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4.2 SR 05-16-2022
Request for Action To Item Number Mayor and Ci T Council 4.2 Agenda Section Meeting Date Prepared by Consent May 16, 2022 Ryan Sandhoefner, Engineer 1 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 Nature's Edge Business Center 3rd Fire Station #3 Orono Park Reconstruct Orono Park Reconstruct Orono Park Reconstruct Youth Athletic Complex Youth Athletic Complex Mission/Policy/Goal Opportunity to live, work, and play. Attachments ■ Pay Estimate 2 — Northwest Asphalt ■ Pay Estimate 15 — Terra Construction ■ Pay Estimate 7 — New Look Contracting ■ Pay Estimate 8 — New Look Contracting ■ Pay Estimate 9 — New Look Contracting ■ Pay Estimate 9 — Ebert Construction ■ Pay Estimate 10 — Ebert Construction Pay Est. # Contractor 2 — Partial Northwest Asphalt 15 — Partial Terra Construction 7 — Partial New Look Contracting 8 — Partial New Look Contracting 9 — Partial New Look Contracting 9 — Partial Ebert Construction 10 — Partial Ebert Construction Amount $444,035.13 $259,384.59 $21,872.80 $2,470.00 $67,891.59 $5,439.03 $14,682.52 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 Contractor's Application for Payment No. 2 To (Owner): City of Elk River Application 3/30/2022 to 4/30/2022 Application Date: May 5, 2022 Period: Project: Natures Edge Business Center From (Contractor): Via (Engineer): Hakanson Anderson Third Addition Northwest Asphalt Application For Payment Change Order Summary Approved Change Orders Number Additions Deductions TOTALS NET CHANGE BY CHANGE ORDERS $0.00 $0.00 $0.00 Certification The undersigned Contractor certifies, to the best oft (1) All previous progress payments received fro ton applied on account to discharge Conuactoes I timate prior Applications for Payment; (2) Title to all Work, materials and equip t in orpor Application for Payment, will pass to Ot er c of encumbrances (except such as are cover d /��' Liens, security interest, or encumbron d(3) All the Work covered by this App lion (defective. , / By: 1. ORIGINAL CONTRACT PRICE ............ .................... ................. .................. I 2. Net change by Change Orders........................................................................... 3. Current Contract Price (Line I t 2).................................................................. 4. TOTAL COMPLETED AND STORED TO DATE 5. RETAINAGE: a. 5 % X Work Completed ............................................. b.0% X Stored Material .............................................. c. Total Retainage (Line 5.a + Line 5.b)................. --............................. 6. AMOUNT ELIGIBLE TO DATE (Line 4 - Line 5.c)...............