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4.7. SR 02-18-2020 Request for Action To Item Number Mayor and City Council 4.7 Agenda Section Meeting Date Prepared by Consent February 18, 2020 Jenna Fabish P.E., Assistant City Engineer Item Description Reviewed by Pay Estimate Justin Femrite P.E., Public Works Director Reviewed by Cal Portner, City Administrator Action Requested Approve, by motion, the pay estimate detailed below. Background/Discussion The following pay estimate has been reviewed and found to be accurate and in accordance with the approved contracts. Financial Impact P ROJECT Pay Est. # Contractor Amount Multi-purpose Facility & Lions Park 7-Partial RJM Construction LLC $3,296,133.64 Attachments  Pay Estimates The Elk River Vision A welcoming community with revolutionary and spirited resourcefulness, exceptional service, and community engagement that encourages and inspires prosperity J �1�. / I kI z-1 O- - V may. =� �UA IM Document G702 � 1992 City of Elk River Publ'�orks Director Date Code: 420-4-8540-4520 Application and Certificate for Payment TO OWNER: City of Elk River PROJECT: Attn: Justin Femrite Elk River Multi -Purpose Facility and Lion John Weicht Park APPLICATION NO: 007-9520003307 Distribution to: 13065 Orono Parkway 1000 School Street NW PERIOD TO: OWNER ❑ Elk River, MN 55330 Elk River, MN 55330 ARCHITECT: 19 FROM RIM Construction VIA 292 Design Group, Inc CONTRACT FOR: General Construction CONTRACT DATE: CONTRACTOR: ❑ CONTRACTOR: 830 Boone Avenue North ARCHITECT: 3533 East Lake Street PROJECT NOS: / RJM Construction, FIELD: ❑ Golden Valley, MN 55427 Minneapolis, MN 55406 LLC / OTHER : ❑ CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for payment, as shown below, in connection with the Contract. Continuation Sheet, AIA Document 0703, is attached. 1.ORIGINAL CONTRACT SUM ..,„.„_._...,...»,» $25.772 57.00 2. NET CHANGE BY CHANGE ORDERS,.,.„,...»....„......».........................»....„...... $398,559.40 3. CONTRACT SUM TO DATE (Line 1 t 2)..».».....................».....»»»,.....».» ....... $26.170,816.40 4. TOTAL COMPLETED & STORED TO DATE (Column G on G703) .„_ ...„„. ,., S13,419,145.49 5. RETAINAGE: a. 4.60 % of Completed Work (Column D + E on 4G703) h. 0 % of Stored Material 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, thatall amounts .have been paid by the Contractor for Work for which previous Certificates for Payment were; issued and payments receive�he,Owner, and that current payment shown herein is now due. CONTRACTOR: By: State of .,", S County ofx.... Subscribedawoy to L.-t aay 01 Via, (Column F on G703) $0.00 Notary Public: ) Total Retainage (Lines 5a + 5b or Total in Column I of G703) ». .„. „„. $617,565.64 MY Commission 6. TOTAL EARNED LESS RETAINAGE ..„....„....._......„,,..,»„„»„,»„».,S 12,800,579.85 (Line 4 Less Line 5 Total) 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT .».»„..„.„.».,..,......_»S9.504;446.21 (Line 6 from prior Certificate) 8. CURRENT PAYMENT DUE .......... ........„......... »........................ .,........... .... S3,296.133.64 9. BALANCE TO FINISH, INCLUDING RETAINAGE (Line 3 less Line 6) S 13,370,236.55 CHANGE ORDER SLNIIvIARY ADDITIONS DEDUCTIONS Total changes approved in previous months by Owner S410,520.4 S11,961.06 Total approved this Month $0.0 S0.00 TOTALS $410,520.4 $11,%1.06 NET CHANGES by Change Order $398,559.40 Date: Z-- !J" Z Q GMDpJrR Public 4i!lnesota ARCHITECT'S CERTIFICATE FOR PAYMENT "y"`"`� In accordance with the Contract Documents, based on on -site observations and the data comprising this 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 ...„...».„..»„.» ». »,.,,,.»,.,,,.„»»». S3.296.133.64 (Attach explanation if amount certified differs front the amount applied Initial all figures on this Application and on the 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 Contractor named herein. issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. AIA Document G702*" —1992. Copyright C 1953.1963,1965,1971,1978.1983 and 1992 by The American Institute of Architects. All rights reserved. WARNING: This AIAe Document is protected by U.S. Copyright Law and Irnarnational Treades. Unauthorized reproduction a•r distribution of this AIAs Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent passible undar the law. This document was produced by AIA software at 1424:15 ET on OZi0=20 under Order No. 6898725W which expires on 0810802020, and is not for resale. User Notes: (389ADA60) CONTINUATION SHEET Page 2of3 Application and Certification for Payment, containing Application No.: 7 Contractor's signed certification is attached. Application Date : 01/31/20 In tabulations below, amounts are stated to the nearest dollar. To: 01131120 Use Column I on Contracts where variable retainage for line items may apply Architect's Project No.: Invoice # : 9520003307 Contract: 19520-0033 Elk River Multi -Purpose Facility and Lion John Weicht Park A_ Item B C _ D E F Materials G Total H Description of Work Scheduled Work ComMeted % Balance Retainage No. Value From Previous This Period Presently Completed (G 1 C) To Finish Application In Place Stored and Stored (C-G) (D+E) To Date Not in D or E D+E+F 1 Elk River MultimPurpose Facility and 0.00 0.00 0.00 0.00 0.001 0.00% 0.00 0.00 Lion John Weicht Park 1A Final Cleaning 80,651.00 0.00 0.00 0.00 0.00 0.00% 80,651.00 0.00 1 B Survey 41,280.00 11,309.00 0.00 0.00 11,309.00 27.40% 29,971.00 565.45 2A Building Demolition 169,158.51 162,199.51 0.00 0.00 162,199.51 95.89% 6,959.00 8,109.98 2B Selective Demolition 223,800.00 7,019.00 3,474.00 0.00 10,493.00 4.69% 213,307.00 524.65 3C Concrete Floor Finishes 104,390.00 0.00 0.00 0.00 0.00 0.00% 104,390.00 0.00 4A Masonry Systems 2,975,825.00 1,449,564.00 641,912.28 0.00 2,091,476.28 70.28% 884,348.72 104,573.81 5A Structural Material 1,333,893.51 1,084,189.00 0.00 0.00 1,084,189.00 81.28% 249,704.51 54,209.45 5B Structural Labor 433,051.85 215,217.00 12,984.00 0.00 228,201.00 52.70% 204,850.85 11,410.05 6A Carpentry 1,282,254.53 139,354.07 51,365.25 0.00 190,719.32 14.87% 1,091,535.21 9,535.97 7A Waterproofing&WB 38,902.00 20,132.00 0.00 0.00 20,132.00 51.75% 18,770.00 1,006.60 7B Roofing Systems 1,026,478.00 473,375.00 407,605.00 0.00 880,980.00 85.83% 145,498.00 44,049.00 7C Metal Wall Panel 191,460.00 0.00 0.00 0.00 0.00 0.00% 191,460.00 0.00 8A Aluminum Entrances/Storefronts 644,100.00 24,168.00 0.00 0.00 24,168.00 3.75% 619,932.00 1,208.40 8B Overhead Coiling and Sectional 53,260.00 0.00 0.00 0.00 0.00 0.00% 53,260.00 0.00 Doors 9A Gypsum Board 332,608.52 6,000.00 0.00 0.00 6,000.00 1.80% 326,608.52 300.00 9B Tiling 138,480.00 0.00 0.00 0.00 0.00 0.00% 138,480.00 0.00 9C Acoustical Ceilings 134,305.00 2,250.00 0.00 0.00 2,250.00 1.68% 132,055.00 112.50 9D Flooring 103,900,00 0.00 0.00 0.00 0.00 0.00% 103,900.00 0.00 9E Painting 416,750.00 5,000.00 29,000.00 0.00 34,000.00 8.16% 382,750.00 1,700.00 10A Signage 50,340.00 0.00 0.00 0.00 0.00 0.00% 50,340.00 0.00 11A Athletic Equipment 173,574.91 0.00 41,987.50 0.00 41,987.50 24.19% 131,587.41 2,099.38 11 B Concessions 101,740.00 0.00 0.00 0.00 0.00 0.000/0 101,740.00 0.00 12A Roller Shades 27,886.00 0.00 0.00 0.00 0.00 0.00% 27,886.00 0.00 13B Ice Rink Systems 2,162,742.00 549,800.00 349,942.00 0.00 899,742.00 41.60% 1,263,000.00 44,987.10 13C Leg Truss System 125,797.00 125,797.00 0.00 0.00 125,797.00 100.000/0 0.00 6,289.85 14A Elevators 79,500.00 39,750.00 0.00 0.00 39,750.00 50.00% 39,750.00 1,987.50 21A Fire Protection 268,440.00 104,181.00 56,997.00 0.00 161,178.00 60.04% 107,262.00 8,058.91 22A Plumbing Systems 1,240,156.00 304,733.00 127,379.00 0.00 432,112.00 34.84% 808,044.00 21,605.60 23A HVAC 1,830,949.93 82,736.00 878,904.00 0.00 961,640.00 52.52% 869,309.93 48,082.00 26A Electrical Systems 1,754,106.86 243,992.07 45,000.00 0.00 288,992.07 16.48% 1,465,114.79 14,449.60 31A Multipurpose Earthwork 658,171.30 399,479.00 58,526.00 0.00 458,005.00 69.59% 200,166.30 22,900.25 CONTINUATION SHEET Page 3of3 Application and Certification for Payment, containing Application No.: 7 Contractor's signed certification is attached. Application Date : 01/31/20 In tabulations below, amounts are stated to the nearest dollar. To: 01131120 Use Column I on Contracts where variable retainage for line items may apply. Architect's Project No.: Invoice # : 9520003307 Contract: 19520.0033 Elk River Multi -Purpose Facility and Lion John Weicht Park A I B Description of Work C Scheduled ' D Work Completed E F Materials G Total % H Balance I Retainage Item No. Value From Previous This Period Presently Completed (G 1 C) To Finish Application In Place Stored and Stored (C-G) (D+E) To Date Not in D or E D+E+F 31B Lions Earthwork 519,672.62 468,119.77 3,570.00 0.00 471,689.77 90.77% 47,982.85 23,584.49 32A Asphalt Paving 331,364.00 120,225.00 0.00 0.00 120,225.00 36.28% 211,139.00 6,011.25 32B Concrete/Sidewalk/Curb/Gutter 384,854.93 49,045.58 0.00 0.00 49,045.58 12.74% 335,809.35 2,452.28 32C Multipurpose Landscaping 39,800.00 0.00 0.00 0.00 0.00 0.00% 39,800.00 0.00 32D Lions Landscaping 96,500.00 0.00 0.00 0.00 0.00 0.00% 96,500.00 0.00 32E Chain Link Fence 145,543.00 60,615.75 0.00 0.00 60,615.75 41.65% 84,927.25 3,030.79 33A Utilities 619,037.15 603,128.00 0.00 0.00 603,128.00 97.43% 15,909.15 30,156.40 3B.1 Precast Concrete 1,190,000.00 949,000.00 181,500.00 0.00 1,130,500.00 95.00% 59,500.00 56,525.00 3B.2 Precast Concrete 950,000.00 438,609.05 441,896.95 0.00 880,506.00 92.68% 69,494.00 44,025.30 3B.3 Precast Raker/Plank/Stadia 1,060,925.00 636,555.00 0.00 0.00 636,555.00 60.009/6 424,370.00 31,827.75 01-00 General Conditions/Requirements 1,124,607.39 669,857.14 70,886.33 0.00 740,743.47 65.87% 383,863.92 0.00 90-50 General Liability Insurance 262,693.11 262,693.11 0.00 0.00 262,693.11 100.00% 0.00 0.00 90-60 Construction Contingency 706,545.21 0.00 0.00 0.00 0.00 0.00% 706,545.21 0.00 90-70 Value Engineering 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 90-80 Builders Risk Insurance 63,396.38 63,396.38 0.00 0.00 63,396.38 100.009/6 0.00 0.00 99-99 Contractors Fee 477,925.69 I 180,772.56 62,954.19 0.00 243,726.75 51.00% 234,198.94 12,186.33 Grand Totals 26,170,816.40 9,952,261.99 3,465,883.50 0.00 13,418,145.49 51.27% 12,752,670.91 617,565.64 INVOICE Frow: R.IM Construction, LLC invoice: 9520003307 830 Boone Ave North Invoice dare: 01/31120 Golden Valley, MN 55427 Due Date: 03/01/20 952-837-8600 Disc Dare: TO: City of Elk River Attn: Justin Femrite 13065 Orono Parkway Elk River, MN 55330 Contract: 19520-0033 Eli. RIVQF Multi Purpose Facility arld Lion Sohn Welch, Park Selective Demolition SUBCONTRACTS Ebert Construction Demolition Inv# 195200033-02-2E 3,474.00 Total SUBCONTRACTS 3,474.00 Selective Demolition Sub -Total: 3,474.00 Masonry Systems MATERIAL PURCHASES CenterPoint Energy-Minnegasco Inv# 11171452-3 221.04 Tioga Air Heaters, LLC 82523 18,096.98 Tioga Air Heaters, LLC 82532 1,181.13 Tioga Air Heaters, LLC 82536 322.13 RJM Construction, LLC 202001-19 300.00 Total MATERIAL PURCHASES 20,121.28 SUBCONTRACTS Crosstown Masonry, Inc. Concrete/Masonry Inv# 195200033-06 621,791.00 Total SUBCONTRACTS 621,791.00 Masonry Systems Sub -Total: 641,912.28 Structural Labor SUBCONTRACTS High Five Erectors II, Inc Structural Steel Erection Inv# 22504 12,984.00 Total SUBCONTRACTS 12,984.00 Structural Labor Sub -Total: 12,984.00 Carpentry MATERIAL PURCHASES Home Depot Credit Services Inv# 20200112 1,117.48 Shaw/Stewart Lumber Co. 869858-001 564.46 Shaw/Stewart Lumber Co. 870533-001 347.36 Shaw/Stewart Lumber Co. 874320-001 579.51 Veit Disposal Systems 574372 610.00 Veit Disposal Systems 574749 1,160.00 Veit Disposal Systems 575093 275.00 Viking Industrial Center 3183754 105.72 RJM Construction, LLC 201912-46 750.00 RJM Construction, LLC 201912-63 420.00 RJM Construction, LLC 202001-19 60000 United Rentals (North America), Inc. 177215548-001 2,687.17 United Rentals (North America), Inc. 177215548-002 2,530.75 Total MATERIAL PURCHASES 11,747.45 SUBCONTRACTS INVOICE From: RJM Construction, LLC Invoice: 9520003307 830 Boone Ave North Invoice Date: 01131120 Golden Valley, MN 55427 Due Dare: 03/01/20 952-837-8600 Disc Dare: To: City of Elk River Attn: Justin Fernrite 13065 Orono Parkway Elk River, MN 55330 Contract : 19520-0033 Elk River Muiti Purpose Facility and Lion John Weicht Park Carpentry SUBCONTRACTS Ebert Construction Carpentry Inv# 195200033-03-61 20,385.00 Total SUBCONTRACTS 20,385.00 LABOR Carpenters Regular Earnings 144 00 HRS @ 83.90 12,081.60 Lead Carpenter Regular Earnings 48.00 HRS @ 84.90 4,075.20 Laborer Regular Earnings 40.00HRS @ 76.90 3,076.00 Total LABOR 19,232.80 Carpentry Sub -Total: 51,365.25 Roofing Systems MATERIAL PURCHASES Site Specific Services LLC Inv# 195200033-01 10,750.00 Total MATERIAL PURCHASES 10,750.00 SUBCONTRACTS Top -All Roofing, Inc. Roofing Inv# 195200033-03 396,855.00 Total SUBCONTRACTS 396,855.00 Roofing Systems Sub -Total: 407,605.00 Painting SUBCONTRACTS Sunrise Painting 8 Wallcovering, Inc. Painting Inv# 58164 29,000.00 Total SUBCONTRACTS 29,000.00 Painting Sub -Total: 29,000.00 Athletic Equipment SUBCONTRACTS Peterson Companies, Inc. Athletic Equipment Inv# 41497 41.987.50 Total SUBCONTRACTS 41,987.50 Athletic Equipment Sub -Total: 41,987.50 Ice Rink Systems SUBCONTRACTS Rink-Tec International, Inc. Ice Systems Inv# 195200033-06 349,942.00 Total SUBCONTRACTS 349,942.00 Ice Rink Systems Sub -Total: 349,942.00 Fire Protection SUBCONTRACTS Summit Companies Fire Protection Inv# 195200033-05 56,997.00 Total SUBCONTRACTS 56,997.00 INVOICE From: RJM Construction, LLC Invoice: 9520003307 830 Boone Ave North Invoice Dare: 01/31120 Golden Valley, MN 55427 Due Date: 03/01/20 952-837-8600 Disc [late: To: City of Elk River Attn: Justin Femrite 13065 Orono Parkway Elk River, MN 55330 Contract : 19520-0033 Elk River MultiwPurpose Facility and Lion John Weicht Park Fire Protection Sub -Total: 56,997.00 Plumbing Systems SUBCONTRACTS Weidner Plumbing & Heating Co. Plumbing Inv# 195200033-06 127,379.00 Total SUBCONTRACTS 127,379.00 Plumbing Systems Sub -Total: 127,379.00 HVAC SUBCONTRACTS Sentra-Sots Sheet Metal Inc. HVAC Inv# 195200033-05 878,904.00 Total SUBCONTRACTS 878,904.00 HVAC Sub -Total: 878,904.00 Electrical Systems SUBCONTRACTS Design Electric, Inc Electrical Inv# 195200033-05 45,000.00 Total SUBCONTRACTS 45,000.00 Electrical Systems Sub -Total: 45,000.00 Multipurpose Earthwork SUBCONTRACTS Minnesota Utilities & Excavating, LLC Multipurpose Earthwork Inv# 195200033-07 58,526.00 Total SUBCONTRACTS 58,526.00 Multipurpose Earthwork Sub -Total: 58,526.00 Lions Earthwork SUBCONTRACTS Minnesota Utilities & Excavating, LLC Geogrid Inv# 195200033-07 3,570.00 Total SUBCONTRACTS 3,570.00 Lions Earthwork Sub -Total: 3,570.00 Precast Concrete SUBCONTRACTS Fabcon Precast, LLC 03B.1 Precast Wall Panels Inv# 40516 0.00 03B.1 Precast Wall Panels 40603 181,500.00 Total SUBCONTRACTS 181,500.00 Precast Concrete Sub -Total: 181,500.00 Precast Concrete SUBCONTRACTS Wells Concrete Products 03B.2 Precast Wall Panels Inv# 001036 441,896.95 Total SUBCONTRACTS 441,896.95 From: RJM Construction, LLC Invoice: 9520003307 830 Boone Ave North Invoice Aare., 01/31/20 Golden Valley, MN 55427 Due Date: 03/01120 952-837-8600 Disc Dare: To: City of Elk River Attn: Justin Femrite 13065 Orcno Parkway Elk River, MN 55330 Contract . 19520 0033 Elk River hiuIIFPerpose ll;y and Lion Jahn Weicht Park Precast Concrete Sub -Total: 441,896.95 General Conditions/Requirements MATERIAL PURCHASES Spee Dee Delivery Service Inv# 3910243 12.24 Action Fence Inc. 19826 965.00 Premium Waters, Inc. 853364-12-19 30.71 Priority Courier Experts 1245824 45.88 Priority Courier Experts 1252534 40.52 RJM Construction, LLC 202001-03 30.00 RJM Construction, LLC 202001-19 875.00 Biffs Inc. 879179 1,449.56 Biffs Inc. 879242 1,610.63 Biffs Inc. 879274 1,449.56 Biffs Inc. 879322 1,449.56 Biffs Inc. 879361 2,738.06 Biffs Inc. 879368 1,449.56 Biffs Inc. 879412 1,718.00 Biffs Inc. W749342 382.61 Biffs Inc W749346 126.11 Biffs Inc. W751920 382.61 Biffs Inc. W751923 126.11 WEX Bank 63506139 440.34 Verizon Wireless 9846824284 182.11 Tom Druk EXP 01/31/20 407.16 Total MATERIAL PURCHASES 15,911.33 PICKUP TRUCK 1,008.00 Total PICKUP TRUCK 1,008.00 LABOR General Superintendent Regular Earnings 25.00HRS @ 114.90 2,872.50 Quality Assurance & Control Regular Earnings 8.00HRS @ 114.90 919.20 Safety Manager Regular Earnings 2.00HRS @ 106.40 212.80 Safety Regular Earnings 9.00HRS @ 114.90 1,034.10 Superintendent Regular Earnings 204.00 HRS @ 109.90 22,419.60 Laborer Regular Earnings 6.00HRS @ 76.90 461.40 Laborer Foreman Regular Earnings 22.00HIRS @ 80.90 1,779.80 BIM Coordinator Regular Earnings 2.00HRS @ 97.40 194.80 MEP Engineer Regular Earnings 1.00HRS @ 80.40 80.40 Project Administrator Regular Earnings 15.00HRS @ 56.40 846.00 Project Engineer Regular Earnings 176.00HRS @ 80.40 14,150.40 Project Executive Regular Earnings 65.00HRS @ 138.40 8,996.00 INVOICE From: RJM Construction, LLC Invoice: 9520003307 830 Boone Ave North Invoice Date: 01131/20 Golden Valley, MN 55427 Due Date: 03101120 952-837-8600 Disc Date: to: City of Elk River Attn: Justin Femrite 13065 Orono Parkway Elk River. MN 55330 Contract : 19520.0033 Elk River Multi -Purpose Facility and Lion John Weicht Park Contractors Fee CONTRACTOR'S FEE Total LABOR General Conditions/Requirements Sub -Total: Contractors Fee Sub -Total: 53,967.00 70,886.33 62,954.19 62.954.19 INVOICE Summary 2B Selective Demolition 3,474.00 Retainage 3,465,883.50@ 5.00% (173.70) 4A Masonry Systems 641,912.28 Retainage 3,465,883.50@ 5.00% (32,095.61) 5B Structural Labor 12,984.00 Retainage 3,465,883.50@ 5.00% (649.20) 6A Carpentry 51,365.25 Retainage 3,465,883.50@ 5.00% (2,568.26) 7B Roofing Systems 407,605.00 Retainage 3,465,883.50@ 5.00% (20,380.25) 9E Painting 29,000.00 Retainage 3,465,883.50@ 5.00% (1,450.00) 11AAthletic Equipment 41,987.50 Retainage 3,465,883.50@ 5.00% (2,099.38) 13B Ice Rink Systems 349,942.00 Retainage 3,465,883.50@ 5.00% (17,497.10) 21A Fire Protection 56,997.00 Retainage 3,465,883.50@ 5.00% (2,849.85) 22A Plumbing Systems 127,379.00 Retainage 3,465,883.50@ 5.00% (6,368.95) 23A HVAC 878,904.00 Retainage 3,465,883.50@ 5.00% (43,945.20) 26A Electrical Systems 45,000.00 Retainage 3,465,883.50@ 5.00% (2,250.00) 31A Multipurpose Earthwork 58,526.00 Retainage 3,465,883.50@ 5.00% (2,926.30) 31 B Lions Earthwork 3,570.00 Retainage 3,465,883.50@ 5.00% (178.50) 36.1 Precast Concrete 181,500.00 Retainage 3,465,883.50@ 5.00% (9,075.00) 36.2 Precast Concrete 441,896.95 Retainage 3,465,883.50@ 5.00% (22,094.85) 01-00 General Conditions/Requirements 70,886.33 Retainage 3,465,883.50@ 0.000/0 0.00 99-99 Contractors Fee 62,954.19 Retainage 3,465,883.50@ 5.00% (3,147.71) CURRENT DUE: 3,296,133.64 APPLICATION AND CERTIFICATE FOR PAYMENT Page 1 of 2 SUBMITTED TO: RJM Construction, LLC PROJECT: Elk River Multi Purpose Facility & John Lion Weicht Park APPLICATION NO: 2 830 Boone Avenue North APPLICATION DATE: 1/20/2020 Golden Valley, MN 55427 PERIOD FROM: 1/1/2020 SUBMITTED FROM: Ebert Inc dba Ebert Construction ARCHITECT: CONTRACT FOR: 2B: Demolition CONTRACT NO I hereby certify that the work performed and the material supplied to date, as shown here, represent the actual value of accomplishment under the terms of the contract (and all authorized changes hereto) between the undersigned and RJM Construction relating to the above - referenced project. I further certify that no labor or materials have been supplied under contracts, agreements, verbal or written, or any other arrangement of any type whatsoever, other than the contract duly authorized and executed change orders, and the undersigned does hereby releases RJM Construction from any claim or liability therefor for the period covered by this application. I also certify that payments, less applicable retention, have been made through the period covered by previous payments received from the contractor to 1) all my subcontractors (sub -subcontractors) and 2) for all material and labor used in or in connection with the performance of this contract. I further certify that I have complied with Federal, State, and local tax laws, including Social Security laws, Unemployment Compensation Laws and Workman's Compensation laws insofar as applicable to the performance this contract. PARTIAL WAIVER OF LIEN Now therefore, upon receipt of the payment of the current payment due on this application the undersigned does hereby irrevocably release and waive any and all mechanic's liens or rights to claim any and all mechanic's liens or other liens against the above real estate or any part thereof for any of the materials and/or labopr therefore furnished or performed in connection with this project, reserving, however, all lien rights for labor and/or materials furnished after said date. 292 Design Group PERIOD TO: 1/31/2020 PROJECT NO: CONTRACT DATE: 7/10/2019 COMMITMENT: Yes ORIGINAL CONTRACT SUM.................................................................. $ 223,800.00 NET CHANGE BY CHANGE ORDERS TO ................................................ $ (3,866.00) CONTRACT SUM TO DATE................................................................... $ 219,934.00 TOTAL COMPLETED AND STORED TO DATE .......................................... $ 8,253.00 5 % OF COMPLETED WORK $ 412.65 5 % OF STORED MATERIAL $ - TOTAL RETAINAGE............................................................................ $ 412.65 TOTAL EARNED LESS RETAINAGE....................................................... $ 7,840.35 LESS OWNER DIRECT PAYMENT BY PURCHASE ORDER ........................ $ LESS PREVIOUS CERTIFICATES FOR PAYMENT .................................... $ 4,540.05 CURRENT PAYMENT DUE.................................................................... $ 3,300.30 BALANCE TO FINISH INCLUDING RETAINAGE........................................ $ 212,093.65 State of: Minnesota The person signing below does hereby cerify that he/she is fully authorized and empowered to execute this instrument and to bind the undersigned hereto, and does in fact so execute this County of: Hennepin instrument. Subscribed and sworn to before me this Ebert Inc dba Ebert Construction SIGNED: PRINTED, TITLE John Redepenning - Project Manager 20th day of January 1 20 20 NOTARY PUTC: Signed: ` 6 My Commission Expires: 31 CANDACE LEE GREEN NOTARY PUBLIC MINNESOTA My 31. 