2 $ 34,680.96 $ 34,680.96 $ - $ - $ 34,680.96 100.0% $ - $ 1,734.05 3 Change Order No. 3 $ 1,538.53 $ 1,538.53 $ - $ - $ 1,538.53 100.0% $ - $ 76.93 4 Change Order No. 4 $ 3,619.79 $ 3,619.79 $ - $ - $ 3,619.79 100.0% $ - $ 180.99 5 Change Order No. 5 $ 3,409.66 $ 3,409.66 $ - $ - $ 3,409.66 100.0% $ - $ 170.48 6 Change Order No. 6 $ 9,049.81 $ 9,049.81 $ - $ 9,049.81 100.0% $ - $ 452.49 8 Change Order No. 8 $ 6,161.02 $ 6,161.02 $ - $ 6,161.02 100.0% $ - $ 308.05 9 Change Order No. 9 $ 7,233.30 $ 7,233.30 $ - $ 7,233.30 100.0% $ - $ 361.67 10 Change Order No. 10 $ 1,366.10 $ 1,366.10 $ - $ 1,366.10 100.0% $ - $ 68.31 11 Change Order No. 11 $ 2,446.93 $ 2,446.93 $ - $ 2,446.93 100.0% $ - $ 122.35 12 Change Order No. 12 $ 2,645.93 $ 2,645.93 $ - $ 2,645.93 100.0% $ - $ 132.30 13 Change Order No. 13 $ 4,332.20 $ 4,332.20 $ - $ 4,332.20 100.0% $ - $ 216.61 14 $ - $ - $ - $ - $ - #DIV/0! $ - $ -
15 $ - $ - $ - $ - $ - #DIV/0! $ - $ -
16 $ - $ - $ - $ - $ - 0.0% $ - $ -
CHANGE ORDER TOTAL: $ 80,707.31 $ 47,472.02 $ 33,235.29 $ - $ 80,707.31 0.0% $ - $ 4,035.37 GRAND TOTALS: $ 859,707.31 $ 781,672.02 $ 51,735.29 $ - $ 833,407.31 96.9% $ 26,300.00 $ 41,670.37 CONTINUATION SHEET AIA DOCUMENT G703
AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification is attached.
APPLICATION NUMBER:
APPLICATION DATE: 9/15/2026
In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 6/1/2026-6/15/2026 PROJECT NO:
A.
ITEM
NO. WORK IN PLACE STORED
MATERIALS
WORK COMPLETED
CSI
NUMBER DESCRIPTION OF WORK SCHEDULED VALUE FROM PREVIOUS APPLICATION (D+E)
TOTAL COMPLETED AND
STORED TO DATE (D+E+F) % (G/C) BALANCE TO FINISH (C-G) RETAINAGE 5%
2058 W 120TH ST HAWTHORNE CA
Tile Work
A B B- A C D
Item QTY TOTAL
1 Cement Board Installation 3 guys 2 days (total of 605 sqft) Rate
81.32 24 $ 1,951.68
2 Tile Installation 2 guys 3 days (total of 605 sqft) Rate 75.59 16 $ 1,209.44 3 Underlayment Installation 2 guys 1 day (Total of 605 sqft) Rate
75.59 16 $ 1,209.44
1 MATERIAL 1 $ 4,167.00
2 $ 8,537.56
J 5% $ 208.35
5% $ 218.53
K 0% $ -
L 5% $ -
5% $ -
M 0% $ -
N 0.00% $ -
O 1.00% $ 85.38
$ 9,049.81
BOND FEE
GRAND TOTAL (SUBTOTAL PLUS J+K+L+M+N+O)
LABOR HOURS
MATERIAL
CONTRACTORS FEE (IF GC IS IN CONTRACT) - MATERIAL Line Item 1
CONTRACTORS FEE - OH & P ON RENTED EQUIPMENT
GENERAL / PRIME FEE ON SUBCONTRACTOR WORK - MATERIAL LINE ITEM 2
CONTRACTOR FEE - OH ON COMPENSABLE DELAY COST
SALES TAX
SUBTOTAL
CONTRACTORS FEE (IF GC IS IN CONTRACT) - LABOR Line Item 1 + 2 + 3 GENERAL / PRIME FEE ON SUBCONTRACTOR WORK - LABOR LINE ITEM 3 Date:
Change Order Proposal No.
Work Description
Project Number/Contract No.
Project Address:
Description
Contractor Name:
Issued To:
CHANGE ORDER - JRC-06R2026
Project Name: HOLLY PARK -
Jermax Construction Inc.
6/10/2026
Change Order Proposal
Jermax Construction Inc.
