4.3 SR 10-19-2020Request for Action
To
Item Number
Mayor and Ci T Council
4.3
Agenda Section
Meeting Date
Prepared by
Consent
October 19, 2020
Ryan Sandhoefner, Engineering Technician II
Item Description
Reviewed by
Pay Estimates
Justin Femrite P.E., Public Works Director
Reviewed by
Cal Portner, City Administrator
Action Requested
Approve, by motion, the pay estimates detailed below.
Background/Discussion
The following pay estimates have been reviewed and found to be accurate and in accordance with approved contracts.
Financial Impact
PROJECT
2020 Street Improvement Project
Multi -Purpose Facility & Lions Park
Multi -Purpose Facility & Lions Park
Mission/Policy/Goal
Opportunity to live, work, and play.
Attachments
■ Pay Estimate 2 — North Valley Inc.
■ Pay Estimate 15 — RJM Construction LLC
■ Pay Estimate 16 — RJM Construction LLC
Pay Est. #
2 - Final
15 - Partial
16 - Partial
Contractor Amount
North Valley Inc. $85,851.94
RJM Construction LLC $75,753.02
RJM Construction LLC $620,586.98
The Elk River Vision P N W I e E U 0 V
A welcoming community rvitb revolutionary and spirzted resourcefulness, exceptional NATURE
service, and community engagement that encourages and inspires prosperz[ Updated. August 2020
PAY ESTIMATE #2 FINAL- WORT( COMPLETE THROUGH SEPTEMBER 1, 2020
2020 STREET IMPROVEMENTS
CITY OF
ELK RIVER, MINNESOTA
ITEM
APPROX.
NO.
ITEM
QUANT.
1
COMMON EXCAVATION
270
2
AGGREGATE BASE, CLASS 5
150
3
TYPE 12.5 NON WEARING COURSE MIXTURE (SPNW8230C)
940
4
TYPE 9.5 WEARING COURSE MIXTURE (SPWEA240C)
3630
5
BITUMINOUSPATCH
20
6
CATCH BASIN CONCRETE REINFORCEMENT
35
7
TURF RESTORATION
1250
8
MILL BITUMINOUS SURFACE (1.25")
9500
9
MILL BITUMINOUS SURFACE (TAPER 1.25" -0")
20000
10
RECLAIM BITUMINOUS SURFACE
7000
11
PLACE SALVAGED RECLAIM -
380
12
SHAPE AND COMPACT IN -PLACE RECLAIM MATERIAL
1
13
B" WHITE PAVEMENT STRIPE - EPDXY
' 1075
14
4" WHITE PAVEMENT STRIPE - EPDXY
1647
PREVIOUS DEDUCTIONS ON ESTIMATE #1
$5.60 per ton on SPWEA240 used in Windsor Park Entrance
CONTRACTOR:.
North Valley,
BY:
DATE:
CONTRACTOR: North Valley Inc.
20015 Iguana St.
Nowthen, MN
55330
Contract
Contract
Previously
UNIT
Unit Price
Amount
Used
CY (EV)
$
29.00
$ 7,830.00
266
TON
$
12.87
$ 1,930.50
241
TON
$
62.16
$ 52,214.40
920.26
TON
$
74.00
$ 268,620.00
2911.6
SY
$
83.13
$ 1,662.60
0
EA
$
648.93
$ 22,712.55
37
SY
$
9.57
$ 10,712.50
0
SY
$
1.10
$ 10,450.00
10042
LF
$
0.85
$ 17,000.00
11684
SY
$
1.34
$ 9,380.00
70DO
CY (CV)
$
17.58
$ 6,680.40
386
LS
$
4,795.72
$ 4,795.72
1
LF
$
3.43
$ 3,687.25
0
LF
$
2.90
$ 4,776.30
0
TOTAL
$ 422,452.22
TONS DEDUCTION PREVIOUS PAYMENTS
193.73 $ 1,084.B9
ENGINEER:
Justin Ferririte, P.E.
BY:
DATE: 1
Amount
Previously Paid
$ 7,714.00
$ 3,101.67
$ 57,203.36
$ 215,45B.40
$ 24,010.41
$ 11,046.20
$ 9,931.40
$ 9,380.00
$ 6,785.88
$ 4,795.72
$ 349,427.04
$ 348,342.15
Used this Amount this
Estimate Estimate
0 $
-
0 $
0 $
762.34 $
56,413.16
0 $
0 $
2420.5 $
20,743.69
1358 $
1,493.80
0 $
-
0 $
0 $
-
0 $
-
893 $
3,062.99
1427 $
4,138.30
Total
Total
Used
Amount
266 $
7,714.00
241 $
3,101.67
920.26 $
57,203.36
3673.94 $
271,871.56
0 $
-
37 $
24,010.41
2420.5 $
20,743.69
11400 $
12,540.00
11684 $
9,931.40
7000 $
9,380.00
386 $
6,785.88
1 $
4,795.72
893 $
3,062.99
1427 $
4,138.30
$
435,278.98
CONSTRUCTION
TO City of Elk River
Owner: Attn: Justin Femrite
13065 Orono Parkway
Elk River, MN 55330
CONTRACTOR'S APPLICATION FOR PAYMENT
Please Remit Payment to: RJM Construction, LLC
830 Boone Ave North
Golden Valley, MN 55427
APPLICATION AND CERTIFICATE FOR PAYMENT
Project: 19520-0033 Elk River Multi -Purpose Facility and Lion John
%V961s Street NW
Elk River, MN 55330
Architect:
Application is made for payment, as shown below, in connection with the Contract.
Continuation Sheet is attached.
1. Original Contract Sum .................
2. Net Change By Change Order .......
3. Contract Sum To Date ..................
4. Total Completed and Stored To Date. .
5. Retainage:
a, 4.70% of Completed Work $1,241,173.96
b. 0.00% of Stored Material $0.00
Total Retainage ..........................
6. Total Earned Less Retainage ........ ..........
7. Less Previous Certificates For Payments ........
8. Current Payment Due ................ ......
9. Balance To Finish, Plus Retainage ....
Invoice #:
9520003315
Distribution to
Application No.:
15
0 Owner
ArchitectContractor
Application Date:
9/30/2020
Period From:
9/1/2020
TO:
9/30/2020
The undersigned Contractor certifies that to the best of the Contractor's knowledge,
information, and belief, the work covered by this Application for Payment has been completed in
accordance with the Contract Documents. That all amounts have been paid by the Contractor for Work for
which previous Certificates for Payment were issued and payments received from the Owner, and that
current payment shown herein is now due.
$25,934,028.00
CONTRACT RJM Construction LLC
$567,579.40
$26,501,607.40
By, Dat
$26,404,451.10
State of:
Subscribed a sm to, fore me this
Notary Public:
My Commission expires: 1311
$1,241,173.96
$25,163,277.14
$25,087,524.12
$75,753.021
$1,338,330.26
CHANGE ORDER SUMMARY
Additions
Deductions
Total changes agrgved
in previous months y Owner
$956,343.73
$388,764.33
Total Approved this Month
$0.00
$0.00
TOTALS
$956,343.73
$388,764.33
Net Changes By Change Order
$567,579.40
10/7/2020
County of: D-N--4*—
day of . "-AD
JUSTIN M. KING
In accordance with the Contract Documents, based on on -site observationsa`*_ l�u JC-Minnesota
comprising the above application, the Architect certifies to the Owner that to My C_ftss. dos Jan 31. 2o22
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.
ARCHITECT'S CERTIFICATE FOR PAYMENT
AMOUNT CERTIFIED $75,753.02
(Attach explanation if amount certified differs from the amount applied. Initial all figures on this Application
and on the Continuation Sheet that are changed to conform with the amount certified.)
ARCHffUI-_ 10/8/20
By: plL-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.
DocuSign Envelope ID: B21CAEBD-7600-4BB5-BB91-7BFCFA6AOB90
CONTINUATION SHEET
Page 2 of 3
Application and Certification for Payment, containing
Contractor's signed certification is attached.
In tabulations below, amounts are stated to the nearest dollar.
Use Column I on Contracts where variable retainage for line items may apply.
Invoice # : 9520003315
Contract : 19520-0033 Elk River Multi -Purpose Facility and Lion John Weicht Park
Application No.: 15
Application Date : 09130120
To: 09130120
Architect's Project No.:
A
B
C
D E
F
G
H
I
Item
Description of Work
Scheduled
Work Com
Ieted
Materials
Total
%
Balance
Retainage
From Previous
This Period
No.
Value
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 Multi -Purpose Facility and
0.00
0.00
0.00
0.00
0.00
0.00%
0.00
0.00
Lion John Weicht Park
1A
Final Cleaning
81,315.00
81,027.00
288.00
0.00
81,315.00
100.00%
0.00
4,065.75
1 B
Survey
25,568.00
25,568.00
0.00
0.00
25,568.00
100.00%
0.00
1,278.40
2A
Building Demolition
166,199.51
166,199.51
0.00
0.00
166,199.51
100.00%
0.00
8,309.98
213
Selective Demolition
236,477.21
231,415.21
5,062.00
0.00
236,477.21
100.00%
0.00
11,823.86
3C
Concrete Floor Finishes
135,699.62
135,699.62
0.00
0.00
135,699.62
100.00%
0.00
6,784.98
4A
Masonry Systems
2,982,936.83
2,982,936.83
0.00
0.00
2,982,936.83
100.00%
0.00
149,146.84
5A
Structural Material
1,380,909.01
1,361,847.77
0.00
0.00
1,361,847.77
98.62%
19,061.24
68,092.39
513
Structural Labor
457,489.00
457,223.00
266.00
0.00
457,489.00
100.00%
0.00
22,874.45
6A
Carpentry
1,654,857.23
1,633,220.44
21,546.59
0.00
1,654,767.03
99.99%
90.20
82,738.35
7A
Waterproofing &WB
40,342.00
40,342.00
0.00
0.00
40,342.00
100.00%
0.00
2,017.11
713
Roofing Systems
1,067,619.73
1,064,679.73
2,940.00
0.00
1,067,619.73
100.00%
0.00
53,380.99
7C
Metal Wall Panel
186,172.61
186,172.61
0.00
0.00
186,172.61
100.00%
0.00
9,308.63
8A
Aluminum Entrances/Storefronts
642,926.46
642,926.46
0.00
0.00
642,926.46
100.00%
0.00
32,146.32
813
Overhead Coiling and Sectional
53,610.00
53,610.00
0.00
0.00
53,610.00
100.00%
0.00
2,680.50
Doors
9A
Gypsum Board
349,769.37
349,769.37
0.00
0.00
349,769.37
100.00%
0.00
17,488.47
913
Tiling
175,149.90
175,149.90
0.00
0.00
175,149.90
100.00%
0.00
8,757.50
9C
Acoustical Ceilings
147,905.95
147,905.95
0.00
0.00
147,905.95
100.00%
0.00
7,395.30
9D
Flooring
132,262.50
132,262.50
0.00
0.00
132,262.50
100.00%
0.00
6,613.13
9E
Painting
438,719.00
438,719.00
0.00
0.00
438,719.00
100.00%
0.00
21,935.95
10A
Signage
12,161.18
10,807.14
0.00
0.00
10,807.14
88.87%
1,354.04
540.36
11A
Athletic Equipment
175,176.84
175,176.84
0.00
0.00
175,176.84
100.00%
0.00
8,758.86
11 B
Concessions
101,991.83
101,739.83
252.00
0.00
101,991.83
100.00%
0.00
5,099.60
12A
Roller Shades
28,659.10
28,659.10
0.00
0.00
28,659.10
100.00%
0.00
1,432.96
13B
Ice Rink Systems
2,162,742.00
2,162,742.00
0.00
0.00
2,162,742.00
100.00%
0.00
108,137.10
13C
Leg Truss System
125,797.00
125,797.00
0.00
0.00
125,797.00
100.00%
0.00
6,289.85
14A
Elevators
71,700.00
71,700.00
0.00
0.00
71,700.00
100.00%
0.00
3,585.00
21A
Fire Protection
282,544.00
282,144.00
0.00
0.00
282,144.00
99.86%
400.00
14,107.22
22A
Plumbing Systems
1,323,097.00
1,316,101.00
6,996.00
0.00
1,323,097.00
100.00%
0.00
66,154.85
23A
HVAC
1,875,065.33
1,875,065.33
0.00
0.00
1,875,065.33
100.00%
0.00
93,753.27
26A
Electrical Systems
1,874,010.43
1,861,882.23
12,128.20
0.00
1,874,010.43
100.00%
0.00
93,700.52
31A
Multipurpose Earthwork
711,384.30
704,911.30
6,473.00
0.00
711,384.30
100.00%
0.00
35,569.22
DocuSign Envelope ID: B21CAEBD-7600-4BB5-BB91-7BFCFA6AOB90
CONTINUATION SHEET
Page 3 of 3
Application and Certification for Payment, containing
Contractor's signed certification is attached.
