3.5. SR 10-20-1997_.~y of
iver
**Item #3.5. a-g**
MEMORANDUM
TO:
FROM:
DATE:
SUBJECT:
Mayor & City Council
Lori Johnson, Asst. City Administrator/
Finance Director
October 20, 1997
Pay Estimates
Attached are copies of the Pay Estimates for each of the following projects.
The Pay Estimates have been approved by either the city engineer or
architect and construction manager as applicable.
CONTRACTOR
PAYMENT
REQUEST
Pay Estimate #6 - Northbound Liquor
Various (see attached detail)
Pay Estimate #13 - Ice Arena
M.A. Mortenson
$158,692.00
RETAINAGE
$44,510.00
$ 5,587.00 $23,281.00
This pay estimate will be held pending architect approval.
Final Pay Estimate - 185th Avenue
Bauerly Brothers, Inc. $ 37,468.93 released
This pay estimate will be held until the required final paperwork has been
received.
Pay Estimate it 1 - Macon Street~iverview Drive Improvements
C.W. Houle, Inc. $ 73,545.32 $10,750.81
Pay Estimate #1 - Hwy 169 Fencing and Lightin~
Collisys, Inc. $126,118.44 $ 6,637.81
13065 Orono Parkway · P.O. Box 490 · Elk River, MN 55330 · TDD & Phone: (612) 441-7420 · Fax: (612) 441-7425
Pa.¥ Estimate #1 - Hwy lO/Simonet Drive Turn Lane
Thomas & Sons, Inc. $157,736.84 $ 8,291.41
Pay Estimate #1 - Hw¥ lO/Proctor Intersection Improvements
Thomas & Sons, Inc. $19,731.40 $1,038.50
Action Requested
The City Council is asked to approve the Pay Estimates as listed above.
PROJECT APPLICATION AND PROJECT,CERTIFICATE FOR PAYMENT
AIA DOCUMENT G722/CMa (Instructions on reverse side)
PAGE ()NE (')F PAGES
TO
OWNE~(~iIy-- of Elk River
13065 Orono Parkway
Elk River, MN
Loft Johnson
ATTENTION:
PROJECT:
Northbound Liquors
19348 Evans Street NW
Elk River, MN 55330
APPLICATION NO.: Distribution to:
PERIOD TO: 06 r"l OWNER
PROJECT NOS,: 09/30/97 [] CONSTRUCTION
MANAGER
3460
[] ARCHITECT
PROJECT APPLICATION FOR PAYMENT
Application is made for Payment, as shown below, in connection with the Project. Project
Application Sumrnary, AIA Document G723/CMa, is attached.
1. TOTAL CONTRACT suMs (Item A Totals) $ 956,394
2. Total net changes by Changa Orders $ 48,989
(Item B Totals) 1,005,383
3. TOTAL CONTRACT SUM TO DATE (Item ~ Totals) $-
4, TOTAL COMPLETED & STORED TO DATE
(Item F Totals)
5. RETAINAGE (Item H Totals)
6. LESS PREVIOUS TOTAL PAYMENTS
(Item I Totals)
7. CURRENT PAYMENT DUE (Item J Totals)
914-817
44,510
711,615
158,692
The undersigned Construction Manager certifies that to the best of the Construction
Manager's know edge, information and belief this Project Application for Payment is an
accurate compilation of the Contractors' Applications for Payment, attached hereto.
CONSTRUCTION M Greystone Construction Company
10/1/97
B y: Date:
State of:
County of: Scott
Subscribed and sworn to before
me this 1 /%day o~ct°ber 1997 ....................
~~ ~. · ~OIAKY ~BLIC MINNE~TI )
PROJECT CERTIFICATE FOR PAYMENT
In accordance with the Contract Documents, based on on-site observations and the data
comprising this Application, the Construction Manager and Architect certify to the Owner
that to the best of their knowledge, information and belief the Work has progressed as
indicated, the quality of the Work is in accordance with the Contract Documents, and
the Contractors are entitled to payment of the AMOUNTS CERTIFIED.
158,692
TOTAL OF AMOUNTS CERTIFIED ................ $
Greystone Construction Company
CONSTRUCTION MAN~ 10/1/97
By: ' ~'~{,,~ -~ Date:
Tushie-Mon'tgomery & Associates, Inc.