A B B- A C D
Item QTY TOTAL
1 Electrical Work 2 Guys 3 Days x Rate 85.00 48 $ 4,080.00 2 Patch Work and Coring 1 guy 1 day x 75.09 8 $ 600.72
3 $ -
1 Material 1 $ 869.75
2 3
$ 5,550.47
J 5% $ 43.49
5% $ 234.04
K 0% $ -
L 5% $ 277.52
M 0% $ -
N 0.00% $ -
O 1.00% $ 55.50
$ 6,161.02
BOND FEE
GRAND TOTAL (SUBTOTAL PLUS J+K+L+M+N+O)
LABOR HOURS
MATERIAL
CONTRACTORS FEE (IF GC IS IN CONTRACT) - MATERIAL Line Item 1
CONTRACTORS FEE - OH & P ON RENTED EQUIPMENT
GENERAL / PRIME FEE ON SUBCONTRACTOR WORK - MATERIAL LINE ITEM 2
CONTRACTOR FEE - OH ON COMPENSABLE DELAY COST
SALES TAX
SUBTOTAL
CONTRACTORS FEE (IF GC IS IN CONTRACT) - LABOR Line Item 1 + 2 + 3 Date:
Change Order Proposal No.
Work Description
Project Number/Contract No.
Project Address:
Description
Contractor Name:
Issued To:
Project Name:
CHANGE ORDER - JRC-082026
HOLLY PARK -
2058 W 120TH ST HAWTHORNE CA
New Camera Line - Front of the Building
Jermax Construction Inc.
6/10/2026
Change Order Proposal
Jermax Construction Inc.
2058 W 120TH ST HAWTHORNE CA
New Box and Conduit For IT
A B B- A C D
Item QTY TOTAL
1 Electrical Work 2 Guys 3 Days x Rate 85.00 48 $ 4,080.00 2 Waterproofing 1 guy 2 day x 75.09 16 $ 1,201.44
1 Material 1 $ 1,235.05
$ 6,516.49
J 5% $ 61.75
5% $ 264.07
K 0% $ -
L 5% $ 325.82
M 0% $ -
N 0.00% $ -
O 1.00% $ 65.16
$ 7,233.30
Date:
Change Order Proposal No.
Work Description
Project Number/Contract No.
Project Address:
Description
Contractor Name:
Issued To:
CHANGE ORDER - JRC-092026
Project Name: HOLLY PARK -
Jermax Construction Inc.
6/10/2026
BOND FEE
GRAND TOTAL (SUBTOTAL PLUS J+K+L+M+N+O)
LABOR HOURS
MATERIAL
CONTRACTORS FEE (IF GC IS IN CONTRACT) - MATERIAL Line Item 1
CONTRACTORS FEE - OH & P ON RENTED EQUIPMENT
GENERAL / PRIME FEE ON SUBCONTRACTOR WORK - MATERIAL LINE ITEM 2
CONTRACTOR FEE - OH ON COMPENSABLE DELAY COST
SALES TAX
SUBTOTAL
CONTRACTORS FEE (IF GC IS IN CONTRACT) - LABOR Line Item 1 + 2 + 3 Change Order Proposal
Jermax Construction Inc.
2058 W 120TH ST HAWTHORNE CA
New Line for AC and New AC
A B B- A C D
Item QTY TOTAL
1 Coring 1 guy 1 day x 75.09 8 $ 600.72
1 Material 1 $ 630.00
2 3
$ 1,230.72
J 5% $ 31.50
5% $ 30.04
K 0% $ -
L 5% $ 61.54
M 0% $ -
N 0.00% $ -
O 1.00% $ 12.31
$ 1,366.10
Date:
Change Order Proposal No.
Work Description
Project Number/Contract No.
Project Address:
Description
Contractor Name:
Issued To:
CHANGE ORDER - JRC-010R12026
Project Name: HOLLY PARK -
Jermax Construction Inc.
6/10/2026
BOND FEE
GRAND TOTAL (SUBTOTAL PLUS J+K+L+M+N+O)
LABOR HOURS
MATERIAL
CONTRACTORS FEE (IF GC IS IN CONTRACT) - MATERIAL Line Item 1
CONTRACTORS FEE - OH & P ON RENTED EQUIPMENT
GENERAL / PRIME FEE ON SUBCONTRACTOR WORK - MATERIAL LINE ITEM 2
CONTRACTOR FEE - OH ON COMPENSABLE DELAY COST
SALES TAX
SUBTOTAL
CONTRACTORS FEE (IF GC IS IN CONTRACT) - LABOR Line Item 1 + 2 + 3 Change Order Proposal
Jermax Construction Inc.