2022 From PLEASE SUBMIT PAYMENT APPLICATIONS TO: ACCOUNTING-MN@RJMCONSTRUCTION.COM To: RJM Construction, LLC 830 Boone Avenue North Golden Valley, MN 55427 Schedule of Values, Invoice No. Appl. No.: #2 Appl. Date: 01/20/20 From: Ebert Construction To: RJM Construction ITEM NO. DESCRIPTION CURRENT CONTRACT $9,888 00 CURRENT APPLICATION TOTAL PREVIOUS WORKIN FIMATERL. APPS. APPS. PLACE ON SITE TO DATE $1,979.00 $680.00 $2,659.00 PERCENT COMPLETE 26.89 BALANCE TO COMPLETE $7 229.00 RETAIN TO DATE $132.95 1 General Conditions / Bond 2 Selective Demolition $193,912.00 $2,800.001 $3 866.00 I $6 666.00 3.44 $187 246.00 $333.30 3 Allowance $20,000.00 $2,794.000 $2,794.00 13.97 $17,206.00 $139.70 4 Chan rOrder#1 -$3,866.00 -$3,866.000 -$3,866.00 100 -$193.30 5 6 7 I 1 8 9 10 11 I I 12 13 14 15 16 I 17 18 19 20 21 I I 22 23 24 25 I I TOTAL $219,934.001 $4,779.001 $3,474.001 1 $8,253001 3.75%1 $211,681.00 $412.65 Page 1 of 1 CenterPoint, Energy CUSTOMER RJM CONSTRUCTION DATE DUE AMOUNT DUE Page 1 of 4 Feb 13, 2020 $ 221.04 ' CenterPointEnergy.com SERVICE ADDRESS 1000 School St Nw, Elk River, MN 55330-1337 ACCOUNT NUMBER 11171452-3 BILLING DATE Jan 16, 2020 — • p� Gas leak or emergency Customer service Call before you dig Comments Leave immediately, then call 612-321-4939 or 800-245-2377 Call 811 PO Box 1144 800-296-9815, 24 hours a day Monday - Friday, 7 am - 7 pm 24 hours a day Minneapolis, MN 55440-1144 Rate case filed in October 2019. Interim Rates Pay your next bill without lifting a finger. To enroll in AutoPay, just sign and date the back of your bill stub begin January 1, 2020. Public hearings to be and return to us with a check for your payment amount. Ifs that easy! scheduled. Watch for information and hearing ACCOUNT SUMMARY date schedule. Previous gas amount due $ 0.00 Payment No payment received. - 0.00 Current gas charges (Detalls on page 2) + 221.04 Total amount due $ 221.04 How to pay your bill Online Visit: CenterPointEnergy.com/paybill Pay immediately, schedule a payment or set up automatic monthly payments. ran our account is ready to view now. Register for free online account access. View balance, usage history, ake an online payment, view recommendations for saving energy and money with My Energy Analyzer, d much more. Register at CenterPointEnergy.com/myaccount- Phone Call 612-3214939 and make a payment using your checking or savings account, or by debit or credit card. Please keep this portion for your records Please return This portion with your payment Please do nol include letters or noles. CenterPoint, Energy 00025263 01 AB 0.40 1 RJM CONSTRUCTION 1000 SCHOOL ST NW ELK RIVER, MN 55330-1337 III liii�l��l��lilliii1l11lll1illll1111Jill Jill 1ill1l11ll In person W To find a payment location, visit: CenterPointEnergy.com/paybill or call 612-321-4939. Mail Return the payment stub below, with your check or money order, using the return envelope. ACCOUNT NUMBER 11171452.3 Enroll in AutoPay DATE DUE Feb 13, 2020 today. See form on the back of this stub. AMOUNT DUE $ 221.04 We account number on check and make payable to CenterPolnt Energy. Please enler amount of your payment CENTERPOINT ENERGY PO BOX 4671 HOUSTON TX 77210-4671 000001 0090049825475 007200001117145233000000221040000002210460 Page 2 of 4 - CUSTOMER RJM CONSTRUCTION ACCOUNT NUMBER 11171452-3 DATE DUE Feb 13, 2020 BILLING DATE AMOUNT DUE $ 221.04 SERVICE ADDRESS Jan 16, 2020 1000 School St Nw, Elk River, MN 55330-1337 DEFINITIONS Current gas charges Rate: Com/Ind Firm Rate Basic Charge is a flat arnounteach month, regardless of the Meter Number Day Billing Period Current read date Next scheduled read date Next billing date amount of gas used, to cover a portion of costs incurred even if the customer does not use gas during the billing period. M20181732691 23 Jan 7, 2020 Feb 5, 2020 Feb 7, 2020 Cost of Gas is the cost CenterPoint Energy pays for the gas it delivers to its customers. Adjusted Billing Period Current Reading - Previous Reading = Total x Therm factor = 1 Delivery Charge is based on the amount of gas delivered, Usage to cover the costs of delivering gas not covered by the basic 12/16/19 - 01 /07/20 148 estimated 2 146 1.41413 206 Therms Charge, City Franchise Fee is a roe charged by a city to ul lily companies that natural electricity or cable Basic charge $ 35.92 Delivery charge 206 therms x $ 0.15354 31.63 provide gas, service. Utilities will collect the fee from individual customers Decoupling adjustment 206 therms x -$ 0.01279 - 2.63 and pay it to the city. Utilities receive no revenue from this fee. Gas Affordability PRG 206 therms x $ 0,00000 0.00 Gas rs costs to offer a low-income bcustomerProgcomay program rraameto reduce natural Cost of gas* 206 therms x $ 0.40641 83.72 gas service disconnections, This charge is billed to all non- Interim rate adjustment 6.27 interruptible customers. City franchise fee 50.00 Purchased Gas Adjustment reflects the difference between City sales tax 1.02 the base cost of gas established at the time of our most recent rate case and the price paid to purchase and transport Count sales tax 1.02 y the gas you used during this billing period. State sales tax 14.09 Therm is the healingvalue of gas. Your meter measures CC Total current charges $ 221.04 (hundreds of cubic fet) which we multiply by the therm factor to determine the heating capacity of the gas you used. *includes a purchased gas adjustment of $0.00306 For a more detailed description of each of the terms used on your bill, please visit CenterPointEnergy.com/definitions or call Customer Support at 612-321-4939. a Pay automatically. Set up AutoPay by signing and a Other services. Report a payment made at a payment Your account, managed your way Sign up at CenterPointEnergy. Com/myaCcount returning the form below with your check payment. It's that location, set up a payment extension and much more. View e 24/7 online account access. View and/or pay your bill, easy! options from your online account or visit view usage history, sign up for account services and much a Even out the highs and lows of your monthly bills. CenferPointEnergy.com/se/fservice if you'd prefer not to more, Enroll in Average Monthly Billing and spread your natural register. ■ Go paperless. Receive an email when your bill is ready gas costs throughout the year. a Moving? Please call us at 612-321-4939 at least two to view and pay. Get convenience, get rid of clutter. a Get bill reminders. Choose text or email, up to five weeks before you move, or complete the forms at days before your bill is due. CenterPointEnergy.corNselfservice Register any inquiry or complaint at CenterPoint Energy, 505 Nicollet Mall, PO Box 59038, Minneapolis, MN 55459-0038 Mail payments to CenterPoint Energy, PO Box 4671, Houston, TX 7721OA671 Enroll in AutoPay and your monthly payment will be automatically deducted from your bank account. Late payment details/due date. Please pay your bill on time to reach our office by the due date shown at the top of your bill. Unpaid gas amounts over $10 are charged a late payment fee of To enroll, sign and date this form and return with your check payment. Money orders do not qualify for enrollment. 1.5% (18% annual percentage rate) or $1 minimum on the next Your next bill will be automatically deducted from the account listed on your check, For more information and to enroll billing date shown on your bill. electronically, go to CenterPointEnergy.com/autopay. Returned check charge. There will be a $10 charge for any I authorize CenterPoint Energy to automatically deduct from the checking account shown on my enclosed check all check or AutoPay payment your bank returns to us, future payments for my CenterPoint Energy bills. I will notify CenterPoint Energy if I decide to cancel my use of AutoPay. Notice of customer information availability. Customer CenterPoint Energy also has the right to discontinue my AutoPay enrollment. Once I enroll, I understand that any past due information is available upon request. Call 800-245-2377. balances will be drafted from my account three days after my application is processed. Personal checks sent for payment may be processed electronically. This means your check will not be returned by your financial institution. Any funds may be debited from your account as soon as the same day payment is received.lf you have questions concerning this process, please contact customer service at 800-245-2377. For further information, visit hfo://federaireserve.eov/nubs/checkconv/ Account holder's signature Date 000002 INVOICE : 82523 P.O. NUMBER: 19520-0033 1womp" Invoice Date : 1/27/2020 HVAC RENTALS MOBILE AIR RELIABLE Due Date : 2/26/2020 Sales Person: TAD MACCANNELL Mobile Air, LLC P.O. BOX 734443 CHICAGO, IL 60673-4443 800-596-0800 Customer: RJM INVOICE TO : RJM CONSTRUCTION ATTN: ACCOUNTS PAYABLE 830 BOONE AVE. NORTH GOLDEN VALLEY, MN 55427 Phone (952) 837-8600 Fax (952) 832-9600 SHIP TO: RJM CONSTRUCTION MULTI -PURPOSE FACILITY 900 SCHOOL ST NW ELK RIVER, MN 55330 Contact: MIKE MILLESS - 952-292-3903 (contract / ticket 66574) QTY DESCRIPTION BILLED FROM TOTAL /THRU Billing Period from 12/16/2019 through 4/30/2020 4 RT-DF-AH-10 / DIRECT FIRED PORTABLE 12/16/2019 $9,952.00 HEATER / DRY HEAT / NATURAL GAS OR 4/30/2020 VAPOR PROPANE / 990,000 BTU / 6,000 CFM / 208-230 OR 240-480 VOLT / SINGLE OR 3 PHASE / 18, 10, 5 AMP / 18" ROUND DISCHARGE UNIT: A10-241, A10-244, A10-239, AIO-217 4 18" X 10' DISCHARGE FLEX DUCT 12/16/2019 $200.00 UNIT: RT-MISC 4/30/2020 22 GAS HOSE 1-1/2" X 5017117 12/16/2019 $5,830.00 UNIT: RT-HOSE.GAS-1.50X50 4/30/2020 4 GAS HOSE 1" X 50FT 12/16/2019 $440.00 UNIT: RT-HOSE.GAS-1X50 4/30/2020 2 GAS HOSE 1" X 25FT 12/16/2019 $132.00 UNIT: RT-HOSE.GAS-1X25 4/30/2020 1 MN. DELIVERY & PICK UP IN ZONE 12/16/2019 $300.00 UNIT: SIZ-MN 12/16/2019 Total Rental Charges : $16,554.00 SubTotal : $16,854.00 Total Discount: $0.00 Taxable Total : $16,854.00 STATE OF MINNESOTA TAX (6.875%) : $1,158.71 SHERBURNE COUNTY MN TAX (0.5%) : $84.27 Total Tax : $1,242.98 THANK YOU FOR YOUR BUSINESS ... INVOICE TOTAL ... $18,096.98 NET AMOUNT DUE... $18,096.98 INVOICE : 82532 P.O. NUMBER: 19520-0033 1womp" Invoice Date : 1/27/2020 HVAC RENTALS MOBILE AIR RELIABLE Due Date : 2/26/2020 Sales Person: TAD MACCANNELL Mobile Air, LLC P.O. BOX 734443 CHICAGO, IL 60673-4443 800-596-0800 Customer: RJM INVOICE TO: RJM CONSTRUCTION ATTN: ACCOUNTS PAYABLE 830 BOONE AVE. NORTH GOLDEN VALLEY, MN 55427 Phone (952) 837-8600 Fax (952) 832-9600 SHIP TO: RJM CONSTRUCTION MULTI -PURPOSE FACILITY 900 SCHOOL ST NW ELK RIVER, MN 55330 Contact: TOM - 651-983-4471 (contract / ticket 66785) QTY DESCRIPTION BILLED FROM TOTAL /THRU Billing Period from 12/30/2019 through 1/26/2020 6 RT-FAN-36.TILT/36" TILT FAN/1 SPD, 825 12/30/2019 $900.00 UNIT: F1736-186, F1736-103, F1736-081, F01102, 1/26/2020 F02465, F08945 1 MN. DELIVERY & PICK UP IN ZONE 12/30/2019 $200.00 UNIT: SIZ-MN 12/30/2019 Total Rental Charges : $900.00 SubTotal : Total Discount: $1,100.00 $0.00 Taxable Total: $1,100.00 STATE OF MINNESOTA TAX (6.875%) : $75.63 SHERBURNE COUNTY MN TAX (0.5%) : $5.50 Total Tax : $81.13 THANK YOU FOR YOUR BUSINESS ... INVOICE TOTAL ... $1,181.13 NET AMOUNT DUE... $1,181.13 INVOICE : 82536 ri( P.O. NUMBER: 19520-0033 o)'GA qmwr AF%w- Invoice Date : 1/27/2020 HVAC RENTALS MOBILE AIR RELIABLE Due Date : 2/26/2020 Sales Person: TAD MACCANNELL Mobile Air, LLC P.O. BOX 734443 CHICAGO, IL 60673-4443 800-596-0800 Customer: RJM INVOICE TO: RJM CONSTRUCTION ATTN: ACCOUNTS PAYABLE 830 BOONE AVE. NORTH GOLDEN VALLEY, MN 55427 Phone (952) 837-8600 Fax (952) 832-9600 (contract / ticket 66892) QTY DESCRIPTION SHIP TO: RJM CONSTRUCTION MULTI -PURPOSE FACILITY 900 SCHOOL ST NW ELK RIVER, MN 55330 Contact: MIKE MILLESS - 952-292-3903 BILLED FROM /THRU TOTAL Billing Period from 1/8/2020 through 2/4/2020 2 RT-FAN-36.TILT/36" TILT FAN/1 SPD, 825 1/8/2020 $300.00 UNIT: FT36-070, FT36-077 2/4/2020 TAD IS DELIVERING Total Rental Charges : $300.00 SubTotal : $300.00 Total Discount: $0.00 Taxable Total: $300.00 STATE OF MINNESOTA TAX (6.875%) : $20.63 SHERBURNE COUNTY MN TAX (0.5%) : $1.50 Total Tax: $22.13 THANK YOU FOR YOUR BUSINESS ... INVOICE TOTAL ... $322.13 NET AMOUNT DUE... $322.13 1/27/2020 RJM Construction 830 Boone Avenue North Golden Malley, MN 55427 EQUIPMENT RENTAL INVOICE 1 1 -- — 10%50 OFFICE TRAILER E 12/23/2019 1/24/2020 22 $345.00 2 2 8'LADDER 12/23/2019 1/24/2020 $80.00 3 1 _ _ AOTO EMDEFIBRILLATOR 12/23/2019 1/24/2020 __22 _ 22 $60.00 4 2 BATTERY HAMMER DRILL 12/23/2019 1/24/2020 _ 22F _ $600.00 5 30 FROST BLANKET_$ 12/23/2019 1/24/2020 22 $300.00 6 1 GANG BO% 1/23/2020 1/24/2020 2 $30.00 ] 2 RETRACT. LANYARD/HARNESS 12/23/2019 1/24/2020 22 $360.00 8 y 10 11 — 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 CM A ravel: Total Invoice to Job $ 1,776.00 APPLICATION AND CERTIFICATE FOR PAYMENT Page � of s SUBMITTED TO: RJM Constmction, LLC PROJECT: Elk River Ice Arena & Lion's PaM APPLICATION NO' 6 830 Boone Avenue North 1000 School Street NW APPLICATION DATE: 1/22/2020 Golden Valley, MN 5542] EIk River, MN 55330 PERIOD FROM: 1/1/2020 SUBMITTED FROM: Crosstown Masonry, Incoryoatetl ARCHITECT: PERIOD TO: t/31I2020 1322 7591h Ave NE PROJECT NO: Hem Lake, MN 55304 CONTRACT DATE: CONTRACT FOR: Concrete 8 Masonry CONTRACT NO.: COMMITMENT: VESINO hereby ceNfy that the work performed and the material supplied to date, ea shown here, ORIGINAL CONTRACT SUM.................................................................. $ 2;935,000.00 represent the actual value of accomplishment untler the terms of the wntracl (antl all authorEed changes hereto) between the undersignetl antl RJM Construction relating to the above- NET CHANGE BV CHANGE ORDERS TO ............................................... $ 16,38500 referenced prolacl. I fudYier certify that no labor o materials have been supplied under r conVacts, agreemenLa, verbal or written, or any other arangement of any type whatsoever,other CONTRACT SUM TO DATE................................................................... $ 2,951,395.00 than the contract duly authorized and executed change ortlers, antl the untlersignetl tloes hereby releases RJM Construction from any claim or liability therefor for Me period covered by this TOTAL COMPLETED ANO STORED 70 DATE ......................................... $ 2,0]1,355.00 application. I also certify that payments, leas applicable retention, have been matle through the periotl coveretl by previous payments receivetl from the contractor to 1) all my subcontrctora 5 %OF COMPLETED WORK $ 103,5fi].]5 (sub -subcontractors) and 2) for all material antl labor usetl in nection with the pertormance of this contract. I further certify that I have complied with Federel, State, end local tax laws, including Social Security laws, Unemployment Compensation Lawe end WoMman's 5 %OF STORED MATERIAL $ - Compeneation laws insofar ea applicable to the peAonnence this contact. TOTAL REfAINAGE............................................................................. $ 703.58].75 TOTAL EARNED LESS RETAINAGE....................................................... $ 1,95],]e].25 LESS OWNER DIRECT PAVMENT BV PURCHASE ORDER ........................ $ - PARTIAL WAIVER OF LIEN Now therefore, upon receipt of the payment of the current payment due on this application the LESS PREVIOUS CERTIFICATES FOR PAVMENT.................................... $ t,3]],865.6g untlersigned tloes hereby irrevocably release and waive any and all mechanic's liens or dghte to claim any antl all mechanc's hens or other hens against the above real estate or any part thereof CURRENT PAYMENT DUE .................. ........ $ 590,]01.45 for any of the materials and/or labopr therefore furnished or performed in connection with this project, reserving, however, all lien dghls for labor antllor materials furnished after saitl date. BALANCE TO FINISH INCLUDING RETAINAGE........................................ $ 983,807.75 State of: Minnesota The person signing below tloes hereby cerify that he/she is fully authorized antl empoweretl to acute this Instrument antl to bintl the untlersignetl hereto, antl tloes in fact so execute this County of: Anoka nstnlment Subscribed and sworn to before me this Crosstown Masonry, Incor1poated 22nd tlay of Jenue 0 20 13221591h Ave NE ! AMANDgCHRI$TINE 9RANDT Ham Lake, MN 55304y/f � NOTARY PUB NOTARY PUBLIC SIGNED: �Signetl: � U.ti'QL�{ MINNESOTA oYesMn' Ja1.31.TOLi PRINTED, TITLE Tamm Boast tl, esitlent My Commission Expires: 1/31/2025 AIA Type Document Application and Certification for Payment Page 2 of 3 TO (OWNER): City of Elk River PROJECT: Elk River Ice Arena & Lions Pk APPLICATION NO: 6 DISTRIBUTION 13065 Orono Parkway NW 1000 School Street NW TO: Elk River, MN 55330 Elk River, MN 55330 PERIOD TO: 1/31/2020 _ OWNER _ CONSTRUCTION MANAGER FROM (CONTRACTOR): Crosstown Masonry, Incorporated ARCHITECT'S _ARCHITECT 1322 159th Ave NE PROJECT NO: -CONTRACTOR Ham Lake, MN 55304 VIA CONSTRUCTION MANAGER: RJM Construction CONTRACT FOR: Concrete & Masonry VIA ARCHITECT: CONTRACT DATE: SCHEDULE PREVIOUS COMPLETED STORED COMPLETED ITEM DESCRIPTION VALUE APPLICATIONS THIS PERIOD MATERIAL STORED o BALANCE RETAINAGE LIONS PARK LIONS PARK 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 Footings & Foundation Labor 30,000.00 30,000.00 0.00 0.00 30,000.00 100.00 0.00 1,500.00 2 Footings & Foundation Material 8,000.00 8,000.00 0.00 0.00 8,000.00 100.00 0.00 400.00 3 Above Grade CMU Labor 84,000.00 74,000.00 0.00 0.00 74,000.00 88.10 10,000.00 3,700.00 4 Above Grade CMU Material 26,000.00 26,000.00 0.00 0.00 26,000.00 100.00 0.00 1,300.00 5 Slab on Grade Labor 5,300.00 0.00 0.00 0.00 0.00 0.00 5,300.00 0.00 6 Slab on Grade Material 4,200.00 0.00 0.00 0.00 0.00 0.00 4,200.00 0.00 7 Stone Piers Labor 17,000.00 0.00 0.00 0.00 0.00 0.00 17,000.00 0.00 8 Stone Piers Material 10,000.00 0.00 0.00 0.00 0.00 0.00 10,000.00 0.00 9 Dug Outs / Batting Cage Labor 41,000.00 15,000.00 0.00 0.00 15,000.00 36.59 26,000.00 750.00 10 Dug Outs / Batting Cage Material 28,000.00 10,000.00 0.00 0.00 10,000.00 35.71 18,000.00 500.00 RINK RINK 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12 Footings & Foundation Labor 415,000.00 410,000.00 5,000.00 0.00 415,000.00 100.00 0.00 20,750.00 13 Footings & Foundation Material 210,000.00 205,000.00 5,000.00 0.00 210,000.00 100.00 0.00 10,500.00 14 Above Grade CMU Labor 812,000.00 355,000.00 250,000.00 0.00 605,000.00 74.51 207,000.00 30,250.00 15 Above Grade CMU Material 348,000.00 245,000.00 65,000.00 0.00 310,000.00 89.08 38,000.00 15,500.00 16 Slab on Grade Labor 236,000.00 0.00 121,000.00 0.00 121,000.00 51.27 115,000.00 6,050.00 17 Slab on Grade Material 210,000.00 0.00 64,000.00 0.00 64,000.00 30.48 146,000.00 3,200.00 18 Slab on Deck Labor 140,000.00 0.00 79,000.00 0.00 79,000.00 56.43 61,000.00 3,950.00 19 Slab on Deck Material 69,000.00 0.00 48,000.00 0.00 48,000.00 69.57 21,000.00 2,400.00 20 Stoops Labor 8,000.00 0.00 0.00 0.00 0.00 0.00 8,000.00 0.00 TO (OWNER): City of Elk River 13065 Orono Parkway NW Elk River, MN 55330 FROM (CONTRACTOR): Crosstown Masonry, Incorporated 1322 159th Ave NE Ham Lake, MN 55304 CONTRACT FOR: Concrete & Masonry ITEM DESCRIPTION 21 Stoops Material 22 Stone at Fireplace Labor 23 Stone at Fireplace Material 24 Concrete Allowance 25 Masonry Allowance 26 Field House Labor 27 Field House Material 28 Bond 29 Change Order #1 30 Change Order #2 31 Change Order #3 32 Change Order #4 33 Change Order#5 REPORT TOTALS AIA Type Document Application and Certification for Payment Page 3 of 3 PROJECT: Elk River Ice Arena & Lions Pk APPLICATION NO: 6 DISTRIBUTION 1000 School Street NW TO: Elk River, MN 55330 PERIOD TO: 1/31/2020 _ OWNER CONSTRUCTION MANAGER ARCHITECT'S _ ARCHITECT PROJECT NO: -CONTRACTOR VIA CONSTRUCTION MANAGER: RJM Construction VIAARCHITECT: CONTRACT DATE: SCHEDULE PREVIOUS APPLICATIONS COMPLETED THIS PERIOD STORED MATERIAL COMPLETED STORED BALANCE RETAINAGE _VALUE 2,000.00 0.00 0.00 0.00 0.00 0.00 2,000.00 0.00 8,000.00 0.00 0.00 0.00 0.00 0.00 8,000.00 0.00 2,000.00 0.00 0.00 0.00 0.00 0.00 2,000.00 0.00 50,000.00 7,145.00 0.00 0.00 7,145.00 14.29 42,855.00 357.25 40,000.00 0.00 0.00 0.00 0.00 0.00 40,000.00 0.00 70,000.00 0.00 0.00 0.00 0.00 0.00 70,000.00 0.00 18,000.00 0.00 0.00 0.00 0.00 0.00 18,000.00 0.00 43,500.00 43,500.00 0.00 0.00 43,500.00 100.00 0.00 2,175.00 697.00 697.00 0.00 0.00 697.00 100.00 0.00 34.85 33,996.00 24,000.00 0.00 0.00 24,000.00 70.60 9,996.00 1,200.00 -3,778.00 -3,778.00 0.00 0.00 -3,778.00 100.00 0.00 -188.90 689.00 0.00 0.00 0.00 0.00 0.00 689.00 0.00 -15,209.00 0.00 -15,209.00 0.00 -15,209.00 100.00 0.00 -760.45 $2,951,395.00 $1,449,564.00 $621,791.00 $0.00 $2,071,355.00 70.18 $880,040.00 $103,567.75 3005 4th Avenue East • P.O. Box 477 • Shakopee, MN 55379. 951496-4000 • Fax: 952496-1650 #1250 SOLD TO: R1M Construction, LLC 830 Boone Avenue N. Golden Valley, MN 55427 accouting-mn@rjmconstruction.com INVOICE No. 22504 DATE: 01/25/20 JOB: Elk River Ice Arena & Lion John Weicht Job#2598 RJM Project # I DESCRIPTION OF WORK PERFORMED I AMOUNT I k Completed Through 01/30/20- (See Attached Summary) Previous Billings TOTAL DUE THIS INVO 215,217 APPLICATION AND DOCUMENT City of Elk River Elk River Ice Arena & Lion John Weicht Park Facilities 13065 Orono Parkway NW 1000 School Street NW Elk River, MN 55330 Elk River, MN 55330 VIA CONSTRUCTION MANAGER: FROM CONTRACTOR: RJM Construction, LLC High Five Erectors 11, Inc. 30054th Avenue East, P.O. Box 477 VIAARCHITECT: Application is made for payment, as shown below, in connection with the Contract. Continuation Sheet, AIA Document 3703, is attached. 1. ORIGINAL CONTRACT SUM ............................................. $ 435,750.00 2. Net Change by Change Orders ......................................... $ (2,698.15) 3. CONTRACT SUM TO DATE (Line f a 2).................................. $ 433,051.85 4. TOTAL COMPLETED & STORED TO DATE fColumn G on G7o3) .. $ 228,201.00 5. RETAINAGE: a. 5% of Completed Work (Column D « E on G703) $ 11,410.05 b. 0% of Stored Material (Column F on 3703) $ Total Retainage(Lines Sat No or Tool in Column l or G703) $ 11,410.05 6. TOTAL EARNED LESS RETAINAGE.................................. $ 216,790.95 (Une 4less Line 5 Total) 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT ............... $ 204,456.15 (Line a from prior CeNfcale) 8. CURRENT PAYMENT DUE ............................................... $ 12,334.80 9. BALANCE TO FINISH, INCLUDING RETAINAGE ................. (Line 3 less Line 6) $ 216,260.90 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Total Changes approved in provkus woofs by Owner $ $ Tofaleppoved Mis Monty 4,190.00 (6,888.15) CO #1 - PR 2 Lease Space CO #2 - Deduct from Allowance TOTALS $ (2,698.15) $ NET CHANGES by Change Orders I $ (2,698.15) PERIOD TO: 01-30-20 CONTRACT DATE: 07-10-19 PROJECT NO: OWNER ❑ CONSTRUCTION MANAGER ❑ ARCHITECT ❑ CONTRACTOR ❑ CONTRACT FOR: Install Steel & Misc. Metals Ll 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 wich previous Certificates for Payment were issued and payments received from the Owner, antl at current payment shown herein is now due. CONTRACTOR: BY Date: State of: Minnesota County of: Scott Subscribed an sworn to before KIM A STOCK me this 2b dayof T.nma r ,20� Notary Public - Minnessta Notary Pu I' . My Commission Expires 01131R025 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 Contractor is entitled to payment of the AMOUNT CERTIFIED, AMOUNT CERTIFIED.................................................................$ rA 1`on anafian Aam rM-110ASW,In.( nMe emounf c', IrWIt 0, rguream,s naar�,aenammme can�inuat n s�eemei erernanaednwnanm cam, me amountce,arvl CONSTRUCTION MANAGER: By: ARCHITECT Date: By: Date: This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rightsof the Owner or Contractor under this Contract. JOB# 2598 ELK RIVER ICE ARENA RJM CONSTRUCTION CONTINUATION SHEET (A/A nnrumonf rZM11 APPLICATION NO: THREE (3) APPLICATION DATE: 01-25-20 PERIOD FROM: 01-01-20 TO: 01-30-20 PROJECT NO: 0 A B C D E F G H I WORK COMPLETED MATERIALS TOTAL BALANCE FROM PREVIOUS ITEM DESCRIPTION OF WORK SCHEDULED PRESENTLY COMPLETED AND % TO 5% NO. VALUE APPLICATIONS THIS PERIOD STORED STORED TO DATE (G _ C) FINISH (D + E) (NOT IN D or E) (D+E+F) (C - G) RETAINAGE 1 051200 Structural Steel 129,841.00 77,905.00 12,984.00 - 90,889.00 70% 38,952.00 4,544.45 2 052100 Steel Joists 100,523.00 90,470.00 - - 90,470.00 90% 10,053.00 4,523.50 3 053100 Steel Decking 45,888.00 34,416.00 - - 34,416.00 75% 11,472.00 1,720.80 4 055000 Metal Fabrications 8,508.00 - - - - 0% 8,508.00 - 5 055100 Metal Pan Stairs 43,996.00 - - - - 0% 43,996.00 - 6 055213 Pipe & Tube Railings 71,614.00 - - - - 0% 71,614.00 - 7 Allowance 30,000.00 7,046.00 6,888.15 - 13,934.15 46% 16,065.85 696.71 8 Bond 5,380.00 5,380.00 - - 5,380.00 100% - 269.00 9 CO #1 - PR 2 Lease Space 4,190.00 - - - - 0% 4,190.00 - 10 CO #2 - Deduct from Allowance (6,888.15) - (6,888.15) - (6,888.15) 100% - (344.41) TOTALS 433,051.85 215,217.00 12,984.00 - 228,201.00 53% 204,850.85 1 11,410.05 APPLICATION AND CERTIFICATE FOR PAYMENT Page of SUBMITTED TO: RJM Construction, LLC PROJECT: Elk River Ice Arena 8 Lion John Weicht Park Facilities APPLICATION NO: 3 830 Boone Avenue North 1000 School Street NW APPLICATION DATE: 126/2020 Golden Valley, MN 55427 Elk River, MN 55330 PERIOD FROM: 1/1/2020 SUBMITTED FROM: High Five Erectors II, Inc. ARCHITECT: 292 Design Group PERIOD TO: 1/30/2020 3005 4th Avenue East PROJECT NO: Shakopee, MN 55379 CONTRACT DATE: 7/10/2019 CONTRACT FOR: 5B Structural 8 Misc. Steel Installation CONTRACT NO.: COMMITMENT: YES/NO I hereby certify that the work performed and the material supplied to date, as shown here, ORIGINAL CONTRACT SUM........... ................ ....................................... $ 435,750.00 represent the actual value of accomplishment under the terms of the contract (and all authorized changes hereto) between the undersigned and RJM Construction relating to the above- NET CHANGE BY CHANGE ORDERS TO ................................................ $ (2,698.15) referenced project. I further certify that no labor or materials have been supplied under contracts, agreements, verbal or written, or any other arrangement of any type whatsoever,other CONTRACT SUM TO DATE than the contract duly authonzed and executed change orders, and the undersigned does hereby ................................................................... $ 433,051.85 releases RJM Construction from any Claim or liability therefor for the period covered by this application. I also certify that payments, less applicable retention, have been made through the TOTAL COMPLETED AND STORED TO DATE .......................................... 9 228,201.00 period covered by previous payments received from the contractor to 1) all my subcontractors (sub -subcontractors) and 2) for all material and labor used in or in connection with the 5 %OF COMPLETED WORK $ 11,410.05 — performance of this contract. I further certify that 1 have complied with Federal, State, and local tax laws, including Social Security laws, Unemployment Compensation Laws and Workmen's 5 %OF STORED MATERIAL $ - Compensation laws insofar as applicable to the performance this contract. TOTAL RETAINAGE............................................................................. 8 11,410.05 TOTAL EARNED LESS RETAINAGE........................................................ $ 216.790.95 PARTIAL WAIVER OF LIEN LESS OWNER DIRECT PAYMENT BY PURCHASE ORDER ........................ $ Now therefore, Upon receipt of the payment of the current payment due on this application the LESS PREVIOUS CERTIFICATES FOR PAYMENT .................................... $ 204,456.15 undersigned does hereby irrevocably release and waive any and all mechanic's liens or rights to claim any and all mechanics liens or other liens against the above real estate or any part thereof CURRENT PAYMENT DUE.................................................................... $ 12,334.80 for any of the materials and/or labopr therefore furnished or performed in connection with this project, reserving, however, all lien rights for labor and/or materials furnished after said date, BALANCE TO FINISH INCLUDING RETAINAGE........................................ $ 216.260.90 State of: Minnesota The person signing below does hereby ceriy that he/she is fully authorized and empowered to execute this instrument and to bind the undersigned hereto, and does in fact so execute this County of: Scott instrument. Subscribed and sworn to before me this High Five Erectors 11, Inc. ,??rrP`- day of Te.,r,.,..cxx 20 '0 3005 4lh Avenue East Shakopee, MN 553] NOTARY PUBLIC: KIMASTOCK SIGNED: �,/%,� ph�in J _ Signed:�� ,� p9hlb-MIOnB6a1a PRINTED, TITLE Tara Thompson, President My Co ion Expires: 01 I DS - -/ My CanmiSSlofl paplrcB 01131120T Remit payment and make checks payable to: INVOICE DETAIL Commercial HOME DEPOT CREDIT SERVICES DEPT. 32 - 2149392668 ` Revolving Charge PO BOX 9001030 LOUISVILLE,KY 40290-1030 ru Er Er ON E3 BILL TO: SHIP TO: Acct: 6035 3221 4939 2668 RJM CONSTRUCTION LLC Amount Due: Trans Date: Invoice #: 830 BOONE AVE N STE 2 MINNEAPOLIS, MN 55427-4589 6023128 $167.94 12/13/19 PO: 195200033 1 Store: 2821, ELK RIVER, MN PRODUCT SKU # QUANTITY UNIT PRICE TOTAL PRICE 1-1/2'X4'X8' R-7.5 XPS FOAMULAR 00001048340000400004 1.0000 EA $16.52 $16.52 150 1-1/2"X4'X8' R-7.5 XPS FOAMULAR 00001048340000400004 1.0000 EA $16.52 $16.52 150 1-1/2"X4'X& R-7.5 XPS FOAMULAR 00001048340000400004 1.0000 EA $16.52 $16.52 150 GORILLA CONSTRUCTION 100137815000t)0100010 1.0000 EA $7.97 $7.97 ADHESIVE 9 OZ 1-1/2'W'X8' R-7.5 XPS FOAMULAR 00001048340006400004 1.0000 EA $16.52 $16.52 150 GORILLA CONSTRUCTION 10013781500000100010 1.0000 EA $7.97 $7.97 ADHESIVE 9 OZ POWERADE ZERO FRUIT PUNCH 10044730770001300005 1.0000 EA $4.97 $4.97 8PK GORILLA CONSTRUCTION 10013781500000100010 1.0000 EA $7.97 $7.97 ADHESIVE 9OZ HEAVY DUTY CAULK GUN 10 OZ 00006561570000100011 1.0000 EA $16.97 $16.97 R19 OF 15"X93" BATT INSUL 77.5SF 00005951030000400002 1.0000 EA $36.19 $36.19 GREAT STUFF GAPS & CRACKS 16 10018692890000400005 1.0000 EA $3.78 $3.78 Oz GREAT STUFF GAPS & CRACKS 16 10018692890000400005 1.0000 EA $3.78 $3.78 OZ SUBTOTAL $155.68 TAX $12.26 TOTAL $167.94 BILL TO: SHIP TO: Acct: 6035 3221 4939 2668 RJM CONSTRUCTION LLC Amount Due: Trans Date: Invoice #: 830 BOONE AVE N STE 2 MINNEAPOLIS, MN 55427-4589 12/14/19 5011949 $222.78 PO: 195200149JM I Store: 2810, WOODBURY, MN PRODUCT SKU # QUANTITY UNIT PRICE TOTAL PRICE PC 18GA 2" BRT STRT BRAD 1 M 00005541610001200021 1.0000 EA $4.98 $4.98 PC 18GA 2" BRT STRT BRAD 1 M 00005541610001200021 1.0000 EA $4.98 $4.98 RIDGID 2-1/81N. 18-GAUGE BRAD 10031082300001200020 1.0000 EA $99.00 $99.00 RIDGID 2-1/81N. 18-GAUGE BRAD 10031082300001200020 1.0000 EA $99.00 $99.00 SUBTOTAL $207.96 TAX $14.82 TOTAL $222.78 BILL TO: SHIP TO: Acct: 6035 3221 4939 2668 RJM CONSTRUCTION LLC Amount Due: Trans Date: 1 1 Invoice #: 1 830 BOONE AVE N STE 2 MINNEAPOLIS, MN 55427-4589 601185- $239.63 12/13/19 PO: SM185200054 I Stone: 2810, WOODBURY, MN PRODUCT SKU # QUANTITY UNIT PRICE TOTAL PRICE 9'X400' .31MlL PAINTER'S PLASTIC 00001568820001000011 1.0000 EA $19.98 $19.98 TOOLBOX WHITE RAGS 20OCT BOX 10015466270001000005 1.0000 EA $11.48 $11.48 DIABLO 4-1/2"X1/4"X7/8" MTL DC 00002620720000706004 1.0000 EA $4.47 $4.47 GRIND DIABLO 4-1/2"X1/4"X7/8" MTL DC 00002620720000700004 1.0000 EA $4.47 $4.47 GRIND SCOTCH 1.88" MASKING TAPE 00006901880000500002 1.0000 EA $3.97 $3.97 SCOTCH 1.88" MASKING TAPE 00006901880000500002 1 0000 EA $3.97 $3.97 3M MULTI USE DUCT TAPE 10016743020000500004 1.0000 EA $6.97 $5.97 continued Page 13 of 74 1-800-685-6691 homedepot.com/mycrc Remit payment and make checks payable to: HOME DEPOT CREDIT SERVICES Oommercial DEPT. 32 - 2149392668 Revolving Charge PO BOX 9001030 F7,2141 LOUISVILLE, KY 40290-1030 INVOICE DETAIL ru Er E' M O BILL TO: SHIP TO: Acct: 6035 3221 4939 2668 RJM CONSTRUCTION LLC 830 BOONE AVE N STE 2 MINNEAPOLIS, MN 55427-4589 Amount Due: Trans Date: Invoice #: 3012935 $95.60 12/16/19 PO: 19520-0068 1 Store: 2808, PLYMOUTH, MN PRODUCT SKU # QUANTITY UNIT PRICE TOTAL PRICE 8"X4"X16" CONCRETE HW BLOCK 00002811210000900003 40.0000 EA $1.05 $42.00 LIBMAN LOBBY BROOM AND 10019908470000400015 1.0000 EA $15.97 $15.97 DUSTPAN AUTOMATIC CENTER PUNCH 10013896320000100013 1.0000 EA $14.97 $14.97 LIBMAN LOBBY BROOM AND 10019908470000400015 1.0000 EA $15.97 $15.97 DUSTPAN BILL TO: SHIP TO: Acct: 6035 3221 4939 2668 RJM CONSTRUCTION LLC 830 BOONE AVE N STE 2 MINNEAPOLIS, MN 55427-4589 SUBTOTAL $88.91 TAX $6.69 C61trn11A $95.60 Amount Due: Trans Date: Invoice #: 3012196 $188.88 12/16/19 PO: SM185200054 I Store: 2810, WOODBURY, MN PRODUCT SKU # QUANTITY UNIT PRICE TOTAL PRICE 12 GA STRUT CHANNEL SILVER X 2' 10001111170000600014 1.0000 EA $9.74 $9.74 1/2" STEEL STD HEX NUT GOLD 00002453810000600014 1.0000 EA $2.22 $2.22 PK/10 SQUARE WASHER SILVER 1/2" PK/5 00005312330000600014 1.0000 EA $4.69 $4,69 1/2" CUT WASHER (25) PACK BAG 00003282430000300007 1,0000 BG $5.94 $5.94 3M N95 VALVED RESPIRATOR 5PK 00005128190000500008 1.0000 EA $14-97 $14.97 ROD THREADED ZINC 72X1f2-13 00004681480000400002 1.0000 EA $9.97 $9.97 ULBATT R23 15X47 MINWOOL 19.6 10029518510000400011 1.0000 EA $29,70 $29.70 SQ. FT. ROD THREADED ZINC 72X1/2-13 00004681480000400002 1.0000 EA $9.97 $9.97 ULBATT R23 15X47 MINWOOL 19.6 10029518510000400011 1.0000 EA $29.70 $29.70 SQ. FT. ULBATT R23 15X47 MINWOOL 19.6 10029518510000400011 1.0000 EA $29,70 $29.70 SQ. FT. ULBATT R23 15X47 MINWOOL 19.6 10029518510000400011 1.0000 EA $29.70 $29.70 SQ. FT. BILL TO: SHIP TO: Acct: 6035 3221 4939 2668 RJM CONSTRUCTION LLC 830 BOONE AVE N STE 2 MINNEAPOLIS, MN 55427-4589 SUBTOTAL $176.30 TAX $12.56 TOTAL $188.86 Amount Due: Trans Date: Invoice #: 3023376 $288.62 12/16/19 PO: 195200033 Store: 2821, ELK RIVER, MN PRODUCT SKU # QUANTITY UNIT PRICE TOTAL PRICE BLACK UNIVERSAL FLEECE 10028200100000500005 1.0000 EA $5.97 $5.97 BALACLAVA 3GLDSCRW5LB 00008329790000300010 1.0000 EA $12.24 $12.24 3GLDSCRW5LB 00008329790000300010 1.0000 EA $12.24 $12.24 G56 - 650 LUMEN ALUMINUM 10032886790000500009 1.0000 EA $36.97 $35.97 FLASHLIGHT FG BLIZZARD W HAND WARMER 10000111080000500011 1.0000 EA $9-88 $9.88 POCKET -XL DIABLO 6-1/2"X24T FRAMING 0000255921ODD0700005 1.0000 EA $10.97 $10.97 DIABLO 6.1/2"X24T FRAMING 00002659210000700006 1.0000 EA $10.97 $10.97 DIABLO 6.1/2'X24T FRAMING 00DO2669210ODD700006 1.O00D EA $10.97 $10.97 HINGE, TEE-HD_8"_ZINC 00006976240000400007 1.0000 EA $8.98 $8.98 HINGE, TEE_HD_8°-ZINC 00006975240000400007 1.0000 EA $8.98 $8.98 continued Page 17 of 74 1-800-685-6691 homedepot.com/mycrc Remit payment and make checks payable to: INVOICECommercial DETAIL OmmerClal HOME DEPOT CREDIT SERVICES � � DEPT. 32 - 2149392668 Revolving Charge PO BOX 9001030 R LOUISVILLE,KY 40290-1030 ru Cr Cr tp E✓ E✓ Invoice #: 3023376 continued PRODUCT SKU # OUANTITY UNIT PRICE TOTAL PRICE HINGE, TEE_HD_8"_ZINC 00006975240DO0400007 1.0000 EA $8.98 $8.98 HINGE, TEE_HD-8"_ZINC 00006975240000400007 1.0000 EA $8.98 $8.98 SUNCAST 20" ICE SCRAPER WITH 10026642130001100005 1,0000 EA $4.98 $4.98 BRUSH HINGE, TEE_HD_811_ZINC 00006975240000400007 1.0000 EA $8.98 $8.98 DISCOUNT 00000000000000000005 1.0000 EA 44AS -$4.48 HINGE, TEE_HD_811_ZINC 00006975240000400007 1.0000 EA $&98 $8.98 HINGE, TEE_HD_10"_ZINC 00006975320000400007 1.0000 EA $9.26 $9.26 HINGE, TEE_HD_10"_ZINC 00006975320000400007 1.0000 EA $9.26 $9.26 HINGE, TEE_HD_10"-ZINC 00006975320000400007 1.0000 EA $9,26 $9.26 HINGE, TEE_HD_10"_ZINC 00006975320000400007 1.0000 EA $9.26 $9.26 HINGE, TEE_HD_10"_ZINC 00006975320000400007 1.0000 EA $9.26 $9.26 HINGE, TEE_HD_10"_ZINC 00006975320000400007 1.0000 EA $9.26 $9.26 HINGE, TEE_HD_10"_ZINC 00006975320000400007 1.0000 EA $9.26 $9.26 HINGE, TEE_HD_10"_ZINC 00006975320000400007 1.0000 EA $9.26 $9.26 MILWAUKEE SDS BIT 5/32" X 7" 1/4 00005243740000700008 1.0000 EA $7.47 $7.47 HEX MILWAUKEE SIDS BIT 5/32" X 7" 1/4 00005243740000700008 1.0000 EA $7.47 $7.47 HEX MILWAUKEE SIDS BIT 5/32" X 7" 1/4 00005243740000700008 1.0000 EA $7.47 $7.47 HEX MILWAUKEE SIDS BIT 5/32" X 7" 1/4 00005243740000700008 1.0000 EA $7.47 $7.47 HEX BILL TO: SHIP TO: Acct: 6035 3221 4939 2668 RJM CONSTRUCTION LLC 830 BOONE AVE N STE 2 MINNEAPOLIS, MN 55427-4589 SUBTOTAL $267.55 TAX $21.07 TOTAL $288.62 Amount Due: Trans Date: Invoice #: 2623261 $123.13 12/17/19 PO: 195200110CB Store: 3021, KANSAS CITY, MO PRODUCT SKU # QUANTITY UNIT PRICE TOTAL PRICE JR. CONVERTIBLE HAND TRUCK 10000008370001100021 1.0000 EA $59.98 $59.98 ALEX PAINTERS WHITE 10.1 OZ 00003284480000200002 30.0000 EA $1.78 $53.40 BILL TO: SHIP TO: Acct: 6035 3221 4939 2668 RJM CONSTRUCTION LLC 830 BOONE AVE N STE 2 MINNEAPOLIS, MN 55427-4589 SUBTOTAL $113.38 TAX $9.75 TOTAL $123.13 Amount Due: Trans Date: Invoice #: 2612673 $212.86 12/17/19 PO: 19520011006 I Store: 3021, KANSAS CITY, MO PRODUCT SKU # QUANTITY UNIT PRICE TOTAL PRICE SPRAYWAY GLASS CLNR 23OZ 10034066640000400004 1.0000 EA $3.27 $3.27 KILZ UPSHOT AEROSOL 10007 10OZ 00008424990002200023 1.0000 EA $6.78 $6.78 KILZ UPSHOT AEROSOL 10007 10OZ 00008424990002200023 1.0000 EA $6.78 $6.78 GO CARPET 10043479870003400003 1,0000 EA $9.97 $9.97 ANVIL T-KNIVES 2/4/6 PLASTIC 10042153870001200006 1.0000 EA $2.98 $2.98 ANVILT-KNIVES 2/4/6 PLASTIC 10042153870001200006 1.0000 EA $2.98 $2.98 BRUSH 00006115330000400020 1.0000 EA $2.28 $2.28 BRUSH 00006115330000400020 1.0000 EA $2.28 $2.28 MKE GEN PURPOSE UTILITY BLADE 10009724690000100006 1.0000 EA $9.97 $9.97 50PK HDX KITCHEN & BATH SCRUB 10000186230000400005 1.0000 EA $3.97 $3.97 BRUSH continued E=z:�> -U .,r# Page 19 of 74 1-800-685-6691 homedepot.com/mycrc Remit payment and make checks payable to: INVOICE DETAIL Commercial HOME DEPOT CREDIT SERVICES DEPT. 32 - 2149392668 Revolving Charge PO BOX 9001030 LOUISVILLE, KY 40290-1030 ru Q, 0^ M L✓ Invoice #: 2324M continued PRODUCT SKU # QUANTITY UNIT PRICE TOTAL PRICE BOSCH 4-1/2'X35T PROD JIGSAW 00004926280000700005 1,0000 EA $6.97 $6.97 BLDE BILL TO: SHIP TO: Acct: 6035 3221 4939 2668 RJM CONSTRUCTION LLC 830 BOONE AVE N STE 2 MINNEAPOLIS, MN 55427-4589 SUBTOTAL $314.34 TAX $23.65 TOTAL $337.99 Amount Due: Trans Date: Invoice #: 2040268 $193.90 12/17/19 PO: 195200127TH IStore: 6954, GROVE CITY, OH PRODUCT SKU # QUANTITY UNIT PRICE TOTAL PRICE TAPCON 3/16X2-1/4 PHILLIPS, 8 PK 00004824610000300020 1.0000 EA $4,37 $4.37 14X14 ACCESS PANEL SPRING 00002299760000100041 1.0000 EA $23.80 $23.80 MOUNT UNIVERSAL TRAVEL ADAPTER 00009532340000900027 1.0000 EA $28.00 $28.00 W/USB ADAPT 14X14 ACCESS PANEL SPRING 00002299760000100041 1.0000 EA $23.80 $23.80 MOUNT TWISTED POLY BROWN 5/8"X1' OD009456250000300004 96.0000 FT $0.55 $52.80 14X14 ACCESS PANEL SPRING 00002299760000100041 1.0000 EA $23.86 $23.60 MOUNT 14X14 ACCESS PANEL SPRING 00002299760000100041 1.0000 EA $23.80 $23.80 MOUNT BILL TO: SHIP TO: Acct: 6035 3221 4939 2668 RJM CONSTRUCTION LLC 830 BOONE AVE N STE 2 MINNEAPOLIS, MN 55427-4589 SUBTOTAL $180.37 TAX $13.53 TOTAL $193.90 Amount Due: Trans Date: Invoice #: 1072782 $83.54 12/18/19 PO: 19520-0148-JS Store: 2810, WOODBURY, MN PRODUCT SKU # QUANTITY UNIT PRICE TOTAL PRICE WINBAG AIR WEDGE AND LEVELING 1002587646000150GO04 1.0000 EA $18.98 $18.98 TOOL MAK 18V VACUUM (TOOL ONLY) 10010736690000900028 1.0000 EA $59.00 $59.00 BILL TO: SHIP TO: Acct: 6035 3221 4939 2668 RJM CONSTRUCTION LLC 830 BOONE AVE N STE 2 MINNEAPOLIS, MN 55427-4589 SUBTOTAL $77.98 TAX $5.56 TOTAL $83.54 Amount Due: Trans Date: Invoice #: 023562 $171.59 12/18/19 PO: 195200033 1 Store: 2821, ELK RIVER, MN PRODUCT SKU # QUANTITY UNIT PRICE TOTAL PRICE SPRING LINK 3/8X3-1/2 ZINC 00005544140000300021 1.0000 EA $3.60 $3.50 SPRING LINK 3/8X3-1/2 ZINC 00005544140000300021 1.0000 EA $3.50 $3.50 SPRING LINK 3/8X3-1/2 ZINC 00005544140000300021 1.0000 EA $3.50 $3,50 SPRING LINK 3/8X3-1/2 ZINC 00005544140000300021 1.0000 EA $3.50 $3.50 SPRING LINK 3/8X3-1/2 ZINC 00005544140000300021 1.0000 EA 0.50 $3.50 SPRING LINK 3/8X3-1/2 ZINC 00005544140000300021 1.0000 EA $3.50 $3.50 continued IJ�' > Page 25 of 74 1-800-685-6691 homedepot.com/mycrc Remit payment and make checks payable to; INVOICE DETAIL ` Commercial HOME DEPOT CREDIT SERVICES DEPT. 32 - 2149392668 Revolving Charge PO BOX 9001030 17 LOUISVILLE,KY 40290-1030 ru E' E' 02 L✓ Ln Invoice #: 1023562 continued PRODUCT SKU # QUANTITY UNIT PRICE TOTAL PRICE POWERADE ZERO FRUIT PUNCH 10044730770001300005 1.0000 EA $4.97 $4.97 8PK SPRING LINK 3/8X3-1/2 ZINC 00005544140000300021 1.0000 EA $3.50 $3.50 SPRING LINK 3/8X3-1 /2 ZINC 00005544140000300021 1.0000 EA $3.50 $3.50 SPRING LINK 3/8X3-1 /2 ZINC 00005544140000300021 1,0000 EA $150 $3.50 SPRING LINK 3/8X3-1/2 ZINC 00005544140000300021 1.0000 EA $3,50 $3.50 ROPE CLEAT 4-1/2 CHROME 00001402360000300021 1.0000 EA $2.35 $2.35 ROPE CLEAT 4-1/2 CHROME 00001402360000300021 1,0000 EA $2.35 $2.35 BOTTLE WATER 00002183400000900013 1.0000 EA $2.97 $2.97 ROPE CLEAT 4-1/2 CHROME 00001402360000300021 1.0000 EA $2.35 $2.35 PROOF COIL CHAIN ZINC 1/4"X1' 00001635770000300005 30.0800 FT $1.98 $59.56 ROPE CLEAT 4-1/2 CHROME 00001402360000300021 1,0000 EA $2.35 $2.35 ROPE CLEAT 4-1/2 CHROME 00001402360000300021 1.0000 EA $2.35 $2.35 ROPE CLEAT 4-1/2 CHROME 00001402360000300021 1.0000 EA $2.35 $2.35 HOTHANDS-2 VALUE PACK(10 PAIR) 00005132190000500011 1,0000 EA $5.98 $5.98 SPRING LINK 3/8X3-1/2 ZINC 00005544140000300021 1.0000 EA $3.50 $3.50 SPRING LINK 3/8X3-1/2 ZINC 00005544140000300021 1.0000 EA $3.50 $3.50 SPRING LINK 3/8X3-1/2 ZINC 00005544140000300021 1.0000 EA $3.50 $3.50 SPRING LINK 3/8X3-1/2 ZINC 00005544140000300021 1.0000 EA $3.50 $3.50 SPRING LINK 3/8X3-1/2 ZINC 00005544140000300021 1.0000 EA $3.50 $3.50 SPRING LINK 3/8X3-1/2 ZINC 00005544140000300021 1.0000 EA $3.50 $3.50 SPRING LINK 3/8X3-1/2 ZINC 00005544140000300021 1.0000 EA $3.50 $3.50 SPRING LINK 3/8X3-1/2 ZINC 00005544140000300021 1.0000 EA $3.50 $3.50 3/8" X 4-1/2" SCR EYE LAG THREAD 00001202920000300022 10.0000 EA $0.87 $8.70 BILL TO: Acct: 6035 3221 4939 2668 PRODUCT CLEARANCE SHIP TO: RJM CONSTRUCTION LLC 830 BOONE AVE N STE 2 MINNEAPOLIS, MN 55427-4589 Customer Agreement #: H2807-174005 BILL TO: SHIP TO: Acct: 6035 3221 4939 2668 RJM CONSTRUCTION LLC 830 BOONE AVE N STE 2 MINNEAPOLIS, MN 55427-4589 SUBTOTAL $159.28 TAX $12.31 TOTAL $171.59 Amount Due: Trans Date: Invoice #: 1970055 $10.80 12/18/19 PO: 19520047 Store: 2807, MINNEAPOLIS, MN QUANTITY UNIT PRICE TOTAL PRICE 2,0000 EA $5.00 $10.00 SUBTOTAL $10.00 TAX $0.80 TOTAL $10.80 Amount Due: Trans Date: Invoice #: 1094763 $127.92 12/18/19 PO: 195200110CB Store: 3021, KANSAS CITY, MO PRODUCT SKU # QUANTITY UNIT PRICE TOTAL PRICE AQUAMIX HVY DUTY TILE&GROUT 10021592510001400003 1.0000 EA $11.78 $11.78 CLN 1QT AQUAMIX HVY DUTY TILE&GROUT 10021592510001400003 1.0000 EA $11.78 $11.78 CLN 1QT AQUAMIX CEMENT GROUT HAZE 10021589430001400003 1.0000 EA $9.98 $9.98 REMOVRIQT 20A 250V BLK&WHT PLUG 00005718000000200004 1.0000 EA $9.99 $9.99 20A 250V BLK&WHT PLUG 00005718000000200004 1.0000 EA $9.99 $9.99 1G SSTEEL SNGL POWER OUTLT 00002641090000200018 1.0000 EA $1.79 $1.79 WALLPLT 20A WHT NYLON DBL POLE SINGLE 00006152620000200003 1.0000 EA $4.78 $4.78 OUTLET continued =-:�> �4 Page 27 of 74 1-800-685-6691 homedepot.com/mycrc Remit payment and make checks payable to; INVOICE DETAIL Commercial HOME DEPOT CREDIT SERVICES DEPT. 32 - 2149392666 Revolving Charge PO BOX 9001030 LOUISVILLE, KY 40290-1030 RJ Cr Cr 02 L✓ 02 Invoice #: 30956 continued PRODUCT SKU # QUANTITY UNIT PRICE TOTAL PRICE 10'X100' 4MIL CLEAR POLY 00009389470001000010 1.0000 EA $29.98 $29.98 SHEETING 2X6-12FT #2/BTR KD-HT PRIME SPF 00001617560000300002 1.0000 EA $8.72 $8.72 2X4-12FT STD/BTR KD-HT PRIME SPF 00001616670000300002 1.OD00 EA $5.82 $5.82 2X6-12FT #2/BTR KD-HT PRIME SPF 00001617560000300002 1.0000 EA $8.72 $8.72 2X6-12FT #2/BTR KD-HT PRIME SPF 00001617560000300002 1.0000 EA $8.72 $8.72 2X6-12FT #2/BTR KD-HT PRIME SPF 00001617560000300002 1.0000 EA $8.72 $8.72 2X4-12FT STD/BTR KD-HT PRIME SPF 00001616670000300002 1.0000 EA $5.82 $5.82 2X4-12FT STD/BTR KD-HT PRIME SPF 00001616670000300002 1.0000 EA $5.82 $5.82 2X4-12FT STD/BTR KD-HT PRIME SPF 00001616670000300002 1.0000 EA $5.82 $5.82 2X4-12FT STD/BTR KD-HT PRIME SPF 00001616670000300002 1,0000 EA $5.82 $5.82 2X4-12FT STD/BTR KD-HT PRIME SPF 00001616670000300002 1.0000 EA $5.82 $5.82 2X4-12FT STD/BTR KD-HT PRIME SPF 00001616670000300002 1.0000 EA $5.82 $5.82 2X4-12FT STD/BTR KD-HT PRIME SPF 00001616670000300002 1.0000 EA $5.82 $5.82 SUBTOTAL $237.92 TAX $16.95 TOTAL $254.87 BILL TO: SHIP TO: Acct: 6035 3221 4939 2668 RJM CONSTRUCTION LLC Amount Due: Trans Date: Invoice #: #: Ce #: Page 33 of 74 1-800-685-6691 homedepot.com/mycrc Remit payment and make checks payable to: INVOICE DETAIL Commercial HOME DEPOT CREDIT SERVICES . DEPT. 32 - 2149392668 Revolving Charge PO BOX 9001030 IF iLOUISVILLE, KY 40290-1030 ni Er Er Elm I Invoice #: 21917 continued PRODUCT SKU # QUANTITY UNIT PRICE TOTAL PRICE DOCK CLEAT 5-1/2 GALV 00001341420000300021 1.0000 EA $3.48 $3.49 DOCK CLEAT 5-1/2 GALV 00001341420000300021 1.0000 EA $3.48 $3.48 FIXED PULLEY 2 NICKEL 00003671840000300021 1.0000 EA UA8 $4.98 FIXED PULLEY2 NICKEL 00003671840000300021 1.0000 EA $4,98 $4.98 DOCK CLEAT 5-112 GALV 00001341420000300021 1.0000 EA $3,48 $3.48 DOCK CLEAT 5-1/2 GALV 00001341420000300021 1.0000 EA $3.48 $3.48 FIXED PULLEY 2 NICKEL 00003671840000300021 1.0000 EA $4,98 $4.98 SPRING LINK 3/8X3-1/2 ZINC 00005544140000300021 1.0000 EA $3.50 $3.50 DOCK CLEAT 5-1/2 GALV 00001341420000300021 1.0000 EA $3,48 $3.48 FIXED PULLEY NICKEL 00003671840000300021 1.0000 EA $4.98 $4.98 FIXED PULLEY 2 NICKEL 00003671840000300021 1.0000 EA $4.98 $4.98 40MM COV. ALUM. PADLOCK 1-112" 00003837250000500002 1.0000 EA $7.98 $7.98 SHACK DOCK CLEAT 5-1/2 GALV 00001341420000300021 1.0000 EA $3.48 $3,48 3/8" X 4-1/2" SCR EYE LAG THREAD 00001202920000300022 1.0000 EA $0.87 $0.87 SPRING LINK 3/8X3-1/2 ZINC 00005544140000300021 1.0000 EA $3.50 $3.50 SPRING LINK 3/8X3-1/2 ZINC 00005544140000300021 1.0000 EA $3.50 $3,50 SPRING LINK 3/8X3-1/2 ZINC 00005544140000300021 1.0000 EA $3.50 $3.50 SPRING LINK 3/8X3-1/2 ZINC 00005544140000300021 1.0000 EA $3.50 $3,50 318" X 4-112" SCR EYE LAG THREAD 00001202920000300022 1.0000 EA $6.87 $0,87 3/8" X 4-1/2" SCR EYE LAG THREAD 00001202920000300022 1.0000 EA $0.87 $0,87 3/8" X 4-1/2" SCR EYE LAG THREAD 00001202920000300022 1.0000 EA $0.87 $0,87 3/8" X 4-1/2" SCR EYE LAG THREAD 00001202920000300022 1.0000 EA $0.87 $0,87 3/8" X 4-1/2" SCR EYE LAG THREAD 00001202920000300022 1.0000 EA $0.87 $0.87 3/8" X 4-1/2" SCR EYE LAG THREAD 00001202920000300022 1.0000 EA $0.87 $0.87 3/8" X4-1/2" SCR EYE LAG THREAD 00001202920000300022 1.0000 EA $0.87 $0,87 3/8" X 4-1/2" SCR EYE LAG THREAD 00001202920000300022 1.0000 EA $0.87 $0,87 BILL TO: SHIP TO: Acct: 6035 3221 4939 2668 RJM CONSTRUCTION LLC 830 BOONE AVE N STE 2 MINNEAPOLIS, MN 55427-4589 SUBTOTAL $92.07 TAX $6.93 TOTAL $99.00 Amount Due: Trans Date: Invoice #: 9015595 $91.06 12/20/19 PO: 195200003 Store: 2804, BROOKLYN PARK, MN PRODUCT SKU # QUANTITY UNIT PRICE TOTAL PRICE 2X4-96" PRIME KD-HT WHITEWOOD 00001616400000600002 12.0000 EA $2.48 $29.76 STUD TAPCON 3/16X2-3/4 PHILLIPS, 8 PK_. 00004602200000300020 1.0000 EA $4.65 $4.65 5/8 OSB SQ 00003396960000100003 4.0000 EA $12.57 $50.28 BILL TO: SHIP TO: Acct: 6035 3221 4939 2668 RJM CONSTRUCTION LLC 830 BOONE AVE N STE 2 MINNEAPOLIS, MN 55427-4589 SUBTOTAL 69 TAX $6.37 TOTAL $91.06 Amount Due: Trans Date: Invoice #: 9015698 $37.05 12/20/19 PO: 19520-0003 1 Store: 2804, BROOKLYN PARK, MN PRODUCT SKU # QUANTITY UNIT PRICE TOTAL PRICE GREAT STUFF WINDOW & DOOR 16 10018692910000400005 3.0000 EA $5.98 $17.94 OZ continued =:�> REPage 35 of 74 1-800-685-6691 homedepot.com/mycrc s Remit payment and make checks payable to: HOME DEPOT CREDIT SERVICES � CommercialDEPT. 