--.................. 7. MATERIAL ON HAND (75% of Cost)....................... ................ .................... 7. LESS INSTALLED MATERIAL ON HAND........... ....................................... 8. LESS PREVIOUS PAYMENTS....................................................................... 9. AMOUNT DUE THIS APPLICATION........................................................... nvledge, the following: on account of Work done under the Contract have been )ligationswuired in connection with the Work covered by ise listed in or covered by this I Liens, security interests, and wing Owner against any such Contract Documents and is not 91 S S1,967,329.71 $ $0.00 S $1,967,329.71 $ $640,364.64 S S $32,018.23 $ S0.00 S S32,018.23 S $608,346.41 $ S196,333.82 S S $360,645.10 S $444,035.13 ENGINEER: HAKANSON ANDERSON Certification: We recommend payment fx work and quantites shown. w Fi 5/10/22 F %�. —� W (Engineer) Date OWNER: CITY OF ELK RIVER � 5-10-2022 (Owner) Date Code: 245-4-6210-4530 PAY ESTIMATE #2 CITY OF ELK RIVER NATURES EDGE BUSINESS CENTER THIRD ADDITION Base Bid ITEM NO. ITEM DESCRIPTION ESTIMATED QUANTITY UNIT CONTRACT UNIT PRICE CONTRACT AMOUNT USED TO DATE EXTENSION 1 MOBILIZATION 1 LUMP SUM $ 70,400.00 $ 70,400.00 0.75 $ 52,800.00 2 CLEARING 10 EACH $ 112,80 $ 1,128.00 10 $ 1,128.00 3 GRUBBING 10 EACH $ 75.20 $ 752.00 10 $ 752.00 4 CLEARING 2.15 ACRE $ 7,200.00 $ 15,480.00 2.15 $ 15 480.00 5 GRUBBING 2.15 ACRE $ 4,800.00 $ 10,320.00 2.15 $ 10,320.00 6 REMOVE CONCRETE APRON 1 EACH $ 300.00 $ 300.00 $ 7 REMOVE GATE VALVE AND BOX 1 EACH $ 400.00 $ 400.00 1 $ 400.00 8 REMOVE HYDRANT 1 EACH $ 400.00 $ 400,00 1 $ 400.00 9 REMOVE SIGN 1 EACH $ 50.00 $ 50.00 $ 10 ISALVAGE SIGN 2 EACH $ 50.00 $ 100.00 1 $ 50.00 11 SAWING BITUMINOUS PAVEMENT FULL DEPTH 590 LIN FT $ 3.50 $ 2,065.00 $ 12 REMOVE WATERMAIN 10 LIN FT $ 90.00 $ 900.00 10 $ 900.00 13 REMOVE CONCRETE CURB 797 LIN FT $ 3.50 $ 2,789.50 88 $ 308.00 14 REMOVE BITUMINOUS PAVEMENT 1,374 SQ YD $ 5.00 $ 6,870.00 $ 15 EXCAVATION - COMMON 95,211 CU YD $ 1.96 $ 186,613.56 90,211 $ 176,813.56 16 DEWATERING 1 LUMP SUM $ 44,000.00 $ 44,000.00 1 $ 44,000.00 17 SUBGRADE SOIL MODIFICATION 10,471 SQ YD $ 0.75 $ 7,853.25 $ 18 SUBGRADE PREPARATION 28.9 ROAD STA $ 600.00 1 $ 17,340.00 $ 19 AGGREGATE BASE CLASS 5 - TRAIL CV P 495 CU YD $ 35.60 $ 17 622.00 $ 20 AGGREGATE BASE CLASS 5 - STREET CV P 3,088 CU YD $ 27.00 $ 83,376.00 $ 21 MILL BITUMINOUS SURFACE 2.0" 124 SQ YD $ 20.00 $ 2,480.00 $ 22 BITUMINOUS MATERIAL FOR TACK COAT 705 GALLONS $ 3.00 $ 2,115.00 $ 23 TYPE SP 12.5 WEARING COURSE MIXTURE 2,6 2.5" THICK 2,686 SQ YD $ 13.70 $ 36,798.20 $ 24 TYPE SP 12.5 WEARING