2058 W 120TH ST HAWTHORNE CA
New Line for AC and New AC
A B B- A C D
Item QTY TOTAL
1 Installation of Gate in the panel and AC Unit 3 days 1 guy x 75.09 24 $ 1,802.16 8 16
1 Material 1 $ 1,023.00
1 Material Credit - Original Door Scope of Work 1 $ (650.00) $ 2,175.16
J 5% $ 51.15
5% $ 90.11
K 0% $ -
L 5% $ 108.76
M 0% $ -
N 0.00% $ -
O 1.00% $ 21.75
$ 2,446.93
Date:
Change Order Proposal No.
Work Description
Project Number/Contract No.
Project Address:
Description
Contractor Name:
Issued To:
CHANGE ORDER - JRC-112026R
Project Name: HOLLY PARK -
Jermax Construction Inc.
7/3/2026
BOND FEE
GRAND TOTAL (SUBTOTAL PLUS J+K+L+M+N+O)
LABOR HOURS
MATERIAL
CONTRACTORS FEE (IF GC IS IN CONTRACT) - MATERIAL Line Item 1
CONTRACTORS FEE - OH & P ON RENTED EQUIPMENT
GENERAL / PRIME FEE ON SUBCONTRACTOR WORK - MATERIAL LINE ITEM 2
CONTRACTOR FEE - OH ON COMPENSABLE DELAY COST
SALES TAX
SUBTOTAL
CONTRACTORS FEE (IF GC IS IN CONTRACT) - LABOR Line Item 1 + 2 + 3 Change Order Proposal
Jermax Construction Inc.
A B B- A C D
Item QTY TOTAL
1 Installation of Window in the panel and AC Unit 1 days 2 guy x
75.09 20.8 $ 1,561.87
8 16
1 Material 1 $ 445.00
Emergency Panic Hardware 1 $ 405.00
$ 2,411.87
J 5% $ 22.25
5% $ 78.09
K 0% $ -
L 5% $ 120.59
M 0% $ -
N 0.00% $ -
O 1.00% $ 24.12
$ 2,656.93
Date:
Change Order Proposal No.
Work Description
Project Number/Contract No.
Project Address:
Description
Contractor Name:
Issued To:
Project Name:
CHANGE ORDER - JRC-122026
HOLLY PARK -
2058 W 120TH ST HAWTHORNE CA
New Window Cover with Emergency Panic Hardware
Jermax Construction Inc.
6/10/2026
BOND FEE
GRAND TOTAL (SUBTOTAL PLUS J+K+L+M+N+O)
LABOR HOURS
MATERIAL
CONTRACTORS FEE (IF GC IS IN CONTRACT) - MATERIAL Line Item 1
CONTRACTORS FEE - OH & P ON RENTED EQUIPMENT
GENERAL / PRIME FEE ON SUBCONTRACTOR WORK - MATERIAL LINE ITEM 2
CONTRACTOR FEE - OH ON COMPENSABLE DELAY COST
SALES TAX
SUBTOTAL
CONTRACTORS FEE (IF GC IS IN CONTRACT) - LABOR Line Item 1 + 2 + 3 Change Order Proposal
Jermax Construction Inc.
2058 W 120TH ST HAWTHORNE CA
Roll up Window
A B B- A C D
Item QTY TOTAL
1 Installation of Window in the panel and AC Unit 2 days 2 guy x
75.09 32 $ 2,402.88
8 16
1 Material 1 $ 1,500.00
$ 3,902.88
J 5% $ 75.00
5% $ 120.14
K 0% $ -
L 5% $ 195.14
M 0% $ -
N 0.00% $ -
O 1.00% $ 39.03
$ 4,332.20
BOND FEE
GRAND TOTAL (SUBTOTAL PLUS J+K+L+M+N+O)
LABOR HOURS
MATERIAL
CONTRACTORS FEE (IF GC IS IN CONTRACT) - MATERIAL Line Item 1
CONTRACTORS FEE - OH & P ON RENTED EQUIPMENT
GENERAL / PRIME FEE ON SUBCONTRACTOR WORK - MATERIAL LINE ITEM 2
CONTRACTOR FEE - OH ON COMPENSABLE DELAY COST
SALES TAX
SUBTOTAL
CONTRACTORS FEE (IF GC IS IN CONTRACT) - LABOR Line Item 1 + 2 + 3 Date:
Change Order Proposal No.
Work Description
Project Number/Contract No.
Project Address:
Description
Contractor Name:
Issued To:
CHANGE ORDER - JRC-132026
Project Name: HOLLY PARK -
Jermax Construction Inc.
7/7/2026
Change Order Proposal
Jermax Construction Inc.