In tabulations below, amounts are stated to the nearest dollar.
Use Column I on Contracts where variable retainage for line items may apply.
Invoice # : 9520003315
Contract : 19520-0033 Elk River Multi -Purpose Facility and Lion John Weicht Park
Application No.: 15
Application Date : 09130120
To: 09130120
Architect's Project No.:
A
B
C
D E
F
G
H
I
Item
Description of Work
Scheduled
Work Com
feted
Materials
Total
%
Balance
Retainage
From Previous
This Period
No.
Value
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
31 B
Lions Earthwork
510,815.67
510,815.67
0.00
0.00
510,815.67
100.00%
0.00
25,540.79
32A
Asphalt Paving
293,489.00
293,489.00
0.00
0.00
293,489.00
100.00%
0.00
14,674.45
32B
Concrete/Sidewalk/Curb/Gutter
384,713.41
383,446.94
1,266.47
0.00
384,713.41
100.00%
0.00
19,235.67
32C
Multipurpose Landscaping
27,000.00
27,000.00
0.00
0.00
27,000.00
100.00%
0.00
1,350.00
32D
Lions Landscaping
94,480.00
94,480.00
0.00
0.00
94,480.00
100.00%
0.00
4,724.00
32E
Chain Link Fence
150,325.79
150,325.79
0.00
0.00
150,325.79
100.00%
0.00
7,516.30
33A
Utilities
635,496.55
635,496.55
0.00
0.00
635,496.55
100.00%
0.00
31,774.83
313.1
Precast Concrete
1,182,922.00
1,182,922.00
0.00
0.00
1,182,922.00
100.00%
0.00
59,146.10
313.2
Precast Concrete
930,000.00
930,000.00
0.00
0.00
930,000.00
100.00%
0.00
46,500.00
313.3
Precast Raker/Plank/Stadia
1,048,025.00
1,048,025.00
0.00
0.00
1,048,025.00
100.00%
0.00
52,401.25
01-00
General Conditions/Requirements
1,250,912.96
1,228,266.20
19,071.48
0.00
1,247,337.68
99.71%
3,575.28
0.00
90-50
General Liability Insurance
268,451.52
268,451.52
0.00
0.00
268,451.52
100.00%
0.00
0.00
90-60
Construction Contingency
70,229.02
0.00
0.00
0.00
0.00
0.00%
70,229.02
0.00
90-80
Builders Risk Insurance
65,184.58
65,184.58
0.00
0.00
65,184.58
100.00%
0.00
0.00
99-99
Contractors Fee
489,303.96
484,410.92
2,446.52
0.00
486,857.44
99.50%
2,446.52
24,342.86
Grand Totals
26,501,607.40
26,325,714.84
78,736.26
0.00
26,404,451.10
99.63%
97,156.30
1,241,173.96
DocuSign Envelope ID: B21CAEBD-7600-4BB5-BB91-7BFCFA6AOB90
INVOICE
Final Cleaning
SUBCONTRACTS
Midwest Specialty Maintenance Final Cleaning Inv# 19520-00333 288.00
Total SUBCONTRACTS 288.00
Final Cleaning Sub -Total: 288.00
Building Demolition
SUBCONTRACTS
Rachel Contracting
Mass Structure Demoltion
Inv# 19520-00334
0.00
Total SUBCONTRACTS
0.00
Building Demolition Sub -Total:
0.00
Selective Demolition
MATERIAL PURCHASES
Quality Cutting & Coring, Inc.
Inv# 35444
5,062.00
Total MATERIAL PURCHASES
5,062.00
Selective Demolition Sub -Total:
5,062.00
Masonry Systems
SUBCONTRACTS
Crosstown Masonry, Inc.
Concrete/Masonry
Inv# 19520-003314
0.00
Total SUBCONTRACTS
0.00
Masonry Systems Sub -Total:
0.00
Structural Labor
SUBCONTRACTS
High Five Erectors II, Inc
Structural Steel Erection
Inv# 19520-003311
266.00
Total SUBCONTRACTS
266.00
Structural Labor Sub -Total:
266.00
Carpentry
MATERIAL PURCHASES
Home Depot Credit Services
Inv# 20201120
516.43
Veit Disposal Systems
588742
550.00
Veit Disposal Systems
589280
275.00
Veit Disposal Systems
589696
275.00
Interior Components Group, Inc.
2587-1
7,686.45
Total MATERIAL PURCHASES
9,302.88
SUBCONTRACTS
Kendell Doors & Hardware, Inc
Hollow Metal Doors & Frames
Inv# 19520-00338
4,988.57
Custom Caseworks
Millwork
19520-00334
3,899.14
Total SUBCONTRACTS
8,887.71
DocuSign Envelope ID: B21CAEBD-7600-4BB5-BB91-7BFCFA6AOB90
INVOICE
Carpentry
LABOR
Carpenters Regular Earnings 40.00 FIRS @ 83.90 3,356.00
Total LABOR 3,356.00
Carpentry Sub -Total: 21,546.59
Roofing Systems
SUBCONTRACTS
Hoigaards Custom Canvas Fabric Structures Inv# 19520-00331 2,940.00
To ta I SUBCONTRACTS
2,94D.OD
Roofing Systems Sub -Total:
2,940.00
Overhead Coiling and Sectional Doors
SUBCONTRACTS
Skold Specialty Contracting, LLC
Overhead Coiling Door Inv# 19520-00334
0.00
Total SUBCONTRACTS
0.00
Overhead Coiling and Sectional Doors Sub -Total:
0.00
Signage
SUBCONTRACTS
SDDI Signs
Signage Inv# 19520-00332
0.00
Total SUBCONTRACTS
0.00
Signage Sub -Total:
0.00
Concessions
MATERIAL PURCHASES
Comdata
Inv# F02753570
252.00
Total MATERIAL PURCHASES
252.00
Concessions Sub -Total:
252.00
Plumbing Systems
SUBCONTRACTS
Weidner Plumbing & Heating Co.
Plumbing Inv# 19520-003314
6,996.00
Total SUBCONTRACTS
6,996.00
Plumbing Systems Sub -Total:
6,996.00
Electrical Systems
SUBCONTRACTS
Design Electric, Inc
Electrical Inv# 19520-003313
12,128.20
Total SUBCONTRACTS
12,128.20
Electrical Systems Sub -Total:
12,128.20
Multipurpose Earthwork
DocuSign Envelope ID: B21CAEBD-7600-4BB5-BB91-7BFCFA6AOB90
INVOICE
Multipurpose Earthwork
SUBCONTRACTS
Minnesota Utilities & Excavating, LLC Multipurpose Earthwork Inv# 19520-00336 6,473.00
Total SUBCONTRACTS 6,473.00
Multipurpose Earthwork Sub -Total: 6,473.00
Concrete/Sidewalk/Curb/Gutter
SUBCONTRACTS
Ebert Construction Site Concrete Inv# 19520-00338S 1,266.47
Total SUBCONTRACTS 1,266.47
Concrete/Sidewalk/Curb/Gutter Sub -Total: 1,266.47
Precast Concrete
SUBCONTRACTS
Fabcon Precast, LLC
General Conditions/Requirements
MATERIAL PURCHASES
Biffs Inc.
Biffs Inc.
WEX Bank
Verizon Wireless
Timothy Ryan
ALLOCATED EXPENSES
LABOR
General Foreman
Superintendent
Contractors Fee
CONTRACTOR'S FEE
03B.1 Precast Wall Panels
Inv# 19520-00336
0.00
Total SUBCONTRACTS
0.00
Precast Concrete Sub -Total:
0.00
Inv# W779386
96.26
W779387
138.86
67672748
438.61
20202109
146.03
EXP 09/11 /20
431.52
Total MATERIAL PURCHASES
1,251.28
0.00 HRS @ 0.00
456.00
Total ALLOCATED EXPENSES
456.00
Regular Earnings
15.00 HRS @ 109.90
1,648.50
Regular Earnings
143.00 HRS @ 109.90
15,715.70
Total LABOR
17,364.20
General Conditions/Requirements
Sub -Total:
19,071.48
0.00%
2,446.52
Contractors Fee Sub -Total:
2,446.52
DocuSign Envelope ID: B21CAEBD-7600-4BB5-BB91-7BFCFA6AOB90
INVOICE
(Summary '
1A Final Cleaning
288.00
Retainage
78,736.26@
5.00%
(14.40)
2A Building Demolition
Retainage
78,736.26@
5.00%
0.00
2B Selective Demolition
57062.00
Retainage
78,736.26@
5.00%
(253.10)
4A Masonry Systems
Retainage
78,736.26@
5.00%
0.00
5B Structural Labor
266.00
Retainage
78,736.26@
5.00%
(13.30)
6A Carpentry
21,546.59
Retainage
78,736.26@
5.00%
(1,077.33)
7B Roofing Systems
2,940.00
Retainage
78,736.26@
5.00%
(147.00)
8B Overhead Coiling and Sectional Doors
Retainage
78,736.26@
5.00%
0.00
10A Signage
Retainage
78,736.26@
5.00%
0.00
11 B Concessions
252.00
Retainage
78,736.26@
5.00%
(12.60)
22A Plumbing Systems
6,996.00
Retainage
78,736.26@
5.00%
(349.80)
26A Electrical Systems
12,128.20
Retainage
78,736.26@
5.00%
(606.41)
31A Multipurpose Earthwork
67473.00
Retainage
78,736.26@
5.00%
(323.65)
32B Concrete/Sidewalk/Curb/Gutter
1,266.47
Retainage
78,736.26@
5.00%
(63.32)
313.1 Precast Concrete
Retainage
78,736.26@
5.00%
0.00
01-00 General Conditions/Requirements
197071.48
Retainage
78,736.26@
0.00%
0.00
90-50 General Liability Insurance
Retainage
78,736.26@
0.00%
0.00
90-80 Builders Risk Insurance
Retainage
78,736.26@
0.00%
0.00
99-99 Contractors Fee
2,446.52
DocuSign Envelope ID: B21CAEBD-7600-4BB5-BB91-7BFCFA6AOB90
INVOICE
Retainage 78,736.26@ 5.00% (122.33)
CURRENT DUE:
75,753.02
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DocuSign Envelope ID: B21CAEBD-7600-4BB5-BB91-7BFCFA6AOB90
QUALITY CUTTING & CORING INC.
Quality
Cutting & 147191 st Ave. N.E.
coring Blaine, MN 55449
763-785-9605 Office
BILL TO
RIM Construction, LLC
830 Boone Avcnuc North
Golden Valley. MN 55427
Invoice
DATE
INVOICE #
9/l/2020
35444
JOB LOCATION
Elk River Multi-Purposc Facilities
1000 School St
Elk River, MN
Job. # I P.O. #
Elk River Multi-Pur... 1 19520-0033
DESCRIPTION
Work completed on 07/27/20 & 08/24/20:
Phase T:
Cut as laid out by GC with no overcutting allowed, remove and haul debris to dumpster provided by GC
for
— 19' x 14' x 9' x up to 6" thick slab on grade concrete are located in wide open, unfinished area at
ground level; approximately 219 sq. 1t. total. Vacuum to contain and dispose of slurry. All work to be
completed during one mobilization on regular hours. No patch back included. Bid based on machine
removal.
Phase IT:
Cut as laid out by GC with no overcutting allowed, remove and haul debris to dumpster provided by GC
for
— 19' x 14' x 9' x up to 6" thick slab on grade concrete are located in wide open, unfinished area at
ground level; approximately 219 sq. ft. total. Vacuum to contain and dispose of slurry. All work to be
completed during one mobilization on regular hours. No patch back included. Bid based on machine
removal. Bid price.
EXTRA: 08/24/20: Cut, remove and haul debris to GC dumpster for 8' x 3 1/2' x 7" thick concrete
located outside.