32 - 2149392668 ' Revolving Charge PO BOX 9001030 LOUISVILLE, KY 40290-1030 INVOICE DETAIL rl1 B' Q' (32 rU L✓ BILL TO: SHIP TO: Acct: 6035 3221 4939 2668 RJM CONSTRUCTION LLC 830 BOONE AVE N STE 2 MINNEAPOLIS, MN 55427-4589 Amount Due: Trans Date: 1 Invoice #: 9023743 $130.00 12/20/19 PO: 195200033 1 Store: 2821, ELK RIVER, MN PRODUCT SKU # QUANTITY UNIT PRICE TOTAL PRICE 27" TLSCPC MAG PICKUP TOOL 00002270290000100016 1.0000 EA $9.97 $9.97 SPRING, EXT_1" X 12"-ZN 00001720450000400013 1.0000 EA $6.74 $614 SPRING, EXT_1' X 12"-ZN 00001720450000400013 1.0000 EA $6.74 $6.74 SPRING, EXT_1' X 12"-ZN 00001720450000400013 1.0000 EA $6.74 $6.74 SPRING, EXT_1-1/8" X 16"_ZN 00001707330000400013 1.0000 EA $8.28 $8.28 SPRING, EXT_1-1/8" X 16"_ZN 00001707MOW400013 1.0000 EA $8.28 $8.28 SPRING, EXT_1-1/8" X 16"_ZN 00001707330000400013 1.0000 EA $8.28 $8.28 DIAMOND BRD 1/4X100 00003480260000300004 1.0000 EA $13.47 $13.47 POLYPRO,MULTI HINGE, TEE_HD_6"_ZINC 00006975166000400007 1.0000 EA $5.44 $5.44 HINGE, TEE_HD_6"_ZINC 00006975160000400007 1.0000 EA $5.44 $5.44 DW MAXFIT 1" PH2 15PC 10000397390000700009 1.0000 EA $6.47 $6.47 FENDER WASHER SS 3/16" 00002078010000300026 1.0000 EA $1.18 $1.18 ARMOR ALL PROTECTANT WIPES 10028119160003100010 1.0000 EA $4.28 $4.28 FENDER WASHER SS 3/16" 00002078010000300026 1.0000 EA $1.18 $1.18 FENDER WASHER SS 3/16" 00002078010000300026 1.0000 EA $1.18 $1.18 FENDER WASHER SS 3/16" _ 00002078010000300026 1.0000 EA $1.18 $1.18 FENDER WASHER SS 3/16" 00002078010000300026 1.0000 EA $1.18 $1.18 HASP, 00002401090000400004 1.0000 EA $3.98 $3.98 SAFETY_DOUBLEHINGE_3"_ZINC FENDER WASHER SS 3/16" 00002078010000300026 1.0000 EA $1.18 $1.18 FENDER WASHER SS 3/16" 00002078010000300026 1.0000 EA $1.18 $1.16 FENDER WASHER SS 3/16" 00002078010000300026 1.0000 EA $1.18 $1.18 FENDER WASHER SS 3/16" 00002078010000300026 1.0000 EA $1.18 $1.18 FENDER WASHER SS 3/16" 00002078010000300026 1.0000 EA $1.18 $1,18 FENDER WASHER SS 3/16" 00002078010000300026 1.0000 EA $1.18 $1.18 HASP, 00002400600000400004 1.0000 EA $4.28 $4.28 SAFETY_STAPLE_ADJ_3.5"_ZI NC HASP, 00002401090000400004 1.0000 EA $3.98 $3.98 SAFETY_DOUBLEHINGE_3"-ZINC HASP, 00002401090000400004 1.0000 EA $3.98 $3.98 SAFETY_DOUBLEHINGE_3"_ZINC FENDER WASHER SS 3/16" 00002078010000300026 1.0000 EA $1.18 $1.18 BILL TO: SHIP TO: Acct: 6035 3221 4939 2668 RJM CONSTRUCTION LLC 830 BOONE AVE N STE 2 MINNEAPOLIS, MN 55427-4589 SUBTOTAL $120.51 TAX $9.49 TOTAL $130.00 Amount Due: Trans Date: Invoice #: 6616307 $71.74 12/23/19 PO: 195200067 Store: 2820, FOREST LAKE, MN PRODUCT SKU # QUANTITY UNIT PRICE TOTAL PRICE RIDGID 5 18SEGMENT GRINDING 10000509240000700015 1.0000 EA $66.97 $66.97 WHL SUBTOTAL $66.97 TAX $4.77 TOTAL $71.74 1' � Page 39 of 74 1-800-685-6691 homedepot.com/mycrc Remit payment and make checks payable to: Commercial HOME DEPOT CREDIT SERVICES DEPT. 32 - 149392665 Revolving Charge PO BOX 9001030 1121 LOUISVILLE, KY 40290-1030 INVOICE DETAIL ru Er Er tp ru -] BILL TO: SHIP TO: Acct: 6035 3221 4939 2668 RJM CONSTRUCTION LLC 830 BOONE AVE N STE 2 MINNEAPOLIS, MN 55427-4589 Amount Due: Trans Date: Invoice #: 9013712 $31.03 12/30/19 PO: 195200052DL Store: 2810, WOODBURY, MN PRODUCT SKU # QUANTITY UNIT PRICE TOTAL PRICE 60LB QUIKRETE TUBE SAND 00005971630000900005 1.0000 EA $4.50 $4.50 60LB QUIKRETE TUBE SAND 00005971630000900005 1.0000 EA $4.50 $4.50 25LB SAFE-T-PET ICE MELT BAG 10048652800000100009 1.0000 EA $19.97 $19.97 BILL TO: SHIP TO: Acct: 6035 3221 4939 2668 RJM CONSTRUCTION LLC 830 BOONE AVE N STE 2 MINNEAPOLIS, MN 55427-4589 SUBTOTAL $28.97 TAX $2.06 TOTAL $31.03 Amount Due: Trans Date: Invoice #: 9024513 $17.69 12/30/19 PO: 195200033 1 Store: 2821, ELK RIVER, MN PRODUCT SKU # QUANTITY UNIT PRICE TOTAL PRICE ACURITE THERMOMETER 00008167990002900006 1.0000 EA $1.98 $1.98 W/HUMIDITY8.5" POWERADE ZERO FRUIT PUNCH 10044730770001300005 1.0000 EA $4.97 $4.97 8PK ACURITE THERMOMETER 00008167990002900006 1.0000 EA $1.98 $1.98 W/HUMIDITY 8.5" ACURITE RD THERM W/ MOUNTING 00008213530002900006 1.0000 EA $3.51 $3.51 BKT 5" ACURITE THERMOMETER 00008167990002900006 1.0000 EA $1.98 $1.98 W/HUMIDITY 8.5" ACURITE THERMOMETER 00008167990002900006 1.0000 EA $1.98 $1.98 W/HUMIDITY 8.5" BILL TO: SHIP TO: Acct: 6035 3221 4939 2668 RJM CONSTRUCTION LLC 830 BOONE AVE N STE 2 MINNEAPOLIS, MN 55427-4589 SUBTOTAL $16.40 TAX $1.29 TOTAL $17.69 Amount Due: Trans Date: Invoice #: 9523 W $16.11 12/30/19 PO: 19520-0070 Store: 2812, EDEN PRAIRIE, MN PRODUCT SKU # QUANTITY UNIT PRICE TOTAL PRICE OOK HANGER PRO 30LB 25PK 00005081890000400026 1.0000 EA $14.98 $14.98 BILL TO: SHIP TO: Acct: 6035 3221 4939 2668 RJM CONSTRUCTION LLC 830 BOONE AVE N STE 2 MINNEAPOLIS, MN 55427-4589 SUBTOTAL $14.98 TAX $1.13 TOTAL $16.11 Amount Due: Trans Date: Invoice #: 9024991 $313.89 12/30/19 PO: 19520-0132GD I Store: 2809, BURNSVILLE, MN PRODUCT SKU # QUANTITY UNIT PRICE TOTAL PRICE MKE INKZALL FINE PNT BILK MARKER 10009727300000100016 1.0000 EA $1.97 $1.97 2PK MKE INKZALL FINE PNT BILK MARKER 10009727300000100016 1.0000 EA $1.97 $1.97 2PK continued =�> 20 Page 51 of 74 1-800-685-6691 homedepot.com/mycrc Remit payment and make checks payable to: INVOICE DETAIL Commercial HOME DEPOT CREDIT SERVICES ` DEPT. 32 - 2149392668 Revolving Charge PO BOX 9001030 Mk. `2 LOUISVILLE, KY 40290-1030 ru Q, Q, 02 ru 02 Invoice #: 9024991 continued PRODUCT SKU # QUANTITY UNIT PRICE TOTAL PRICE MIKE INKZALL FINE PNT BILK MARKER 10009727300000100016 1.0000 EA $1.97 $1.97 2PK VULKEM 116 WHITE 10.1 OZ 00003176290000200011 1.0000 EA $5.98 $5.98 VULKEM 116 WHITE 10.1 OZ 00003176290000200011 1.0000 EA $5.98 $5.98 23/32 4X8 RTD PLYWOOD 00001661030000100002 6.0000 EA $20.48 $122.88 VULKEM 116 WHITE 10.1 OZ 00003176290000200011 1.0000 EA $5.98 $5.98 R19 KF 23"X93' BATT INSUL 118.83SF 00005919470000400002 1.0000 EA $58.19 $58.19 VULKEM 116 WHITE 10.1 OZ 00003176290000200011 1.0000 EA $5.98 $5.98 VULKEM 116 WHITE 10.1 OZ 00003176290000200011 1.0000 EA $5.98 $5.98 VULKEM 116 WHITE 10.1 OZ 00003176290000200011 1.0000 EA $5.98 $5.98 VULKEM 116 WHITE 10.1 OZ 00003176290000200011 1.0000 EA $5.98 $5.98 VULKEM 116 WHITE 10.1 OZ 00003176290000200011 1.0000 EA $5.98 $5.98 R19 KF 23"X93" BATT INSUL 118.83SF 00005919470000400002 1.0000 EA $58.19 $58.19 BILL TO: SHIP TO: Acct: 6035 3221 4939 2668 RJM CONSTRUCTION LLC 830 BOONE AVE N STE 2 MINNEAPOLIS, MN 55427-4589 SUBTOTAL $293.01 TAX $20.88 TOTAL $313.89 Amount Due: Trans Date: Invoice #: 8024531 $44.03 12/31 /19 PO: 19520-0047 Store: 2807, MINNEAPOLIS, MN PRODUCT SKU # QUANTITY UNIT PRICE TOTAL PRICE FENDER WASHER 3/16 ZINC 00005905240000300007 8.0000 EA $0A7 $1.36 FENDER WASHER 5/16 ZINC 00005906700000300007 8.0000 EA $0.20 $1.60 CUTWSHRI/4" 00006555540000300007 8.0000 EA $0.13 $1.04 2001 FELT BACK SHT VNYL ADHSVE 00006963970001400013 1.0000 EA $19.82 $19.82 1 GAL SCOTCH VHB EXTREME MOUNTING 00002851890000500006 1.0000 EA $8.98 $8.98 TAPE 60 ROBERTS RESILIENT&SHEET VINYL 00006138340001400013 1.0000 EA $4.18 $4A8 KNIFE V NOTCH COVE BASE SPREADER 00006099370001400013 1.0000 EA $3.78 $3.78 BILL TO: SHIP TO: Acct: 6035 3221 4939 2668 RJM CONSTRUCTION LLC 830 BOONE AVE N STE 2 MINNEAPOLIS, MN 55427-4589 SUBTOTAL $40.76 TAX $327 TOTAL $44.03 Amount Due: Trans Date: Invoice #: W24567 $135.75 12/31 /19 PO: 195200033 1 Store: 2821, ELK RIVER, MN PRODUCT SKU # QUANTITY UNIT PRICE TOTAL PRICE HINGE, TEE_HD_8"_ZINC 00006975240000400007 1.0000 EA $8.98 $8.98 HINGE, TEE_HD_8"_ZINC 00006975240000400007 1.0000 EA $8.98 $8.98 HINGE, TEE_HD_8'-INC 00006975240000400007 1.0000 EA $8.98 $8.98 FENDER WASHER 3/16 ZINC-10OPK 00005905070000300007 1.0000 BX $15.30 $15.30 RAINX -25 WINDSHIELD DEICER 10023394010003100010 1.0000 EA $3.47 $3.47 HINGE, TEE_HD_8'_ZINC 00006975240000400007 1.0000 EA $8.98 $8.98 TAPCON 1/4X2-3/4 PHILLIPS, 25 PK 00001491620000300020 1.0000 EA $14.48 $14.48 DISCOUNT ODD00000000000000005 1.0000 EA -$12.66 -$12.66 TAPCON 114X2-3/4 PHILLIPS, 25 PK 00001491624000300020 1.0000 EA $14.48 $14.48 TAPCON 114X2-3/4 PHILLIPS, 25 PK OW0149162000030OD20 1.0000 EA $14.48 $14.48 TAPCON 1/4X2-$/4 PHILLIPS, 25 Pit 00001491620000300020 1.0000 EA $14.48 $14.48 TAPCON 1/4X2-3/4 PHILLIPS, 75 PK 00001493100000300020 1.0000 EA $26.48 $26.48 continued c=> 65 Page 53 of 74 1-800-685-6691 homedepot.com/mycrc ru Q, G^ 03 ru .A o payable to: GanmerCal OMEDEOTCRESEWEINVOICE DETAIL DEPT. 32.214939 W ` Revolving Charge PO Box 90010so ! ::l LOUISVILLE, KY 40290.1030 Invoice #. SM567 continued PRODUCT ISKU # QUANTITY UNIT PRICE TOTAL PRICE DISCOUNT 00000000000000000005 1.0000 EA - 0.59 -$0.59 BILL TO: SHIP TO: Acot: 8035 3221 4939 2668 RJM CONSTRUCTION LLC 830 BOONE AVE N STE 2 MINNEAPOLIS, MN 55427.4589 SUBTOTAL $125,84 TAX $9.91 TOTAL 75 Amount Due: Trans Date: Invoice #: 6014058 $109.42 01 /02/20 PO: 195200021 1 Store: 2803, COON RAPIDS, MN PRODUCT SKU 11 QUANTITY UNIT PRICE TOTAL PRICE HUSKY 42G CONTRACTOR 00006909690000400003 1.0000 EA $17.97 $17.97 TRASHBAG 32PK 3M 8511 N95 VALVED RESPIRATOR 1001547441000050000E I Z000 EA $33.97 $33.97 15PK HOMER BUCKET 0000131227000100000E 1.0000 EA $3.25 $3.25 ZEP FLOOR SWEEP WITH SOY 00006131420000400005 1.0000 EA $21.98 $21.98 JOBSITE 24' INDOORIOUTDOOR 000094109100DO400015 1.0000 EA $24.97 $24A7 PUSH BROO BILL TO: SHIP TO: Acct. 6035 3221 4939 2668 RJM CONSTRUCTION LLC 830 BOONE AVE N STE 2 MINNEAPOLIS, MN 55427.4589 SUBTOTAL $102.14 TAX $7.28 TOTAL $109.42 Amount Due: Trans Date: Invoice #: 6612W2 $29.32 01 i02QO PO: 19520-OOOOBC I Store: 2844, MAPLE GROVE, MN PRODUCT SKU # QUANTITY UNIT PRICE TOTAL PRICE EMPIRE 6" POCKET COMBINATION 00004999430000100016 1.0000 ER ,97 $9.97 SQUARE 16D 3.1/2" HOT GALV COMMON 1 LB 0000192635000D300002 1.0000 EA $4.45 $4.45 QUAD WIN,DOQR& SONG SLNT 00005125720000200008 1.0000 EA $6.28 $6.28 GRAY 10 OZ GE SILICONE It K&B CLEAR 10.1 OZ 000046929600OD200004 1.0000 EA $6.57 $6.57 BILL TO: SHIP TO' Accl: 6035 32214939 2868 RJM CONSTRUCTION LLC 830 BOONE AVE N STE 2 MINNEAPOLIS, MN 55427-4589 SUBTOTAL $27.27 TAX $2.05 TOTAL $29.32 Amount Due: Trans Date: 1 Invoice #: 602483 $68.36 01 /02/20 PO: 196200178JM I Store: 2805, BLOOMINGTONT MN PRODUCT SKU # QUANTITY UNIT PRICE TOTAL PRICE 114X2" SPAR LAG SCREW 00003663590000300008 53,0000 EA $0.27 $14.31 114X3" SPAR LAG SCREW 00003669490000300008 64.0000 EA $0.30 $19.20 T30 BIT COW580683OM300000 1.0000 EA $1.67 $1.67 $PAX LAG T-STAR 1/4 X 3 00005811120000300008 71.0000 EA $0.40 $28.40 SUBTOTAL $63.58 TAX $4.78 TOTAL $68.3E a. Page 55 of 74 1-BOM85-6691 hamedepot.com/mycrc Remit payment and make checks payable to: INVOICE DETAIL Commercial HOME DEPOT CREDIT SERVICES %,,X DEPT. 32 - 2149392666 Revolving Charge PO BOX 9001030 LOUISVILLE, KY 40290-1030 ru IT- IT- LU W BILL TO: SHIP TO: Acct: 6035 3221 4939 2668 RJM CONSTRUCTION LLC Amount Due: Trans Date: Invoice #: #: $36.06 01/07/20 $38.46 01 /07/20 09 W Page 63 of 74 1-800-685-6691 homedepot.com/mycrc 645 JOHNSON ST NE MINNEAPOLIS, MN 55413- Phone: (612)-378-1520 BILL TO: Remit To: 645 JOHNSON ST NE MINNEAPOLIS, MN 55413- Phone: (612)-378-1520 RJM CONSTRUCTION 830 BOONE AVENUE NORTH GOLDEN VALLEY MN 55427 INVOICE 869858-001 Invoice Date: 01/02/20 Account: 304454 0470 Branch: MSP Phone: (952)-837-8600 Fax: (952)-832-9600 Delivery: 00869858-001 SHIP TO: RJM CONSTRUCTION 1000 SCHOOL ST NW ELK RIVER MULTI PURPOSE 19520-0033 ELK RIVER MN 55330 Page 1 of 1 PO: 19520-0033 REF: JOB: ORDER DATE: 12/31/19 SALES PAUL S. ORDER TYPE: YARD SHIP VIA: DEL AM FRT TERM: SHIP DATE: 01/02/20 AGENTS ORDERED BY: AUTH CHG: QTY QTY CONVERTED ORDERED SHIPPED UOM ITEM/DESCRIPTION QTY PRICEWOM AMOUNT 65 65 PC 2X4-16' (1.5"x3.5") **COMMON** #2 65.00/PC 8.05/PC 523.25 & BTR SPF SUBTOTAL 523.25 SALES TAX 41.21 PAYMENT TERMS: 2% 15TH OF THE FOLLOWING MONTH NET END OF FOLLOWING MONTH Due Date: 02/29/20 You may deduct 10.47 if paid by 02/15/20 Balance $564.46 645 JOHNSON ST NE MINNEAPOLIS, MN 55413- Phone: (612)-378-1520 Remit To: 645 JOHNSON ST NE MINNEAPOLIS, MN 55413- Phone: (612)-378-1520 INVOICE 870533-001 Invoice Date: 01/07/20 Account: 304454 0470 Branch: MSP Phone: (952)-837-8600 Fax: (952)-832-9600 Delivery: 00870533-001 BILL TO: SHIP TO: RJM CONSTRUCTION RJM CONSTRUCTION 830 BOONE AVENUE NORTH 1000 SCHOOL ST NW GOLDEN VALLEY MN 55427 ELK RIVER MULTI PURPOSE 19520-0033 ELK RIVER MN 55330 Page 1 of 1 PO: 19520-0033 REF: JOB: ORDER DATE: 01/06/20 SALES PAUL S. ORDER TYPE: YARD SHIP VIA: DEL AM FRT TERM: SHIP DATE: 01/07/20 AGENTS ORDERED BY: AUTH CHG: QTY QTY CONVERTED ORDERED SHIPPED UOM ITEM/DESCRIPTION QTY PRICEWOM AMOUNT 40 40 PC 2X4-16' (1.5"x3.5") **COMMON** #2 40.00/PC 8.05/PC 322.00 & BTR SPF SUBTOTAL 322.00 ................................ ............................... ... ... .............................. ..... ........................ ... ... ............................. ............................ ................................................. ................................................ ................................................ ...... SALES TAX ... ... ... ........... ...................... ..... ........................................... ... ... ... ........... ...................... .... ........................................... ... ... .... ........... ..................... ... ......................................... .... .... ..... ............ .................... ... ........................................ .... . .... ..... ........... ................... ... ......................................... .. ...... .... .... ........... ................... ... ........................................... .... .... ........... ... .......................................... .... .... ........... ... ........................................ ... ..... .......... ... ....... ................................. . ... .. .. ..... ... .... ..... .. ... .. ... ..... .. ........ .................................... ........ .................................... ......... . ..... .......... ........... ... .. ..... .......... ..... ..... ... . ... ..... .......... ..... ..... ... . ... ..... .......... ..... .... ... . ......... .......... ..... .... ... . ......... .......... .... .... ... . .......... ......... .. ... ... ... ...... .. .. ... .......:: ... ... ... ......... ... ... ... ........ ... ... ... ........ ... ... ... ...... . ... ... ... ..... . ........ ... ..... . ... .... ....... 25.36 PAYMENT TERMS: 2% 15TH OF THE FOLLOWING MONTH NET END OF FOLLOWING MONTH Due Date: 02/29/20 You may deduct 6.44 if paid by 02/15/20 Balance $347.36 645 JOHNSON ST NE MINNEAPOLIS, MN 55413- Phone: (612)-378-1520 BILL TO: Remit To: 645 JOHNSON ST NE MINNEAPOLIS, MN 55413- Phone: (612)-378-1520 RJM CONSTRUCTION 830 BOONE AVENUE NORTH GOLDEN VALLEY MN 55427 INVOICE 874320-001 Invoice Date: 01/31/20 Account: 304454 0470 Branch: MSP Phone: (952)-837-8600 Fax: (952)-832-9600 Delivery: 00874320-001 SHIP TO: RJM CONSTRUCTION 1000 SCHOOL ST NW ELK RIVER MULTI PURPOSE 19520-0033 ELK RIVER MN 55330 Page 1 of 1 PO: 19520-0033 REF: JOB: ORDER DATE: 01/30/20 SALES PAUL S. ORDER TYPE: YARD SHIP VIA: DEL AM FRT TERM: SHIP DATE: 01/31/20 AGENTS ORDERED BY: AUTH CHG: QTY QTY CONVERTED ORDERED SHIPPED UOM ITEM/DESCRIPTION QTY PRICEWOM AMOUNT 50 50 PC 2X4-16' (1.5"x3.5") **COMMON** #2 50.00/PC 8.05/PC 402.50 & BTR SPF 6 6 PC 4X8-19/32" (5/8) CDX SHEATHING 6.00/PC 22.45/PC 134.70 PLYWOOD - FIR SUBTOTAL 537.20 SALES TAX 42.31 PAYMENT TERMS: 2% 15TH OF THE FOLLOWING MONTH NET END OF FOLLOWING MONTH Due Date: 02/29/20 You may deduct 10.74 if paid by 02/15/20 Balance $579.51 Veit Disposal Systems - Metro 14000 Veit Place Rogers, MN 55374 Phone: (763)422-3867 Fax: (763)428-6779 RIM CONSTRUCTION - NORTH 830 BOONE AVENUE N GOLDEN VALLEY, MN 55427 INVOICE INVOICE TOTAL INVOICE $610.00 SERVICE CODE DESCRIPTION REFERENCE QTY. RATE AMOUNT DATF (0444) PO.#19520-0033 RIM - NORTH - ICE ARENA 1000 SCHOOL STREET, ELK RIVER MN Sery #001 Roll Off Service 20.00 24- Dec R1 20.00 Exchange 1.00 $263.00 $263.00 W/O #:670041 24- Dec C1 Const. Debris - YD 20.00 $0.00 $0.00 Bill of Lading: 59352 Carrier: YBT3819,20 24- Dec R1 20.00 Delivery 1.00 $0.00 $0.00 W/O #:670042 24 - Dec 01 MN Sid Waste Fee-$.60/Yd at $0.60/YD on 20.00YD $12.00 Sery #002 Roll Off Service 30.00 24- Dec R1 30.00 Exchange 1.00 $317.00 $317.00 W/O #:670043 24- Dec CN Const Debris Tons/Yds 30.00 $0.00 $0.00 Bill of Lading: 59359 Carrier: YBT3819,30 24 - Dec 01 MN Sid Waste Fee-$.60/Yd at $0.60/YD on 30.00YD $18.00 Questions or Inquiries please e-mail customer service @ VDSbilling@VeitUSA.com A service chg of 1.5% per month (18% APR) on any unpaid balances after 30 days CURRENT 31 - 60 DAYS 61 - 90 DAYS OVER 90 DAYS [TOTAL INVOICE $610.00 Veit Disposal Systems - Metro 14000 Veit Place Rogers, MN 55374 Phone: (763)422-3867 Fax: (763)428-6779 RIM CONSTRUCTION - NORTH 830 BOONE AVENUE N GOLDEN VALLEY, MN 55427 TOTAL INVOICE $1,160.00 SERVICE CODE DESCRIPTION REFERENCE QTY. RATE AMOUNT DATE (0444) PO.#19520-0033 RJM - NORTH - ICE ARENA 1000 SCHOOL STREET, ELK RIVER MN Sery #001 Roll Off Service 20.00 06 - Jan RI 20.00 Pick Up 1.00 $263.00 $263.00 W/O #:670641 06 - Jan C1 Const. Debris - YD 20.00 $0.00 $0.00 Bill of Lading: 59673 Carrier: YBR4594,20 06 - Jan 01 MN Sid Waste Fee-$.60/Yd at $0.60/YD on 20.00YD $12.00 08-Jan RI 20.00 Exchange 1.00 $263.00 $263.00 W/O #:670852 08 - Jan C1 Const. Debris - YD 20.00 $0.00 $0.00 Bill of Lading: 59750 Carrier: YBR4594,20 08 - Jan 01 MN Sid Waste Fee-$.60/Yd at $0.60/YD on 20.00YD $12.00 09-Jan RI 20.00 Exchange 1.00 $263.00 $263.00 W/O #:670851 09 - Jan CN Const Debris Tons/Yds 20.00 $0.00 $0.00 Bill of Lading: 9868-444 RJM - NORTH - ICE ARENA 09 - Jan 01 MN Sld Waste Fee-$.60/Yd at $0.60/YD on 20.00YD $12.00 Sery #002 Roll Off Service 30.00 09-Jan RI 30.00 Exchange 1.00 $317.00 $317.00 W/O #:670917 09 - Jan CN Const Debris Tons/Yds 30.00 $0.00 $0.00 Bill of Lading: 59781 Carrier: YBR1003,30 09 - Jan 01 MN Sid Waste Fee-$.60/Yd at $0.60/YD on 30.00YD $18.00 Questions or Inquiries please e-mail customer service @ VDSbilling@VeitUSA.com A service chg of 1.5% per month (18% APR) on any unpaid balances after 30 days CURRENT 31 - 60 DAYS 61 - 90 DAYS OVER 90 DAYS TOTAL INVOICE $1,160.00 Veit Disposal Systems - Metro 14000 Veit Place Rogers, MN 55374 Phone: (763)422-3867 Fax: (763)428-6779 RIM CONSTRUCTION - NORTH 830 BOONE AVENUE N GOLDEN VALLEY, MN 55427 INVOICE INVOICE TOTAL INVOICE $1,160.00 SERVICE CODE DESCRIPTION REFERENCE QTY. RATE AMOUNT DATF C � C � Veit Disposal Systems - Metro 14000 Veit Place Rogers, MN 55374 Phone: (763)422-3867 Fax: (763)428-6779 RIM CONSTRUCTION - NORTH 830 BOONE AVENUE N GOLDEN VALLEY, MN 55427 INVOICE INVOICE TOTAL INVOICE $275.00 SERVICE CODE DESCRIPTION REFERENCE QTY. RATE AMOUNT DATF (0444) PO.#19520-0033 RIM - NORTH - ICE ARENA 1000 SCHOOL STREET, ELK RIVER MN Sery #001 Roll Off Service 20.00 16-Jan R1 20.00 Exchange 1.00 $263.00 $263.00 W/O #:671463 16 - Jan C1 Const. Debris - YD 20.00 $0.00 $0.00 Bill of Lading: 9868-444 RJM - NORTH - ICE ARENA 16 -Jan 01 MN Sid Waste Fee-$.60/Yd at $0.60/YD on 20.00YD $12.00 Questions or Inquiries please e-mail customer service @ VDSbilling@VeitUSA.com A service chg of 1.5% per month (18% APR) on any unpaid balances after 30 days CURRENT 31 - 60 DAYS 61 - 90 DAYS OVER 90 DAYS [TOTAL INVOICE $275.00 Viking Industrial Center 710 Raymond Ave. St. Paul, MN 55114 651-646-6374 41KING Industrial Center Branch: 100 St. Paul Fastener, Safety & Unistrut Distributor Bill To: Customer ID: 101619 RJM Construction 830 Boone Avenue North Golden Valley, MN 55427 Delivery Instructions: Mike 952-292-3903 Carrier: JAKE KNUDSON Tracking #: INVOICE INVOICE 3183754 Invoice Date Page 1/6/2020 1 of 1 ORDER NUMBER 1191989 Ship To: RIM Construction - Elk River Ice Arena 1000 School St NW Elk River, MN 55330 Ordered By: Mike Milless PO Number Term Description Net Due Date Disc Due Date DiscountAntount 19520-0033 Net 30 2/5/2020 2/5/2020 0.00 Order Date Pick Ticket No Primary Salesrep Name Taker 1/2/2020 12:15:32 2204143 Jacob J. Knudson CGRUYE Quantities Pricing Item ID Item Description UOM Unit Price Extended Price Ordered Shipped Remaining UOM R Unit Size A Unit Size 10.00 10.00 0.00 EA V9M1-PLR100 EA 9.800000 98.00 1.0 RED PERIMETER MARKER FLAGS 100FT 1.0000 LONG Red Perimeter Marker Flags 100 Long 25/cs Total Lines: 1 SUB -TOTAL: 98.00 MN CITY TAX: 0.49 MN STATE TAX: 6.74 MN SPECIAL TAX: 0.49 AMOUNT DUE: 105.72 Goods may be returned within 30 days of this invoice for credit, exchange or replacement only with authoriztion, and subject to inspection and restocking charges. ALL Respiratory, Fall Protection, Special Order and Custom Items are NON -RETURNABLE. Interest at 1.5%per month (18% annum) will be charged on past due accounts. Rev 2 12.17.2242 - 11/12/15 ORIGINAL AQ01 Ma M1111 0ato] ► Job Number: 19520-0033 Project Name: Requested By: Elk River Ice Arena Mike Milles Items/Materials: 8-Fire Extinguishers@ $20each 1-Bosch Hammer Drill@ $200each 12-Safety Glasses@ $5each Signed Derek Hendrickson 830 Boone Avenue North Golden Valley, MN 55427 PH 952-837-8600 FAX 952-832-9600 rjmconstruction.com MATERIAL OUT OF STOCK Cost $160.00 $200.00 $60.00 Total $420.00 Date 12/3/2019 AQ01 Ma M1111 0ato] ► Job Number: 19520-0033 Project Name: Requested By: Elk River Ice Arena Mike M. Items/Materials: 5-100' Extension Cords@ $150each Signed Derek Hendrickson 830 Boone Avenue North Golden Valley, MN 55427 PH 952-837-8600 FAX 952-832-9600 rjmconstruction.com MATERIAL OUT OF STOCK Cost $750.00 Total $750.00 Date 12/23/2019 0United Rentals® BRANCH J20 2340 FERNBROOK LN N PLYMOUTH MN 55447-4727 763-557-1234 763-509-2350 FAX ELK RIVER REC. FACILITIES 1000 SCHOOL ST NW U) ELK RIVER MN 55330-1337 A h Office: 612-305-2120 Cell: 952-292-3903 RJM CONSTRUCTION 830 BOONE AVE N STE 2 GOLDEN VALLEY MN 55427-4589 4 WEEK BILLING INVOICE # 177215548-001 Customer # 9154026 Invoice Date 12/29/19 Date Out 12/17/19 01:00 PM Billed Through 01/14/20 00:00 UR Job Loc 1000 SCHOOL ST NW, E UR Job # 212 Customer Job ID: P.O. # 19592-0072 Ordered By : MIKE MILLES Reserved By ROGER PETTITT Salesperson ROGER PETTITT Invoice Amount: $2,687.17 Terms: Due Upon Receipt Payment options: Contact our credit office 212-333-6600 Ext. ext: 8 REMIT TO: UNITED RENTALS (NORTH AMERICA),INC. PO BOX 840514 DALLAS TX 75284-0514 RENTAL ITEMS: Qty Equipment Description Minimum Day Week 4 Week Amount 1 10921385 BOOM 60-64' TELESCOPIC 545.00 1150.00 2300.00 2,300.00 Make: JLG Model: 600S Serial: 0300257504 Meter out: 151.50 Meter in: .00 Rental Subtotal: 2,300.00 SALES/MISCELLANEOUS ITEMS: Qty Item Price Unit of Measure Extended Amt. 1 ENVIRONMENTAL SERVICE CHARGE [ENV/MCI] 46.000 EACH 46.00 1 PICKUP CHARGE 145.000 EACH 145.00 Sales/Misc Subtotal: 191.00 Agreement Subtotal: 2,491.00 Tax: 196.17 Total: 2,687.17 COMMENTS/NOTES: CONTACT: MIKE MILLES CELL#: 952-292-3903 Billing period: 28 Days From 12/17/19 01:00 PM Thru 1/14/20 01:00 PM TO SCHEDULE EQUIPMENT FOR PICKUP, CALL 800-UR-RENTS (800-877-3687) WE ARE AVAILABLE 24/7 TO SUPPLY YOU WITH A CONFIRMATION # IN ORDER TO CLOSE THIS CONTRACT NOTICE: This invoice is subject to the terms and conditions of the Rental and Service Agreement, which are available at https://www.unitedrentals.com/legal/rental-service-terms-US and which are incorporated herein by reference. A COPY OF THE RENTAL AND SERVICE AGREEMENT TERMS ARE AVAILABLE IN PAPER FORM UPON REQUEST. You Can Now Access Invoice History and Update Purchase Orders Online To Sign Up, contact URControlSupport@ur.com Page: 1 0United Rentals® BRANCH J20 2340 FERNBROOK LN N PLYMOUTH MN 55447-4727 763-557-1234 763-509-2350 FAX ELK RIVER REC. FACILITIES 1000 SCHOOL ST NW U) ELK RIVER MN 55330-1337 A h Office: 612-305-2120 Cell: 952-292-3903 RJM CONSTRUCTION 830 BOONE AVE N STE 2 GOLDEN VALLEY MN 55427-4589 4 WEEK BILLING INVOICE # 177215548-002 Customer # 9154026 Invoice Date 01/26/20 Date Out 12/17/19 01:00 PM Billed Through 02/11/20 00:00 UR Job Loc 1000 SCHOOL ST NW, E UR Job # 212 Customer Job ID: P.O. # 19592-0072 Ordered By : MIKE MILLES Reserved By ROGER PETTITT Salesperson ROGER PETTITT Invoice Amount: $2,530.75 Terms: Due Upon Receipt Payment options: Contact our credit office 212-333-6600 Ext. ext: 8 REMIT TO: UNITED RENTALS (NORTH AMERICA),INC. PO BOX 840514 DALLAS TX 75284-0514 RENTAL ITEMS: Qty Equipment Description Minimum Day Week 4 Week Amount 1 10921385 BOOM 60-64' TELESCOPIC 545.00 1150.00 2300.00 2,300.00 Make: JLG Model: 600S Serial: 0300257504 Meter out: 151.50 Meter in: .00 Rental Subtotal: 2,300.00 SALES/MISCELLANEOUS ITEMS: Qty Item Price Unit of Measure Extended Amt. 1 ENVIRONMENTAL SERVICE CHARGE [ENV/MCI] 46.000 EACH 46.00 Sales/Misc Subtotal: 46.00 Agreement Subtotal: 2,346.00 Tax: 184.75 Total: 2,530.75 COMMENTS/NOTES: CONTACT: MIKE MILLES CELL#: 952-292-3903 Billing period: 28 Days From 1/14/20 01:00 PM Thru 2/11/20 01:00 PM TO SCHEDULE EQUIPMENT FOR PICKUP, CALL 800-UR-RENTS (800-877-3687) WE ARE AVAILABLE 24/7 TO SUPPLY YOU WITH A CONFIRMATION # IN ORDER TO CLOSE THIS CONTRACT NOTICE: This invoice is subject to the terms and conditions of the Rental and Service Agreement, which are available at https://www.unitedrentals.com/legal/rental-service-terms-US and which are incorporated herein by reference. A COPY OF THE RENTAL AND SERVICE AGREEMENT TERMS ARE AVAILABLE IN PAPER FORM UPON REQUEST. You Can Now Access Invoice History and Update Purchase Orders Online To Sign Up, contact URControlSupport@ur.com Page: 1 APPLICATION AND CERTIFICATE FOR PAYMENT SUBMITTED TO: RJM Construction, LLC 830 Boone Avenue North Golden Valley, MN 55427 SUBMITTED FROM: Ebert Inc dba Eb ert Construction 23350 County Rd 10 Corcoran, MN 55357 CONTRACT FOR: 6A: Carpentry Page 1 of 2 PROJECT: Elk River Multi Purpose Facility and Lion John Weicht Park APPLICATION NO: 3 APPLICATION DATE: 112012020 PERIOD FROM: 1/1/2020 ARCHITECT: 292 Design Group PERIOD TO: 1/31/2020 PROJECT NO: 6979 CONTRACT DATE: CONTRACT NO.: COMMITMENT: I hereby certify that the work performed and the material supplied to date, as shown here, represent the actual value of accomplishment under the terms of the contract (and all authorized changes hereto) between the undersigned and RJM Construction relating to the above - referenced project. I further certify that no labor or materials have been supplied under contracts, agreements, verbal or written, or any other arrangement of any type whatsoever,other than the contract duly authorized and executed change orders, and the undersigned does hereby releases RJM Construction from any claim or liability therefor for the period covered by this application. I also certify that payments, less applicable retention, have been made through the period covered by previous payments received from the contractor to 1) all my subcontractors (sub -subcontractors) and 2) for all material and labor used in or in connection with the performance of this contract. I further certify that I have complied with Federal, State, and local tax laws, including Social Security laws, Unemployment Compensation Laws and Workman's Compensation laws insofar as applicable to the performance this contract. PARTIAL WAIVER OF LIEN Now therefore, upon receipt of the payment of the current payment due on this application the undersigned does hereby irrevocably release and waive any and all mechanic's liens or rights to claim any and all mechanic's liens or other liens against the above real estate or any part thereof for any of the materials and/or labopr therefore furnished or performed in connection with this project, reserving, however, all lien rights for labor and/or materials furnished after said date. ORIGINAL CONTRACT SUM ............. $ 546,800.00 NET CHANGE BY CHANGE ORDERS TO ................................................ $ - CONTRACT SUM TO DATE................................................................... $ 546,800.00 TOTAL COMPLETED AND STORED TO DATE .......................................... $ 122,522.39 5 % OF COMPLETED WORK $ 6,126.12 5 % OF STORED MATERIAL $ - TOTALRETAINAGE............................................................................. $ 6,126.12 TOTAL EARNED LESS RETAINAGE....................................................... $ 116.396.27 LESS OWNER DIRECT PAYMENT BY PURCHASE ORDER. LESS PREVIOUS CERTIFICATES FOR PAYMENT CURRENT PAYMENT DUE. BALANCE TO FINISH INCLUDING RETAINAGE....... State of: Minnesota The person signing below does hereby cerify that he/she is fully authorized and empowered to execute this instrument and to bind the undersigned hereto, and does in fact so execute this County of: Hennepin instrument. Subscribed and sworn to before me this It _ T 07 non r,7 T 10 Ar 7A ................ $ 430.403.73 Ebert Inc dba Eb ert Construction 20th day of January 20 20 23350 County Rd 10 Corcoran, MN 55357 ` NOTARY PUBLIC: SIGNED: Signed: �lJ [r. r•-iv4.a ii.'�1Z ryTA " i PRINTED, TITLE Caleb Pelkey -Project Manager My Commission Expires: � � _ From: Ebert Inc dba Ebert Construction 23350 County Rd 10 Corcoran, MN 55357 PLEASE SUBMIT PAYMENT APPLICATIONS TO: ACCOUNTING-MN@RJMCONSTRUCTION.COM To: RJM Construction, LLC 830 Boone Avenue North Golden Valley, MN 55427 Schedule of Values Invoice No. Appl. No.: #3 _ Appl. Date: 01/20/20 From: Ebert Inc To: RJM Construction ITEM NO. DESCRIPTION CURRENT CONTRACT CURRENT APPLICATION TOTAL PREVIOUS I WORK IN MATERL. I APPS. APPS. PLACE ON SITE TO DATE PERCENT COMPLETE BALANCE TO COMPLETE RETAIN TO DATE 1 Bonds, Insurance, Mobilize $5,000.00 $5,000.00' $5,000.00 100.00% $250.00 2 General Conditions $21,000.00 $4,200.00: $2,100.00 $6,300.00 30.00% $14,700.00 $315.00 3 Allowance $50,000.00 $12,882.39 $12,882.39 25.76% $37,117.61 $644.12 4 061000 Rough Carpentry M $59,700.00 $38,805.001 $2,985.00 1 $41,790.00 70.00% $17,910.00 $2,089.50 5 061000 Rough Carpentry L $153,000.00 $38,250.00i $15,300.00 $53,550.00 35.00% $99,450.00 $2,677.50 6 061753 Shop Fam. Wood Trusses $3,000-00 $3,000.00: $3 000.00 100.00% $150.00 7 06421 _ Wood Paneling $135 000.00 $135 000.00 8 072-119 Foamed -In -Place Insulation $17 000.00 1 $17 000.00 9 081113 HIM Doors and Frames $81 000.00 $81 000.00 10 097733 FRP $4 500.00 $4 500.00 11 101 100 Visual Display Boards $7,800.001 $7 800.00 12 102600 Wall and Corner Guards $7 000.00 $7 000.00 13 105113 Metal Lockers $2 800.00 I I $2 800.00 14 15 16 17 18 19 20 21 22 I 23 24 25 TOTAL 1 $546,800.001 $102,137.39. $20,385.001 $122,522.391 22.41%1 $424,277.611 $6,126.12 Site Specific Services L.L.C. 16709 Edgewood Avenue, Minnetonka, MN. 55391 (952) 221-0751/ SITESPECIFICSERVICES@OUTLOOK.COM INVOICE TO: RJM Construction 830 Boone Avenue North Golden Valley, MN. 55427 SITE ADDRESS: 1000 School Street NW Elk River. MN, 55330 January 16, 2020 PROJECT DESCRIPTION: Snow and ice removal from east and west rink roofs under construction at the Elk River High School Ice Arena. Snow removal included the breeze way roof space attaching the existing rink to new facility as well. All snow and ice was removed by hand utilizing plastic shovels, brooms and toboggans to clear metal "Pan" roof to facilitate roofing installation. LABOR HOURS: December 20, 2019: 7:00-3:30 6 Laborers Billed at a rate of $100.00 per hour: December 23, 2019: 7:00-3:45 6 Laborers Billed at a rate of $50.00 per hour: December 24, 2019: 7:00-11:45 6 Laborers Billed at a rate of $50.00 per hour: December 26, 2019: 7:00-10:00 6 Laborers Billed at a rate of $50.00 per hour: Mobilization 51.0 labor hours 52.5 labor hours 28.5 labor hours 18.0 labor hours $5100.00 $2625.00 $1425.00 $900.00 $700.00 INVOICE TO: January 16, 2020 RJM Construction 830 Boone Avenue North Golden Valley, MN. 55427 SITE ADDRESS: 1000 School Street NW Elk River. MN, 55330 INVOICE GRAND TOTAL: $10,750.00 Thank you for the opportunity to do this work for you Gunars Ogrins. APPLICATION AND CERTIFICATE FOR PAYMENT Page 1 of 2 SUBMITTED TO: RJM Construction, LLC PROJECT: Elk River Ice Arena & Lion John Weicht Facilities APPLICATION NO: Three (3) 1000 School Street NW 830 Boone Avenue North Elk River, MN 55330 APPLICATION DATE: 1/20/2020 Golden Valley, MN 55427 PERIOD FROM: 1/1/2020 SUBMITTED FROM: Top -All Roofing, Inc. ARCHITECT: 2231 Edgewood Ave. South Minneapolis, MN 55426 CONTRACT FOR: Roofing & Sheet Metal CONTRACT NO.: I hereby certify that the work performed and the material supplied to date, as shown here, represent the actual value of accomplishment under the terms of the contract (and all authorized changes hereto) between the undersigned and RJM Construction relating to the above - referenced project. I further certify that no labor or materials have been supplied under contracts, agreements, verbal or written, or any other arrangement of any type whatsoever,other than the contract duly authorized and executed change orders, and the undersigned does hereby releases RJM Construction from any claim or liability therefor for the period covered by this application. I also certify that payments, less applicable retention, have been made through the period covered by previous payments received from the contractor to 1) all my subcontractors (sub - subcontractors) and 2) for all material and labor used in or in connection with the performance of this contract. I further certify that I have complied with Federal, State, and local tax laws, including Social Security laws, Unemployment Compensation Laws and Workman's Compensation laws insofar as applicable to the performance this contract. PARTIAL WAIVER OF LIEN Now therefore, upon receipt of the payment of the current payment due on this application the undersigned does hereby irrevocably release and waive any and all mechanic's liens or rights to claim any and all mechanic's liens or other liens against the above real estate or any part thereof for any of the materials and/or labopr therefore furnished or performed in connection with this project, reserving, however, all lien rights for labor and/or materials furnished after said date. PERIOD TO: 1/31/2020 PROJECT NO: 19005.00 CONTRACT DATE: 1012312019 COMMITMENT: YES/NO ORIGINAL CONTRACT SUM.................................................................. $ 1,020,690.00 NET CHANGE BY CHANGE ORDERS TO ......................................... $ (12,000.00) CONTRACT SUM TO DATE............................................................. $ 1,008,690.00 TOTAL COMPLETED AND STORED TO DATE-----. ---- ._,....... »_»................ $ 870,230.00 5 % OF COMPLETED WORK $ 35,617.60 5 % OF STORED MATERIAL $ 7,893.90 TOTAL RETAINAGE.......................................................... ...... . ...... ', $ 43,511.50 TOTAL EARNED LESS RETAINAGE..................................:....,.:_:._::._._...... $ 826,718.50 LESS OWNER DIRECT PAYMENT BY PURCHASE ORDER .... ._........... ..,..._. $ - LESS PREVIOUS CERTIFICATES FOR PAYMENT ................ $ 449,706.25 CURRENT PAYMENT DUE............................................................._..:...... $ 377,012.25 BALANCE TO FINISH INCLUDING RETAINAGE .............................. -- ....... 9 181,971.50 State of: The person signing below does hereby cerify that he/she is fully authorized and empowered to execute this instrument and to bind the undersigned hereto, and does in fact so execute this County of: (� p VIrie'DL n instrument. Subscribed and sworn to before me this Top -All Roofing, Inc. 2231 Edgewood Ave. South Minneapolis, MN 5542 SIGNED: day of ZLt_1(1t3 p" 20 QC' NOTARY PUBLIC: ANDREW R HAGEN Notary Public State of Minnesota Signed: My Commission Expires PRINTED, TITLE Lori Stevens, Project Accountant My Commission Expires: From: Top -All Roofing, Inc. 2231 Edgewood Ave. South Minneapolis, MN 55426 PLEASE SUBMIT PAYMENT APPLICATIONS TO: ACCOUNTING-MN@RJMCONSTRUCTION.COM To: RJM Construction, LLC 830 Boone Avenue North Golden Valley, MN 55427 Schedule of Values Invoice No. 1-19-0033-2 Appi. No.: #3 - (Three) Appl. Date: 01/27/20 (REVISED) From: 01101 /20 To: 01/31/20 ITEM NO. DESCRIPTION CURRENT CONTRACT CURRENT APPLICATION TOTAL PREVIOUS WORK IN MATERL. I APPS. APPS. PLACE ON SITE n TO DATE PERCENT COMPLETE BALANCE TO COMPLETE RETAIN TO DATE 1 Material Insulation $384,950 $192,475 $96,237 $96,238i $384,950 100.00% $0 $19,247.50 2 Material Vapor Barrier $50,600 $25,300' $12,650 $12,650' $50,600 100.00% $0 $2,530.00 3 Material EPDM & Accessories $195,960 $97,980; $48,990 $48,990' $195,960 100.00% $0 $9,798.00 4 Material Sheet Metal $32,040 $0• $0 $32,040 $0.00 5 Labor Insulation $80,070 $40,035. $20,018 $60,053 75.00% $20,018 $3.002.63 6 Labor Vapor Barrier $21,110 $10,555, $5,278 $15,833 75.00% 75.00% $5,278 $37,015 $791.63 $5.552.25 7 Labor EPDM & Accessories $148,060 $74,030 $37,015 1 $111,045 8 Labor Sheet Metal $29,900 $01 1 $0 $29,900 $0.00 9 Allowance for Conditions $33,000 $01 $18,790 1 $18.790 56.90% $14.210 $939.50 10 Bonding $33,000 $33.000' $0 $33,000 100.00% $0 $1,650.00 11 12 13 I 14 15 16 17 18 I I 19 20 21 22 23 I I 24 25 TOTAL 1 $1,008,6901 $473,3751 $238,9771 $157,8781 $870,2301 1 $138,4601 $43,511.50 Page 1 of 1 Commercial Flat Roofing 100% WBE .%N❑ DBE CERTIFIED Architectural Sheet Metal STORED MATERIALS AFFIDAVIT January 20, 2020 Attention: Tim Ryan (RJM Construction) Re: Stored materials on -site This is to certify that Top All Roofing has procured, delivered and is storing on-site100% of roofing materials. 1.The materials are stored in a safe and secure manner so as to preclude damage, theft or vandalism. 2. These materials are available now for the inspection by the General Contractor and Owner or their representatives. 3. The materials are covered by all risk insurance coverage for stored materials. The Insurance is in the name of the Contractor and Owner as named insured, as their interest may appear. The Insurance is in an amount not less than 100% of the value of the material. The cost of such Insurance has been borne by the Undersigned and shall remain in force until the materials are installed, at time title will be transferred. 4. The materials have been purchased or manufactured for the specific purpose of being used in the construction of the Project, in accordance with the contract documents. S. The materials will remain on the premises, except in an emergency that threatens the material. 6. The Undersigned makes this affidavit in order to induce Owner to pay for such material. By: Top All Roofing ANDREW R HAGEN Signed: Notary Public 1CP State of Minnesota My Commission Expires Name: V-tA`rZ-K r'L(czo January 31, 2024 a - PAINTING 8 WALLCOVERING, INC. - RJM CONSTRUCTION, 830 BOONE AVE. NO. GOLDEN VALLEY, MN CUSTOMER NO. 14019 01-21-2020 CONTRACT AMOUNT: LLC 55427 $412,750.00 SUNRISE PAINTINCu 81 VVALLCOVERING, INC, 805 Tower Drive Medina, MN 55340 763-557-0100 Fax 763-557-0011 LABOR AND MATERIALS EARNED TO DATE: LESS AMOUNT PREVIOUSLY INVOICED: TOTAL AMOUNT DUE THIS INVOICE: CONTRACT AMOUNT AMOUNT BILLED INVOICE # PROJECT NAME/LOCATION ELK RIVER ICE ARENA JANUARY 2020 58164 14019 $34,000.00 ($5,000.00) $29,000.00 SERVING rI-IEMIDWESi FAINIliVG& l�✓ l_L(:OVL; !NG,N.f)USI"RY5J ICE 1974 f,I 10TnnA Cn (Ir-)0V APPLICATION AND CERTIFICATE FOR PAYMENT Page 1 of 2 SUBMITTED TO: RJM Construction, LLC PROJECT: ELK RIVER ICE ARENA APPLICATION NO: 2 830 Boone Avenue North 1000 SCHOOL ST. N.W. APPLICATION DATE: 1/21/2020 Golden Valley, MN 55427 PERIOD FROM: 1/1/2020 SUBMITTED FROM: SUNRISE PAINTING & WALLCOVERING, INC. ARCHITECT: 292 DESIGN GROUP PERIOD TO: 1/31/2020 805 TOWER DRIVE MEDINA, MN 55340 CONTRACT FOR: PAINTING & WALLCOVERING CONTRACT NO.: I hereby certify that the work performed and the material supplied to date, as shown here, represent the actual value of accomplishment under the terms of the contract (and all authorized changes hereto) between the undersigned and RJM Construction relating to the above - referenced project. I further certify that no labor or materials have been supplied under contracts. agreements, verbal or written, or any other arrangement of any type whatsoever, other than the contract duly authorized and executed change orders, and the undersigned does hereby releases RJM Construction from any claim or liability therefor for the nPrind rnvarari by thrc application. 1 also certify that payments, less applicable retention, have been made through the period covered by previous payments received from the contractor to 1) all my subcontractors (sub -subcontractors) and 2) for all material and labor used in or in connection with the performance of this contract. I further certify that I have complied with Federal, State, and local tax laws, including Social Security laws. Unemployment Compensation Laws and Workman's Compensation laws insofar as applicable to the performance this contract. PARTIAL WAIVER OF LIEN Now therefore, upon receipt of the payment of the current payment due on this application the undersigned does hereby irrevocably release and waive any and all mechanic's liens or rights to claim any and all mechanic's liens or other liens against the above real estate or any part thereof for any of the materials and/or labopr therefore furnished or performed in connection with this project, reserving, however. all lien rights for labor and/or materials furnished after said date. PROJECT NO: CONTRACT DATE: COMMITMENT: 711112019 YES ORIGINAL CONTRACT SUM.................................................................. $ 412,750.00 NET CHANGE BY CHANGE ORDERS TO ................................................ $ CONTRACT SUM TO DATE .............................................. .................. $ 412,750.00 1 V 1 AL COMPLETED ED AND STORED TO DAT E.......................................... $ 34,000.00 5 % OF COMPLETED WORK $ 1,700.00 5 % OF STORED MATERIAL $ - TOTALRETAINAGE........... ........... ............. ........................_............ $ 1.700.00 TOTAL EARNED LESS RETAINAGE ....................... ... R Z) Qnn nn LESS OWNER DIRECT PAYMENT BY PURCHASE ORDER ....................... $ LESS PREVIOUS CERTIFICATES FOR PAYMENT ............... ................... $ 4,750.00 CURRENT PAYMENT DUE.................................................................... $ 27,550.00 BALANCE TO FINISH INCLUDING RETAINAGE....................................... $ 380,450.00 The person signing below does hereby cerify that he/she is fully authorized and empowered to State of: MINNESOTA execute this instrument and to bind the undersigned hereto, and does in fact so execute this County of: HENNEPIN instrument. Subscribed and sworn to before me this SUNRISE PAINTING & WALLCOVERING, INC. 805 TOWER DRIVE MEDINA, MN 55340 SIGNED: PRINTED, TITLE Kea 21 ST day of JANUARY NOTARY PUBLIC: / Signed: (_.. / G My Commission Expires: 20 20 AAinr�sote tutV � E=zfVief�.{xmw 9! 7MR From: SUNRISE PAINTING & WALLCOVERING, INC. 805 TOWER DRIVE MEDINA, MN 55340 Schedule of Values Invoice No. 58164 #2 Appl. Date: 01/21/20 PLEASE SUBMIT PAYMENT APPLICATIONS TO: ACCOUNTING-MN@RJMCONSTRUCTION.COM From: 01/01/20 To: RJM Construction, LLC To: 01/31/20 830 Boone Avenue North Golden Valley, MN 55427 ITEM NO. DESCRIPTION 1 PAINTING 8 WALLCOVERING 2 BOND 3 4 5 6 7 8 9 CURRENT nnNTRnrT CURRENT PREVIOUS WORK IN ADDc - PLACE APPLICATION TOTAL MATERL. APPS. 1 UN Si 1 E TO uA I E PERCENT I COMPLETE BALANCE TO I COMPLETE RETAIN TO I DATE - $4p7,75p $5,000 $0, $29,pp0 $0 $29,000 7.00% $378,750 $18,938 $5,0001 $0 $01 $5,000 100.00% $p $250 I I 10 11 12 13 14 15 16 17 18 19 20 21 22 1 I 1 I 1 23 24 25 TOTAL I 1 $412,750 $5.0001 $29,000 $01 $34,000 8.00% $378,750 $19,188 Page 1 of 1 APPLICATION AND CERTIFICATION FOR PAYMENT CUSTOMER: City of Elk River PROJER: Ek RIVer Muti-Purpose 5tadiu APPLICATION NO: 1 DistributlOn Via Email: 13065 Orono Parkway 304 Lions Park Drive INVOICE NO: 41497 DOWNER Elk River, MN 55330-5600 Elk River, MN 55330 ❑ARCHITECT PERIOD TO: 11/29/2019 ❑CONTRACTOR CONTRACTOR: Peterson Companies, Inc, VIA ARCHITECT: ❑ 8326 Wyoming Trail PROTECT NO: 19175E O Chisago City, MN 55013 COMRAR FOR: CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for payment, as shown below, in connection with the Contract. Continuation Sheet Page 2, is attached. 1. ORIGINAL CONTACT SUM 2. Net change by Change Orders 3. CONTRACT SUM TO DATE ILine 132) 4. TOTAL COMPLETED &STORED TO DATE (Column Gon G703) 6. RETAINAGE: a. On Completed Work $2,099.37 (Column 0+ E an G703) b. On Stored Material 0.00 (Column F on G]03) Total Retainage (Line 9a+6h or Total In Column I of G703) 6. TOTAL EARNED LESS RETAINAGE (Line 41ess Line 5 Total) ]. LESS PREVIOUS CERTIFICATES FOR PAYMENT (Line 6 from prior Certificate) 8. CURRENT PAYMENT DUE 9. BALANCE TO FINISH, INCLUDING RETAINAGE (Line 31ess Line 6) $133,955.00 36,304.00 170,259.00 41,987.60 2,099.37 39,888.13 D.oD 39,888.13 130,370.87 Change Order Summary Additions Deductions Total Changes approved in previous months by Owner. 0.00 0.00 Total approved this Month 36,304.00 0.00 NET CHANGES by Change Order $ 36,304.00 CONTRACT DATE: 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 keen ompleted in accordance with the Contract Documents, chat ail amounts have been paid 6y the Contractor for Work far which previous Certificates for Payment were issued and payments received from the owner, and that current payment shown herein is now due. CONTRAROft: BY: 1 Date: 11/25/2019 State of. MN County of: is, pg, Id Subscribed and sworn to before me th' s "'k��g��IbFDKd4N165R•&6N9TEA Notary Public: �( ¢ NOTABY PUBLIC My Commission Expires: .. .1l�t(s�" MYCwnml elonFESO,ijA al ppf2 January3 � area aa. ARCHITECT'S CERTIFICATE FOR PAYMENT In aaortlance with the Contract Documents, based on on -site observations and the data omprlsing the appllcatlon, the Architect certifies [o the Owner [hat to [he best of [he Architect's knowledge, Information and belief the Work has progressed as indicated, [he qualify of [he Work Is In accordance with the Contract Documents, and the Contractor is entitled [o payment of the AMOUNT CERTIFIED. Amount Certified $ IA[tach explanation ifamount certified differs from the amount applied. Initial all figures on this � Application and on the Un[Inuation 6heettha[ are changed to conform [o the amount certified.) CONSTRUCTION MANAGER: Date: ARCHITECT: This certigw[e Is no[ negotiable. The gmount Certified Is payable only [o [he contractor named herein. Issuance, payment and acceptance of payment are without prejudice [o any rights of [he Owner of contractor under this ContraR. CONTINUATION SHEET Project: Elk River Multi- Page 2 Purpose Stadiu Application and certification for Payment Applicatlon No: 1 contalning contractor's signed certification is attached. Application Date: 11/21/2019 In tabulations below, amounts are stated to the nearest dollar. period To: 11/29/2019 Use Column I an Conhacts where variable retainage for line items may apply. projeM No: 19175E A 8 C 0 E F G H 1 Item No. Des<rlption of Work Scheduled Value Work Completed Materials Presently 6tored (Not in D or E) Total Completed and Stored to Oate (O+E+F) % (G/C) Balance TO Finish (C—G) Retainage Previous Application This Period I Survey antl Layou[ 4,310.00 0.00 4,310.00 0.00 4,310.00 300 0,00 216.60 2 Athletic Equipment -Labor 27,489.00 0.00 6,872.26 0.00 6,872.29 26 20,616.76 3g3.61 3 Athletic Equipment -Materials 68,608.00 0.00 17,162.00 0.00 17,152.00 29 61,466.00 867.60 4 Scoreboard -Labor 11,420.00 0.00 6,710.00 0.00 9,710.00 50 6,710.00 28950 6 Scoreboard -Materials 22,128.00 0.00 0.00 0.00 0.00 0 22,128,00 0.00 ��®�� SO Batting Cage Netting 7,190.00 0.00 0.00 0.00 0.00 0 7,150.00 0.00 7,160.00 0.00 0.00 0.00 0.00 0 7,150.00 0.00 • ' ��® APPLICATION AND CERTIFICATE FOR PAYMENT Page 1 Of 2 SUBMITTED TO: RJM Construction, LLC PROJECT: Elk River Ice Arena APPLICATION NO: 6 B30 Boone Avenue North Lion John Welcht Park Facilities APPLICATION DATE: 1/17/2520 Golden Valley, MN 55427 1000 School Street N. W PERIOD FROM: 1112O20 SUBMITTED FROM: Rink -Tee International, Inc. ARCHITECT: 292 Design Group PERIOD TO: 1/312D20 3485 Willow Lake Blvd, Suite # 500 3533 E. Lake Street PROJECT NO: 19005 Vadnais Heights, MN 55110 Minneapolis, MN CONTRACT DATE: 7/32019 CONTRACT FOR: Elk River ice Arena CONTRACT NO.: COMMITMENT. YES/NO 1 hereby cediry that the work performed and the material supplied to date, as shown here, TOTAL ORIGINAL CONTRACT SUM .................._. ...... $ 2,162,742.00 represent the actual value of accomplishment under the terms of the contract (and all authorized $ - changes hamlet between the undersigned and RJM Constmdion relating to the above- NET CHANGE BY CHANGE ORDERS TO ................................................ referenced pri I further certify that no labor or materials have been supplied under CONTRACT SUM TO DATE_ $ 2, 162, 742.00 contracts, agreements, verbal or written, or any other arrangement of any type whatscaver,other ................................................................. than the contract duly authorized and executed change orders, and the undersigned does hereby TOTAL COMPLETED AND STORED TO DATE ......................................... $ 899,742.00 releases RJM Construction from any claim or liability therefor for the period covered by this application. I also certify that payments, less applicable retention, have been made through the 5 %OF COMPLETED WORK $ 29,4110.00 period covered by previous payments received from the contractor to 1) all my subcontractors — (sub -subcontractors) and 2) for all material and labor used in or in connection with the 5 %OF STORED MATERIAL $ 15.497.10 Performance of this contract. t further certify that I have complied with Federal, State, and local $ M,987.10 tax laws, including Social Security laws, Unemployment Compensation Laws and Workman's TOTAL RETAINAGE.............__....................................... I ...... _. Compensation laws insofar as applicable to the performance this contract. EARNED LESS RETAINAGE 4.90 ...... $ 854,75 PARTIAL WAIVER OF LIEN Now therefore, upon receipt of the payment of the curent payment due on this application the undersigned deals hereby irrevocably release and waive any and all mechanics liens or rights to claim any and all mechanic's liens or other liens against the above real estate or any pad thereof for any of the materials and/or spoor therefore furnished or Performed in connection with this project, reserving, however, all lien rights for tabor and/or materials furnished after said date. ................................................. LESS OWNER DIRECT PAYMENT BY PURCHASE ORDER._ .................... $ - LESSPREVIOUSCERTIFICAESFORPAYMENT..... ....... ..... _......... .... .... . $ 521,519,00 CURRENT PAYMENT DUE... ........... — ....... . ...... $ 333,244.90 BALANCE TO FINISH INCLUDING RETAINAGE........................................E 1,307,987.10 State of: Minnesota The person signing below does hereby verify that he/she is fully authored and empowered to execute this instrument and to bind the undersigned hereto, and does in fact so execute this County of Ramsey instrument. Subscribed and sworn no before me this Rink-Tec International, Inc. 20 day of 3485 Willow Lake Blvd Suite # 500 1 Vadnais Heights, MN 55110 NOTARY P Ul SIGNED: Signed: PRINTED, TITLE Kyle Gillespie - President My Commission Expires: 20 20 From: Rink -Tee International Inc. 3485 Willow Lake Blvd., Suits #500 Schedule of Values Vadnais Heights, MN 55117 Invoice No; Y PLEASE SUBMIT PAYMENT APPLICATIONS T0: ACCOUNTING-MN@RJMCONSTRUCTION.COM To: UM Construction, LLC an Boone Avenue North Golden Valley, MN 5S42T Ala. eau: 1/17/2020 Flom: t71/2020 To: 101=20 ITEM NO, DESCRIPTION CURRENT CONTRACT CURRENT APPLICATION TOTAL PREVIOUS I WORK IN MATERL. I APPS, APPS. PLACE I ON SITE TO DATE PERCENT COMPLETE BALANCE TO COMPLETE RETAIN TO DATE 1 Bondin .surer Pennka $60,000 $60,00p $0 1 1W.00% $0 $311M 2 Mobili ou =1000 $35 OM• $0 1 MID 00% $0 $1750 3 Redaim&Deno EQUIDmant Room #1 $20,000 $20,OM, 80 1 100.00% $0 $1000 4 Rink#1 Saw CUffinglBemcval S60,MO 1 2 100900% $0 S3M0 5 Rirdk #1 Maine & Insulation $40,000 $20 OM S20 W0 5 100900% $0 $2 MO 6 Rirdc41 Sumrvv lem $15 MD $0' 0 0.W% $15000 $0 7 RiNc#1 Granular&Fina Grading $30M0 0.00% =000 s0 8 Rink#1 Floor Insulation S4401V 0,00% $440M s0 9 lRark#1 ChairwNrapor, Banierl anlnn $350M $30.M01 $01 5 8571% $5000 10 IRInklal RebarlMesh $40A00 $20 1 3 50.W% $24)." $f OM 11 lRink#1 Heodkers&Tubmit $100,000 $W,000' SO' S 3OW% $70W0 $1500 12 Rink#1 Concrete PlaramentlFinishi $90000 0.00% $90 MO $O 13 Rink#2 Maine &Insulatonn $40000 $20,WO $200M 5,6 100.00% $0 $2,000 14 Rink #2 Subflocr stem $150W 1 a00% $15000 W 15 Rink#2 Granular B Fine Gmdn $30OW 000% $3000B $o 16 Rink#2 Floor Insulation $44000 0.00% 544000 $0 17 Rmk#21ChaimNa rBwrwfEx new $35,000 $30,M0, $0. 