2058 W 120TH ST HAWTHORNE CA
Electrical Work - Completed for IT
A B B- A C D
Item QTY TOTAL
1 Electrical Work Installation - 2 Guys 2 days X Rate $85.00 32 $ 2,720.00 8 16
1 Material 1 $ 1,650.00
$ 4,370.00
J 5% $ 82.50
5% $ 136.00
K 0% $ -
L 5% $ 218.50
M 0% $ -
N 0.00% $ -
O 1.00% $ 43.70
$ 4,850.70
Date:
Change Order Proposal No.
Work Description
Project Number/Contract No.
Project Address:
Description
Contractor Name:
Issued To:
CHANGE ORDER - JRC-142026
Project Name: HOLLY PARK -
Jermax Construction Inc.
8/31/2026
BOND FEE
GRAND TOTAL (SUBTOTAL PLUS J+K+L+M+N+O)
LABOR HOURS
MATERIAL
CONTRACTORS FEE (IF GC IS IN CONTRACT) - MATERIAL Line Item 1
CONTRACTORS FEE - OH & P ON RENTED EQUIPMENT
GENERAL / PRIME FEE ON SUBCONTRACTOR WORK - MATERIAL LINE ITEM 2
CONTRACTOR FEE - OH ON COMPENSABLE DELAY COST
SALES TAX
SUBTOTAL
CONTRACTORS FEE (IF GC IS IN CONTRACT) - LABOR Line Item 1 + 2 + 3 Change Order Proposal
Jermax Construction Inc.
2058 W 120TH ST HAWTHORNE CA
Electrical Work - Panel Upgrade
A B B- A C D
Item QTY TOTAL
1 Electrical Work Installation - 3 Guys 2 days X Rate $85.00 48 $ 4,080.00 8 16
1 Material 1 $ 2,050.00
$ 6,130.00
J 5% $ 102.50
5% $ 204.00
K 0% $ -
L 5% $ 306.50
M 0% $ -
N 0.00% $ -
O 1.00% $ 61.30
$ 6,804.30
Date:
Change Order Proposal No.
Work Description
Project Number/Contract No.
Project Address:
Description
Contractor Name:
Issued To:
CHANGE ORDER - JRC-152026
Project Name: HOLLY PARK -
Jermax Construction Inc.
8/31/2026
BOND FEE
GRAND TOTAL (SUBTOTAL PLUS J+K+L+M+N+O)
LABOR HOURS
MATERIAL
CONTRACTORS FEE (IF GC IS IN CONTRACT) - MATERIAL Line Item 1
CONTRACTORS FEE - OH & P ON RENTED EQUIPMENT
GENERAL / PRIME FEE ON SUBCONTRACTOR WORK - MATERIAL LINE ITEM 2
CONTRACTOR FEE - OH ON COMPENSABLE DELAY COST
SALES TAX
SUBTOTAL
CONTRACTORS FEE (IF GC IS IN CONTRACT) - LABOR Line Item 1 + 2 + 3 Change Order Proposal
Jermax Construction Inc.
2058 W 120TH ST HAWTHORNE CA
HVAC - Relocation
A B B- A C D
Item QTY TOTAL
1 HVAC Work Installation - 2 Guys 2 days X Rate $85.00 24 $ 2,040.00 8 16
1 HVAC - Relocation Material $ 350.00
$ 2,390.00
J 5% $ 17.50
5% $ 102.00
K 0% $ -
L 5% $ 119.50
M 0% $ -
N 0.00% $ -
O 1.00% $ 23.90
$ 2,652.90
BOND FEE
GRAND TOTAL (SUBTOTAL PLUS J+K+L+M+N+O)
LABOR HOURS
MATERIAL
CONTRACTORS FEE (IF GC IS IN CONTRACT) - MATERIAL Line Item 1
CONTRACTORS FEE - OH & P ON RENTED EQUIPMENT
GENERAL / PRIME FEE ON SUBCONTRACTOR WORK - MATERIAL LINE ITEM 2
CONTRACTOR FEE - OH ON COMPENSABLE DELAY COST
SALES TAX
SUBTOTAL
CONTRACTORS FEE (IF GC IS IN CONTRACT) - LABOR Line Item 1 + 2 + 3 Date:
Change Order Proposal No.
Work Description
Project Number/Contract No.
Project Address:
Description
Contractor Name:
Issued To:
CHANGE ORDER - JRC-162026
Project Name: HOLLY PARK -
Jermax Construction Inc.
9/15/2026
Change Order Proposal
Jermax Construction Inc.
AGENDA ITEM NO. 18.