Total
TERMS DUE DATE
30 Days 10/1/2020
AMOUNT
4,356.00
Notice: Pre -Lien Notice: If this amount is not paid in full within 90 days, we reserve the
right to lien the property where work was conducted and labor supplied. Payments/Credits
706.00
$5,062.00
$0.00
Balance Due $5,062.00 1
DocuSign Envelope ID: B21CAEBD-7600-4BB5-BB91-7BFCFA6AOB90
APPLICATION AND CERTIFICATE FOR PAYMENT
Page 1 of
2
SUBMITTED TO: RJM Construction, LLC PROJECT, Elk River Multi -Purpose Facilities
APPLICATION 1\110:
6
830 Boone Avenue North 1000 School Street North
APPLICATION DATE_
911/2020
Golden Valley, MIN 55427 Elk River, MN
PERIOD FROM:
712712020
SUBMITTED FROM: Quality Cutting & Caring, Inc ARCHITECT:
PERIOD TO:
812412020
1471 9st Ave. N.E., Blaine, MN 55449
PROJECT NO:
19520-0033
CONTRACT DATE:
CONTRACT FOR: concrete cutting CONTRACT NO.: 19520-0033
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 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 I s
Compensation laws insofar as applicable to the performance this contract.
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 rner-hanio'F, 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 helshe is fully authorized and empowered to
execute this instrument and to bird the undersigned hereto, and does in fact so execute this
instrument.
Quality Cutting & Coring, Inc,
1471 9st Ave. N.E., Blaine, MIN 55449
SIGNED:
PRINTED, TITLE Karl L. Landrus, President
ORIGINAL CONTRACT SUM, . .................................. ....... ....... $ 117764.00
NET CHANGE BY CHANGE ORDERS TO, ............... __ , $ 9,655.00
CONTRACT SUM TO DATE.........._ . _ ............ ......... ...... ....... $ 27,419.00
TOTAL COMPLETED AND STORED TO DATE..... ....... ......... ....... . ......... $ 27,41900
5 % OF COMPLETED WORK $ 1,370.95
5 0,/o OF STORED MATERIAL $ -
TOTAL RETAINAGE ............ .. .. ...... ............ 1,370.95
TOTAL EARNED LESS RETAINAGE ..... ....... . ....... 26,048.05_
LESS OWNER DIRECT PAYMENT BY PURCHASE ORDER... ....... ..........
LESS PREVIOUS CERTIFICATES FOR PAYMENT___ ............. ..... ....... $ 21 239.15
CURRENT PAYMENT DUE ............. ....... ........ ........ ............... . . 4.808.90
BALANCE TO FINISH INCLUDING RETAINAGE................... .......... 1,370.95
State of: Minnesota
County of:
Subscribed and sworn to before me this
I day of 20
NOTARY PUBLIC:
Tela Lee Souten
Signed:
N-,, �-- lublic
My Commission Expires:
Minnesota 2
oaDU jgquafy3t2 202IL
DocuSign Envelope ID: B21CAEBD-7600-4BB5-BB91-7BFCFA6AOB90
From: Qualm Cutting & Coring, Inc.
1471 91stAve. NE Schedule of Values
Blaine, MN 55449 Invoice No. 35444
Appl. No.: #6
PLEASE SUBMIT PAYMENT APPLICATIONS TO: ACC BUNTING-MNa@R,JMCONSTRUC ION.GO
To: I Construction, I
830 Boone Avenue North
Golden Valley, MN 55427
Appl. Date: 09/01/20
From: 07127/20
To: 08/24120
IT
NO.
DESCRIPTION
CURRENT
CONTRACT
I CURRENT APPLICATION I TOTAL
PREVIOUS 1 WORK IN MATERL. i APPS.
APPS. PLACE ON SITE • TO BATE
PERCENT
COMPLETE
BALANCE
TO
COMPLETE
RETAIN
TO
DATE
1
Riglet Cutting
$12.464
$12 464 $0
S0 $12,464
100.00%
50
$623
2
Provide and install dowels
$5,300
$5,3001 $0
Sol $5,300
100.00%
50
$265
3
-4
Cut to enlar e mar dour
$1,060
$1,060' $0
.S0` $1,060
100.00%
$0
$53
Wall saw precast plank edge
$1,100
$1,100: $0
$0= $1,100
100.00%
$0
$55
5
Cut & remove concrete
$635
$635 $0
$0 $635
100.00%
$a
$32
fi
lCore drill & au or & patch
$1,798
$1. 98 $0
$0 $1.798
100 00%
so—
- $90
7
Cut & remove concrete
$5,062
$5,062
$5.062
8
10
11
12
13
14
15
16
17
-
15
19
•
20
I __
21
22
23
-
24
-
25
•
,
TOTAL
$27;419
$22,357• $5,062
$0• $27,419
100 00%
$0
$1.371
Page 1 of 1
DocuSign Envelope ID: B21CAEBD-7600-4BB5-BB91-7BFCFA6AOB90
APPLICATION FOR PAYMENT
To: RJM Construction, LLC. Project: Elk River Multi -Purpose Facility and Lion Application No.: 11
830 Boone Avenue North John Weicht Park
Golden Valley, MN 55427 Period To: 09/30/20
From: High Five Erectors II, Inc. Application Date: 09/10/20
3005 4th Avenue East Project No.: 19520-0033
P.O. Box 477
Shakopee, MN 55379 Contract Date: 07/23/19
Contract For: 195200033-051210 - Structural Steel Erection Commitment: 195200033-051210
1. ORIGINAL CONTRACT AMOUNT
2. NET CHANGE BY CHANGE ORDERS
3. CONTRACT SUM TO DATE
4. TOTAL COMPLETED AND STORED TO DATE
(Column G)
5. RETAINAGE
5.00% of Completed Work
(Columns D + E)
5.00% of Stored Materials
(Columns F)
Total Retainage
(Line 5a + Line 5b OR Sum of Column 1)
6. TOTAL EARNED LESS RETAINAGE
(Line 4 less Line 5 Total)
7. LESS PRIOR CERTIFICATES FOR PAYMENT
(Line 6 from prior Certificate)
S. CURRENT PAYMENT DUE
9. BALANCE TO FINISH, INCLUDING RETAINAGE
(Line 3 less Line 6)
$435,750.00
$21,739.00
$457,489.00
$457,489.00
$22,874.45
$22,874.45
$434,614.55
$434,361.85
$252.70
$22,874.45
CHANGE ORDER SUMMARY
ADDITIONS
DEDUCTIONS
Total changes approved in previous months
$28,665.00
$7,192.00
Total approved this month
$266.00
$0.00
TOTALS
$28,931.00
$7,192.00
NET CHANGES by Change Orders
$21,739.00
The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and
belief the Work covered by the Application for Payment has been completed in accordance with the
Contract Documents, that all amounts have been paid by the Contractor for Work for which previous
Certificates for Payment were issued and payments received from the Owner, and that current
payment shown herein is now due.
CONTRACTOR:
By: Tara Thompson Date: 09/10/20
State Of:
County Of:
Subscribed and sworn to before me this
Notary Public:
My commission expires:
ARCHITECTS CERTIFICATE FOR PAYMENT
day of
In accordance with the Contract Documents, based on the on -site observations and the data
compromising this application, the Architect certifies to the owner that to the best of the Architects
knowledge, information and belief the Work under the Architect's Contract has progressed as
indicated, the quality of Work is in accordance with the Contract Documents, and the Contractor is
entitled to payment of the AMOUNT CERTIFIED.
AMOUNT CERTIFIED $252.70
(Attach explanation if amount certified differs from the amount applied for. Initial all figures on the
Application for Payment and on the Continuation sheet that are changes to conform to the amount
certified.)
ARCHITECT:
By: Date:
The 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.
Page 1 of 1
DocuSign Envelope ID: B21CAEBD-7600-4BB5-BB91-7BFCFA6AOB90
CONTINUATION SHEET
APPLICATION AND CERTIFICATION FOR PAYMENT,
APPLICATION NO.:
11
containing Contractor's signed Certification is attached.
APPLICATION DATE:
09/10/20
In tabulations
below, amounts are stated to the nearest dollar.
PERIOD
TO:
09/30/20
High Five Erectors II, Inc.
PROJECT NO.:
19520-0033
A
B
C
D E
F
G
H
I
WORK COMPLETED
MATERIALS
TOTAL
ITEM
DESCRIPTION OF WORK
SCHEDULED
FROM PREVIOUS
PRESENTLY
COMPLETED
%
BALANCE TO
RETAINAGE (IF
NUM
VALUE
APPLICATION (D THIS PERIOD
STORED (NOT IN
AND STORED TO
(G + C)
FINISH (C - G)
VARIABLE RATE)
+ E)
D OR E)
DATE
1
051200 Structural Steel
$129,841.00
$129,841.00
$129,841.00
100.00%
$6,492.05
2
052100 Steel Joists
$100,523.00
$100,523.00
$100,523.00
100.00%
$5,026.15
3
053100 Steel Decking
$45,888.00
$45,888.00
$45,888.00
100.00%
$2,294.40
4
055000 Metal Fabrications
$8,508.00
$8,508.00
$8,508.00
100.00%
$425.40
5
055100 Metal Pan Stairs
$43,996.00
$43,996.00
$43,996.00
100.00%
$2,199.80
6
055213 Pipe & Tube Railings
$71,614.00
$71,614.00
$71,614.00
100.00%
$3,580.70
7
Allowance
$30,000.00
$30,000.00
$30,000.00
100.00%
$1,500.00
8
Bond
$5,380.00
$5,380.00
$5,380.00
100.00%
$269.00
1
Structural Steel Erection (CO
$4,190.00
$4,190.00
$4,190.00
100.00%
$209.50
#1)
1
Structural Steel Erection (CO
($6,888.15)
($6,888.15)
($6,888.15)
100.00%
($344.41)
#2)
1
Structural Steel Erection (CO
$500.00
$500.00
$500.00
100.00%
$25.00
#3)
1
Structural Steel Erection (CO
$672.00
$672.00
$672.00
100.00%
$33.60
#4)
1
Structural Steel Erection (CO
$3,000.00
$3,000.00
$3,000.00
100.00%
$150.00
#5)
1
Structural Steel Erection (CO
$8,650.00
$8,650.00
$8,650.00
100.00%
$432.50
#6)
1
Structural Steel Erection (CO
$600.00
$600.00
$600.00
100.00%
$30.00
#7)
1
Structural Steel Erection (CO
$1,200.00
$1,200.00
$1,200.00
100.00%
$60.00
#7)
1
Structural Steel Erection (CO
$3,040.00
$3,040.00
$3,040.00
100.00%
$152.00
#8)
1
Structural Steel Erection (CO
$1,752.00
$1,752.00
$1,752.00
100.00%
$87.60
#9)
1
Structural Steel Erection (CO
($303.85)
($303.85)
($303.85)
100.00%
($15.19)
#10)
1
Structural Steel Erection (CO
$4,217.00
$4,217.00
$4,217.00
100.00%
$210.85
#10)
1
Structural Steel Erection (CO
$844.00
$844.00 -
-
$844.00
100.00%
-
$42.20
Page 1 of 2
DocuSign Envelope ID: B21CAEBD-7600-4BB5-BB91-7BFCFA6AOB90
CONTINUATION SHEET
APPLICATION AND CERTIFICATION FOR PAYMENT,
APPLICATION NO.:
11
containing Contractor's signed Certification is attached.
APPLICATION DATE:
09/10/20
In tabulations below, amounts are stated to the nearest dollar.
PERIOD TO:
09/30/20
High Five Erectors II, Inc.
PROJECT NO.:
19520-0033
A B C
D E
F
G
H
I
WORK COMPLETED
MATERIALS
TOTAL
ITEM DESCRIPTION OF WORK SCHEDULED
FROM PREVIOUS
PRESENTLY
COMPLETED %
BALANCE TO
RETAINAGE (IF
NUM VALUE
APPLICATION (D THIS PERIOD
STORED (NOT IN
AND STORED TO (G + C)
FINISH (C - G)
VARIABLE RATE)
+ E)
D OR E)
DATE
#11)
1 Structural Steel Erection (CO $266.00
$266.00
$266.00 100.00%
$13.30
#12)
PAYMENT TOTALS $457,489.00
$457,223.00 $266.00
$457,489.00 100.00%
$22,874.45
Page 2 of 2
DocuSign Envelope ID: B21CAEBD-7600-4BB5-BB91-7BFCFA6AOB90
APPLICATION FOR PAYMENT
To: RJM Construction, LLC. Project: Elk River Multi -Purpose Facility and Lion
Application No.:
8
830 Boone Avenue North John Weicht Park
Golden Valley, MN 55427
Period To:
09/30/20
From: Kendell Doors & Hardware, Inc.