ARCHITECT: ~'~~c..1t
By: Date:
This Certificate is not negotiable. The AMOUNTS CERTIFIED are payable only to the
Contractors named in AIA Document G723/CMa, attached. Issuance, payment and accep-
tance of payment are without prejudice to any rights of the Owner or the Contractors
under their Contracts.
AIA DOCUMENT G722./CMI · PROJECT APPLICATION AND PROJECT CERTIFICATE FOR PAYMENT · 1992 EDITION "AIA®
L~1992" THE AMERICAN INSTITUTE OF ARCHITECTS, {735 NEW YORK AVENUE, N.W:, WASHINGTON, D.C. 20006-5292
WARNING: Unllcen~ photocopying vlolat# U.S. oopyflght law~ and will ~ubj~-t the ~olator t~ legal p~ution.
G722/CMa-1992
Northbound Liquors Project Summary
19348 Evans Street NW Application No. 06
Elk River, MN 55330 Application Date 10/1/97 Period Ending 09~30/97
A B C D E F G H I J K L M
Bid Original Change Contract Work Stored Total Completed Current Balance Balance To
Pkg Contract Orders Sum In Place Materials and Stored to Retainage Retainage Previous Payment To Finish Incl
# Contractor's Name Sum To Date To Date To Date (Not D or I) Date (D+E) Percentage Amount Payments Due Finish % (G/C) Retainage
1 MSCConcrete, lnc. 211,230 $ 755 ~$ 211,985 $ 211,985 $ $ 211,985 5°/~ $ 10,598 $ 201,387 $ - $ 100.0% $ 10,598
2 Five StarWelding & Fabricating 79,500 $ 206 $ 79,706 $ 79,706 $ $ 79,706 5% $ 3,985 $ 74,765 $ 956 $ 100.0% $ 3,985
3 Julian M. Johnson Construction 94,800 $ 5,242 $ 100,042 $ 100,042 $ $ 100,042 5% $ 5,002 $ 71,242 $ 23,798 $ 100.0% $ 5,002
4 Anderson Mechanical, Inc. 88,749 $ 5,883 $ 94,632 $ 65,250 $ $ 65,250 5%! $ 3,263 $ 61,987 $ $ 29,382 69.0% $ 32,645
5 Reliance Electric, Inc. 74,971 $ 2,488 $ 77,459 $ 73,288 $ $ 73,288 5% $ 3,664 $ 55,000 $ 14,624 $ 4,171 94.6% $ 7,835
6 B&BSheetMetal&Roofing, ln 55,782 $ 343 $ 56,125 ;$ 56,125 $ $ 56,125 5% $ 2,806 $ 49,671 $ 3,648 $ 100.0% $ 2,806
7 GatewayACG, Inc 4~,080 $ 188 $ 44,268 I $ 44,268 $ $ 44,268 5% $ 2,213 $ 41,876 $ 179 $ 100.0% $ 2,213
8 Gopher State Contractors, Inc. 31,500 $ 3,461 $ 34,961 $ 30,488 $ $ 30,488 5% $ 1,524 $ 16,319 $ 12,645 $ 4,473 87.2% $ 5,997
9 R & H Drywall, Inc. 49,790 $ 7,520 $ 57,310 $ 54,445 $ $ 54,445 5% $ 2,722 $ 51,723 $ - $ 2,865 95.0% $ 5,587
10 Skillmans Painting, inc. 13,275 $ 476 $ 13,751 $ 13,751 $ $ 13,751 5% $ 688 $ 5,700 $ 7,363 ~$ 100.0% $ 688
11 Multiple Concept Interiors, Inc. 9,162 $ 397 $ 9,559 $ 9,559 $ $ 9,559 5% $ 477 $ 6,812 $ 2,270 $ 100.0% $ 477
12 Grazzini Brothers &Company 7,880 $ 405 $ 8,285 $ 8,285 $ $ 8,285 5% $ 414 $ 3,543 $ 4,328 $ 100.0% $ 414
13 Door Service of St. Cloud 10,497 $ $ 10,497 $ 10,497! $ $ 10,497 5% $ 525 $ 8,927 $ 1,045 $ 100.0% $ 525
14 HelminLandscaping 17,500 $ $ 17,500 $ 17,500 $ $ 17,500 5% $ 875 $ - $ 16,625 $ 100.0% $ 875
15 Schindler Elevator Corporation 22,950 $ 9,650!$ 32,600 $ 32,600 $ $ 32,600 5% $ 1,630 $ 26,093 $ 4,877 $ 100.0% $ 1,630