CITY OF HAWTHORNE
City Council
AGENDA BILL
For the meeting of 09/22/2026
Originating Department: Public Works
City Manager:Department Head:
SUBJECT:
Progress Payment #2 in the amount of $475,543.88 due to Jermax Construction Inc of San Fernando, CA for City of Hawthorne Housing Rehabilitation 2026 Phase II (Project #26-11).
RECOMMENDED MOTION:
Staff recommends that the City Council approve this Progress Payment #2 and all change orders associated to this progress payment to Jermax Construction Inc of San Fernando, CA.
DISCUSSION:
The project work consists of remodeling, renovating and modifying the City’s apartment buildings, kitchens, and restrooms to comply with the requirements of the Americans with Disability Act (ADA).
The work also consists of new doors and frames, hardware, flooring, drywall, toilet compartments, toilet fixtures, windows, caulking and sealants, stripping, patching, painting, cleaning, plumbing, electrical and mechanical work and all other incidental work necessary to complete the improvement in accordance with the Specifications.
ECONOMIC DEVELOPMENT STRATEGIC PLAN:
This project is a result of the City working closely with funding and regulatory agencies to support and improve our infrastructure.
FISCAL IMPACT:
None. Funds for this progress payment in the amount of $475,543.88 will be funded through allocated funds.
NOTICING PROCEDURE:
72 Hours posted notice pursuant to the Ralph M. Brown Act.
ATTACHMENTS
Housing PP#2
APPLICATION AND CERTIFICATE FOR PAYMENT
AIA DOCUMENT G702/CMa PAGE ONE OF 1 PAGES
To Contractor: Jermax Construction Inc. PROJECT: Housing Hawthorne APPLICATION NO: 2 Distribution to:
11275 San Fernando Rd 2058 W 120th st 3326 W 52nd St., Los Angeles, CA 90043 PERIOD TO: 9/1/2026 to 9/30/2026 OWNER San Fernando CA 91340 Hawthorne CA 90250 PROJECT NO: ARCHITECT FROM SUBCONTRACTOR: SUBMITTED DATE: 9/14/2026 X CONTRACTOR
CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, Application is made for payment, as shown below, in connection with the Contract. information and belief the Work covered by this Application for Payment has been Continuation Sheet, AIA Document G703, is attached. 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 payments received from the Owner, and that current payment shown herein is now due.
1. ORIGINAL CONTRACT SUM $ 1,989,160.00 CONTRACTOR:
2. Net change by Change Orders $ -
3. CONTRACT SUM TO DATE (Line 1 ± 2) $ 1,989,160.00
4. TOTAL COMPLETED & STORED TO DATE $ 837,432.50 By: ____________________________________________________________ Date: ___________________ (Column G on G703) State of: County of:
5. RETAINAGE: Subscribed and sworn to before me this day of a. 5 % of Completed Work $ 41,871.63 Notary Public:
(Column D + E on G703) My Commission expires:
b. 5 % of Stored Material $ -
(Column F on G703)
Total Retainage (Lines 5a + 5b or
Total in Column I of G703) $ 41,871.63
6. TOTAL EARNED LESS RETAINAGE $ 795,560.88
(Line 4 less Line 5 Total)
7. LESS PREVIOUS CERTIFICATES FOR $ 320,017.00
PAYMENT (Line 6 from prior Certificate)
8. CURRENT PAYMENT DUE $ 475,543.88
9. BALANCE TO FINISH, INCLUDING RETAINAGE $ 1,193,599.13 (Line 3 less Line 6)
CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS
Total changes approved in previous months by Owner $0.00 $0.00 Total approved this Month $0.00 $0.00
$0.00 $0.00
AIA DOCUMENT G702/CMa · APPLICATION AND CERTIFICATION FOR PAYMENT · CONSTRUCTION MANAGER-ADVISER EDITION · 1992 EDITION · AIA · ©1992 THE AMERICAN INSTITUTE OF ARCHITECTS, 1745 NEW YORK AVE., N.W., WASHINGTON, DC 20006-5292 $0.00
Totals:
Net Change by Change Order
915/2026
2 Use Column I on Contracts where variable retainage for line items may apply.
B. C. D. E. 9/1/2026 to 9/30/2026 H. I.
1 Paint Exterior Staircase Railing and Install new 2” wide safety walk step tape contrast to existing step color on all steps on outside staircases. $7,000.00 $ - $ - $ - 0.0% $ 7,000.00 $ - 2 Remove Existing Windows and Install New Windows as per specifications $2,500.00 $ - $ - $ - 0.0% $ 2,500.00 $ - 3 Remove and Replace All Entry Door Assembly $4,900.00 $ - $ - $ - 0.0% $ 4,900.00 $ - 4 Remove and Replace All Water Heater Enclosure
Doors $1,600.00 $ - $ - $ - 0.0% $ 1,600.00 $ -
5 Remove and Replace All
Individual Mailboxes $4,800.00 $ - $ - $ - 0.0% $ 4,800.00 $ - 6 Remove and Replace Perimeter wall $8,500.00 $ - $ - $ - 0.0% $ 8,500.00 $ - 7 Remove and Replace All Exterior Light Fixtures with New Motion Sensing Exterior Light Fixtures and all needed Equipment/Material (wiring, drywall
removal/replacement/patching and painting) $3,200.00
$ - $ - $ - 0.0% $ 3,200.00 $ -
8 Pest Control – interior and $5,000.00 $ - $ - $ - 0.0% $ 5,000.00 $ - 9 Clean Building Drain and Waste Piping, Remove and Replace all damaged drain and waste piping $10,500.00 $ - $ - $ - 0.0% $ 10,500.00 $ - 10 Remove and Replace all outdated Smoke Detectors and Monoxide Detectors $1,260.00 $ - $ - $ - 0.0% $ 1,260.00 $ - 11 Disconnect, Remove and Replace all Existing Old Wall Gas/Floor Heater with new wall heater $4,500.00 $ - $ - $ - 0.0% $ 4,500.00 $ - 12 General Drywall Repairs to all units $120,000.00 $ - $ - $ - 0.0% $ 120,000.00 $ - 13 Remove and Replace all Doorbells $300.00 $ - $ - $ - 0.0% $ 300.00 $ - 14 Repair all Electrical Wiring, Install New Electrical Receptacles & Switches, and Ground Fault Circuit Interrupter $3,000.00 $ - $ - $ - 0.0% $ 3,000.00 $ - 15 Replace All Ceiling Light Fixtures and install New Ceiling Fan/Light Fixtures in Common Rooms/Bedrooms. $3,500.00 $ - $ - $ - 0.0% $ 3,500.00 $ -
16 Install New Water Heater $10,500.00 $ - $ - $ - 0.0% $ 10,500.00 $ - 17 Kitchen: Remove and Replace all of the following - Drywall, Kitchen Cabinets, Countertops, Backsplash, Faucet, Sink, Garbage Disposal, Flooring, Under Sink Plumbing, Electrical System Wiring, Exhaust Range Hood, New Gas Range, Appliances and
Accessories. Patch Work and Painting to be included. $66,000.00 $ - $ - $ - 0.0% $ 66,000.00 $ -
18 Bathroom: Remove and Replace all of the following: Drywall, Exhaust Fan, Vanity/Mirror/Medicine Cabinet, Countertop, Faucet, Toilet, Tub/Shower, Shower Fixture, Flooring, Accessories, Light Fixture and Electrical System Wiring.
Patch Work and Painting to be included. $54,000.00
$ - $ - $ - 0.0% $ 54,000.00 $ -
19 Remove and Replace All Existing Interior Passage Doors and Install New Passage Doors $2,000.00 $ - $ - $ - 0.0% $ 2,000.00 $ - 20 Interior Paint – All Rooms $75,000.00 $ - $ - $ - 0.0% $ 75,000.00 $ - 21 Install New Vinyl Plank Flooring, Trim/Molding and Carpet Replacement (as needed) $90,000.00 $ - $ - $ - 0.0% $ 90,000.00 $ - 22 Remove and Replace All Window Coverings. Install New Window Coverings if None Existing. $23,400.00 $ 5,850.00 $ - $ 5,850.00 25.0% $ 17,550.00 $ 292.50 23 Pest Control – interior and exterior of building/units $5,000.00 $ - $ - $ - 0.0% $ 5,000.00 $ - 24 Clean Building Drain and Waste Piping, Remove and Replace all damaged drain and waste piping $10,500.00 $ 5,250.00 $ - $ 5,250.00 50.0% $ 5,250.00 $ 262.50 25 Remove and Replace all outdated Smoke Detectors and Monoxide Detectors $1,800.00 $ 450.00 $ - $ 450.00 25.0% $ 1,350.00 $ 22.50 26 Disconnect, Remove and Replace all Existing Old Wall Gas/Floor Heater with new wall heater $6,000.00 $ 1,500.00 $ - $ 1,500.00 25.0% $ 4,500.00 $ 75.00 27 Install Wall Heater – Dual Wall 50,000 BTU, Update Water Heater Connections $10,000.00 $ 2,500.00 $ - $ 2,500.00 25.0% $ 7,500.00 $ 125.00 28 General Drywall Repairs to all units $160,000.00 $ 40,000.00 $ - $ 40,000.00 25.0% $ 120,000.00 $ 2,000.00 29 Remove and Replace all