Application Date:
09/29/20
1312 Northland Drive
Project No.:
19520-0033
Suite 100
Contract Date:
11/13/19
Mendota Heights, MN 55120
Contract For: 195200033-081105 - Hollow Metal Doors &
Commitment:
195200033-081105
Frames
1. ORIGINAL CONTRACT AMOUNT $92,614.00 The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and
belief the Work covered by the Application for Payment has been completed in accordance with the
2. NET CHANGE BY CHANGE ORDERS $201,380.91 Contract Documents, that all amounts have been paid by the Contractor for Work for which previous
Certificates for Payment were issued and payments received from the Owner, and that current
3. CONTRACT SUM TO DATE $293,994.91 payment shown herein is now due.
4. TOTAL COMPLETED AND STORED TO DATE $293,994.91 CONTRACTOR:
(Column G) By: Jason Self Date: 09/29/20
5. RETAINAGE State Of:
5.00% of Completed Work $10,389.84 County Of:
(Columns D + E)
5.00% of Stored Materials
(Columns F)
Total Retainage
(Line 5a + Line 5b OR Sum of Column 1)
6. TOTAL EARNED LESS RETAINAGE
(Line 4 less Line 5 Total)
7. LESS PRIOR CERTIFICATES FOR PAYMENT
(Line 6 from prior Certificate)
8. CURRENT PAYMENT DUE
9. BALANCE TO FINISH, INCLUDING RETAINAGE
(Line 3 less Line 6)
$10,389.84
$283,605.07
$278,865.92
$4,739.15
$10,389.84
CHANGE ORDER SUMMARY
ADDITIONS
DEDUCTIONS
Total changes approved in previous months
$199,594.34
$1,322.50
Total approved this month
$3,109.07
$0.00
TOTALS
$202,703.41
$1,322.50
NET CHANGES by Change Orders
$201,380.91
Subscribed and sworn to before me this
Notary Public:
My commission expires:
ARCHITECTS CERTIFICATE FOR PAYMENT
day of
In accordance with the Contract Documents, based on the on -site observations and the data
compromising this application, the Architect certifies to the owner that to the best of the Architects
knowledge, information and belief the Work under the Architect's Contract has progressed as
indicated, the quality of Work is in accordance with the Contract Documents, and the Contractor is
entitled to payment of the AMOUNT CERTIFIED.
AMOUNT CERTIFIED $4,739.15
(Attach explanation if amount certified differs from the amount applied for. Initial all figures on the
Application for Payment and on the Continuation sheet that are changes to conform to the amount
certified.)
ARCHITECT:
By: Date:
The 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.
Page 1 of 1
DocuSign Envelope ID: B21CAEBD-7600-4BB5-BB91-7BFCFA6AOB90
CONTINUATION SHEET
APPLICATION AND CERTIFICATION FOR PAYMENT,
APPLICATION NO.:
8
containing Contractor's signed Certification
is attached.
APPLICATION DATE:
09/29/20
In tabulations below, amounts are stated
to the nearest dollar.
PERIOD
TO:
09/30/20
Kendell Doors & Hardware, Inc.
PROJECT NO.:
19520-0033
A B
C
D E
F
G
H
I
WORK COMPLETED
MATERIALS
TOTAL
ITEM DESCRIPTION OF WORK
SCHEDULED
FROM PREVIOUS
PRESENTLY
COMPLETED
%
BALANCE TO
RETAINAGE (IF
NUM
VALUE
APPLICATION (D THIS PERIOD
STORED (NOT IN
AND STORED TO
(G + C)
FINISH (C - G)
VARIABLE RATE)
+ E)
D OR E)
DATE
1 Hollow Metal
$84,079.00
$84,079.00 -
$84,079.00
100.00%
2 Finish Hardware
$8,535.00
$7,918.91 $616.09
$8,535.00
100.00%
$426.75
1 Hollow Metal Doors & Frames
$2,119.32
$2,119.32 -
$2,119.32
100.00%
-
(CO #1)
1 Hollow Metal Doors & Frames
$133,389.00
$133,389.00
$133,389.00
100.00%
$6,669.45
(CO #2)
1 Hollow Metal Doors & Frames
$17,013.00
$17,013.00
$17,013.00
100.00%
$850.65
(CO #3)
1 Hollow Metal Doors & Frames
$2,542.87
$2,542.87
$2,542.87
100.00%
$127.14
(CO #4)
1 Hollow Metal Doors & Frames
$2,723.59
$2,723.59
$2,723.59
100.00%
$136.18
(CO #5)
1 Hollow Metal Doors & Frames
$368.30
$368.30
$368.30
100.00%
$18.42
(CO #6)
1 Hollow Metal Doors & Frames
$909.84
$909.84
$909.84
100.00%
$45.49
(CO #7)
1 Hollow Metal Doors & Frames
$6,777.30
$6,777.30
$6,777.30
100.00%
$338.87
(CO #8)
1 Hollow Metal Doors & Frames
$549.51
$549.51
$549.51
100.00%
$27.48
(CO #9)
1 Hollow Metal Doors & Frames
$1,402.91
$1,402.91 -
$1,402.91
100.00%
$70.15
(CO #10)
1 Hollow Metal Doors & Frames
$22,660.08
$22,324.39 $335.69
$22,660.08
100.00%
$1,133.00
(CO #11)
1 Hollow Metal Doors & Frames
$5,085.97
$5,085.97 -
$5,085.97
100.00%
$254.30
(CO #12)
1 Hollow Metal Doors & Frames
$3,555.16
$2,627.44 $927.72
$3,555.16
100.00%
$177.76
(CO #13)
1 Hollow Metal Doors & Frames
$497.49
$497.49 -
$497.49
100.00%
$24.87
(CO #14)
1 Hollow Metal Doors & Frames
($350.00)
($350.00)
($350.00)
100.00%
($17.50)
(CO #15)
1 Hollow Metal Doors & Frames
($972.50)
($972.50)
($972.50)
100.00%
($48.62)
(CO #15)
Page 1 of 2
DocuSign Envelope ID: B21CAEBD-7600-4BB5-BB91-7BFCFA6AOB90
CONTINUATION SHEET
APPLICATION AND CERTIFICATION FOR PAYMENT,
APPLICATION NO.:
8
containing Contractor's signed Certification is attached.
APPLICATION DATE:
09/29/20
In tabulations below, amounts are stated to the nearest dollar.
PERIOD TO:
09/30/20
Kendell Doors & Hardware, Inc.
PROJECT NO.:
19520-0033
A B C
D
E
F
G
H
I
WORK COMPLETED
MATERIALS
TOTAL
ITEM DESCRIPTION OF WORK SCHEDULED
FROM PREVIOUS
PRESENTLY
COMPLETED %
BALANCE TO
RETAINAGE (IF
NUM VALUE
APPLICATION (D
THIS PERIOD
STORED (NOT IN
AND STORED TO (G + C)
FINISH (C - G)
VARIABLE RATE)
+ E)
D OR E)
DATE
1 Hollow Metal Doors & Frames $959.07
$959.07
$959.07 100.00%
$47.95
(CO #16)
1 Hollow Metal Doors & Frames $1,200.00
$1,200.00
$1,200.00 100.00%
$60.00
(CO #17)
1 Hollow Metal Doors & Frames $950.00
$950.00
$950.00 100.00%
$47.50
(CO #18)
PAYMENT TOTALS $293,994.91
$289,006.34 1
$4,988.571
1$293,994.91 100.00%1
1$10,389.84
Page 2 of 2
DocuSign Envelope ID: B21CAEBD-7600-4BB5-BB91-7BFCFA6AOB90
APPLICATION FOR PAYMENT
To: RJM Construction, LLC.
830 Boone Avenue North
Golden Valley, MN 55427
From: Custom Caseworks
1021 Industrial Dr. S
Sauk Rapids, MN 56379
Contract For: 195200033-062020 - Millwork
1. ORIGINAL CONTRACT AMOUNT
2. NET CHANGE BY CHANGE ORDERS
3. CONTRACT SUM TO DATE
4. TOTAL COMPLETED AND STORED TO DATE
(Column G)
5. RETAINAGE
5.00% of Completed Work
(Columns D + E)
5.00% of Stored Materials
(Columns F)
Total Retainage
(Line 5a + Line 5b OR Sum of Column 1)
6. TOTAL EARNED LESS RETAINAGE
(Line 4 less Line 5 Total)
7. LESS PRIOR CERTIFICATES FOR PAYMENT
(Line 6 from prior Certificate)
S. CURRENT PAYMENT DUE
9. BALANCE TO FINISH, INCLUDING RETAINAGE
(Line 3 less Line 6)
Project: Elk River Multi -Purpose Facility and Lion
John Weicht Park
$132,918.00
$157,773.98
$290,691.98
$290,691.98
$14,534.61
$14,534.61
$276,157.37
$272,453.19
$3, 704.18
$14,534.61
CHANGE ORDER SUMMARY
ADDITIONS
DEDUCTIONS
Total changes approved in previous months
$158,874.84
$5,000.00
Total approved this month
$3,899.14
$0.00
TOTALS
$162,773.98
$5,000.00
NET CHANGES by Change Orders
$157,773.98
Application No.: 4
Period To:
09/30/20
Application Date:
09/16/20
Project No.:
19520-0033
Contract Date:
12/06/19
Commitment:
195200033-062020
The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and
belief the Work covered by the Application for Payment has been completed in accordance with the
Contract Documents, that all amounts have been paid by the Contractor for Work for which previous
Certificates for Payment were issued and payments received from the Owner, and that current
payment shown herein is now due.
CONTRACTOR:
By: Christine Weyer Date: 09/16/20
State Of:
County Of:
Subscribed and sworn to before me this
Notary Public:
My commission expires:
ARCHITECTS CERTIFICATE FOR PAYMENT
day of
In accordance with the Contract Documents, based on the on -site observations and the data
compromising this application, the Architect certifies to the owner that to the best of the Architects
knowledge, information and belief the Work under the Architect's Contract has progressed as
indicated, the quality of Work is in accordance with the Contract Documents, and the Contractor is
entitled to payment of the AMOUNT CERTIFIED.
AMOUNT CERTIFIED $3,704.18
(Attach explanation if amount certified differs from the amount applied for. Initial all figures on the
Application for Payment and on the Continuation sheet that are changes to conform to the amount
certified.)
ARCHITECT:
By: Date:
The 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.
Page 1 of 1
DocuSign Envelope ID: B21CAEBD-7600-4BB5-BB91-7BFCFA6AOB90
CONTINUATION SHEET
APPLICATION AND CERTIFICATION FOR PAYMENT,
APPLICATION NO.:
4
containing Contractor's signed Certification is attached.
APPLICATION DATE:
09/16/20
In tabulations below, amounts are stated to the nearest dollar.
PERIOD
TO:
09/30/20
Custom Caseworks
PROJECT NO.:
19520-0033
A B
C
D E
F
G
H
I
WORK COMPLETED
MATERIALS
TOTAL
ITEM DESCRIPTION OF WORK
SCHEDULED
FROM PREVIOUS
PRESENTLY
COMPLETED
%
BALANCE TO
RETAINAGE (IF
NUM
VALUE
APPLICATION (D THIS PERIOD
STORED (NOT IN
AND STORED TO
(G + C)
FINISH (C - G)
VARIABLE RATE)
+ E)
D OR E)
DATE
1 Architectural Casework Supply
$41,622.99
$41,622.99
$41,622.99
100.00%
$2,081.15
2 Architectural Casework Install
$15,185.90
$15,185.90
$15,185.90
100.00%
$759.30
3 Solid Surface & Quartz Supply
$47,559.60
$47,559.60
$47,559.60
100.00%
$2,377.98
& Install
4 Stainless Steel Countertops
$7,897.33
$7,897.33
$7,897.33
100.00%
$394.87
(Qty 4) - John Wiecht Park
5 Claridge Prefeb Trophy Cases
$15,652.18
$15,652.18
$15,652.18
100.00%
$782.61
6 5K Allowance
$5,000.00
$5,000.00
$5,000.00
100.00%
$250.00
1 Millwork (CO #1)
$6,141.84
$6,141.84
$6,141.84
100.00%
$307.09
1 Millwork (CO #2)
$150,588.00
$150,588.00
$150,588.00
100.00%
$7,529.40
1 Millwork (CO #3)
($5,000.00)
($5,000.00)
($5,000.00)
100.00%
($250.00)
1 Millwork (CO #4)
$2,145.00
$2,145.00 -
$2,145.00
100.00%
$107.25
1 Millwork (CO #5)
$545.24
$545.24
$545.24
100.00%
$27.26
1 Millwork (CO #6)
$3,353.90
$3,353.90
$3,353.90
100.00%
$167.70
PAYMENT TOTALS
$290,691.98
$286,792.84 $3,899.14
$290,691.98
100.00%
$14,534.61
Page 1 of 1
DocuSign Envelope ID: B21CAEBD-7600-4BB5-BB91-7BFCFA6AOB90
APPLICATION FOR PAYMENT
To: RJM Construction, LLC.