16 Molin Concrete Products Comp 24,545 $ $ 24,545 $ 24,545 $ $ 24,545 0% $ $ 24,545 $ $ 100.0% $
17 St Cloud Refrigeration -cooler $ 51,800 $ 11,975 $ 63,775 $ 15,000 $ $ 15,000 5% $ 750 $ $ 14,250 $ 48,775 23.5% $ 49,525
Sign Solutions - exterior
18 signage& reader board $ 25,315 $ $ 25,315 $ 25,315 $ $ 25,315 5% $ 1,266 $ 12,025 $ 12,024 $ 100.0% $ 1,266
Wellington Security - cctv, card
19 ac,'~&security $ 14,161 $ $ 14,161 $ 14,161 $ $ 14,161 ~5% $ 708 $ $ 13,453 $ 100.0% $ 708
Zroka Cabinet & Fixture Co. -
20 checkout cabinets $ 6,685 $ $ 6,685 $ 6,685 $ $ 6,685 5% I $ 334 $ $ 6,351 $ 100.0% $ 334
Frtiz Countertops, Inc -
21 checkout cerian tops $ 5,178 $ $ 5,178 $ 5,178 $ $ 5,178 5% $ 259 $ $ 4,919 $ 100.0% $ 259
Total Refrigeration Systems -
22 BOF cooler shelving $ 17,044 I$ $ 17,044 $ 16,144 $ $ 16,144! 5% $ 807 $ $ 15,337 $ 900 94.7% $ 1,707
$ 0 $ $ 0 $ $ $ 5% $ $ $ $ 0 0.0% $ 0
$ 0 $ $ 0 $ $ $ 5% $ $ $ $ 0 0.0% $ 0
TOTALS $ 956,394 $ 48,989 $ 1,005,383 $ 914,817 $ $ 914,817 $ 44,510 I$ 711,615 $ 158,692 $ 90,566! 91.0% $ 135,076
APPLICATION AND CERTIFICATION FOR PAYMENT .4I, t DOCUMENTG702 PAGEONEOF 2 PAGES
TO OWNER City of Elk River
13065 Orono Parkway
Elk River, Minnesota 55330
PROJECT: Elk River Ice Arena
Expansion
Elk River, Minnesota
FROM CONTRACTOR: VIA ARCHITECT: RSP Architects, Ltd.
M. A. Mortenson Company 120 First Avenue North
700 Meadow Lane North Minneapolis, MN 55401
Golden Valley, Minnesota 55422
CONTRACT FOR: Construction Management
APPLICATION NO: 13
PERIOD TO: 9/30/97
PROJECT NO: 951019
CONTRACT DATE May, 1996
Distribution to:
~]OWNER
[~-]ARCHITECT
[-'1'~ CONTRACTOR
CONTRACTOR'S APPLICATION FOR PAYMENT
Application is made for payment, as shown below, in connection with the Contract.
Continuation Sheet, AIA Document G703, is attached.
1. ORIGINAL CONTRACT SUM
2. Net change by Change Orders
3. CONTRACT SUM TO DATE (Line I :t: 2)
4. TOTAL COMPLETED & STORED TO
DATE (Column G on G703)
5. RETAINAGE:
a. % of Completed Work
(Column D + E on G703)
b. % of Stored Material
(Column F on G703)
Total Retainage (Lines 5a + 5b or
Total in Column I of G703)
6. TOTAL EARNED LESS RETAINAGE
(Line 4 Less Line 5 Total)
7. LESS PREVIOUS CERTIFICATES FOR
PAYMENT (Line 6 from prior Certificate)
8. CURRENT PAYMENT DUE
$
$
$ 2,288,204.00
$ 190,402.00
$ 2,478,606.00
$ 2,470,350.00
23,281.00
$ 23,281.00
$ 2,447,069.00
$ 2,441,482.00
$ 5;587!00
9. BALANCE TO FINISH, INCLUDING RETAINAGE $ 31,537.00
(Line 3 less Line 6)
CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS
Total changes approved
in previous months by Owner $181,063.00
Total approved this Month $9,339.00
TOTALS $190,402.00 $0.00
NET CHANGES by Change Order $190,402.00
The undersigned Contractor certifies that to the best of the Contractor's knowledge,
information and belief the Work covered by this Application for Payment has been
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.