Doorbells $400.00 $ 100.00 $ - $ 100.00 25.0% $ 300.00 $ 5.00 30 Repair Electrical Wiring, Install New Electrical Receptacles & Switches, and Ground Fault Circuit Interrupter $3,000.00 $ 750.00 $ - $ 750.00 25.0% $ 2,250.00 $ 37.50 31 Replace All Ceiling Light Fixtures and install New Ceiling Fan/Light Fixtures in Common Rooms/Bedrooms. $4,200.00 $ 1,050.00 $ - $ 1,050.00 25.0% $ 3,150.00 $ 52.50 32 Install New Water Heater $10,000.00 $ 2,500.00 $ - $ 2,500.00 25.0% $ 7,500.00 $ 125.00 33 Kitchen: Remove and Replace all of the following - Drywall, Kitchen Cabinets, Countertops, Backsplash, Faucet, Sink, Garbage Disposal, Flooring, Under Sink Plumbing, Electrical System Wiring, Exhaust Range Hood, New Gas Range, Appliances and
Accessories. Patch Work and Painting to be included. $88,000.00 $ 22,000.00 $ - $ 22,000.00 25.0% $ 66,000.00 $ 1,100.00 34 Bathroom: Remove and Replace all of the following: Drywall, Exhaust Fan, Vanity/Mirror/Medicine Cabinet, Countertop, Faucet, Toilet, Tub/Shower, Shower Fixture, Flooring, Accessories, Light Fixture and Electrical System Wiring.
Patch Work and Painting to be included. $72,000.00
$ 18,000.00 $ - $ 18,000.00 25.0% $ 54,000.00 $ 900.00
35 Remove and Replace all existing interior passage doors and Install New Passage Doors $1,750.00 $ 437.50 $ - $ 437.50 25.0% $ 1,312.50 $ 21.88 36 Interior Paint – All Rooms $100,000.00 $ 25,000.00 $ - $ 25,000.00 25.0% $ 75,000.00 $ 1,250.00 37 Install New Vinyl Plank Flooring, Trim/Molding and Carpet Replacement (as needed) $135,000.00 $ 33,750.00 $ - $ 33,750.00 25.0% $ 101,250.00 $ 1,687.50 38 Remove and Replace All Window Coverings. Install New Window Coverings if None Existing. $37,500.00 $ 9,375.00 $ - $ 9,375.00 25.0% $ 28,125.00 $ 468.75 39 Remove and Replace existing decking on all floors. Including but not limited to removing and replacing all joists, ledgers, bridging, balustrade, weather/water proofing, metal flashing $83,500.00 $ 33,400.00 $ 20,000.00 $ - $ 53,400.00 64.0% $ 30,100.00 $ 2,670.00
TOTAL COMPLETED AND
STORED TO DATE (D+E+F) % (G/C) BALANCE TO FINISH (C-G) RETAINAGE 5%
ITEM
NO. WORK IN PLACE STORED
MATERIALS
WORK COMPLETED
CSI
NUMBER DESCRIPTION OF WORK SCHEDULED VALUE FROM PREVIOUS APPLICATION (D+E) G.
CONTINUATION SHEET AIA DOCUMENT G703
AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification is attached.
APPLICATION NUMBER:
APPLICATION DATE: 9/15/2026
In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 9/1/2026 - 9/30/2026 PROJECT NO:
A.
2 Use Column I on Contracts where variable retainage for line items may apply.
B. C. D. E. 9/1/2026 to 9/30/2026 H. I.
TOTAL COMPLETED AND
STORED TO DATE (D+E+F) % (G/C) BALANCE TO FINISH (C-G) RETAINAGE 5%
ITEM
NO. WORK IN PLACE STORED
MATERIALS
WORK COMPLETED
CSI
NUMBER DESCRIPTION OF WORK SCHEDULED VALUE FROM PREVIOUS APPLICATION (D+E) G.
CONTINUATION SHEET AIA DOCUMENT G703
AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification is attached.
APPLICATION NUMBER:
APPLICATION DATE: 9/15/2026
In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 9/1/2026 - 9/30/2026 PROJECT NO:
A.