5 85.71% $5000 $15M 18 Rink Reber/Mash $40, 00 52D MO $0 1 3 50.00% =,D00 Stow 19 Rink#2 Headers A Tubing $100,000 $30,MOI Sol 5 30.00% $70,O1M $1,500 20 Rink Concrete PlacemeMffktishin $M,000 0.00% $90.000 $0 21 ComInnessalChillerMum a/Condenser $349,742 $174800• 5174942 SO! 56 100,00% SO $17407 22 MCCrEIectncal $120,000 S95 t%10 79.17% $25,00K) S4750 23 Mi mceasor $85,OM I I 0.00% $AS.OM $0 24 Eui ent Room Pi sNalves/TenksaM'Fs ant Room Pi in Labor $1M,OM S40,OM SO 6 40.00% S600M $2000 25 $1400W 0,00% $1400M $0 25 Ammonia Pi in Labor $170OM O.00% $170,000 $0 27 Eauomert Room Insulation and Labor $85OM 0.00% $05 OM $0 28 Labelin /Pamtln (Water Treahrent $40,OM I 1 0.00% $40AM $0 29 Ref. Tanis and Fluids $6O0M 0 OM.00% $M $0 30 Redern&Damn E ui ment Room#2 SX.ODD O.M% $200M 80 31 Removal of Send! tem Floor S $W OM O.M% $W MO 80 32 33 TOTAL t 52,162,742 $549,600 $3M,942 $40,000 $42 4160% $1.261" $ 449987.10 Page 1 of 1 yy 4ALI$" * T OFF -SITE STORAGE AFFIDAVIT Kyle Gillespie, deposes and says: 1. He is the President/CEO of Rink-Tec International, Inc. (supplier) (the "Undersigned") doing business at 3485 Willow Lake Blvd, Vadnais Heights, MN 55110, a Subcontractor under a certain Agreement dated the 3'" day of July, 2019 in connection with Elk River Ice Arena —Lion John Weicht Park Facilities and that the materials listed in Pay Application N6 with a value of $309,942.00 are now stored at the following location: 6678 399'a Street, North Branch, MN 55056 2. The Undersigned will transfer to Contractor and Owner clear, marketable title to the materials, and they are not subject to any security Interest or encumbrance upon delivery to jobsite. 3. The materials are stored in a safe and secure manner so as to preclude damage, theft or vandalism. 4. The materials are available now for inspection by the General Contractor and Owner or their representatives and access to the facility is available during normal business hours. 5. The materials are now covered by all risk insurance coverage for in -transit and stored materials. The insurance is in the name of the Contractor and Owner as named insured, as their Interest may appear. The insurance is in an amount not less than 100%of the value of the material. The cost of such insurance has been borne by the Undersigned and shall remain in force until the material is transported to the project site upon payment/transfer of title. 6. The materials have been purchased or manufactured for the specific purpose of being used in the construction of the Project, are in accordance with the contract documents, and will be transported to the site at the Undersigned's expense. 7. The materials will remain on the premises until delivery to the above project site, except in an emergency that threatens the materials. 8. The Undersigned makes this affidavit in order to induce Owner to pay for such material. 9. The materials a re stored at an insured warehouse facility. By: Rink-Tec In[ernati al, Inc. Signed: _ "�4b Kyle Gillespie, President/CEO State of //lYnnPfTYf`� County of Signed and sworn to (or affirm before me on this MTHY MARY j,9YCwnmissiW7OR P'. Jan 31m23NMmeoa/, 3485 Willow Lake Boulevard, Unit 500, Vadnais Heights, NIN 55110 651-481-1190 rinktec.com r AC Ri CERTIFICATE OF LIABILITY INSURANCE ( YYY 70F, 21/2Y20 /21/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Matthew Cartier Cartier Agency, Inc. PHONE FAX 2631 W. Superior StWC, C No Ext: (218) 727-5992 WIC No: E-MAIL ADDRESS: ahess@caduluth.com Duluth MN 55816 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Western National 15377 INSURED (651) 481-1190 INSURER B: American Interstate Insurance 31895 Rink-Tec International Inc. INSURER C : INSURERD: 3485 Willow Lake Blvd Suite #500 Vadnais Heights MN 55110 INSURERE: INSURER F : COVERAGES CERTIFICATE NUMBER: Cert ID 4808 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL IN SUBD R WVD POLICY NUMBER POLICY EFF MM/DDNYYY POLICY EXP MM/DDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE � OCCUR CPP0020756 18 02/01/2019 02/01/2020 AMAGE ToRENTE PREMSES E.occurence $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JE� LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY CO MBINED SINGLE LIMIT Ea accident $ 1, 000 , 000 X BODILY INJURY (Per person) $ A ANY AUTO CPP0020736 18 02/01/2019 02/01/2020 OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY L $ A X UMBRELLA LIAB X OCCUR UMB0011474 18 02/01/2019 02/01/2020 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE DED X RETENTION$ 10,000 Pers/Adv Injury $ 5,000,000 WORKERB AND EMPLOYERTIONS' AND EMPLOYERS' LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE AVWCMN2767402019 02/01/2019 02/01/2020 X STATUTE EERPER H E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUDED? ❑ (Mandatory in NH) N/A E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 B Inland Marine CPP0020756 18 02/01/2019 02/01/2020 Rented/Leased Equipment $ 150,000 A Property - Commercial CPP0020756 18 02/01/2019 02/01/2020 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Project Name: Elk River Ice Arena and Lion John Weicht Park Facilities Stored Materials: Compressor/Chiller/Pumps/Condenser - $349,742; MCC/Electrical - $120,000; Valves/Tanks/Fittings - $100,000 The following entity's are included as additional insured with a waiver of subrogation in their favor: City of Elk River 13065 Orono Parkway NW Elk River, MN 55330 CERTIFICATE HOLDER CANCELLATION RJM Construction 830 Boone Ave North Golden Valley MN 55427 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Page 1 of 2 DESCRIPTION OF OPERATIONS SECTION CONTINUED DATE 01/21/2020 RJM Construction 830 Boone Ave North Golden Valley MN 55427 RJM Construction 830 Boone Ave North Golden Valley, MN 55427 292 Design Group 3533 East Lake St Minneapolis, MN 55406 Rink-Tec International Inc. 3485 Willow Lake Blvd Vadnais Heights MN 55110 DOC (10/2003) Page 2 of 2 APPLICATION AND CERTIFICATE FOR PAYMENT Page _ of SUBMITTED TO: RJM Construction, LLC PROJECT: Elk River Ice Arena and Lion John Weicht Park Facilities APPLICATION NO: 5 830 Boone Avenue North 1000 School St NW APPLICATION DATE: 1/21/2020 Golden Valley, MN 55427 Elk River, MN 55330 PERIOD FROM: 1/1/2020 SUBMITTED FROM: Summit Fire Protection ARCHITECT: 292 Design Group PERIOD TO: 1/31/2020 575 Minnehaha Avenue West 3533 East Lake Street PROJECT NO: 0 St. Paul, MN 55103 Minneapolis, MN 55406 CONTRACT DATE: 7/11/2019 CONTRACT FOR: Fire Sprinklers CONTRACT NO.: 0 COMMITMENT: YES/NO I hereby certify that the work performed and the material supplied to date, as shown here, represent the actual value of accomplishment under the terms of the contract (and all authorized changes herero) between the undersigned and RJM Construction relating to the above, referenced project. I further certify that no labor or materials have been supplied under contracts, agreements, verbal or written, or any other arrangement of any type whalsoever,other Man the contract duly authorized and executed change modern, and the undersigned does hereby releases RJM Construction from any claim or liability therefor for the period covered by this application. I also certify that payments, less applicable retention, have been made through the penod covered by previous payments received from the contractor to 1) all my subcontractors (sub -subcontractors) and 2) for all material and labor used in or in connection with the performance of this contract. I further certify that I have complied with Federal, State, and local tax laws, Including Social Security laws, Unemployment Compensation Laws and Workman's Compensation laws insofar as applicable to the performance this contract. PARTIAL WAIVER OF LIEN Now therefore, upon receipt of the payment of the current payment due an this application the undersigned does hereby inevocably release and waive any and all mechanic's liens or rights to claim any and all mechanic's liens or other liens against the above real estate or any part thereof for any of the materials and/or labopr therefore furnished or performed in connection with this project, reserving, however, all Iled rights for labor and/or materials furnished after said date. ORIGINAL CONTRACT SUM.................................................................. $ 256,485.00 NET CHANGE BY CHANGE ORDERS TO ................................................ $ 11,955.00 CONTRACT SUM TO DATE........................................................... I....... $ 268,440.00 TOTAL COMPLETED AND STORED TO DATE ......................................... $ 161.178.00 5 % OF COMPLETED WORK $ 8,058.91 5 %OF STORED MATERIAL $ TOTAL RETAINAGE............................................................................. $ 8.058.91 TOTAL EARNED LESS RETAINAGE....................................................... $ 153,119.09 LESS OWNER DIRECT PAYMENT BY PURCHASE ORDER ....................... $ - LESS PREVIOUS CERTIFICAES FOR PAYMENT ...................................... $ 98.971.94 CURRENT PAYMENT DUE ......................... ...................... .................... $ 54,147.15 BALANCE TO FINISH INCLUDING RETAINAGE........................................ $ 115,320.91 State of: Minnesota The person signing below does hereby cerify that he/she Is fully authorized and empowered to execute this instrument and to bind the undersigned hereto, and does in fact so execute this County of: Ramsey instrument. Subscribed and swum to before me this Summit Fire Protection day of jG 11,"r 20 70- 575 Minnehaha Avenue West St. Paul, MN 55103 NOTARY PUBLIC: SIGNED: Signed: PRINTED, TITIiiJ�bCol�/i� �1 5�4JI�7% TR !"'IqW/-fie.- My Commission Expires: 1/31/2020 From: Summit Fire Protection 575 Mlnnehaho Avenue West Schedule of Values St Paul, MN 55103 Invoice No. Al 5019563300005 Aooi. No.: #5 Aval. OM: O121120 Prom: 01101120 PLEASE SUBMIT PAYMENT APPLICATIONS TO: ACCOUNTINGb1N@RJMCONSTRUCTION.COM To: 01/31/20 To: RJM Construction, LLC 830 Boone Avenue North Golden Valley, MN 554V ITEM NO. DESCRIPTION CURRENT CONTRACT CURRENT APPLICATION PREVIOUS I WORK IN APPS. PLACE I TOTAL MATERL. I APPS. ON SITE TO DATE PERCENT COMPLETE BALANCE TO COMPLETE RETAIN TO DATE 1 Labor $67885.00 $28385.SO' $175T1.00 $CLM2.50 W.00% $43,942.f5O $2197.13 2 Material $111200.00 $33360.00• $33,360.00 $66 ]20.00 60.00% $44480.00 $3336.00 3 Design $31 200.00 $31 200.00 $31200.0. 100.00% $0.00 $158000 4 Fabricatlon $20200.00 $6060.001 $6060.00 1 $12120.00 60.00% $8.080.00 $606.00 5 Bonds $6000.00 $6000.00 $6000.00 100.00% $0.00 $300.00 6 CratonOrder#1 $11955.00 $1195.W' $1195.W 10.00% $10759.W $59.78 7 $000 0.00% $0.00 $0.00 8 $0.00 0.00% $0.00 $0.00 9 $0.00 0.00% $0.00 $0.00 10 $0.00 0.00% $0.00 $0.00 11 $0.00 0.00% $0.00 $0.00 12 $090 0.00% $0.00 $0.00 13 I I $0.00 0.00% $000 $0.00 14 $0.00 0.00% $0.00 $090 15 $0.00 0.OD% $0.00 $0.0a 18 $0.00 0.00% $0.00 $0.00 17 $0.00 0.00% $0.00 $0.00 18 I 1 $0.00 0.00% $0.00 $0.06 19 $0.00 0.00% $0.00 $0.00 20 $0.00 0.00% $0.00 $0.00 21 $0.00 0.00% $0,00 $0.00 22 $0.00. 0.00% $0.00 $0.00 23 1 $000 000% $0.001 $0.00 24 1 $0.001 COW 50.001 $0.00 25 1 $0.00 Om%i $0,001 $0.00 TOTAL $268,440.00 $104,181.W, $66,997.00 $0.00, $161.178.001 60.N%l $107.262.001 $8,05891 Page 1 of 1 =AIA Document G703r" -1992 Continuation Sheet Page 2 ALA Document G702Tm-1992, Application and Leviticus for Payment, or G732TN-2009, APPLICATION NO: 6 Application and Certificate for Payment, Construction Manager as Adviser Edition, APPLICATION DATE: 1 containing Contractor's signed certification is attached. 202017 / / In tabulations below, amounts are in US dollars. PERIOD TO: 1/20/2020 Use Column 1 on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: A B C D E F G H 1 WORK COMPLETED DIEM DESCRIPTION OF WORK DESCRIPTION MATERIALS PRESENTLY TOTAL COMPLETED AND % BALANCE TO FINISH RETAINAGE FROMPREVIOUS NO VA�IIE APPLICATION THIS PERIOD STORED STOREDTO DATE (G.Q (C-G) (Ifioriableralcl (D+E) (Net inDarE) ())+E+F) PIPING MATERIAL 1 10.105: BOND 10,333.00 10,333.00 0.G0 0.00 10,333.00 100 0.00 516.65 2 10.109: ALLOWANCE 7,500.00 0.00 0.00 0.00 0.00 0 7,50D.00 0.00 3 10.115: PIPE & FITTINGS 235,689.00 124,000.00 13,000.00 0.00 137,000.00 58 98,689.00 6,850.00 4 10.119: DRAINS & CARRIERS 47,196.00 25,000.00 15,000.00 0.00 40,000.00 85 7,196.00 2,000.oa 5 10.123: PUMPS&TANKS 5,400.00 0.00 4,0D0.00 0.00 4,000.00 74 1,400.00 200.00 6 10.127; WATER HEATERS 82,739.00 0.00 0.00 0.00 0.00 0 82,739.00 0.00 7 10.137: PLBG FIXT & TRIM 79,004.00 1,500.00 8,000.00 0.00 91500.00 12 69,5D4.00 475.00 8 10.139: MISC PLUMBING 42,488.00 2,200.Do 4,000.00 0.00 6,200.00 15 36,288.00 310.00 510,349.00 163,033.00 44,000.00 0.00 207,033.00 Al 303,316.00 SO,351.65 PIPING LABOR 9 11.185: LABOR - PLUMBING 560,753.00 124,600.00 29,000.00 0.00 153,600.00 27 407,153.00 7,680.00 560,753.00 124,6W 00 29,000.00 0.00 153,6M 00 27 407,153.00 T990.00 SUBCONTRACTS SO 0.300: DIGGING/BACKFILL 37,034.00 0.00 37,ODD.00 0.00 37,000.00 100 34.00 1,850.00 11 0.325: RENTALS 13,DDo.00 6,100.00 4,0D0.00 0.00 10,1Do.00 78 2,900.00 505.00 12 0.360: PIPE COVERING 84,864.00 11,0Do.00 10,000.00 0.00 21AG0.00 25 63,864.00 1,050.00 134,898.00 17, 100.00 51,ODO.00 0.00 68,100.00 50 65,798.00 T405.00 13 0.300: CH ORDER #3 -2,980.OD 0.00 0.00 0.00 0.00 0 -2,980.00 0.00 11 GRAND TOTAL CAUTION: You should sign an original MA Contract Document, on which this text appears in RED. An original assures that changes will not be obscured. MIA Document G703ov -1992. Copyright ®1963,1965, 1966,1967, 1970. 1978, 1983 and 1992 by The American Institute of Nch9etls. All rights reserved WARNING: This Ate Document Is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this Me Document, or any portion of It, may result in severe civil and criminal penalties, and will be prosecuted to Me maximum extent possible under the Ise. Parmeare are permitted to reproduce ten (10) copies of tills document Men completed. To report Wpynght violations of MIA Contact Documents, e-mail The Amencan Infinite of Architects' legal counsel, copyrightiIiaia.or4 m,aaca. AIA Document G703'" -1992 ,"-' Continuation Sheet Page 3 AIA Document G7021n-1992, Application and Certificate for Payment, or G732T 2009, APPLICATION NO: 6 Application and Certificate for Payment, Construction Manager as Adviser Edition, APPLICATION DATE: containing Contractor's signed certification is attached. 1/17/2,020 In tebulatims below, amounts am, in US dollars. PERIOD TO: 1/20/2020 Use Column I on Contracts where variable rommage for line items may apply. ARCHITECT'S PROJECT NO: A B C D I E F G H I WORK COMPLETED MATERIALS TOTAL ITEM NO, DESCRIPTION OF WORK SCHEDULED FROMTCATIO US PRESENTLY COMPLETED AND % DALANCETO FMISH RETAMAGE VALUE APPLICATION THIS PERIOD STORED STOREDTODATE (G+CJ (C GJ (]fvariable rme) (D+5) (Nor is os&) (D+E+F) 14 40.400: CH ORDER #4 2,5D6.00 0.00 0.00 0.00 0.00 0 2,506.00 0.00 15 40.500: CH ORDER #5 10,815.00 0.00 O.OD 0.00 0.00 0 10,815.00 0.00 16 40.600; CH ORDER #6 3,379.00 0.00 3,379.00 0.00 3,379.00 ITO 0.00 168.95 GRAND TOTAL 1,219,720.M 304,733.00 127,379.00 0.00 432,112.00 35 787,60E.DO 21,605.60 UAu I ON: You should sign an original MA Oontacl Document, on which this text appears in RED. An original assures Nat changes will holds obscured. AIA DopUm M G703TM —1992. CO"Kght®IN3,1966, 1%6,1967,1970,1978, 1983 aend IN2 by The American InsItUe of Ambitects. M rights hiserved. WARNING: This AlOtiocument Is protecmd by .S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA Gocument, or any ponlon of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum indent possibleunderthetaw.Purchaserserepermdledtorepmduwten(10)copies MthisdacumMwhencompleted.Toreportmpoghtvi tionsof AIAContractDocuments, email The American IretiMeof Architects'legal counsel, wpyri9ht®ala.mg. 1az1— APPLICATION AND CERTIFICATE FOR PAYMENT � of /p�� Page SUBMITTED TO: RJM Construction, LLC PROJECT: u•-r� klXb L ptgilL� 7-pI1K.PC5Ls-+ APPLICATION NO: � 830 Boone Avenue North R)ArO U CN QottN ldb_Irer Paxx- APPLICATION DATE: Golden Valley, MN 55427 q'0P+V4 Shm AtenuI PERIOD FROM:,—/-Z6J?.iA SUBMITTED FROM: -r3pp0TA ARCHITECT: ZQL De:f516 ) (5KVL/LA PERIODTO: 1-:31-'VZD �O B010W� PROJECTNO: �0 yVaLM tk, wtN CONTRACT DATE: %-)O -) CONTRACTFOR: Z3,4I j5ygr&yW CONTRACT NO.: COMMITMENT:r/{{{YEESSaINr O..��✓✓11 I hereby certify that the work performed and the material supplied to date, as shown here, ORIGINAL CONTRACT SUM .. ......... ..... ....... .... ...................................... . represent the actual value of accomplishment under the terms of the contract (and all authorized changes hereto) between the undersigned and RJM Construction relating to the above- NET CHANGE BY CHANGE ORDERS TO........ ................................ ........ referenced project. I further certify that no labor or materials have been supplied under contracts, agreements, verbal or written, or any other arrangement of any type whatsoever,other CONTRACT SUM TO DATE /p,/{' q $ / NAW -19 ................................................................... than the contract duly authorized and executed change ortlers, and the undersigned does hereby releases RJM Construction from any daim or liability therefor for the period covered by this TOTAL COMPLETED AND STORED TO DATE n ) u (Y application. I also codify that payments, less applicable retention, have been made through the ... ...................... .... ,.........,. period covered by previous payments received from the contractor to 1) all my subcontractors q (sub -subcontractors) and 2) for all material and labor used in or in connection with the 5 %OF COMPLETED WORK $ ,(ro performance of this contract. I further certify, that I have complied with Federal, State, and local tax laws, including Social Security laws, Unemployment Compensation Laws and Workman's 5 %OF STORED MATERIAL $ Compensation laws insofar as applicable to the performance this contract. Y TOTAL RETAINAGE.............. ............................. .................................. ��yyqq $ INL •-!JO TOTAL EARNED LESS RETAINAGE.......... ._........... p ............. .............. .. 5 S EU PARTIAL WAIVER OF LIEN LESS OWNER DIRECT PAYMENT BY PURCHASE ORDER ........................ $ ^ 0-- Now therefore, upon receipt of the payment of the current payment due on this application the LESS PREVIOUS CERTIFICATES FOR PAYMENT .................................... a undersigned does hereby irrevocably release and waive any and all mechanic's liens or rights to claim any and all mechanic's liens or other liens against the above real estate or any part thereof CURRENT PAYMENT DUE.................................................................... S �O �3y for any of the materials andlor labopr therefore furnished or performed in connection with this project,reserving,however, all lien rights for labor andlor materials furnished after said date. BALANCE TO FINISH INCLUDING RETAINAGE....... ............ ..._._......_.... $ State cf. The person signing below does hereby cerify that he/she is fully authorized and empowered to execute this instrument and to bind the undersigned hereto, and does In fad so execute this County of v+/ysp/Lrii instrument. Subscribed and sworn to before me this 0 dayof jvl/vvµy 20 24-O 0 Y 0 NOTARYPUBLIC' _ pp SIGNED: Signed: �._ JEFFREY P. WALETZKO NOTARY PUBLIC - MINNESOTA PRINTED, TITLE 'w9 Ar,- /L4s".( /c My Commissio sires: I f' xtlt wS rONTINUATION SHEET AIA DOCUMENT G703 (InstRICNU05 Ul11 KNU SILle) mili 21,y 3huI as tIA Document G7U2, APPLICATION AND CERTIFICATE FOR PAYMENT, APPLICATION NO: on'llnln9 Conmictor's signed Certification, Is attached. PROJECT: 23A-HVACSys[ems 01/23/2020 8 nl'PLICn'fION Dn'I'E: n tabulations below, amounts arc stated to the nem'ru [IOIIa Y. Elk River Multi -Purpose Facility and Lion John 01/3112020 Weicht Park PER 'I'O: Jae C01401l I OnConuvees where v:¢IaUle ietalnage for line Items may apply. n1ECh11'I'CCT'S PROJECT NO.: A - 0 C D E F 0 I WORK COMPL9'I'ED MATERIALS TOTAL ITEM NO. DESCRIPTION OP WOlil( SCHEDULED D PSTORED.Y COMPLETLD AND SIY)RF.D 'x• BALANCE NCE 1'O IN17AINACHE FROM PREVIOUS VALUE APPLICATION '1'PII$ PERIOD STORED INO'I' IN 'f0 DATE IG a ti) PINIfi PI (IF VARAIII.M Ras) ID * PJ ODRE (Ui Er PJ EC-OI 1 ,ICE ARENA 2 Mobilization -labor $5,000.00 $1,000.00 $0.00 $0.00 $1,000.00 20 S4,000.00 $50.00 3 Mobilization -mall $2,500.00 $0.00 $1,500.00 $0.00 $1,500.00 60° $1,000.00 $75.00 4 HVAC Demo -labor $15,000.00 $0.00 $2,500.00 $0.00 $2,500.00 17° $12,500.00 $125.00 5 HVAC Demo-mal'I $5,000.00 $0.00 $1,000.00 $0.00 $1,000,00 20Y $4,000.00 $50.00 6 230593 Test and Balance $22,000.00 $0.00 $0.00 $0.00 Woo 0 $22,000.00 $0.00 7 230700 Insulation $32,000.00 $0.00 $0.00 $0.00 $0.00 0° $32.000.00 $0.00 a 232300 Refrigeration Piping $55,000.00 $0.00 $0.00 $0.00 $0.00 0 $55,000.00 $0.00 9 250900 Controls $230,000.00 $27,789.00 $31,754.00 $0.00 $59,543.00 26 $170,467.00 $2,977.15 to 233000 Ductwork -labor $75,000.00 $4,500.00 $10.500.00 $0.00 $15,000.00 20 $60.000.00 $750.00 11 233000 Ductwork -marl $23,300.00 $1,000.00 $4,825.00 $0.00 $5,825.00 25 $17,475.00 $291.25 12 233000 Misc Round -labor $8,000.00 $0.00 $0.00 $0.00 $0.00 0 $8.000.00 $0.00 is 233000 Misc Round-mal'I $4,500.00, $0.00 $0.00 $0.00 $0.00 0°/ $4,500.00 $0.00 14 233DOO Spiral Pipe -labor $84,500.00 $0.00 $29,575.00 $0.00 $29,575.00 359 $54,925.00 $1,478.75 15 2WD00 Spiral Pipe-mat'I $45,000.00 $0.D0 $U,500.00 $0.00 $22,500.00 50° $22,500.00 $1,125.00 16 233000 Fabric Duet -labor $2.500.00 $0.00 $0.00 $0.00 $0.00 0 $2,500.00 $0.00 17 233000 Fabric Duct-rl $4,000.00 $0.00 $4,000.00 $0.00 too $0.00 $200.00 to 233423 Fans/Hoods-labor $10,000.00 $0.00 12,000.00 $0.00 :4,000.00 $2,000.00 20 $8,000.00 $100.00 is 233423 Fans/Hootls-rarl $22,000.00 $0.00 $19,800.00 $0.00 $19,800.00 90 $2,200.00 $990.00 20 233616 VAV Boxes -labor $8,000.00 $0.00 $0.00 $0.00 $0.00 0 $8,000.00 $0.00 21 233616 VAV Boxes-mat'I $24,000.00 $0.00 $0.00 $0.00 $0.00 0 $24,000.00 $0.00 22 233713 GidleslRegistels-labor $17,000.00 $0.00 $0.00 $0.00 $0.00 0 $17,000.00 $0.00 23 233713 Grilles/Registers-mat'I $30,000.10 $0.00 $0.00 $0.00 $0.00 0 .