830 Boone Avenue North
Golden Valley, MN 55427
From: Hoigaards Custom Canvas
835 highway 169 north
plymouth, MN 55441
Contract For: 195200033-133105 - Fabric Structures
1. ORIGINAL CONTRACT AMOUNT
2. NET CHANGE BY CHANGE ORDERS
3. CONTRACT SUM TO DATE
4. TOTAL COMPLETED AND STORED TO DATE
(Column G)
5. RETAINAGE
5.00% of Completed Work
(Columns D + E)
5.00% of Stored Materials
(Columns F)
Total Retainage
(Line 5a + Line 5b OR Sum of Column 1)
6. TOTAL EARNED LESS RETAINAGE
(Line 4 less Line 5 Total)
7. LESS PRIOR CERTIFICATES FOR PAYMENT
(Line 6 from prior Certificate)
S. CURRENT PAYMENT DUE
9. BALANCE TO FINISH, INCLUDING RETAINAGE
(Line 3 less Line 6)
Project: Elk River Multi -Purpose Facility and Lion
John Weicht Park
$2,940.00
$0.00
$2,940.00
$2,940.00
$147.00
$147.00
$2,793.00
$0.00
$2,793.00
$147.00
CHANGE ORDER SUMMARY
ADDITIONS
DEDUCTIONS
Total changes approved in previous months
$0.00
$0.00
Total approved this month
$0.00
$0.00
TOTALS
$0.00
$0.00
NET CHANGES by Change Orders
$0.00
Application No.: 1
Period To:
09/30/20
Application Date:
09/23/20
Project No.:
19520-0033
Contract Date:
08/20/20
Commitment:
195200033-133105
The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and
belief the Work covered by the Application for Payment has been completed in accordance with the
Contract Documents, that all amounts have been paid by the Contractor for Work for which previous
Certificates for Payment were issued and payments received from the Owner, and that current
payment shown herein is now due.
CONTRACTOR:
By: Beth Brenny Date: 09/24/20
State Of:
County Of:
Subscribed and sworn to before me this
Notary Public:
My commission expires:
ARCHITECTS CERTIFICATE FOR PAYMENT
day of
In accordance with the Contract Documents, based on the on -site observations and the data
compromising this application, the Architect certifies to the owner that to the best of the Architects
knowledge, information and belief the Work under the Architect's Contract has progressed as
indicated, the quality of Work is in accordance with the Contract Documents, and the Contractor is
entitled to payment of the AMOUNT CERTIFIED.
AMOUNT CERTIFIED $2,793.00
(Attach explanation if amount certified differs from the amount applied for. Initial all figures on the
Application for Payment and on the Continuation sheet that are changes to conform to the amount
certified.)
ARCHITECT:
By: Date:
The 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.
Page 1 of 1
DocuSign Envelope ID: B21CAEBD-7600-4BB5-BB91-7BFCFA6AOB90
CONTINUATION SHEET
APPLICATION AND CERTIFICATION FOR PAYMENT,
APPLICATION NO.:
1
containing Contractor's signed Certification is attached.
APPLICATION DATE:
09/23/20
In tabulations below, amounts are stated to the nearest dollar.
PERIOD TO:
09/30/20
Hoigaards Custom Canvas
PROJECT NO.:
19520-0033
A B C
D E
F
G
H
I
WORK COMPLETED
MATERIALS
TOTAL
ITEM DESCRIPTION OF WORK SCHEDULED
FROM PREVIOUS
PRESENTLY
COMPLETED %
BALANCE TO
RETAINAGE (IF
NUM VALUE
APPLICATION (D THIS PERIOD
STORED (NOT IN
AND STORED TO (G + C)
FINISH (C - G)
VARIABLE RATE)
+ E)
D OR E)
DATE
two stationary style aawning $2,940.00
$2,940.00
$2,940.00 100.00%
$147.00
PAYMENT TOTALS $2,940.00
$2,940.00
$2,940.00 100.00%
$147.00
Page 1 of 1
DocuSign Envelope ID: B21CAEBD-7600-4BB5-BB91-7BFCFA6AOB90
APPLICATION FOR PAYMENT
To: RJM Construction, LLC. Project: Elk River Multi -Purpose Facility and Lion Application No.: 14
830 Boone Avenue North John Weicht Park
Golden Valley, MN 55427 Period To: 09/30/20
From: WEIDNER MECHANICAL Application Date: 09/17/20
29 WILSON AVENUE NE Project No.: 19520-0033
PO BOX 1087
ST CLOUD, MN 56304 Contract Date: 08/23/19
Contract For: 195200033-220105 - Plumbing Commitment: 195200033-220105
1. ORIGINAL CONTRACT AMOUNT
2. NET CHANGE BY CHANGE ORDERS
3. CONTRACT SUM TO DATE
4. TOTAL COMPLETED AND STORED TO DATE
(Column G)
5. RETAINAGE
5.00% of Completed Work
(Columns D + E)
5.00% of Stored Materials
(Columns F)
Total Retainage
(Line 5a + Line 5b OR Sum of Column 1)
6. TOTAL EARNED LESS RETAINAGE
(Line 4 less Line 5 Total)
7. LESS PRIOR CERTIFICATES FOR PAYMENT
(Line 6 from prior Certificate)
S. CURRENT PAYMENT DUE
9. BALANCE TO FINISH, INCLUDING RETAINAGE
(Line 3 less Line 6)
$1,206,000.00
$117,097.00
$1,323,097.00
$1,323,097.00
$66,154.85
$66,154.85
$1,256,942.15
$1,250,295.95
$6,646.20
$66,154.85
CHANGE ORDER SUMMARY
ADDITIONS
DEDUCTIONS
Total changes approved in previous months
$115,284.00
$5,183.00
Total approved this month
$6,996.00
$0.00
TOTALS
$122,280.00
$5,183.00
NET CHANGES by Change Orders
$117,097.00
The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and
belief the Work covered by the Application for Payment has been completed in accordance with the
Contract Documents, that all amounts have been paid by the Contractor for Work for which previous
Certificates for Payment were issued and payments received from the Owner, and that current
payment shown herein is now due.
CONTRACTOR:
By: Karen Schenk Date: 09/16/20
State Of:
County Of:
Subscribed and sworn to before me this
Notary Public:
My commission expires:
ARCHITECTS CERTIFICATE FOR PAYMENT
day of
In accordance with the Contract Documents, based on the on -site observations and the data
compromising this application, the Architect certifies to the owner that to the best of the Architects
knowledge, information and belief the Work under the Architect's Contract has progressed as
indicated, the quality of Work is in accordance with the Contract Documents, and the Contractor is
entitled to payment of the AMOUNT CERTIFIED.
AMOUNT CERTIFIED $6,646.20
(Attach explanation if amount certified differs from the amount applied for. Initial all figures on the
Application for Payment and on the Continuation sheet that are changes to conform to the amount
certified.)
ARCHITECT:
By: Date:
The 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.
Page 1 of 1
DocuSign Envelope ID: B21CAEBD-7600-4BB5-BB91-7BFCFA6AOB90
CONTINUATION SHEET
APPLICATION AND CERTIFICATION FOR PAYMENT,
APPLICATION NO.:
14
containing Contractor's signed Certification is attached.
APPLICATION DATE:
09/17/20
In tabulations
below, amounts are stated to the nearest dollar.
PERIOD
TO:
09/30/20
WEIDNER MECHANICAL
PROJECT NO.:
19520-0033
A
B
C
D E
F
G
H
I
WORK COMPLETED
MATERIALS
TOTAL
ITEM
DESCRIPTION OF WORK
SCHEDULED
FROM PREVIOUS
PRESENTLY
COMPLETED
%
BALANCE TO
RETAINAGE (IF
NUM
VALUE
APPLICATION (D THIS PERIOD
STORED (NOT IN
AND STORED TO
(G + C)
FINISH (C - G)
VARIABLE RATE)
+ E)
D OR E)
DATE
1
10.105 Bond
$10,333.00
$10,333.00
$10,333.00
100.00%
$516.65
2
10.109 Allowance
$7,500.00
$7,500.00
$7,500.00
100.00%
$375.00
3
10.115 Pipe & Fittings
$235,689.00
$235,689.00
$235,689.00
100.00%
$11,784.45
4
10.119 Drains & Carriers
$47,196.00
$47,196.00
$47,196.00
100.00%
$2,359.80
5
10.123 Pumps & Tanks
$5,400.00
$5,400.00
$5,400.00
100.00%
$270.00
6
10.127 Water Heaters
$82,739.00
$82,739.00
$82,739.00
100.00%
$4,136.95
7
10.137 Plumbing Fixtures &
$79,004.00
$79,004.00
$79,004.00
100.00%
$3,950.20
Trim
8
10.139 Misc Plumbing
$42,488.00
$42,488.00
$42,488.00
100.00%
$2,124.40
9
11.185 Labor - Plumbing
$560,753.00
$560,753.00
$560,753.00
100.00%
$28,037.65
10
30.300 Digging/Backfill
$37,034.00
$37,034.00
$37,034.00
100.00%
$1,851.70
11
30.325 Rentals
$13,000.00
$13,000.00
$13,000.00
100.00%
$650.00
12
30.360 Pipe Covering
$84,864.00
$84,864.00
$84,864.00
100.00%
$4,243.20
1
Plumbing (CO #1)
$7,430.00
$7,430.00
$7,430.00
100.00%
$371.50
1
Plumbing (CO #2)
($2,203.00)
($2,203.00)
($2,203.00)
100.00%
($110.15)
1
Plumbing (CO #3)
($2,980.00)
($2,980.00)
($2,980.00)
100.00%
($149.00)
1
Plumbing (CO #4)
$2,506.00
$2,506.00
$2,506.00
100.00%
$125.30
1
Plumbing (CO #5)
$10,815.00
$10,815.00
$10,815.00
100.00%
$540.75
1
Plumbing (CO #6)
$1,338.00
$1,338.00
$1,338.00
100.00%
$66.90
1
Plumbing (CO #7)
$15,209.00
$15,209.00
$15,209.00
100.00%
$760.45
1
Plumbing (CO #8)
$2,645.00
$2,645.00
$2,645.00
100.00%
$132.25
1
Plumbing (CO #9)
$10,615.00
$10,615.00
$10,615.00
100.00%
$530.75
1
Plumbing (CO #10)
$25,562.00
$25,562.00
$25,562.00
100.00%
$1,278.10
1
Plumbing (CO #6)
$2,041.00
$2,041.00
$2,041.00
100.00%
$102.05
1
Plumbing (CO #11)
$26,547.00
$26,547.00
$26,547.00
100.00%
$1,327.35
1
Plumbing (CO #12)
$1,943.00
$1,943.00
$1,943.00
100.00%
$97.15
1
Plumbing (CO #13)
$6,842.00
$6,842.00
$6,842.00
100.00%
$342.10
1
Plumbing (CO #14)
$771.00
$771.00
$771.00
100.00%
$38.55
1
Plumbing (CO #15)
$1,020.00
$1,020.00
$1,020.00
100.00%
$51.00
Page 1 of 2
DocuSign Envelope ID: B21CAEBD-7600-4BB5-BB91-7BFCFA6AOB90
CONTINUATION SHEET
APPLICATION AND CERTIFICATION FOR PAYMENT,
APPLICATION NO.:
14
containing Contractor's signed Certification is attached.