CONTRACTOR:
M. A. Mortenson Company
By: Date: October 10, 1997
State off Minnesota
Subscribed and sworn to before me this 10th
Notary Public:
My Commission expires: January 31, 2000
County off Hennepin
day of October 1997
ARCHITECT'S CERTIFICATE FOR PAYMENT
In accordance with the Contract Documents, based on on-site observations and the data
comprising the application, the Architect certifies to the Owner that to the best of the
Architect's knowledge, information and belief the Work has progressed as indicated,
the quality of the Work is in accordance with the Contract Documents, and the Contractor
is entitled to payment of the AMOUNT CERTIFIED.
AMOUNT CERTIFIED ........... $
(Attach explanation if amount certified differs from the amount applied. Initial all figures on this
,4pplication and onthe Continuation Sheet that are changed to conform with the amount certified.)
ARCHITECT:
By: Date:
This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the
12ontraetor named here~n. Issuance, payment and acceptance ot payment are w~thout
prejudice to any rights of the Owner or Contractor under this Contract.
AIA DOCUMENT G702- APPLICATION AND CERTIFICATION FOR PAYMENT. 1992 EDITION. AIA · 01992 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE.. N.W., WASHINGTON, DC 20006-5292
Users may obtain validation of this document by requesting a completed AIA Document D401 - Certification of Document's Authenticity from the Licensee.
CONTINUATION SHEET DOCUMENT G703
Page 2 of 2 Pages
A1A Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 13
Contractor's signed certification is attached. APPLICATION DATE: 10/10/97
In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 9/30/97
Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO:
MAM INVOICE NO:
A B C D I E F G I
ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE
NO. VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G + C) TO FINISH (IF VARIABLE
APPLICATION STORED AND STORED (C - G) RATE)
(D + E) (NOT IN TO DATE
D OR E) (D+E+F)
I General Conditions $66,234.00 $55,145.00 $2,833.00 $0.00 $57,978.00 87.54% $8,256.00 $0.00
2 Ice Equipment $468,120.00 $468,120.00 $0.00 $0.00 $468,120.00 100.00% $23,281.00
3 General Construction $1,322,746.00 $1,322,746.00 $0.00 $0.00 $1,322,746.00 100.00% $0.00
4 Bleachers $55,070.00 $55,070.00 $0.00 $0.00 $55,070.00 100.00% $0.00
5 Electrical $175,631.00 $175,631.00 $0.00 $0.00 $175,631.00 ! 00.00~' $0.00
6 Mechanical $324,380.00 $324,380.00 $0.00 $0.00 $324,380.00 100.00% $0.00
999 Construction Manager Fee $62,325.00 $62,325.00 $0.00 $0.00 $62,325.00 100.00% $0.00
Chain Link Fencing $4,100.00 $4,100.00 $4,100.00 100.00% $0.00
GRAND TOTALS $2,478,606.00 $2,467,517.00 $2,833.00 $0.00 $2,470,350.00 99.67% $8,256.00 $23,281.00
Users may obtain validation of this document by requesting of the license acom deted AIA Document D401 - Certification of Document's Authenticity
AIA DOCUMENT G703 · CONTINUATION SHEET FOR G702 1992 EDITION · AIA · ~1992
THE AMI- '4 INSTITUTE OF ARCHITECTS. 1735 NEW YORK AVENUE, N.W. WASHINGTON. D C 20006-5232 '703-1 992
FINAL PAYMENT ESTIMATE
FROM:
TO:
CONTRACTOR:
ADDRESS:
OWNER:
PROJECT:
COMPLETION DATE
ORIGINAL:
REVISED:
NO. 8 (FINAL)
AUGUST 30, 1997
OCTOBER 6, 1997
BAUERLY BROTHERS, INC.