$30.000.00 $0.00 24 236213 ACCU-labor $4,000.00 $0.0 $0.00 $0.00 $0.00 0 $4,000.00 $0.00 25 235213 ACCU-mal'I $80,000.00 $0.00 $0.00 $72,000.00 $72.000.0 goo $8,000.00 $3,600.00 26 237400 Rooftop Units -labor $44,000.00 g445, $5,000.0 $0.00 $0.00 $5,000.0 11 $39,000.00 $250.00 2] 237400 Rooftop Units -mat' 530904A $72,000.00 $642, 193.00 49 $655,BW.00 $32,109.fi5 ODOUMFM 0701 • OL1N1'IRI6VION 11EE1PDR Gila• 19!'2 EDITION • ALt°' ®1992 • 'FHE AMERICAN IN1I'11'UTE Oil AIQ117TICIS, L79 NEW 1'OIIN AVENUE.N.W„ 05HINOTON, D.C, 200110b'L'/3•WARNING: Unlicensed vlolatae U.S. �AIA photocopying copyright laws and will subject the violater tolegal pro secullen• G703.1992 • )AUTIOW You an ould use an arlgl nal AIA documeni which has this call l on printed In red, An original assures in at changes w111 not be obscured as may occur when doeu men is are repro d uc ad, CONTINUATION SHEET AIA DOCUMENT G703 (Ina(IuetlOns On WWrIle SiLIC) 3 3 )IF I -AU Its AIA DOCUI1lent 07021 APPLICATION AND CERTIFICATE FOR PAYMENT, APPLICATION NO.: 01/23/2020 cancelling Cotln:ietor's signed Certification. is nuachecl, PROJECT: 23A-HVAC Systems APPLICATION DATE: In tabulations below, amounts are shined to the nenres'i dollar. Elk River Multi -Purpose Facility and Lion John OlWnO20 Use COlgmN n I ran CDrne15 where vt¢la Ule Ix[al rangeroay for Ilse I[cs mapply Weicht Park PERIOD TO: ARCHITECT'S PAQIECT NO.: A D C D E P 0 bl WORT( COMPI_S1'gD hi Sl'EI11AL5 TOTAL ITEM NO. DESCRIPTION OP WORK ,SCHEDLI LED PRIt3EN I L,Y COMPLETED PND 5'I'OII F.D 'A. Un LnNCE I'O III: FAINA(Il'. PROM PREVIOUS VALIIE APPLICATION THIS PERIOD d)'ORED (NOT IN TO DATE lO > C) FINISPI (IF VARIABLE) RATE) (D + E) D OR 0 (1)+I:+iry (C - Oil 28 230100 Paackaged AC Units -labor $6,000.o 29 238100 Packaged AC Units-mat'I $25,000.00 $0.00 $0.00 $0.00 $0.00 0% $25,000.00 $0.00 39 238419 Desiccant Dehumitl Units- $40,000.00 $5,000.00 $0.00 $0.00 $5,000.00 13% $38,000.00 $250.00 bor at 23a419 Desiccant Dehumitl Units- $300,000.00 $0.00 $0.00 $270,000DO '✓- $270,000DO 90% $30,000.00 $13,500.00 at'I 32 232100 Hydronic Piping $80,000AO $17,447.00 $5,000.00 $0.00 $22,447.00 28% $57,553.00 $1,122.35 33 IONS PARK $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 34 obilization-labor $1,000.00 $0.00 $0.00 $0.00 $DDO 0% $1,000.00 $0.00 35 obilization-mat'I $500.00 $0.00 $0.00 $0.00 $0.00 0% $500.00 $0.00 39 uctwork-labor $2.500.00 $0.00 $0.00 $0.00 $0.00 0% $2,500.00 $0.00 37 ucbwork-mafl $500.00 $0.00 $O.00 $0.00 $0.00 0% $500.00 $0.00 38 rillesJRegistem-labor $500.00 $0.00 $0.00 $0.00 $0.00 0% S500.00 $0:00 39 niles)Regislers-mall $200.06 $0.00 $0.00 $0.00 $0.00 0% $200.00 $0.00 40 ens -labor $1,000.00 $0.00 $0.00 $0.00 $0.00 0% $1,000.00 $0.00 41 ans-mat'I $1,000.00 $0.00 $0,00 $0.00 $0.00 0% $1.000.00 $0.00 42 ermit $20,000.00 $20.000.00 $0.00 $0.00 $20.000.00 100% $0.00 $1.000.00 43 hange Order 1 $7.692.93 $0.00 $0.00 $0.00 $0.00 0% $7.692.93 $O.De 44 hange Order $2.751.00 $0.00 $0.00 $0.00 $0.00 0% $2.751.00 $0.00 45 hange Order $49.967.00 $0.00 $0.00 $0.00 $0.00 0% $49,987.00 $0.00 46 hange Order $7.784.00 $0.00 $0.00 $0.00 $0.00 0% $7.764.00 $0.00 47 hange Order $4.485.00 $0.00 $0.00 $0.00 $0.00 0% $4,485.00 $0.00 ill J11 536904.011 8342,000.00 LZZ±;% �$41 ..�. AIA DOCUMENT Gras rnNPINIIATInN al-ll:r.1' Finn r•.vo . ..... enm..0 - ...m a._.._ r WARNING; Unlicense D. AVENUE, N..... - s him rlwle OPAILI'111 IK.l'fi, 11.15 NLIV 1DIIK .W, \VA5111NOtt)ND.C.10a11&('J9_' d photocopying vlolaelse V.S, copyright laws and will subl.ct the violator to legal pmaecuaon• G703.1992 CAUTION: You should use an arlglnal AIA document which has lhle caution printed In red, An original assures Thal changes will not be obscured as may occur when documents Re reproduced. 4 �® CERTIFICATE OF LIABILITY INSURANCE MT1812OD zo m THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS, AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, Me policy(ies) must have ADDITIONAL INSURED provisions or be endoreed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an andomement. A statement on this Certificate does not confer rights W the certificate holder in lieu of such endomement(s). PRODUCER Arthur J. Gallagher Risk Management Services, Inc. 4 — 13th Ave N. Waite Park MN 56387 MMF T Melissa Anderson NtowE FAx No EM n 320.258-9379 xd nourtalss: melissa Anderson a' .cnm INSUREPPI AFFORDING COVERAGE NAICe INSURERA [ United Fire $ Casualty Company 13021 INSURED SENTSHE41 INSOREAB: Sentm-Sofa Sheetmetal, Inc. 3075 3rd St. S. IxsuRERc: IxsuRER o: P.O. Box 400 Waite Park MN 56387 IxsuRER E: INSNRER F: COVERAGES CERTIFICATE NUMBER: 4Ag287114 RFVIRICIN NUMRPR THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IL. TYPEOFINSUMME MIX PoDCYHUMBER POLICYEFF MMm PODGY RP MMN umn A Y Y 5047M15 1HY1020 1fl2021 EACHOCC. URRENCE $1,000,000 VXCMIMERCIMILGENERALLIABADY CIAIMS-MADE O OCCUR PREMISES Ea Damance $100.000 MED IDN(A sr $5.000 co OP OS 014 PERSOML&ADVINJURY $1,000,000 GEN'LAGGREG9TEUMITAPPLISI POLICY Z%?f LOC GENEMLAGGREGATE $2.000,000 PRODUCTS -CWRIDP AGO $2.000.000 $ OTHER A AUTOMDBIIEUNUILITY Y Y 604T0915 ""CO20 11112aO E68BOWU ING DMn $1,pro ,GGD X BODILY IWURY(Per ry,son) $ ANY AUTO CYNED AUTOS ONLY ALTO BODILY IWURY(Px xtiEmp f X- HIRED X NONNNNED AUTOSONLY AUTOS ONLY PROPERTY DAMAGE Paem1E¢nl $ X S ]imm9 A X DMBREW LAB N OCCUR Y Y 60470915 1111204 111=21 EACH OCCURRENCE $5,000,WO AGGREGATE $5,p00,WU EXCE93uAB CLAIMSAIADE DEO I X I RETENTIONS 1 o wro $ A MMEEM COMSUAT rY YIN ANYPRWBETORPARTNERaMCUTNE OFFICE NIA Y SM70915 11112MO 1I10021 X PFgTUIE ELEACHACCICENT E1.flOD,000 ELOIBEASE-EAEMPLO 31.000,000 elyan4abry1nxR1 DE3ARIPDON OF OPERATIONSbelaw ELDISEASE-POUCYUMIT $1,000,000 A Leaseddxmmx ERui Inns. Per 60470915 1I112020 1MAM21 UR Usi, IMI FII $150,000 $500,000 DESCRIPTION OF OPERATIONS I LOCATONS I VEHMLES 1ACCRO let. A44NIone Ren,arts ScRMule, One es stetted M mart apece Is nwWreE) RE Job: Elk River Ice Arena and Lion John Waicht Pare Facilities, 1000 Schaal St NW, Elk River, MN 53330 RJM Construction, LLC (General Contraction), City of Elk River, MN (Owner) and 292 Design Group (Architect) are included as Additional Insured on the General Liability policy for ongoing 8 completed operations; and are included as Additional Insured on the Auto Liabillty policy. The insurance provided in the General Liability policy applies on a primary and non-contributory basis. Waiver of Subrogation applies for Auto Liability, General Liability S Work Comp for the General Contractor and City of Elk River, MN when required in written contract. The Producer will endeavor to mall 30 days written notice to the Certdicate Holder named on the Candidate if any policy listed on the certificate is cancelled prior to the expiration date. Failure to d0 so shall impose no obligation or liability Of any kind upon the Producer or otherwise alter the policy terms. Coverages apply when required by written contract. $342,000 of coverage applies for materials being stored at A8B Welding, 8021 1 Nth Ave NW, NOW Then, MN 55330. 6EK I IYICA I L RULUER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Elk River 13065 Orono Parkway NW Elk River MN 55330 AurxDRMEDREPRE$ExTATNR �ka.r�tiLa�� 61988-2015ACORDCORPORATION. All rightsmserved. ACORD 25 (2015103) The ACORD name and logo are registered marks of ACORD 3075 3' Street South . PO Box 400 Waite Park, MN 56387 Office: 320-252-3992 . Fax: 320-252-5479 www.sentra-sota.com STORED MATERIALS AFFIDAVIT January 28, 2020 Attention: Tim Ryan RJM Construction RE: Elk River Multi -Purpose Project This is to certify that Sentra-Sota Sheet Metal Inc is billing for stored equipment currently located at the premises of A&B Welding 8021 199th Ave NW Nowthen, MN 55330. The equipment is stored in a safe and secure manner and are available for inspection by the general contractor and owner. The equipment have been purchased for the specific purpose of being installed on this construction project and in accordance with the contract documents. Sentra-Sota Sheet Metal Inc provides this affidavit in order to receive payment by owner for such equipment. Attached is certificate of insurance covering stored ✓ materials. Sentra-Sota Sheet Metal, Inc. JEFFREY P. WALETZK0 NOTARY PUBLIC MINNESOTA My Commissm EOres Jan. 31,2025 By: Jeff Popp Signed: Commercial Heating, Ventilation, Air -Conditioning & Architectural Sheet Metal EXHIBIT E APPLICATION AND CERTIFICATE FOR PAYMENT Page 1 of 3 SUBMfTTEDTO: RJM Construction, LLC PROJECT: Elk River Ice Arena 6 John Weicht Park Facilities APPLICATION NO: 5 830 Boone Avenue NUM 1000 School Street NW APPLICATION DATE: 1117,2020 Golden Valley, MN SM27 Elk River, MN 55330 PERIOD FROM: 1 /1/2020 SUBMITTED FROM: Design Electric, Inc. ARCHITECT: 292 Design Group PERIOD TO: 1/31/2020 4807 Heathenvood Road 3533 East Lake Street St. Cloud, MN 56301 Minneapolis, MN 55406 PROJECT NO: CONTRACT DATE: 7/10/2019 CONTRACT FOR: 26 00 00 Electrical CONTRACT NO.: COMMITMENT: I hereby codify that the work Padorned and me material supplied to date, as shown here, represent the actual value of accomplishment under the terms of the contact (and all authorized changes hereto) between the undersigned and RJM Construction relating to the above -referenced Project. I further certify Nat no labor or materials have been supplied under contacts. agreements, verbal or written, or any other arrangement of any type whatsoever,other than the contract duly authorized and executed change orders, and the undersigned does hereby releases RJM Constecton from any claim or liability therefor for the parted covered by this applicati(in. I also comfy that payments, less applicable reten(ma, have been made through the period covered by pmvious payments received from the contractor to 1) all my subcontractors (sub- subcontactors) and 2) for all materiel and labor used in or In connection with the performance of this contract, I fuller party that I have complied with Federal. State, and bcal lax laws, including Social Society laws, Unemployment Compensation Laws and WOMman's Compensation laws insofar as applicable to the performance this contact. PARTIAL WAIVER OF LIEN Now therefore, upon receipt of the payment of the current payment due on this application the undersigned does hereby irrevocably release and waive any and all mechanic's liens or rights to claim any and all mechanic's liens or other liens against the above real estate or any pad thereof for any of me materials and/or labopr therefore furnished or performed in connection with this project, reserving, however, all lien rights for labor and/or materials furnished after said date. ORIGINAL CONTRACT SUM................................................................... 1,786,914.00 NET CHANGE BY CHANGE ORDERS TO......... .................................. ......-32,807.14 CONTRACT SUM TO DATE.................................................................... 1,754,106.86 TOTAL COMPLETED AND STORED TO DATE ........................................... 288.992.07 5 % OF COMPLETED WORK 14,449.60 % OF STORED MATERIAL TOTAL EARNED LESS 14,449.60 274,542.47 LESS OWNER DIRECT PAYMENT BY PURCHASE ORDER ......................... LESS PREVIOUS CERTIFICATES FOR PAYMENT ..................................... 231,792.47 CURRENT PAYMENT DUE..................................................................... 42,750.00 BALANCE TO FINISH INCLUDING RETAINAGE....... .......... ....... ............ ..... 1,479,564.39 Slate of: MN ter The person signing below, does hereby carry that helshe is fully authorized and empowered to execute this instrument and to bind the undersigned hereto, and does in lect so execute this County of: Benton 4' Instrument. Subsgibed and sworn to before me this 17 day of January rag 20 NOTARY PUBLIC: SIGNED: Signed: PRINTED, TITLE amen SChoon, VP My Commission Expires: 1/31/2020 From: PLEASE SUBMIT PAYMENT APPLICATIONS TO: ACCOUNTING-MN@RJMCONSTRUCTION.COM To: RJM Construction, LLC 830 Boone Avenue North Golden Valley, MN 55427 Schedule of Values Invoice No. Appl. No.: # Date: From: To: ITEM NO. DESCRIPTION CURRENT CONTRACT CURRENT APPLICATION I TOTAL PREVIOUS I WORK IN MATERL. I APPS. APPS. PLACE ON SITE TO DATE PERCENT COMPLETE BALANCE TO COMPLETE RETAIN TO DATE 1 2 3 I I 4 5 6 7 I I 8 9 10 11 12 I I 13 14 15 16 17 18 19 20 I I 21 22 23 24 25 I I TOTAL Page 1 of 1 APPLICATION AND CERTIFICATE FOR PAYMENT Page of SUBMITTED TO: RJM Construction, LLC PROJECT: Elk River Ice Arena APPLICATION NO: 7 830 Boone Avenue North 1000 School Stret NW APPLICATION DATE: 1/17/2020 Golden Valley, MN 55427 Elk River, MN 55330 PERIOD FROM: 1/1/2020 SUBMITTED FROM: Minnesota Utilities & Excavating ARCHITECT: 13932 Lake Drive Forest Lake, MN 55025 CONTRACT FOR: City of Elk River CONTRACT NO.: I hereby certify that the work performed and the material supplied to date, as shown here, represent the actual value of accomplishment under the terms of the contract (and all authorized changes hereto) between the undersigned and RJM Construction relating to the above - referenced project. I further certify that no labor or materials have been supplied under contracts, agreements, verbal or written, or any other arrangement of any type whatsoever, other than the contract duly authorized and executed change orders, and the undersigned does hereby releases RJM Construction from any claim or liability therefor for the period covered by this application. I also certify that payments, less applicable retention, have been made through the period covered by previous payments received from the contractor to 1) all my subcontractors (sub -subcontractors) and 2) for all material and labor used in or in connection with the performance of this contract. I further certify that I have complied with Federal, State, and local tax laws, including Social Security laws, Unemployment Compensation Laws and Workman's Compensation laws insofar as applicable to the performance this contract. PARTIAL WAIVER OF LIEN Now therefore, upon receipt of the payment of the current payment due on this application the undersigned does hereby irrevocably release and waive any and all mechanic's liens or rights to claim any and all mechanic's liens or other liens against the above real estate or any part thereof for any of the materials and/or labopr therefore furnished or performed in connection with this project, reserving, however, all lien rights for labor and/or materials furnished after said date. The person signing below does hereby cerify that he/she is fully authorized and empowered to execute this instrument and to bind the undersigned hereto, and does in fact so execute this instrument. Minnesota Utilities & Excavating 13932 Lake Drive F t L k MN 0 JODI LYNN RUSS NOTARY PUBLIC - MINNESOTA My Commission Expires Jan. 31, 2021 ores a e, 55 25 _ f SIGNED: PRINTED, TITLE G�-ar�`��J • �� +1�{-{ �� 292 Design Group PERIOD TO: 1/31/2020 3533 East Lake Street PROJECT NO: 0 Minneapolis, MN 55406 CONTRACT DATE: 1/0/1900 0 COMMITMENT: YES/NO ORIGINAL CONTRACT SUM............................................................... $ 572,787.00 NET CHANGE BY CHANGE ORDERS TO.. ........ .................................... .. $ 88,954.30 CONTRACT SUM TO DATE... . ................ .............. :_.:......... ::............. $ 661,741.30 TOTAL COMPLETED AND STORED TO DATE ................... $ 461,575.00 5 % OF COMPLETED WORK $ 23,078.75 5 % OF STORED MATERIAL $ - TOTAL RETAINAGE...... ........ ......... ..._............... ............................... $ 23,078.75 TOTAL EARNED LESS RETAINAGE.......................,..._........................... $ 438,496,25 LESS OWNER DIRECT PAYMENT BY PURCHASE ORDER ....................... $ - LESS PREVIOUS CERTIFICAES FOR PAYMENT .................................:..._, $ 379,505.05 CURRENT PAYMENT DUE ...... ............ ............................ :......_....,:....... $ 58,991.20 BALANCE TO FINISH INCLUDING RETAINAGE........................... ....... :,.... $ 223,245.05 State of: County of: p1(_ Subscribed and sworn to before me this day of 2GlGrr�---- 20 c�D NOTARY PUBLIC: Signed: My Commission Expires: From: Minnesota Utilities & Excavating, LLC 13932 Lake Drive Forest Lake, MN 55025 PLEASE SUBMIT PAYMENT APPLICATIONS TO: ACCOUNTING-MN@RJMCONSTRUCTION.COM To: RJM Construction, LLC 830 Boone Avenue North Golden Valley, MN 55427 Schedule of Values Invoice No. Aool. No.: #7 Appi. Date: 01 /17/20 From: 01 /01 /20 To: 01/31/20 ITEM NO- DESCRIPTION CURRENT CONTRACT $572.787-00 CURRENT APPLICATION TOTAL PREVIOUS I WORK IN MATERL I APPS- APPS. PLACE ON SITE TO DATE $344.349.70$50,OOO,00 $394.349.70 PERCENT COMPLETE 0.00% BALANCE TO COMPLETE $178,437.30 RETAIN TO DATE $19,717-49 1 Earthwork 2 $0.00 0.00% $0.00 $0.00 3 $0.00 0.00% $0.00 $0-00 4 1 I $0.00 0.00% $0.00 $0.00 5 $0.00 0.00% $0.00 $0,00 6 CO #1 $43,459.00 $21,730.00' $0.00 $21,730.00 0-00% $21,729.00 $0.00 7 CO #2 $26.672.30 $26,672.30: $0.00 $26.672.30 0.00% $0.00 $0,00 8 CO #3 $3.570.00 $3,570.00F $0.00 I $3,570.00 0.00°% $0.00 $0.00 9 CO #4 $3,157.00 $3.157.001 $0.00 I $3.157.00 0.00% $0.00 $0-00 10 CO #5 $11,096.00 $11.096.00 $11.096.00 0.00% $0.00 $0.00 11 CO #6 -$1,338.00 -$1,338.00 -$1,338.00 0.00% $0.00 $0.00 12 CO #7 $2,338.00 $2.338.00 $2.338.00 0.00% $0.00 $0.00 13 I I $0.00 0.00% $0.00 $0.00 14 $0.00 0.00% $0-00 $0.00 15 $0.00 0.00% $0.00 $0.00 16 $0.00 0.00% $0.00 $0.00 17 $0.00 0.00% $0.00 $0.00 18 I I $0.00 0100% $0.00 $0.00 19 $0.00 0.00% $0.00 $0.00 20 $0.00 0.00% $0,00 $0.00 21 $0.00 0.00% $0.00 $0.00 22 $0.00 0.00% $0,00 $0.00 23 $0.00 0.00% $0.00 $0.00 24 $0.00 0.00% $0.00 $0.00 k25 $0.00 0.00°10 $0.001 $0.00 TOTAL $661,741-30 $399,479.00. $62,096.00 $0.00. $461,575.001 69.75%1 $200,166.301 $0.00 Page 1 of 1 Invoice Invoice Date Invoice No 01 /20/2020 40603 Customer No 59396 Customer Reference Fabcon Reference 19520-0033 012813 Delivery Address Elk River Recreational Facilities Invoice Address 1000 School Street NW Elk River, MN 55330 RJM Constuction, Inc. 830 Boone Avenue North Gold Valley, MN 55427 Period January, 2020 Payment Terms Due Upon Receipt Base Contract $ 1,190,000.00 Change Orders Total Contract $ 1,190,000.00 Total completed to date 95% $ 1,130,500.00 Retainage 5 % of contract $ 56,525.00 Total completed less Retainage $ 1,073,975.00 Less Previous Applications for Payment $ 901,550.00 Current Payment Due $ 172,425.00 Interest will be charged on all Past Due amounts in accordance with rates and terms agreed on in the oringal contract. Please pay from this invoice, no statements issued. State sales tax is included in the contract price when applicable. Fabcon Precast, LLC Please Remit To: 12520 Quentin Ave. S., Suite 200 Fabcon Precast, LLC Savage, MN 55378 12520 Quentin Ave. S., Ste. 200 952-890-4444 0 Fax 952-882-7298 Savage, MN 55378 APPLICATION AND CERTIFICATE FOR PAYMENT Page 1 of 2 SUBMITTED TO: RJM Construction, LLC PROJECT: Elk River Ice Arena & APPLICATION NO: 3 830 Boone Avenue North Lion John Weicht Park Facilities APPLICATION DATE: 01/20/2020 Golden Valley, MN 55427 Elk River, MN 55330 PERIOD FROM: 01/01/2020 SUBMITTED FROM: Fabcon Precast, LLC ARCHITECT: 292 Design Group PERIOD TO: 01/31/2020 12520 Quentin Ave. S., Suite 200 3533 E Lake Street PROJECT NO: 012813 Savage, MN 55378 Minneapolis, MN 55406 CONTRACT DATE: 7/10/2019 CONTRACT FOR: precast concrete panles CONTRACT NO.: 0 COMMITMENT: YES/NO I hereby certify that the work performed and the material supplied to date, as shown here, ORIGINAL CONTRACT SUM.................................................................. $ 1,190,000.00 represent the actual value of accomplishment under the terms of the contract (and all authorized changes hereto) between the undersigned and RJM Construction relating to the above- NET CHANGE BY CHANGE ORDERS TO ................................................ $ - referenced project. I further certify that no labor or materials have been supplied under CONTRACT SUM TO DATE................................................................... $ 1,190,000.00 contracts, agreements, verbal or written, or any other arrangement of any type whatsoever, other than the contract duly authorized and executed change orders, and the undersigned does hereby TOTAL COMPLETED AND STORED TO DATE .......................................... $ 1,130,500.00 releases RJM Construction from any claim or liability therefor for the period covered by this application. I also certify that payments, less applicable retention, have been made through the 5 % OF COMPLETED WORK $ 56,525.00 period covered by previous payments received from the contractor to 1) all my subcontractors 5 % OF STORED MATERIAL $ - (sub -subcontractors) and 2) for all material and labor used in or in connection with the performance of this contract. I further certify that I have complied with Federal, State, and local TOTAL RETAINAGE............................................................................. $ 56,525.00 tax laws, including Social Security laws, Unemployment Compensation Laws and Workman's Compensation laws insofar as applicable to the performance this contract. TOTAL EARNED LESS RETAINAGE....................................................... $ 1,073,975.00 PARTIAL WAIVER OF LIEN LESS OWNER DIRECT PAYMENT BY PURCHASE ORDER ........................ $ - Now therefore, upon receipt of the payment of the current payment due on this application the LESS PREVIOUS CERTIFICAES FOR PAYMENT ...................................... $ 901,550.00 undersigned does hereby irrevocably release and waive any and all mechanic's liens or rights to claim any and all mechanic's liens or other liens against the above real estate or any part thereof CURRENT PAYMENT DUE.................................................................... $ 172,425.00 for any of the materials and/or labopr therefore furnished or performed in connection with this project, reserving, however, all lien rights for labor and/or materials furnished after said date. BALANCE TO FINISH INCLUDING RETAINAGE........................................ $ 116,025.00 State of: MINNESOTA The person signing below does hereby cerify that he/she is fully authorized and empowered to execute this instrument and to bind the undersigned hereto, and does in fact so execute this County of: SCOTT instrument. Subscribed and sworn to before me this 01 /20/2020 Fabcon Precast, LLC SIGNED: PRINTED, TITLE / Jack Becker / Credit Manager 20 day of January 20 20 NOTARY PUBLIC: Signed: tip �'. _ ` C ti / i�LL = j �, SHARON K FABRY NOTARYPUBl1C-MINNESOTA WCOMMISSIONEXPIRES01/31A My Commission Expires: "'1/31/2024 r From: Fabcon Precast, LLC 12520 Quentin Ave. S., Suite 200 Savage, MN 55378 952-890-4444 Precast concrete panels PLEASE SUBMIT PAYMENT APPLICATIONS TO: ACCOUNTING-MN@RJMCONSTRUCTION.COM To: RJM Construction, LLC 830 Boone Avenue North Golden Valley, MN 55427 12813 Schedule of Values Invoice No. Appl. No.: #3 - 40603 Appi. Date: 01/20/2020 From: 01 /01 /2020 To: 01/31/2020 ITEM NO. DESCRIPTION CURRENT CONTRACT CURRENT APPLICATION TOTAL PREVIOUS WORK IN MATERL. APPS. APPS. PLACE ON SITE I TO DATE PERCENT COMPLETE BALANCE TO COMPLETE RETAIN TO DATE 1 Engineering 26,200.005 26,200.00 i0.00 0.00 26,200.00 100.00% 0.00 1,310.00 2 Manufacturing 628,300.00- 628,300.00. 