APPLICATION DATE:
09/17/20
In tabulations below, amounts are stated to the nearest dollar.
PERIOD TO:
09/30/20
WEIDNER MECHANICAL
PROJECT NO.:
19520-0033
A B C
D E
F
G
H
I
WORK COMPLETED
MATERIALS
TOTAL
ITEM DESCRIPTION OF WORK SCHEDULED
FROM PREVIOUS
PRESENTLY
COMPLETED %
BALANCE TO
RETAINAGE (IF
NUM VALUE
APPLICATION (D THIS PERIOD
STORED (NOT IN
AND STORED TO (G + C)
FINISH (C - G)
VARIABLE RATE)
+ E)
D OR E)
DATE
1 Plumbing (CO #16) $6,996.00
- $6,996.00
$6,996.00 100.00%
$349.80
PAYMENT TOTALS $1,323,097.00
$1,316,101.00 $6,996.00
$1,323,097.00 100.00%
$66,154.85
Page 2 of 2
DocuSign Envelope ID: B21CAEBD-7600-4BB5-BB91-7BFCFA6AOB90
APPLICATION FOR PAYMENT
To: RJM Construction, LLC.
830 Boone Avenue North
Golden Valley, MN 55427
From: Design Electric, Inc
PO Box 1252
St. Cloud, MN 56302
Contract For: 195200033-260105 - Electrical
1. ORIGINAL CONTRACT AMOUNT
2. NET CHANGE BY CHANGE ORDERS
3. CONTRACT SUM TO DATE
4. TOTAL COMPLETED AND STORED TO DATE
(Column G)
5. RETAINAGE
5.00% of Completed Work
(Columns D + E)
5.00% of Stored Materials
(Columns F)
Total Retainage
(Line 5a + Line 5b OR Sum of Column 1)
6. TOTAL EARNED LESS RETAINAGE
(Line 4 less Line 5 Total)
7. LESS PRIOR CERTIFICATES FOR PAYMENT
(Line 6 from prior Certificate)
S. CURRENT PAYMENT DUE
9. BALANCE TO FINISH, INCLUDING RETAINAGE
(Line 3 less Line 6)
Project: Elk River Multi -Purpose Facility and Lion
John Weicht Park
$1,786,914.00
$111,657.43
$1,898,571.43
$1,898,571.43
$94,928.56
$94,928.56
$1,803,642.87
$1,792,121.08
$11,521.79
$94,928.56
CHANGE ORDER SUMMARY
ADDITIONS
DEDUCTIONS
Total changes approved in previous months
$143,997.82
$44,468.59
Total approved this month
$12,128.20
$0.00
TOTALS
$156,126.02
$44,468.59
NET CHANGES by Change Orders
$111,657.43
Application No.: 13
Period To:
09/30/20
Application Date:
09/30/20
Project No.:
19520-0033
Contract Date:
08/01/19
Commitment:
195200033-260105
The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and
belief the Work covered by the Application for Payment has been completed in accordance with the
Contract Documents, that all amounts have been paid by the Contractor for Work for which previous
Certificates for Payment were issued and payments received from the Owner, and that current
payment shown herein is now due.
CONTRACTOR:
By: Ashley Krueger Date: 10/05/20
State Of:
County Of:
Subscribed and sworn to before me this
Notary Public:
My commission expires:
ARCHITECTS CERTIFICATE FOR PAYMENT
day of
In accordance with the Contract Documents, based on the on -site observations and the data
compromising this application, the Architect certifies to the owner that to the best of the Architects
knowledge, information and belief the Work under the Architect's Contract has progressed as
indicated, the quality of Work is in accordance with the Contract Documents, and the Contractor is
entitled to payment of the AMOUNT CERTIFIED.
AMOUNT CERTIFIED $11,521.79
(Attach explanation if amount certified differs from the amount applied for. Initial all figures on the
Application for Payment and on the Continuation sheet that are changes to conform to the amount
certified.)
ARCHITECT:
By: Date:
The 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.
Page 1 of 1
DocuSign Envelope ID: B21CAEBD-7600-4BB5-BB91-7BFCFA6AOB90
CONTINUATION SHEET
APPLICATION AND CERTIFICATION FOR PAYMENT,
APPLICATION NO.:
13
containing Contractor's signed Certification is attached.
APPLICATION DATE:
09/30/20
In tabulations
below, amounts are stated to the nearest dollar.
PERIOD
TO:
09/30/20
Design Electric, Inc
PROJECT NO.:
19520-0033
A
B
C
D E
F
G
H
I
WORK COMPLETED
MATERIALS
TOTAL
ITEM
DESCRIPTION OF WORK
SCHEDULED
FROM PREVIOUS
PRESENTLY
COMPLETED
%
BALANCE TO
RETAINAGE (IF
NUM
VALUE
APPLICATION (D THIS PERIOD
STORED (NOT IN
AND STORED TO
(G + C)
FINISH (C - G)
VARIABLE RATE)
+ E)
D OR E)
DATE
1
BOND/PERMIT
$35,908.00
$35,908.00
$35,908.00
100.00%
$1,795.40
/MOBILIZATION
2
SITE WORK/UNDERGROUND
$33,158.00
$33,158.00
$33,158.00
100.00%
$1,657.90
3
DEMOLITION/TEMP WIRING
$64,200.00
$64,200.00
$64,200.00
100.00%
$3,210.00
4M
CONDUIT -MATERIAL
$122,167.00
$122,167.00
$122,167.00
100.00%
$6,108.35
4L
CONDUIT - LABOR
$180,320.00
$180,320.00
$180,320.00
100.00%
$9,016.00
5M
BOXESNVIRE/DEVICES -
$110,400.00
$110,400.00
$110,400.00
100.00%
$5,520.00
MATERIAL
5L
BOXESNVIRE/DEVICES -
$67,200.00
$67,200.00
$67,200.00
100.00%
$3,360.00
LABOR
6M
FIXTURES - MATERIAL
$425,654.00
$425,654.00
$425,654.00
100.00%
$21,282.70
6L
FIXTURES - LABOR
$90,400.00
$90,400.00
$90,400.00
100.00%
$4,520.00
7M
GEAR - MATERIAL
$145,168.00
$145,168.00
$145,168.00
100.00%
$7,258.40
7L
GEAR -LABOR
$38,400.00
$38,400.00
$38,400.00
100.00%
$1,920.00
8M
LOW VOLTAGE ROUGH -IN -
$46,722.00
$46,722.00
$46,722.00
100.00%
$2,336.10
MATERIAL
8L
LOW VOLTAGE ROUGH -IN -
$73,120.00
$73,120.00
$73,120.00
100.00%
$3,656.00
LABOR
9M
EQUIPMENT CONNECTIONS
$68,400.00
$68,400.00
$68,400.00
100.00%
$3,420.00
- MATERIAL
9L
EQUIPMENT CONNECTIONS
$12,200.00
$12,200.00
$12,200.00
100.00%
$610.00
-LABOR
10M
FIRE ALARM - MATERIAL
$84,697.00
$84,697.00
$84,697.00
100.00%
$4,234.85
10L
FIRE ALARM - LABOR
$20,000.00
$20,000.00
$20,000.00
100.00%
$1,000.00
11M
SOFTBALL FIELD -
$153,200.00
$153,200.00
$153,200.00
100.00%
$7,660.00
MATERIAL
11 L
SOFTBALL FIELD - LABOR
$15,600.00
$15,600.00
$15,600.00
100.00%
$780.00
12
-
-
1
Electrical (CO #1)
$945.49
$945.49
$945.49
100.00%
$47.27
1
Electrical (CO #2)
$1,340.58
$1,340.58
$1,340.58
100.00%
$67.03
1
Electrical (CO #3)
$1,582.00
$1,582.00
$1,582.00
100.00%
$79.10
Page 1 of 2
DocuSign Envelope ID: B21CAEBD-7600-4BB5-BB91-7BFCFA6AOB90
CONTINUATION SHEET
APPLICATION AND CERTIFICATION FOR PAYMENT,
APPLICATION NO.:
13
containing Contractor's signed Certification is attached.
APPLICATION DATE:
09/30/20
In tabulations below, amounts are stated to the nearest dollar.
PERIOD
TO:
09/30/20
Design Electric, Inc
PROJECT NO.:
19520-0033
A B
C
D
E F
G
H
I
WORK COMPLETED MATERIALS
TOTAL
ITEM DESCRIPTION OF WORK
SCHEDULED
FROM PREVIOUS
PRESENTLY
COMPLETED
%
BALANCE TO
RETAINAGE (IF
NUM
VALUE
APPLICATION (D
THIS PERIOD STORED (NOT IN
AND STORED TO
(G + C)
FINISH (C - G)
VARIABLE RATE)
+ E)
D OR E)
DATE
1 Electrical (CO #4)
($24,378.00)
($24,378.00)
($24,378.00)
100.00%
($1,218.90)
1 Electrical (CO #5)
($12,693.73)
($12,693.73)
($12,693.73)
100.00%
($634.69)
1 Electrical (CO #6)
$396.52
$396.52
$396.52
100.00%
$19.83
1 Electrical (CO #7)
$2,162.06
$2,162.06
$2,162.06
100.00%
$108.10
1 Electrical (CO #8)
$7,694.97
$7,694.97
$7,694.97
100.00%
$384.75
1 Electrical (CO #10)
$5,773.48
$5,773.48
$5,773.48
100.00%
$288.67
2 Joist Work - Electrical (CO #9)
$24,561.00
$24,561.00
$24,561.00
100.00%
$1,228.05
1 Electrical (CO #7)
$1,035.41
$1,035.41
$1,035.41
100.00%
$51.77
1 Electrical (CO #7)
$12,342.68
$12,342.68
$12,342.68
100.00%
$617.13
1 Electrical (CO #7)
$1,170.60
$1,170.60
$1,170.60
100.00%
$58.53
1 Electrical (CO #7)
($7,396.86)
($7,396.86)
($7,396.86)
100.00%
($369.84)
1 Electrical (CO #11)
$42,232.20
$42,232.20
$42,232.20
100.00%
$2,111.61
1 Electrical (CO #12)
$12,952.00
$12,952.00
$12,952.00
100.00%
$647.60
1 Electrical (CO #13)
$1,677.13
$1,677.13
$1,677.13
100.00%
$83.86
1 Electrical (CO #14)
$9,491.86
$9,491.86
$9,491.86
100.00%
$474.59
1 Electrical (CO #15)
$1,044.26
$1,044.26
$1,044.26
100.00%
$52.21
1 Electrical (CO #15)
$5,221.53
$5,221.53
$5,221.53
100.00%
$261.08
1 Electrical (CO #16)
$3,536.88
$3,536.88
$3,536.88
100.00%
$176.84
1 Electrical (CO #17)
$2,741.41
$2,741.41
$2,741.41
100.00%
$137.07
1 Electrical (CO #18)
$1,389.62
$1,389.62
$1,389.62
100.00%
$69.48
1 Electrical (CO #19)
$356.00
$356.00
$356.00
100.00%
$17.80
1 Electrical (CO #19)
$1,759.00
$1,759.00
$1,759.00
100.00%
$87.95
1 Electrical (CO #20)
$2,591.14
$2,591.14
-
$2,591.14
100.00%
$129.56
1 Electrical (CO #21)
$12,128.20
$12,128.20
$12,128.20
100.00%
$606.41
PAYMENT TOTALS 1
$1,898,571.43
$1,886,443.23
$12,128.20
$1,898,571.43
100.00%
$94,928.56
Page 2 of 2
DocuSign Envelope ID: B21CAEBD-7600-4BB5-BB91-7BFCFA6AOB90
APPLICATION FOR PAYMENT
To: RJM Construction, LLC.