4787 SHADOWWOOD DRIVE, SAUK RAPIDS. MN 56379
CITY OF ELK RIVER, MINNESOTA
185TH AVENUE (230-277-30)
JULY 15, 1997
AMOUNT OF CONTRACT:
ORIGINAL: $ 666,711.10
REVISED: $ 671,829.40
SCHEDULE 1.0 INTER. OF TH 10 AND 185TH AVE (ROW OF TH 10) - TOTAL 0.00
SCHEDULE 2.0 185TH AVENUE (STAT 0+ 11 TO 7+00) - TOTAL 0.00
SCHEDULE 3.0 185TH AVENUE (STAT 7+00 TO 15+50) - TOTAL 0.00
SCHEDULE 4.0 STORM SEWER - TOTAL 0.00
SCHEDULE 5.0 SIGNAL SYSTEM - TOTAL 0.00
SCHEDULE 6.0 SANITARY SEWER - TOTAL 0.00
SCHEDULE 7.0 WATERMAIN - TOTAL 0.00
CHANGE ORDER NO. I -- TOTAL 5,122.30
EXTRA WORK - TOTAL 845.00
TOTAL TO DATE
71,464,14
135,985.55
85,198.17
130,419.95
125,597.00
30,257.35
50,790.35
5,122.30
1,165.00
n: ~clerical~230~230277#8 PAGE 5 230-27'/-30
PARTIAL PAYMENT F_~TIMATE
NO. 2
FROM: AUGU~'I' 29, 1997
TO: OCTOBER 6, 1997
CONTRACTOR: C.W. HOULE, INC.
ADDRESS: 1300 WEST COUNTY ROAD I, SHOREVIEW, MN 55126
OWNER: CITY OF ELK RIVER
PROJECT: 1997 MACON STREET/RIVERVIEW DRIVE STREET & UTILITY IMPROVEMENTS (230-365-20)
COMPLETION DATE AMOUNT OF CONTRACT:
ORIGINAL: SEPTEMBER 20, 1997 ORIGINAL: $ 280.000.00
REVISED: REVISED:
DESCRIPTION TOTAL THIS PERIOD TOTAL TO DATE
SCHEDULE 1.0 - SANITARY SEWER-TOTAL 552.00 62,548.02
SCHEDULE 2.0 - WATERMAIN-TOTAL 0.00 64,163.00
SCHEDULE 3.0 - STORM SEWER-TOTAL 0.00 11.441.00
SCHEDULE 4.0 - STREET IMPROVEMENTS-TOTAL 76,864.13 76,864.13
AMOUNT RETAINED i $3,870.81 ! $10,750.81
MATERIAL ON SITE ! $0.00 i $0.00
PREVIOUS PAYMENTS !*******************************************! $130,720.02
n:~clerical~230365/'2 PAGE 2
FROM:
TO:
PARTIAl PAYMENT ESllMATE
NO. 1
SEPTEMBER 15, 1997
OCTOSER 6, 1997
CONTRACTOR:
ADDRESS:
OWNER:
PROJECT:
COLLISYS, INC.