0.00 0.00- 628,300.00 100.00% 0.00 31,415.00 3 Delivery & Erection 535,500.00 294,500,00: 181,500.00 0.00, 476,000.00 67.00% 59,500.00 23,800.00 4 I 5 6 7 8 I I 9 10 11 12 13 14 15 16 17 18 19 I I 20 21 22 23 24 25 TOTAL 1,190,000.00 949,000.00 181,500.001 0.001 1,130,500.001 95.00%1 59,500.001 56,525.00 Page 1 of 1 ■■■ I N V O I C E INVOICE DATE: 01/22/20 1i1 WE"S INVOICE NO: 001036 PRECAST I INNOVATORS BILLING NO: 3 FOR PERIOD ENDING: 01/31/20 PROJECTDESCRIPTION: ELK RIVER ICE ARENA& PARK FACILITIES PROJECT LOCATION: ELK RIVER MN EMAILTO: Accounting-MNOrjmconstmctlon.com BUYERS SUBCONTRACT NO.: 0 WELLS CONCRETE 106 NO.: 71M TO: RIM CONSTRUCTION LLC REMITTO: WELLSCONCRETE 830 BOONE AVE NORTH PO BOX 656 GOLDEN VALLEY MN 55427 ALBANY, MN 56307-0656 SCHEDULED COMPLETE PREVIOUS ITEM DESCRIPTION T04)ATE VAWE THIS INVOICE UNBILLED 71 VALUE % INVOICES ENGINEERING & DRAFTING $ 36,999.32 100% $ 36,999.32 $ 36,999.32 $ - $0A0 PRODUCTION/MATERIALS $ 610,538,78 100% $ 610,538.78 $ 401,609.73 $ 208,929A5 Sam ERECTION $ 227,461,W 94% S 233,967.90 S - $ 232,962.90 $44,4%.00 0 $ - 0% $ - $ - $ - $0A0 flETENTION 5% $ (44,015.30) $ 121,930.45) $ 122,094.85) TOTALS $ 9M,OOOA0 95% T 836,480.70 $ 436,6T8.60 $ 419,802.10 $44,494.00 PLEASE PAYTHIS AMOUNT UPON RECEIPT OF INVOICE $ 419AMA0 Visit us on-line at: www.vaellsconcrete.com THANK YOU FOR YOUR BUSINESS. APPLICATION AND CERTIFICATION FOR PAYMENT, Construction RIM CONSTRUCTION LLC 830 BOONS AVE NORTH GOLDEN VALLEY MN 55427 FROM CONTRALTO& WELLS CONCRETE PO BOX 656 ALBANY, MN 56307 Contradhe Bid Package: VIA CONSTRUCTION MANAGER VIA ARCBITECT: CONTRACTOR'S APPLICATION FOR PAYMENT Apptiuuoo is made fen payment as shown below, in commomm a with the Contract Cwtin:m on Sheet AIA Democrat G103, is ascbed 1. ORIGINA 00NTR SUM 1 NBTCHANGEBYCRANGEORDERS 3, CONTRACT SUM TO DATE (Lae 1 ti) A TOTAL COMPLETED&MUD TO DATE (Comma G on G103) S. RETAtNAGE: a s% %ofComplaced Work (edam D + E an 0103) A 0% %ofStoredhfamsisl (Co1:ma Foo G103) Tested Renalmge (Lames 5a+ 51; or Tend in Cd:mn I of G103) 6. TOT (1mc41.ml'FSSRcm1) AGE 11 LESS PREVIOUS CERTIFICATES FOR Yh 11uiae6frompnor Cmnosw) E CURRENT PAYMENT ME 9, TO FINER, MMUDING RETA GE f (Ime 3 minas Lam 6) as Adviser Edition APPISCATION NO: 3 Distribution by eOWNER PERIOD TO: 1312020 CONSTRUCTIO CONTRACT FOR ARCHTI'ECT CONTRACTOR CONTRACTDATE: 7AM019 FIELD PROTECT NOS: =1 sondes: Worle covered by dn"Aimmum for payment bus been completed in �c with the Casessout that 0 ammusts Wevo been pubd by mayessecam roccived does ffic Dessert send flow common paysom shown horsed 4 am dus% sow i. $ 44'W.30 m.00 f S S 416,61E60 f 419,901.10 S 9019.30 WrIn is I aceerdmcexith the Consm Denmes.based onaasitt obavrvadom mM Wedm "' aapp0mmm, WO Atmhi:egtwru6ee to the Owner that m the best of the Arcbi2cfs knowledge. information and Leliefthe Week has progressed as mNcamd, the quar y of the Work be in ammdmw wits the Cmpam Documents, sued to Cesacmr is OUNT peymem LED... MOIMt CERTIFIED. AMOUNT CERTROED..................... S 419,802.10 (Anmh ssplom on dommmr ce led gem? m apprmi dtAga m an mis COan and on Fe Can an Sheer that me changed to eomornr week the moment mnfed) NSTRUCTION MANAGER: TOTALS BY Deft: S TNa Cadfinte isn0[mgotiable. TheAMOUM'CER3IFlED isPMbl<oNyrothe Cannactornoedhm<m. ismenee, peymmumdaettpmmeatPaymmtme withmn ejuthce to naynghts ofthe OwnmmCosauornadm ibis Cnnsce NE-f CHANGES by Chm:ga Order g mnrcava xw., wAsxweron ocvoosmz Were may obtain validsAM validation drops document by requesting a completed A Document D40of n t-CeNfisUonDocum t's Au enticity"mgLice see, D CONTINUATION SHEET AIA DOCUNffiNT 0703 In tabo ow below, membore swat to me no &M! PROJECT NO: 7104 PROJECTNAME: ELK RIVER ICE ARENA& PARK FACILITIES ELK RIVER MN APPLICATION NO: 3 APPLICATIONDATE: 01=0 PERIODENDING: 01A120 A B C D E F G H TTEM DESCRIP]]ON OF WORK SCHEDULED WORKCOMPLETED MATERIALS TOTAL % BALANCE MMNAOE NO, VALUE FROMPREVIOUS THISPERIOD PRESENTLY COMPLETED (GX) TOFINISH APPLICATION STORED AND STORED (CG) 5% (D+E) MOT IN TO DATE DORE) (D+E+F) ENGINIMXNG & DRAFTING $36,999.32 106,W9.32 Wm W'w M6199932 100% $0,00 $1,849.9 PRODUCTION/MATER4VS W10538.78 $Wt,W9.73 S208,929.05 $0.w M10,538.78 100% WIN $301526.94 ERECTION $277,461.90 WIN $234%7.W moo $232,%7.M 84Ya $4454%,00 SI1,648.40 WIN $0.00 $0,00 W.00 Wm WIN WIN WIN WIN WIN $0.00 WIN W.NN W.00 WIN WIN WIN $0.00 WM W.w W.00 W.00 WIN $0,00 $0.00 WIN W.00 $000 WIN WIN WIN WAN W.00 WM $0.00 W.W W.w $0.00 WIN WAN WIN WIN WM WIN WM WAN WIN $0.00 W.00 TOTALS 5925,000.00 $d3Q609.05 $441896.95 W.00 $880,506.00 95% S44Amw $N,02530 Job Number Amount 18520-0034 Total 12.24 19520-0033 Total 12.24 19520-0000 Total 12.24 19520-0072 Total 12.24 19520-0113 Total 12.24 19520-0132 Total 12.24 19520-0141 Total 13.33 Bob Jossart Total 12.24 Taylor Bosacker Total 12.24 Grand Total 111.22 Action Fence, Inc P.O. Box 1065 Burnsville, MN 55337 Voice: (952)432-9737 Fax: (952)432-4132 Bill To RJM Construction 830 Boone Ave N Golden Valley, MN 55427 INVOICE Invoice Number: 19826 Invoice Date: Jan 30, 2020 Page: 1 Ship to: Elk River Multi -Purpose Facility' 19520-0033 Elk River, MN Customer ID Customer PO Payment Terms R06 Net 45 Days Sales Rep ID Shipping Method Ship Date Due Date Airborne 3/ 15/20 Quantity Item Description Unit Price loormount 1.00 Extra Requested: Install one construction fence panel with panic bar gate *Pricing includes any applicable sales tax 965.00 965.00 Check/Credit Memo No: Subtotal 965.00 Sales Tax Total Invoice Amount 965.00 Payment/Credit Applied TOTAL 965.00 Premium Waters, In b I tl PO BOX 9128 MINNEAPOLIS MN 55480-9128 (612)379-4141 Fax:(612)-379-3543 RETURN SERVICE REQUESTED Websfte: vvvr .prenniumwaters.conn _ 1 As •A-01-A"410-21716d0 hnulllnlrll•I IIIIh1.Jill Ill l rd4hhn^IPl bll RJM CONSTRUCTION #1952-0033 830 BOONE AVE N GOLDEN VALLEY MN 55427.4568 ❑ = oft ❑ a ❑® ♦.R^.•OLDER NAME (Pk 853364 12/31/2019 1 853364-12-19 RUM CONSTRUCTION #1952I 01/31/2020 1 $30.71 1 RJM CONSTRUCTION #1952.0033 1000 SCHOOL ST /2019 Check Payment 002028588 Thank Youl /2019 317260608 Service Charge 1 @ 3.99 /2019 317260608 Chippewa 5 Gal Spring 2 @ 8.55 /2D19 317260608 Invoice Total 21.09 /2019 Check Payment 002028863 Thank YOul 12019 317293768 Monthly Jan 1 @ 9.00 12019 317293768 Tax 12019 317293768 Invoice Total 9.62 MANE CHECKS PAYABLE TO: AMduH! PREMIUM WATERS INC ExcLosEi 111111i'II'III''IIIII'll 'II'11I''I'I'II'"IIII'IIIIII'Ilmi'II" PREMIUM WATERS INC PO BOX 9128 MINNEAPOLIS MN 55480-9128 BALANCE FORWARD 19.24 9.62 9.62 13.61 30.71 21.09 30.71 9.62 21.09 30, D9 0.62 30.71 9.62 SO.71 RECEIVED JAN 13 2P' RJM Construc.,l_ 30.71 I 0.00 I 0.00 I 0.00 19.24 I 30.71 1 19.24I $30.711 Please contact us if you autopsy using a credit card. our processing department asked inai we now Upwming Ftleihrellea: be sure we are using the 3 digit pin that appears on the back of your card. To do the update we need to remove your card and re enter it using the 3 digit pin. This increases our security. Fri -Jan 17 PREMIUM WATERS INC Tue-Feb 18 PO BOX 9128 Tue-Mar 17 MINNEAPOLIS MN 55480-9128 Wed -Apr 15 (612) 379-4141 Fax: (612)-379-3543 12/31/2019 853364 RJMCONSTRUCT0N#1952-0033 rl�rity Laurier Experts FANEX Customer Service: (651) 748-4477 Accounts Receivable: (651) 779-4440 AR@priority.com Hanika Alemayehu Rim Construction -jobs Account 830 Boone Ave N Golden Valley MN 55427 Invoice I Customer Number I Invoice Number 1245824 Invoice Date 12/19/2019 Remit to: Priority Courier Experts PO BOX 10699 St. Paul, MN 55110 Priority.com Please detach here and return this portion with your remittance check r�ri PAYMENT DUE UPON RECEIPT PC8i0r!!1!y FA/Va Customer Service: (651) 748-4477 Accounts Receivable: (651) 779-4440 AR@priority.com Customer Number Invoice Date Date/Reference Order#/CallerlD Pickup Delivery Pcs/Wt POD/Price Delivered 19-Dec-19 12913794 Rjm Construction HGA Architects 1 Patty 12/19/19 14:03 18520-0034 Becky Ouellette 830 Boone Ave N 420 5th St. N. Suite 100 1 $14.05 (952) 893-8821 Golden Valley MN 55427 Minneapolis MN 55401 3 Hour - Car $12.43 Fuel Surcharge 1 $1.62 References - 18520-0034 Total: $14.05 Date/Reference Order#/CallerlD Pickup Delivery Pcs/Wt POD/Price Delivered 17-Dec-19 12901271 RJM Construction Kendell 1 Ashby A 12/17/19 8:37 19520-0033 Becky Ouellette 830 Boone Ave N 1312 Northland Drive Suite 100 1 $45.88 (952) 893-8821 Minneapolis MN 55427 Mendota Heights MN 55120 Direct - Car $40.60 Fuel Surcharge 1 $5.28 References - 19520-0033 Total: $45.88 Date/Reference Order#/CallerlD Pickup Delivery Pcs/Wt POD/Price Delivered 18-Dec-19 12908151 Rjm Construction BWBR Architects 1 Kirsten 12/18/19 13:53 19520-0072 Becky Ouellette 830 Boone Ave N 380 Saint Peter St. Suite 600 1 $20.06 (952) 893-8821 Golden Valley MN 55427 Saint Paul MN 55102 Same Day - Car $17.75 Fuel Surcharge 1 $2.31 References - 19520-0072 Total: $20.06 Date/Reference Order#/CallerlD Pickup Delivery Pcs/Wt POD/Price Delivered 18-Dec-19 12907330 Rjm Construction 292 Design Group 2 Mark 12/18/19 12:01 19520-0114 Becky Ouellette 830 Boone Ave N 3533 E. Lake St. 15 $18.90 (952) 893-8821 Golden Valley MN 55427 Minneapolis MN 55406 3 Hour - Car $16.73 Fuel Surcharge 1 $2.17 References - 19520-0114 Total: $18.90 ALL of your transportation needs are available 24/7. Page 1 of 2 rl�rity Laurier Experts FANEX Customer Service: (651) 748-4477 Accounts Receivable: (651) 779-4440 AR@priority.com Hanika Alemayehu Rim Construction -jobs Account 830 Boone Ave N Golden Valley MN 55427 Invoice I Customer Number I Invoice Number 1252534 Invoice Date Remit to: Priority Courier Experts PO BOX 10699 St. Paul, MN 55110 Priority.com Please detach here and return this portion with your remittance check r�ri PAYMENT DUE UPON RECEIPT PC8i0r!!1!y FA/Va Customer Service: (651) 748-4477 Accounts Receivable: (651) 779-4440 AR@priority.com Customer Number Invoice Date Date/Reference Order#/CallerlD Pickup Delivery Pcs/Wt POD/Price Delivered 16-Jan-20 12985482 RJM Construction City Of Shoreview 1 Janice Miller 1/16/20 11:08 17520-0085 Becky Ouellette 830 Boone Ave N 4600 Victoria St N 5 $18.69 (952) 893-8821 Minneapolis MN 55427 Shoreview MN 55126-5899 Same Day - Car $16.54 Fuel Surcharge 1 $2.15 References - 17520-0085 Total: $18.69 Date/Reference Order#/CallerlD Pickup Delivery Pcs/Wt POD/Price Delivered 15-Jan-20 12980957 Rjm Construction City of St. Louis Park 1 Kelsey L 1/15/20 9:03 18520-0034 Becky Ouellette 830 Boone Ave N 3700 Monterey Drive 1 $14.05 (952) 893-8821 Golden Valley MN 55427 Saint Louis Park MN 55416 3 Hour - Car $12.43 Fuel Surcharge 1 $1.62 References - 18520-0034 Total: $14.05 Date/Reference Order#/CallerlD Pickup Delivery Pcs/Wt POD/Price Delivered 13-Jan-20 12974451 RJM Construction 292 Design Group 1 E Olson 1/13/20 14:09 19520-0033 Becky Ouellette 830 Boone Ave N 3533 E. Lake St. 1 $21.62 (952) 893-8821 Minneapolis MN 55427 Minneapolis MN 55406 2 Hour - Car $19.13 Fuel Surcharge 1 $2.49 16-Jan-20 12984237 RJM Construction 292 Design Group 19520-0033 Becky Ouellette 830 Boone Ave N 3533 E. Lake St. (952) 893-8821 Minneapolis MN 55427 Minneapolis MN 55406 3 Hour - Car Fuel Surcharge References - 19520-0033 Total: Date/Reference Order#/CallerlD Pickup Delivery 1 Mark W 1/16/20 8:59 40 $18.90 $16.73 $2.17 $40.52 Pcs/Wt POD/Price Delivered ALL of your transportation needs are available 24/7. Page 1 of 2 qp 141010161193010111 1111IN01 Job Number: 19520-0033 Project Name: Requested By: Elk River Stacy Arnold 830 Boone Avenue North Golden Valley, MN 55427 PH 952-837-8600 FAX 952-832-9600 rjmconstruction.com MATERIAL OUT OF STOCK Items/Materials: Cost (6) Safety signs $5/ea 30 Total 30 Signed Date 1 /8/19 8610 Hansen Ave Shakopee, MN 55379 (952) 403-1221 info@biffsinc.com Bill To RJM Construction, LLC 830 Boone Ave N Golden Valley MN 55427 United States Invoice Date 11 /11 /2019 Invoice # INV879179 Customer ID C642570 Terms Net 28 Due Date 12/9/2019 Memo PO # Location # L117269 Sales Order Ship To Elk River Ice Arena -TRAILERS 1000 School St NW Elk River MN 55330 United States Quantity Item Description Rate Amount 1 19 ft ADA luxury Trailer WEEKLY - Luxury Trailer Rental 1,050.00 1,050.00 11.11.19--11.17.19 2 "Service Service - Regular Trailer Service 150.00 300.00 11.12.19 11.15.19 Biffs Inc. Make Checks Payable To Biffs Inc. 8610 Hansen Ave Shakopee, MN 55379 Please return this portion with your payment. Remittance Slip Customer Invoice # Amount Due Amount Paid Visa, Mastercard, Discover and American Express accepted. Subtotal 1,350.00 Tax 99.56 Total 1,449.56 Amount Due $1,449.56 L117269 Elk River Ice Arena-ADA Traile INV879179 $1,449.56 8610 Hansen Ave Shakopee, MN 55379 (952) 403-1221 info@biffsinc.com Bill To RJM Construction, LLC 830 Boone Ave N Golden Valley MN 55427 United States Invoice Date 11 /20/2019 Invoice # INV879242 Customer ID C642570 Terms Net 28 Due Date 12/18/2019 Memo PO # Location # L117269 Sales Order Ship To Elk River Ice Arena -TRAILERS 1000 School St NW Elk River MN 55330 United States Quantity Item Description Rate Amount 1 19 ft ADA luxury Trailer WEEKLY - Luxury Trailer Rental 1,050.00 1,050.00 11.18.19--11.24.19 3 "Service Service - Regular Trailer Service 150.00 450.00 11.14.19 - Extra Service Requested 11.19.19 11.22.19 Biffs Inc. Make Checks Payable To Biffs Inc. 8610 Hansen Ave Shakopee, MN 55379 Please return this portion with your payment. Remittance Slip Customer Invoice # Amount Due Amount Paid Visa, Mastercard, Discover and American Express accepted. Subtotal 1,500.00 Tax 110.63 Total 1,610.63 Amount Due $1,610.63 L117269 Elk River Ice Arena-ADA Traile INV879242 $1,610.63 8610 Hansen Ave Shakopee, MN 55379 (952) 403-1221 info@biffsinc.com Bill To RJM Construction, LLC 830 Boone Ave N Golden Valley MN 55427 United States Invoice Date 11 /25/2019 Invoice # INV879274 Customer ID C642570 Terms Net 28 Due Date 12/23/2019 Memo PO # Location # L117269 Sales Order Ship To Elk River Ice Arena -TRAILERS 1000 School St NW Elk River MN 55330 United States Quantity Item Description Rate Amount 1 19 ft ADA luxury Trailer WEEKLY - Luxury Trailer Rental 1,050.00 1,050.00 11.25.19--12.1.19 2 "Service Service - Regular Trailer Service 150.00 300.00 11.26.19 11.29.19 Biffs Inc. Make Checks Payable To Biffs Inc. 8610 Hansen Ave Shakopee, MN 55379 Please return this portion with your payment. Remittance Slip Customer Invoice # Amount Due Amount Paid Visa, Mastercard, Discover and American Express accepted. Subtotal 1,350.00 Tax 99.56 Total 1,449.56 Amount Due $1,449.56 L117269 Elk River Ice Arena-ADA Traile INV879274 $1,449.56 8610 Hansen Ave Shakopee, MN 55379 (952) 403-1221 info@biffsinc.com Bill To RJM Construction, LLC 830 Boone Ave N Golden Valley MN 55427 United States Invoice Date 12/9/2019 Invoice # INV879322 Customer ID C642570 Terms Net 28 Due Date 1/6/2020 Memo PO # Location # L117269 Sales Order Ship To Elk River Ice Arena -TRAILERS 1000 School St NW Elk River MN 55330 United States Quantity Item Description Rate Amount 1 19 ft ADA luxury Trailer WEEKLY - Luxury Trailer Rental 1,050.00 1,050.00 12.2.19--12.8.19 2 "Service Service - Regular Trailer Service 150.00 300.00 12.3.19 12.6.19 Biffs Inc. Make Checks Payable To Biffs Inc. 8610 Hansen Ave Shakopee, MN 55379 Please return this portion with your payment. Remittance Slip Customer Invoice # Amount Due Amount Paid Visa, Mastercard, Discover and American Express accepted. Subtotal 1,350.00 Tax 99.56 Total 1,449.56 Amount Due $1,449.56 L117269 Elk River Ice Arena-ADA Traile INV879322 $1,449.56 8610 Hansen Ave Shakopee, MN 55379 (952) 403-1221 info@biffsinc.com Bill To RJM Construction, LLC 830 Boone Ave N Golden Valley MN 55427 United States Invoice Date 12/16/2019 Invoice # INV879361 Customer ID C642570 Terms Net 28 Due Date 1/13/2020 Memo PO # Location # L117269 Sales Order Ship To Elk River Ice Arena -TRAILERS 1000 School St NW Elk River MN 55330 United States Quantity Item Description Rate Amount 2 19 ft ADA luxury Trailer WEEKLY - Luxury Trailer Rental 1,050.00 2,100.00 12.9.19--12.15.19 and 12.16.19--12.22.19 3 *Service Service - Regular Trailer Service 150.00 450.00 12.10.19 12.17.19 12.20.19 Biffs Inc. Make Checks Payable To Biffs Inc. 8610 Hansen Ave Shakopee, MN 55379 Please return this portion with your payment. Remittance Slip Customer Invoice # Amount Due Amount Paid Visa, Mastercard, Discover and American Express accepted. Subtotal 2,550.00 Tax 188.06 Total 2,738.06 Amount Due $2,738.06 L117269 Elk River Ice Arena-ADA Traile INV879361 $2,738.06 8610 Hansen Ave Shakopee, MN 55379 (952) 403-1221 info@biffsinc.com Bill To RJM Construction, LLC 830 Boone Ave N Golden Valley MN 55427 United States Invoice Date 12/27/2019 Invoice # INV879368 Customer ID C642570 Terms Net 28 Due Date 1/24/2020 Memo PO # Location # L117269 Sales Order Ship To Elk River Ice Arena -TRAILERS 1000 School St NW Elk River MN 55330 United States Quantity Item Description Rate Amount 1 19 ft ADA luxury Trailer WEEKLY - Luxury Trailer Rental 1,050.00 1,050.00 12.23.19--12.29.19 2 "Service Service - Regular Trailer Service 150.00 300.00 12.24.19 12.27.19 Biffs Inc. Make Checks Payable To Biffs Inc. 8610 Hansen Ave Shakopee, MN 55379 Please return this portion with your payment. Remittance Slip Customer Invoice # Amount Due Amount Paid Visa, Mastercard, Discover and American Express accepted. Subtotal 1,350.00 Tax 99.56 Total 1,449.56 Amount Due $1,449.56 L117269 Elk River Ice Arena-ADA Traile INV879368 $1,449.56 8610 Hansen Ave Shakopee, MN 55379 (952) 403-1221 info@biffsinc.com Bill To RJM Construction, LLC 830 Boone Ave N Golden Valley MN 55427 United States Invoice Date 1 /6/2020 Invoice # INV879412 Customer ID C642570 Terms Net 28 Due Date 2/3/2020 Memo PO # Location # L117269 Sales Order Ship To Elk River Ice Arena -TRAILERS 1000 School St NW Elk River MN 55330 United States Quantity Item Description Rate Amount 1 19 ft ADA luxury Trailer WEEKLY - Luxury Trailer Rental 1,050.00 1,050.00 12.30.19--1.5.19 2 "Service Service - Regular Trailer Service 150.00 300.00 12.31.19 1.3.20 1 *Service Service - EMERGENCY Service Call 250.00 250.00 12.29.19 Biffs Inc. Make Checks Payable To Biffs Inc. 8610 Hansen Ave Shakopee, MN 55379 Please return this portion with your payment. Remittance Slip Customer Invoice # Amount Due Amount Paid Visa, Mastercard, Discover and American Express accepted. Subtotal 1,600.00 Tax 118.00 Total 1,718.00 Amount Due $1,718.00 L117269 Elk River Ice Arena-ADA Traile INV879412 $1, 718.00 8610 Hansen Ave Shakopee, MN 55379 (952) 403-1221 info@biffsinc.com Bill To RJM Construction, LLC 830 Boone Ave N Golden Valley MN 55427 United States Invoice Page 1 of 2 Date 1 /1 /2020 Invoice # W749342 Customer ID C642570 Terms Net 28 Due Date 1/29/2020 Memo PO # 19520-0033 Location # L116854 Sales Order 333108 Ship To Elk River Arena 19520-0033 1000 School St NW Elk River MN 55330 United States Quantity Item Description Rate Amount 1 Rental Regular Unit Dec 04-Dec 31 4.00 4.00 1 SERVICE Service Dec 04-Dec 31 55.00 55.00 1 SERVICE ClimateSvc Dec 04 to Dec 31 34.00 34.00 1 Rental HandSani Dec 04-Dec 31 0.00 0.00 1 Rental ContainmentPan Dec 04-Dec 31 20.00 20.00 1 Rental Regular Unit Dec 04-Dec 31 4.00 4.00 1 SERVICE Service Dec 04-Dec 31 55.00 55.00 1 SERVICE ClimateSvc Dec 04 to Dec 31 34.00 34.00 1 Rental HandSani Dec 04-Dec 31 0.00 0.00 1 Rental ContainmentPan Dec 04-Dec 31 20.00 20.00 1 Rental MiniLift Dec 04-Dec 31 4.00 4.00 1 SERVICE Service Dec 04-Dec 31 64.00 64.00 1 SERVICE ClimateSvc Dec 04 to Dec 31 34.00 34.00 1 Rental HandSani Dec 04-Dec 31 0.00 0.00 1 Rental ContainmentPan Dec 04-Dec 31 20.00 20.00 2 Rental Heater Dec 04-Dec 31 5.00 10.00 0 TAX -MN Tax -MN 0.00 24.61 8610 Hansen Ave Shakopee, MN 55379 (952) 403-1221 info@biffsinc.com Biffs Inc. Make Checks Payable To Biffs Inc. 8610 Hansen Ave Shakopee, MN 55379 Please return this portion with your payment. Remittance Slip Customer Invoice # Amount Due Amount Paid Visa, Mastercard, Discover and American Express accepted. Invoice Page 2 of 2 Date 1 /1 /2020 Invoice # W749342 Total 382.61 Amount Due $382.61 L116854 Elk River Arena 19520-0033 W749342 $382.61 8610 Hansen Ave Shakopee, MN 55379 (952) 403-1221 info@biffsinc.com Bill To RJM Construction, LLC 830 Boone Ave N Golden Valley MN 55427 United States Invoice Date 1 /1 /2020 Invoice # W749346 Customer ID C642570 Terms Net 28 Due Date 1/29/2020 Memo PO # 19520-0033 Location # L117359 Sales Order 334584 Ship To Lions Park 19520-0033 1104 Lions Park Dr Elk River MN 55330 United States Quantity Item Description Rate Amount 1 SERVICE Service Dec 04-Dec 31 55.00 55.00 1 SERVICE ClimateSvc Dec 04 to Dec 31 34.00 34.00 1 Rental HandSani Dec 04-Dec 31 0.00 0.00 1 Rental ContainmentPan Dec 04-Dec 31 20.00 20.00 1 Rental Heater Dec 04-Dec 31 5.00 5.00 0 TAX -MN Tax -MN 0.00 8.11 1 Rental Regular Unit Dec 04-Dec 31 4.00 4.00 Biffs Inc. Make Checks Payable To Biffs Inc. 8610 Hansen Ave Shakopee, MN 55379 Please return this portion with your payment. Remittance Slip Customer Invoice # Amount Due Amount Paid Visa, Mastercard, Discover and American Express accepted. Total 126.11 Amount Due $126.11 L117359 Lions Park 19520-0033 W749346 $126.11 8610 Hansen Ave Shakopee, MN 55379 (952) 403-1221 info@biffsinc.com Bill To RJM Construction, LLC 830 Boone Ave N Golden Valley MN 55427 United States Invoice Page 1 of 2 Date 1 /29/2020 Invoice # W751920 Customer ID C642570 Terms Net 28 Due Date 2/26/2020 Memo PO # 19520-0033 Location # L116854 Sales Order 333108 Ship To Elk River Arena 19520-0033 1000 School St NW Elk River MN 55330 United States Quantity Item Description Rate Amount 1 Rental Regular Unit Jan 01-Jan 28 4.00 4.00 1 SERVICE Service Jan 01-Jan 28 55.00 55.00 1 SERVICE ClimateSvc Jan 01 to Jan 28 34.00 34.00 1 Rental HandSani Jan 01-Jan 28 0.00 0.00 1 Rental ContainmentPan Jan 01-Jan 28 20.00 20.00 1 Rental Regular Unit Jan 01-Jan 28 4.00 4.00 1 SERVICE Service Jan 01-Jan 28 55.00 55.00 1 SERVICE ClimateSvc Jan 01 to Jan 28 34.00 34.00 1 Rental HandSani Jan 01-Jan 28 0.00 0.00 1 Rental ContainmentPan Jan 01-Jan 28 20.00 20.00 1 Rental MiniLift Jan 01-Jan 28 4.00 4.00 1 SERVICE Service Jan 01-Jan 28 64.00 64.00 1 SERVICE ClimateSvc Jan 01 to Jan 28 34.00 34.00 1 Rental HandSani Jan 01-Jan 28 0.00 0.00 1 Rental ContainmentPan Jan 01-Jan 28 20.00 20.00 2 Rental Heater Jan 01-Jan 28 5.00 10.00 0 TAX -MN Tax -MN 0.00 24.61 8610 Hansen Ave Shakopee, MN 55379 (952) 403-1221 info@biffsinc.com Biffs Inc. Make Checks Payable To Biffs Inc. 8610 Hansen Ave Shakopee, MN 55379 Please return this portion with your payment. Remittance Slip Customer Invoice # Amount Due Amount Paid Visa, Mastercard, Discover and American Express accepted. Invoice Page 2 of 2 Date 1 /29/2020 Invoice # W751920 Total 382.61 Amount Due $382.61 L116854 Elk River Arena 19520-0033 W751920 $382.61 8610 Hansen Ave Shakopee, MN 55379 (952) 403-1221 info@biffsinc.com Bill To RJM Construction, LLC 830 Boone Ave N Golden Valley MN 55427 United States Invoice Date 1 /29/2020 Invoice # W751923 Customer ID C642570 Terms Net 28 Due Date 2/26/2020 Memo PO # 19520-0033 Location # L117359 Sales Order 334584 Ship To Lions Park 19520-0033 1104 Lions Park Dr Elk River MN 55330 United States Quantity Item Description Rate Amount 1 Rental Regular Unit Jan 01-Jan 28 4.00 4.00 1 SERVICE Service Jan 01-Jan 28 55.00 55.00 1 SERVICE ClimateSvc Jan 01 to Jan 28 34.00 34.00 1 Rental HandSani Jan 01-Jan 28 0.00 0.00 1 Rental ContainmentPan Jan 01-Jan 28 20.00 20.00 1 Rental Heater Jan 01-Jan 28 5.00 5.00 0 TAX -MN Tax -MN 0.00 8.11 Biffs Inc. Make Checks Payable To Biffs Inc. 8610 Hansen Ave Shakopee, MN 55379 Please return this portion with your payment. Remittance Slip Customer Invoice # Amount Due Amount Paid Visa, Mastercard, Discover and American Express accepted. Total 126.11 Amount Due $126.11 L117359 Lions Park 19520-0033 W751923 $126.11 16520-0138 Total 416.94 18520-0034 Total 370.14 18520-0090 Total 263.78 19520-0021 Total 391.41 19520-0033 Total 440.34 19520-0047 Total 197.83 19520-0052 Total 625.41 19520-0055 Total 172.31 19520-0067 Total 378.65 19520-0072 Total 967.90 19520-0075 Total 274.41 19520-0095 Total 151.03 19520-0096 Total 436.09 19520-0110 Total 353.12 19520-0113 Total 368.01 19520-0114 Total 429.70 19520-0121 Total 104.24 19520-0127 Total 114.87 19520-0132 Total 453.10 19620-0138 Total 429.70 19520-0141 Total 208.47 19520-0151 Total 178.69 19520-0169 Total 123.38 19520-0178 Total 285.05 19520-0181 Total 202.09 19520-0186 Total 138.27 19520-0187 Total 161.67 Grand Total 8672.79 16520-0138 Total 165.39 18520-0034 Total 153.08 18520-0090 Total 117.01 18520-0118 Total 175.07 19520-0003 Total 49.27 19520-0021 Total 161.88 19520-0033 Total 182.11 19520-0062 Total 258.65 19520-0055 Total 199.70 19520-0067 Total 470.23 19520-0072 Total 526.97 19520-0075 Total 120.53 19520-0094 Total 124.05 19520-0095 Total 160.12 19520-0096 Total 180.35 19520-0110 Total 146.04 19520-0113 Total 152.20 19520-0121 Total 105.57 19520-0127 Total 100.29 19520-0132 Total 195.31 19520-0136 Total 7.04 19520-0138 Total 294.72 19520-0148 Total 86.22 19520-0151 Total 73.90 19520-0169 Total 133.72 19520-0178 Total 117.89 19520-0181 Total 17.60 19520-0187 Total 66.86 19920-9121 Total 68.62 Grand Total 4610.36 RJM CONSTRUCTION - EMPLOYEE EXPENSE REPORT Employee PERIOD NAME: Tom DYUk Market Code: COVERED: 1/1/2020 TO 1/31/2020 Expense Type Date Item Description Name all Involved Parties and Business Purpose JOB # I GL Code Phase Code I Market Code Mileage Mileage Charge Parking Meals & Entertainment Cellphone Office Supplies Other (GL or Phase Code Required) 01/06/20 Elk River On -Site 19520-0033 54.00 31.32 01/08/20 Elk River On -Site 19520-0033 54.00 31.32 01/08/20 Kit Locks 19520-0181 01-59-05 151.42 01/09/20 Elk River On -Site 19520-0033 54.00 31.32 01/13/20 Elk River On -Site 19520-0033 54.00 31.32 01/15/20 Elk River On -Site 19520-0033 54.00 31.32 01/17/20 Elk River On -Site 19520-0033 54.00 31.32 01/20/20 Elk River On -Site 19520-0033 54.00 31.32 01/21/20 Elk River On -Site 19520-0033 54.00 31.32 01/22/20 Elk River On -Site 19520-0033 54.00 31.32 01/24/20 Elk River On -Site 19520-0033 54.00 31.32 01/27/20 Elk River On -Site 19520-0033 54.00 31.32 01/29/20 Elk River On -Site 19520-0033 54.00 31.32 01/31/20 Elk River On -Site 19520-0033 54.00 31.32 TOTALS BY CATEGORY: 702.00 407.16 - - - - 151.42 "See description for proper expense coding Tom Druk 1130/20 Employee Signature (1) (2) (3) (4) (6) REIMBURSEMENT CALCULATION: 7. TOTAL PROJECT COST (Columns 1+2+3+4+5+6+7) 151.42 8. Total Project Miles @ .58 per mile 407.16 9. Less Advances/Auto Allowance @ .33 per mile 231.66