830 Boone Avenue North
Golden Valley, MN 55427
From: Minnesota Utilities & Excavating, LLC
13932 Lake Drive
Forest Lake, MN 55025
Contract For: 195200033-312205 - Multipurpose Earthwork
1. ORIGINAL CONTRACT AMOUNT
2. NET CHANGE BY CHANGE ORDERS
3. CONTRACT SUM TO DATE
4. TOTAL COMPLETED AND STORED TO DATE
(Column G)
5. RETAINAGE
5.00% of Completed Work
(Columns D + E)
5.00% of Stored Materials
(Columns F)
Total Retainage
(Line 5a + Line 5b OR Sum of Column 1)
6. TOTAL EARNED LESS RETAINAGE
(Line 4 less Line 5 Total)
7. LESS PRIOR CERTIFICATES FOR PAYMENT
(Line 6 from prior Certificate)
S. CURRENT PAYMENT DUE
9. BALANCE TO FINISH, INCLUDING RETAINAGE
(Line 3 less Line 6)
Project: Elk River Multi -Purpose Facility and Lion
John Weicht Park
$572,787.00
$142,167.30
$714,954.30
$714,954.30
$29,772.80
$29,772.80
$685,181.50
$679,032.15
$6,149.35
$29,772.80
CHANGE ORDER SUMMARY
ADDITIONS
DEDUCTIONS
Total changes approved in previous months
$140,639.30
$4,945.00
Total approved this month
$6,473.00
$0.00
TOTALS
$147,112.30
$4,945.00
NET CHANGES by Change Orders
$142,167.30
Application No.: 6
Period To:
09/30/20
Application Date:
09/18/20
Project No.:
19520-0033
Contract Date:
07/23/19
Commitment:
195200033-312205
The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and
belief the Work covered by the Application for Payment has been completed in accordance with the
Contract Documents, that all amounts have been paid by the Contractor for Work for which previous
Certificates for Payment were issued and payments received from the Owner, and that current
payment shown herein is now due.
CONTRACTOR:
By: Jodi Russ Date: 09/18/20
State Of:
County Of:
Subscribed and sworn to before me this
Notary Public:
My commission expires:
ARCHITECTS CERTIFICATE FOR PAYMENT
day of
In accordance with the Contract Documents, based on the on -site observations and the data
compromising this application, the Architect certifies to the owner that to the best of the Architects
knowledge, information and belief the Work under the Architect's Contract has progressed as
indicated, the quality of Work is in accordance with the Contract Documents, and the Contractor is
entitled to payment of the AMOUNT CERTIFIED.
AMOUNT CERTIFIED $6,149.35
(Attach explanation if amount certified differs from the amount applied for. Initial all figures on the
Application for Payment and on the Continuation sheet that are changes to conform to the amount
certified.)
ARCHITECT:
By: Date:
The 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.
Page 1 of 1
DocuSign Envelope ID: B21CAEBD-7600-4BB5-BB91-7BFCFA6AOB90
CONTINUATION SHEET
APPLICATION AND CERTIFICATION FOR PAYMENT,
APPLICATION NO.:
6
containing Contractor's signed Certification is attached.
APPLICATION DATE:
09/18/20
In tabulations below, amounts are stated to the nearest dollar.
PERIOD
TO:
09/30/20
Minnesota Utilities & Excavating, LLC
PROJECT NO.:
19520-0033
A B
C
D
E F
G
H
I
WORK COMPLETED MATERIALS
TOTAL
ITEM DESCRIPTION OF WORK
SCHEDULED
FROM PREVIOUS
PRESENTLY
COMPLETED
%
BALANCE TO
RETAINAGE (IF
NUM
VALUE
APPLICATION (D
THIS PERIOD STORED (NOT IN
AND STORED TO
(G + C)
FINISH (C - G)
VARIABLE RATE)
+ E)
D OR E)
DATE
1 Earthwork
$572,787.00
$572,787.00
$572,787.00
100.00%
$28,639.35
1 Multipurpose Earthwork (CO
$43,459.00
$43,459.00
$43,459.00
100.00%
#1)
1 Multipurpose Earthwork (CO
$26,672.30
$26,672.30
$26,672.30
100.00%
#2)
1 Multipurpose Earthwork (CO
$3,157.00
$3,157.00
$3,157.00
100.00%
#4)
1 Multipurpose Earthwork (CO
$11,096.00
$11,096.00
$11,096.00
100.00%
#5)
1 Multipurpose Earthwork (CO
($1,338.00)
($1,338.00)
($1,338.00)
100.00%
#6)
2 Geogrid (CO #3)
$3,570.00
$3,570.00
$3,570.00
100.00%
1 Multipurpose Earthwork (CO
$2,338.00
$2,338.00
$2,338.00
100.00%
#7)
1 Multipurpose Earthwork (CO
$26,310.00
$26,310.00
$26,310.00
100.00%
#8)
1 Multipurpose Earthwork (CO
$4,234.00
$4,234.00
$4,234.00
100.00%
-
#8)
1 Multipurpose Earthwork (CO
$3,647.00
$3,647.00
$3,647.00
100.00%
$182.35
#9)
1 Multipurpose Earthwork (CO
($2,674.00)
($2,674.00)
($2,674.00)
100.00%
($133.70)
#10)
1 Multipurpose Earthwork (CO
($933.00)
($933.00)
($933.00)
100.00%
($46.65)
#11)
1 Multipurpose Earthwork (CO
$16,156.00
$16,156.00
$16,156.00
100.00%
$807.80
#12)
1 Multipurpose Earthwork (CO
$3,800.00
$3,800.00
$3,800.00
100.00%
$190.00
#13)
1 Multipurpose Earthwork (CO
$2,376.00
$2,376.00
$2,376.00
100.00%
$118.80
#14)
1 Multipurpose Earthwork (CO
$297.00
$297.00
$297.00
100.00%
$14.85
#15)
PAYMENT TOTALS
$714,954.30
$708,481.30
$6,473.00
$714,954.30 1
100.00%
$29,772.80
Page 1 of 1
DocuSign Envelope ID: B21CAEBD-7600-4BB5-BB91-7BFCFA6AOB90
APPLICATION FOR PAYMENT
To: RJM Construction, LLC.
830 Boone Avenue North
Golden Valley, MN 55427
From: Ebert Construction
23350 County Road 10
Corcoran, MN 55357
Contract For: 195200033-321305 - Site Concrete
1. ORIGINAL CONTRACT AMOUNT
2. NET CHANGE BY CHANGE ORDERS
3. CONTRACT SUM TO DATE
4. TOTAL COMPLETED AND STORED TO DATE
(Column G)
5. RETAINAGE
0% of Completed Work
(Columns D + E)
0% of Stored Materials
(Columns F)
Total Retainage
(Line 5a + Line 5b OR Sum of Column 1)
6. TOTAL EARNED LESS RETAINAGE
(Line 4 less Line 5 Total)
7. LESS PRIOR CERTIFICATES FOR PAYMENT
(Line 6 from prior Certificate)
S. CURRENT PAYMENT DUE
9. BALANCE TO FINISH, INCLUDING RETAINAGE
(Line 3 less Line 6)
Project: Elk River Multi -Purpose Facility and Lion
John Weicht Park
$387,400.00
($7,340.24)
$380,059.76
$380,059.76
N/A
N/A
$0.00
$380,059.76
$359,620.42
$20,439.34
$0.00
CHANGE ORDER SUMMARY
ADDITIONS
DEDUCTIONS
Total changes approved in previous months
$13,281.15
$21,887.86
Total approved this month
$1,266.47
$0.00
TOTALS
$14,547.62
$21,887.86
NET CHANGES by Change Orders
($7,340.24)
Application No.: 8
Period To:
09/23/20
Application Date:
09/23/20
Project No.:
19520-0033
Contract Date:
07/23/19
Commitment:
195200033-321305
The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and
belief the Work covered by the Application for Payment has been completed in accordance with the
Contract Documents, that all amounts have been paid by the Contractor for Work for which previous
Certificates for Payment were issued and payments received from the Owner, and that current
payment shown herein is now due.
CONTRACTOR:
By: Caleb Pelkey Date: 09/24/20
State Of:
County Of:
Subscribed and sworn to before me this
Notary Public:
My commission expires:
ARCHITECTS CERTIFICATE FOR PAYMENT
day of
In accordance with the Contract Documents, based on the on -site observations and the data
compromising this application, the Architect certifies to the owner that to the best of the Architects
knowledge, information and belief the Work under the Architect's Contract has progressed as
indicated, the quality of Work is in accordance with the Contract Documents, and the Contractor is
entitled to payment of the AMOUNT CERTIFIED.
AMOUNT CERTIFIED $20,439.34
(Attach explanation if amount certified differs from the amount applied for. Initial all figures on the
Application for Payment and on the Continuation sheet that are changes to conform to the amount
certified.)
ARCHITECT:
By: Date:
The 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.
Page 1 of 1
DocuSign Envelope ID: B21CAEBD-7600-4BB5-BB91-7BFCFA6AOB90
CONTINUATION SHEET
APPLICATION AND CERTIFICATION FOR PAYMENT,
APPLICATION NO.:
8
containing Contractor's signed Certification is attached.
APPLICATION DATE:
09/23/20
In tabulations
below, amounts are stated to the nearest dollar.
PERIOD
TO:
09/23/20
Ebert Construction
PROJECT NO.:
19520-0033
A
B
C
D E
F
G
H I
WORK COMPLETED
MATERIALS
TOTAL
ITEM
DESCRIPTION OF WORK
SCHEDULED
FROM PREVIOUS
PRESENTLY
COMPLETED
%
BALANCE TO RETAINAGE (IF
NUM
VALUE
APPLICATION (D THIS PERIOD
STORED (NOT IN
AND STORED TO
(G + C)
FINISH (C - G) VARIABLE RATE)
+ E)
D OR E)
DATE
1
General Conditions
$14,700.00
$14,700.00
$14,700.00
100.00%
2
MPB - Walks - Materials
$30,617.00
$30,617.00
$30,617.00
100.00%
3
MPB - Walks - Labor
$44,082.00
$44,082.00
$44,082.00
100.00%
4
MPB - Curb - Materials
$18,273.00
$18,273.00
$18,273.00
100.00%
5
MPB - Curb - Labor
$22,333.00
$22,333.00
$22,333.00
100.00%
6
Lion - Walks - Materials
$83,053.00
$83,053.00
$83,053.00
100.00%
7
Lion - Walks - Labor
$123,318.00
$123,318.00
$123,318.00
100.00%
8
Lion - Curb - Materials
$18,461.00
$18,461.00
$18,461.00
100.00%
9
Lion - Curb - Labor
$22,563.00
$22,563.00
$22,563.00
100.00%
10
Allowance
$10,000.00
$10,000.00
$10,000.00
100.00%
1
Site Concrete (CO #1)
$3,311.40
$3,311.40
$3,311.40
100.00%
1
Site Concrete (CO #2)
($1,570.47)
($1,570.47)
($1,570.47)
100.00%
1
Site Concrete (CO #3)
($4,286.00)
($4,286.00)
($4,286.00)
100.00%
1
Site Concrete (CO #4)
($1,561.90)
($1,561.90)
($1,561.90)
100.00%
1
Site Concrete (CO #5)
($10,522.07)
($10,522.07)
($10,522.07)
100.00%
1
Site Concrete (CO #6)
$3,937.50
$3,937.50
$3,937.50
100.00%
1
Site Concrete (CO #7)
($3,947.42)
($3,947.42)
($3,947.42)
100.00%
1
Site Concrete (CO #8)
$6,032.25
$6,032.25
$6,032.25
100.00%
1
Site Concrete (CO #9)
$1,266.47
$1,266.47
$1,266.47
100.00%
PAYMENT TOTALS
$380,059.76
$378,793.29 $1,266.47
$380,059.76
100.00%
Page 1 of 1
Ti
&L
CONSTRUCTION
TO City of Elk River
Owner: Attn: Justin Femrite
13065 Orono Parkway
Elk River, MN 55330
CONTRACTOR'S APPLICATION FOR PAYMENT
Please Remit Payment to: RJM Construction, LLC
830 Boone Ave North
Golden Valley, MN 55427
APPLICATION AND CERTIFICATE FOR PAYMENT
Project: 19520-0033 Elk River Multi -Purpose Facility and Lion John
Weicht Park
Architect:
Application is made for payment, as shown below, in connection with the Contract.
Continuation Sheet is attached.
1. Original Contract Sum .............
2. Net Change By Change Order ...................
3. Contract Sum To Date ...............
4, Total Completed and Stored To Date ...
5. Retainage:
a. 2.35% of Completed Work $620,586.98
b. 0.00% of Stored Material $0.00
Total Retainage ............... .........