4990 NORTH HIGHWAY 69, NEVV HOPE, MN 55428
CITY OF ELK RIVER
TH 169 FENCING AND LIGHTING (230347M)
COMPLETION DATE AMOUNT OF CONTRACT:
ORIGINAL: MAY 30, 1998 ORIGINAL: $ 362,209.75
REVISED: REVISED:
I 2021.5 MOBILIZATION LS 1 7,500.00 0.50 3,750.00 0.50 3,750.00
2 2101.5 CLEARING AND GRUBBING LS 1 15,700.00 0.50 7,850.00 0.50 7,850.00
3 2545.5 LIGHTING UNIT TYPE 9-40 EA 62 1,221.00 0.00 0.00 0.00 0.00
4 2545.5 LIGHT BASE DESIGN E EA 62 350.00 0.00 0.00 0.00 0.00
5 2545.5 3" RIGID STEEL CONDUIT LF 920 19.90 1,415.00 28,158.50 1,415.00 28,158.50
6 2545.5 1.5" NON-METALLIC CONDUIT LF 16080 2.65 15,175.00 40,213.75 15,175.00 40,213.75
7 2545.5 UNDERGROUND WIRE 3 CONDUCTOR NO 4 LF 16350 2.45 0.00 0.00 0.00 0.00
8 2545.5 SERVICE CABINET SECONDARY TYPE L1 EA 5 2,101.00 0.00 0.00 0.00 0.00
9 2545.5 EQUIPMENT PAD B EA 5 350.00 0.00 0.00 0.00 0.00
10 2557.5 WIRE FENCF~ DESIGN 72-9322 LF 14539 6.80 7,250.00 49,300.00 7,250.00 49,300.00
11 2557.5 METAL BRACE ASSEMBLY (CHAIN LINK FENCE) EA 1453 5.85 40.00 234.00 40.00 234.00
12 2557.5 ELECTRICAL GROUND EA 11 55.00 0.00 0.00 0.00 0.00
13 563.60 TRAFFIC CONTROL LS 1 6,500.00 0.50 3,250.00 0.50 3,250.00
14 564.60 ZEBRA CROSSVVALK-WHITE POLY PREFORMED SF 1350 10.30 0.00 0.00 0.00 0.00
T TOTAL BID 132,756.25 132,756.25
TOTAL AMOUNT THIS PERIOD
TOTAL AMOUNT TO DATE
DESCRIPTION
TOTAL BID
132,756.25
TOTAL THIS PERIOD TOTAL TO DATE
132,756.25 132,756.25
AMOUNT EARNED $132,756.25 $132,756.25
AMOUNT RETAINED $6,637.81 $6,637.81
MATERIAL ON SITE $0.00 $0.00
MATERIAL DEDUCT. $0.00 $0.00
PRE~/IOUS PA~ENTB ......................................................... $121.00
NVlOUNT DUE $126,118.44 $126,118.44
132,756.25
n:~clericalL?30547# l PAGE I
FROM:
TO:
PARTIAL PAYMENT ESTIMATE
NO. I
SEPTEMBER 10, 1997
OCTOBER 2, 1997
CONTRACTOR:
ADDRESS:
OWNER:
PROJECT:
COMPLETION DATE
ORIGINAL:
REVISED:
THOMAS & SONS, INC.
13925 NORTHDALE BLVD., ROGERS, MN 55374
CITY OF ELK RIVER
S.P. 7102-88 (TH10:3)-TRUNK HIGHWAY 10 LEFT TURN LANE ONTO SIMONET DRIVE (230-325M)
OCTOBER 31, 1997
AMOUNT OF CONTRACT:
ORIGINAL: $ 319,272.60
REVISED:
DESCRIPTION TOTAL THIS PERIOD TOTAL TO DATE
BID TOTAL: 165,828.25 165,828.25
AMOUNT EARNED ! $165,828.25 I $165,828.25
AMOUNT RETAINED i $8,291.41 I $8,291.41
MATERIAL DEDUCT. ! $0.00 ! $0.00
PREVIOUS PAYMENTS l******************************************** Si) O0
n:\clerical\230325# l PAGE 2
FROM:
TO:
PARTIAL PAYMENT ESTIMATE
NO. 1
SEPTEMBER 11, 1997
OCTOBER 2, 1997
CONTRACTOR:
ADDRESS:
OWNER:
PROJECT:
THOMAS & SONS, INC.
13925 NORTHDALE BLVD., ROGERS, MN 55374
CITY OF ELK RIVER
PROCTOR AVENUE AND TH 10 INTERSECTION IMPROVEMENTS (230-213)
COMPLETION DATE AMOUNT OF CONTRACT:
ORIGINAL: OCTOBER 11, 1997 ORIGINAL: $ 106,987.25
REVISED: REVISED:
DESCRIPTION
SCHEDULE 1.0 STREET CONSTRUCTION - TOTAL
TOTAL THIS PERIOD TOTAL TO DATE
20,769.90 20,769.90
AMOUNT EARNED I $20,769.90 I $20,769.90
AMOUNT RETAINED I $1,038.50I $Ii~15~
PREVIOUS PAYMENTS I*******************************************! $0.00