40 Pest Control – interior and
exterior of building/units $5,000.00 $ 2,000.00 $ - $ 2,000.00 40.0% $ 3,000.00 $ 100.00 41 Clean Building Drain and Waste Piping, Remove and Replace all damaged drain and waste piping $10,500.00 $ 4,200.00 $ 4,200.00 $ - $ 8,400.00 80.0% $ 2,100.00 $ 420.00 42 Remove and Replace all outdated Smoke Detectors and Monoxide Detectors $2,700.00 $ 1,080.00 $ 1,080.00 $ - $ 2,160.00 80.0% $ 540.00 $ 108.00 43 Replace Wall Heater – Dual Wall 50,000 BTU $10,000.00 $ 4,000.00 $ 4,000.00 $ - $ 8,000.00 80.0% $ 2,000.00 $ 400.00 44 General Drywall Repairs to All Rooms $160,000.00 $ 64,000.00 $ 80,000.00 $ - $ 144,000.00 90.0% $ 16,000.00 $ 7,200.00 45 Remove and Replace all
Doorbells $400.00 $ - $ - $ - 0.0% $ 400.00 $ -
46 Repair Electrical Wiring, Install New Electrical Receptacles & Switches, and Ground Fault Circuit Interrupter $3,000.00 $ 1,200.00 $ 1,200.00 $ - $ 2,400.00 80.0% $ 600.00 $ 120.00 47 Replace All Ceiling Light Fixtures and install New Ceiling Fan/Light Fixtures in Common Rooms/Bedrooms. $5,250.00 $ 2,100.00 $ 2,100.00 $ - $ 4,200.00 80.0% $ 1,050.00 $ 210.00 48 Kitchen: Remove and Replace all of the following - Drywall, Kitchen Cabinets, Countertops, Backsplash, Faucet, Sink, Garbage Disposal, Flooring, Under Sink Plumbing, Electrical System Wiring, Exhaust Range Hood, New Gas Range, Appliances and
Accessories. Patch Work and Painting to be included. $88,000.00 $ 35,200.00 $ 35,200.00 $ - $ 70,400.00 80.0% $ 17,600.00 $ 3,520.00 49 Bathroom: Remove and Replace all of the following: Drywall, Exhaust Fan, Vanity/Mirror/Medicine Cabinet, Countertop, Faucet, Toilet, Tub/Shower, Shower Fixture, Flooring, Accessories, Light Fixture and Electrical System Wiring.
Patch Work and Painting to be included. $144,000.00
$ 57,600.00 $ 45,000.00 $ - $ 102,600.00 71.3% $ 41,400.00 $ 5,130.00 50 Interior Paint – All Rooms $100,000.00 $ 40,000.00 $ 40,000.00 $ - $ 80,000.00 80.0% $ 20,000.00 $ 4,000.00 51 Install New Vinyl Plank Flooring, Trim/Molding and Carpet Replacement (as needed) $180,000.00 $ 72,000.00 $ 72,000.00 $ - $ 144,000.00 80.0% $ 36,000.00 $ 7,200.00 52 Remove and Replace All Window Coverings. Install New Window Coverings if None Existing. $36,000.00 $ 14,400.00 $ 21,600.00 $ - $ 36,000.00 100.0% $ - $ 1,800.00 53 Remove and Replace All Existing Interior Passage Doors and Install New Passage Doors $3,000.00 $ 1,200.00 $ 1,200.00 $ - $ 2,400.00 80.0% $ 600.00 $ 120.00 54 Repair Trash Enclosure Metal Doors $2,500.00 $ 1,000.00 $ 1,000.00 $ - $ 2,000.00 80.0% $ 500.00 $ 100.00 55 Water Heater Room: New Drywall $1,500.00 $ 600.00 $ 600.00 $ - $ 1,200.00 80.0% $ 300.00 $ 60.00 56 Remove and Replace all New Windows and Replace All
Entry Door Assembly $6,000.00 $ 2,400.00 $ 2,400.00 $ - $ 4,800.00 80.0% $ 1,200.00 $ 240.00 57 Laundry Room: New Electrical Wiring, receptacles, switches, lights, exhaust fans, entry door assembly, new drywall,
painting and New Washer/Dryer units $1,200.00
$ 480.00 $ 480.00 $ - $ 960.00 80.0% $ 240.00 $ 48.00
58 $ - $ - $ - #DIV/0! $ - $ -
59 $ - $ - $ - #DIV/0! $ - $ -
60 $ - $ - $ - #DIV/0! $ - $ -
ORIGINAL CONTRACT TOTAL: $ 1,989,160.00 $ 336,860.00 $ 500,572.50 $ - $ 837,432.50 42.1% $ 1,151,727.50 $ 41,871.63 1 $ - $ - $ - $ - $ - #DIV/0! $ - $ -
2 $ - $ - $ - $ - $ - 0.0% $ - $ -
CHANGE ORDER TOTAL: $ - $ - $ - $ - $ - 0.0% $ - $ -
GRAND TOTALS: $ 1,989,160.00 $ 336,860.00 $ 500,572.50 $ - $ 837,432.50 42.1% $ 1,151,727.50 $ 41,871.63