6. Total Earned Less Retainage ... ........
7. Less Previous Certificates For Payments ....
8. Current Payment Due ................. .........
9. Balance To Finish, Plus Retainage .....
$25,772,257.00
$729,350.40
$26,501,607.40
$26,404,451.10
$620,586.98
$25,783,864.12
$25,163,277.14
$717,743.28
CHANGE ORDER SUMMARY
Additions
Deductions
Total changes agngved
in previous moms y Owner
$956,343.73
$226,993.33
Total Approved this Month
$0.00
$0.00
TOTALS
$956,343.73
$226,993.33
Net Changes By Change Order
$729,350.40
Invoice #: 9520003316 Distribution to
Application No.: 16 0 Owner
Application Date: 9/30/2020 ArchitectO Contractor
Period From:
To:
The undersigned Contractor certifies that to the best of the Contractor's knowledge,
information, and belief, the work covered by this Application for Payment has been completed in
accordance with the Contract Documents. That all amounts have been paid by the Contractor for Work for
which previous Certificates for Payment were issued and payments received from the Owner, and that
current payment shown herein is now due.
RJM Construction LLC
State of:
My Ccmmissid7t expires:% [.*, I,-,_
101712020
County of:
day of Q-4-4-- , %—
In accordance with the Contract Documents, based on on -site observatio, KING
comprising the above application, the Architect certifies to the Owner that NOtarY Public-MinneWa
a
Architect's knowledge, information, and belief, the Work has progressed 2 COM Expires
eS Jan 31, 2o
the quality of the Work is in accordance with the Contract Documents, and the Contractor
is entitled to payment of the AMOUNT CERTIFIED.
ARCHITECT'S CERTIFICATE FOR PAYMENT
AMOUNT CERTIFIED $ 620,586.98
(Attach explanation if amount certified differs from the amount applied. Initial all figures on this Application
and on the Continuation Sheet that are changed to conform with the amount certified.)
ARCHITECT- 10/8/20
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.
DocuSign Envelope ID: B21CAEBD-7600-4BB5-BB91-7BFCFA6AOB90
CONTINUATION SHEET
Page 2 of 3
Application and Certification for Payment, containing
Contractor's signed certification is attached.
In tabulations below, amounts are stated to the nearest dollar.
Use Column I on Contracts where variable retainage for line items may apply.
Invoice # : 9520003316
Contract : 19520-0033 Elk River Multi -Purpose Facility and Lion John Weicht Park
Application No.: 16
Application Date : 09130120
To:
Architect's Project No.:
A
B
C
D E
F
G
H
I
Item
Description of Work
Scheduled
Work Com
Ieted
Materials
Total
%
Balance
Retainage
From Previous
This Period
No.
Value
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 Multi -Purpose Facility and
0.00
0.00
0.00
0.00
0.00
0.00%
0.00
0.00
Lion John Weicht Park
1A
Final Cleaning
81,315.00
81,315.00
0.00
0.00
81,315.00
100.00%
0.00
2,032.96
1 B
Survey
25,568.00
25,568.00
0.00
0.00
25,568.00
100.00%
0.00
639.20
2A
Building Demolition
166,199.51
166,199.51
0.00
0.00
166,199.51
100.00%
0.00
4,154.99
213
Selective Demolition
236,477.21
236,477.21
0.00
0.00
236,477.21
100.00%
0.00
5,911.93
3C
Concrete Floor Finishes
135,699.62
135,699.62
0.00
0.00
135,699.62
100.00%
0.00
3,392.49
4A
Masonry Systems
2,982,936.83
2,982,936.83
0.00
0.00
2,982,936.83
100.00%
0.00
74,573.42
5A
Structural Material
1,380,909.01
1,361,847.77
0.00
0.00
1,361,847.77
98.62%
19,061.24
34,046.19
513
Structural Labor
457,489.00
457,489.00
0.00
0.00
457,489.00
100.00%
0.00
11,437.22
6A
Carpentry
1,654,857.23
1,654,767.03
0.00
0.00
1,654,767.03
99.99%
90.20
41,369.17
7A
Waterproofing &WB
40,342.00
40,342.00
0.00
0.00
40,342.00
100.00%
0.00
1,008.55
713
Roofing Systems
1,067,619.73
1,067,619.73
0.00
0.00
1,067,619.73
100.00%
0.00
26,690.49
7C
Metal Wall Panel
186,172.61
186,172.61
0.00
0.00
186,172.61
100.00%
0.00
4,654.31
8A
Aluminum Entrances/Storefronts
642,926.46
642,926.46
0.00
0.00
642,926.46
100.00%
0.00
16,073.16
813
Overhead Coiling and Sectional
53,610.00
53,610.00
0.00
0.00
53,610.00
100.00%
0.00
1,340.25
Doors
9A
Gypsum Board
349,769.37
349,769.37
0.00
0.00
349,769.37
100.00%
0.00
8,744.23
913
Tiling
175,149.90
175,149.90
0.00
0.00
175,149.90
100.00%
0.00
4,378.75
9C
Acoustical Ceilings
147,905.95
147,905.95
0.00
0.00
147,905.95
100.00%
0.00
3,697.65
9D
Flooring
132,262.50
132,262.50
0.00
0.00
132,262.50
100.00%
0.00
3,306.56
9E
Painting
438,719.00
438,719.00
0.00
0.00
438,719.00
100.00%
0.00
10,967.97
10A
Signage
12,161.18
10,807.14
0.00
0.00
10,807.14
88.87%
1,354.04
270.18
11A
Athletic Equipment
175,176.84
175,176.84
0.00
0.00
175,176.84
100.00%
0.00
4,379.43
11 B
Concessions
101,991.83
101,991.83
0.00
0.00
101,991.83
100.00%
0.00
2,549.80
12A
Roller Shades
28,659.10
28,659.10
0.00
0.00
28,659.10
100.00%
0.00
716.48
13B
Ice Rink Systems
2,162,742.00
2,162,742.00
0.00
0.00
2,162,742.00
100.00%
0.00
54,068.55
13C
Leg Truss System
125,797.00
125,797.00
0.00
0.00
125,797.00
100.00%
0.00
3,144.92
14A
Elevators
71,700.00
71,700.00
0.00
0.00
71,700.00
100.00%
0.00
1,792.50
21A
Fire Protection
282,544.00
282,144.00
0.00
0.00
282,144.00
99.86%
400.00
7,053.61
22A
Plumbing Systems
1,323,097.00
1,323,097.00
0.00
0.00
1,323,097.00
100.00%
0.00
33,077.42
23A
HVAC
1,875,065.33
1,875,065.33
0.00
0.00
1,875,065.33
100.00%
0.00
46,876.63
26A
Electrical Systems
1,874,010.43
1,874,010.43
0.00
0.00
1,874,010.43
100.00%
0.00
46,850.26
31A
Multipurpose Earthwork
711,384.30
711,384.30
0.00
0.00
711,384.30
100.00%
0.00
17,784.61
DocuSign Envelope ID: B21CAEBD-7600-4BB5-BB91-7BFCFA6AOB90
CONTINUATION SHEET
Page 3 of 3
Application and Certification for Payment, containing
Contractor's signed certification is attached.
In tabulations below, amounts are stated to the nearest dollar.
Use Column I on Contracts where variable retainage for line items may apply.
Invoice # : 9520003316
Contract : 19520-0033 Elk River Multi -Purpose Facility and Lion John Weicht Park
Application No.: 16
Application Date : 09130120
To:
Architect's Project No.:
A
B
C
D E
F
G
H
I
Item
Description of Work
Scheduled
Work Com
feted
Materials
Total
%
Balance
Retainage
From Previous
This Period
No.
Value
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
31 B
Lions Earthwork
510,815.67
510,815.67
0.00
0.00
510,815.67
100.00%
0.00
12,770.39
32A
Asphalt Paving
293,489.00
293,489.00
0.00
0.00
293,489.00
100.00%
0.00
7,337.22
32B
Concrete/Sidewalk/Curb/Gutter
384,713.41
384,713.41
0.00
0.00
384,713.41
100.00%
0.00
9,617.83
32C
Multipurpose Landscaping
27,000.00
27,000.00
0.00
0.00
27,000.00
100.00%
0.00
675.00
32D
Lions Landscaping
94,480.00
94,480.00
0.00
0.00
94,480.00
100.00%
0.00
2,362.00
32E
Chain Link Fence
150,325.79
150,325.79
0.00
0.00
150,325.79
100.00%
0.00
3,758.15
33A
Utilities
635,496.55
635,496.55
0.00
0.00
635,496.55
100.00%
0.00
15,887.41
0100
Internal Fund Transfer - Covid 19 &
0.00
0.00
0.00
0.00
0.00
0.00%
0.00
0.00
GCs
313.1
Precast Concrete
1,182,922.00
1,182,922.00
0.00
0.00
1,182,922.00
100.00%
0.00
29,573.05
313.2
Precast Concrete
930,000.00
930,000.00
0.00
0.00
930,000.00
100.00%
0.00
23,250.00
313.3
Precast Raker/Plank/Stadia
1,048,025.00
1,048,025.00
0.00
0.00
1,048,025.00
100.00%
0.00
26,200.62
01-00
General Conditions/Requirements
1,250,912.96
1,247,337.68
0.00
0.00
1,247,337.68
99.71%
3,575.28
0.00
90-50
General Liability Insurance
268,451.52
268,451.52
0.00
0.00
268,451.52
100.00%
0.00
0.00
90-60
Construction Contingency
70,229.02
0.00
0.00
0.00
0.00
0.00%
70,229.02
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
65,184.58
65,184.58
0.00
0.00
65,184.58
100.00%
0.00
0.00
99-99
Contractors Fee
489,303.96
486,857.44
0.00
0.00
486,857.44
99.50%
2,446.52
12,171.43
Grand Totals
26,501,607.40
26,404,451.10
0.00
0.00
26,404,451.10
99.63%
97,156.30
620,586.98
ERMU
Background
■ Zone Change (ZC 20-03),
■ Easement Vacation (EV 20-05)
■ Preliminary Plat (P 20-13)
■ Conditional Use Permit (CU 20-19)
■ Final Plat (I' 20-14)
Cit,
Elk
River
ERNMU
Pielim/Final Plat, Conditional Use Perinit
Variance., Easement Vacation, Zone Change
IF
Case No: P 20-13 & 20- 4
CLJ 20-19
V 20-14
EV 20-05 hEiL*k=,.z'
ZC 20-03 River
a. Zone Change
■ R2-a currently
■ RI-c proposed
■ Consistent with surrounding zoning
■ Government facilities allowed in both with CUP
■ The rezoning would be consistent with the City of Elk River
Land Use Plan
R2a
5
--n
5 t h 55
LLI
Q
W
LL-
I
s
To
6
Action Requested - Zone Change
■ Adopt, by motion, an ordinance rezoning certain properties
from R-2a to R-1 c
b. Easement Vacation
■ ERMU is requesting a portion of Fourth Street right-of-way be
vacated to allow for their building expansion project
■ Dedicated in 1882
■ Has never been improved or maintained for public use
■ Vacation will transfer the property to ERMU
Action Requested - Easement Vacation
■ Adopt, by motion, a resolution vacating a portion of the right-
of-way platted as Fourth Street (Depot Street)
c. Preliminary Plat
■ ERMU is requesting a preliminary plat to combine eight parcels
and street right-of-way
■ One 8.5-acre parcel
Applicable Regulations
■ Meets the eight criteria for approval
Planning
• The Pc
Commission
unanimously recommended approval of the request
Action Requested - Prelim Plat
■ Approve, by motion, the Preliminary Plat for ERMU Addition.
d. Conditional Use Permit
■ The site plan is significantly changing
■ One email received — in packet
Actions Requested - CUP
■ Open PH, take comments, and close PH
■ CUP will be readvertised for PH
■ Planning Commission - Nov 24, 2020
■ City Council - Dec 7, 2020
e. Final Plat
■ If preliminary plat is approved
■ The final plat is consistent with the preliminary plat
Action Requested= Final Plat
■ Adopt, by resolution, the final plat of ERMU Addition with the
following condition:
1. The easement vacation (EV 20-05) shall be recorded.
Cit,
Elk
River
ERNMU
Pielim/Final Plat, Conditional Use Perinit
Variance., Easement Vacation, Zone Change
IF
Case No: P 20-13 & 20- 4
CLJ 20-19
V 20-14
EV 20-05 hEiL*k=,.z'
ZC 20-03 River