COURSE MIXTURE 3,8 2.0" THICK 10,072 SQ YD $ 8.65 $ 87,122.80 $ 25 TYPE SP 12.5 NON WEARING COURSE MIXTURE 3 B 2.5" THICK 9,948 SQ YD $ 10.30 $ 102 464.40 $ 26 15" RC PIPE APRON 3 EACH $ 1,040.00 $ 3,120.00 $ 27 18" RC PIPE APRON 2 EACH $ 1,102.00 $ 2,204.00 $ 28 21" RC PIPE APRON 1 EACH $ 1,257.00 $ 1,257.00 $ 29 42" RC PIPE APRON 1 EACH $ 2,682.00 $ 2,682.00 $ 30 ITRASH GUARD FOR 15" PIPE APRON 3 EACH $ 556.00 $ 1,668.00 $ 31 ITRASH GUARD FOR 16" PIPE APRON 2 EACH $ 610.00 $ 1,220.00 $ Page 1 ER308 - Pay Estimate PAY ESTIMATE #2 CITY OF ELK RIVER NATURES EDGE BUSINESS CENTER THIRD ADDITION Base Bid ITEM NO. ITEM DESCRIPTION ESTIMATED QUANTITY UNIT CONTRACT UNIT PRICE CONTRACT AMOUNT USED TO DATE EXTENSION 32 TRASH GUARD FOR 21" PIPE APRON 1 EACH $ 961.00 $ 961.00 $ 33 TRASH GUARD FOR 42" PIPE APRON 1 EACH $ 2 636.00 $ 2,636.00 $ 34 6" PVC PIPE SEWER SDR 26 274 LIN FT $ 39.00 $ 10 686.00 274 $ 10 686.00 35 12" PVC PIPE SEWER SDR 35 3,531 LIN FT $ 49.00 $ 173,019.00 2,288 $ 112,112.00 36 12" RC PIPE SEWER DESIGN 3006 CL V 121 LIN FT $ 43.00 $ 5,203.00 $ 37 15" RC PIPE SEWER DESIGN 3006 CL V 456 LIN FT $ 47.00 $ 21,432.00 $ 38 18" RC PIPE SEWER DESIGN 3006 CL V 688 LIN FT $ 51.00 $ 35,088.00 $ 39 21" RC PIPE SEWER DESIGN 3006 CL V 191 LIN FT $ 60.00 $ 11,460.00 $ 40 24" RC PIPE SEWER DESIGN 3006 CL V 147 LIN FT $ 80.00 $ 11 760.00 $ 41 27" RC PIPE SEWER DESIGN 3006 CL V 183 LIN FT $ 117.00 $ 21,411.00 $ 42 36" RC PIPE SEWER DESIGN 3006 CL III 340 LIN FT $ 118.00 $ 40,120.00 $ 43 42" RC PIPE SEWER DESIGN 3006 CL 111 90 LIN FT $ 165.00 $ 14,850.00 $ 44 CONNECT TO EXISTING SANITARY SEWER 1 EACH $ 1,500.00 $ 1,500.00 1 $ 1,500.00 45 CONNECT TO EXISTING STORM SEWER 1 EACH $ 1,500.00 $ 1,500.00 $ 46 6" PVC CAP 5 EACH $ 60.00 $ 300.00 5 $ 300.00 47 8" PVC CAP 1 EACH $ 230.00 1 $ 230,00 $ 48 12" PVC CAP 1 EACH $ 190.00 $ 190.00 $ 49 21" RC PIPE PLUG 2 EACH $ 150.00 $ 300.00 $ 50 27" RC PIPE PLUG 1 EACH $ 170.00 $ 170.00 $ 51 CLEAN AND VIDEO TAPE PIPE SEWER 3.764 LIN FT $ 1.80 $ 6,775.20 $ 52 8" PVC PIPE SEWER - DIRECTIONALL DRILLED 79 LIN FT $ 182.00 $ 14,378.00 $ 53 CONNECT TO EXISTING WATERMAIN 1 EACH $ 1,500.00 $ 1,500.00 1 $ 1,50000 54 HYDRANT 7 EACH $ 4,760.00 $ 33 320.00 2 $ 9,520.00 55 6" GATE VALVE AND BOX 7 EACH $ 2,040.00 $ 14,280.00 2 $ 4,080.00 56 8" GATE VALVE AND BOX 5 EACH $ 2,600.00 $ 13,000.00 2 $ 5,200.00 57 12" GATE VALVE AND BOX 5 EACH $ 4,310.00 $ 21,550.00 1 $ 4,310.00 58 HYDRANT RISER 6 LIN FT $ 1.00 $ 6.00 $ 59 6" WATERMAIN DUCTILE IRON CL 52 85 LIN FT $ 65.00 $ 5,525.00 22 $ 1,430.00 60 8" WATERMAIN DUCTILE IRON CL 52 301 LIN FT $ 66.00 $ 19 866.00 124 $ 8,184.00 61 12" WATERMAIN DUCTILE IRON CL 52 2,751 LIN FT $ 66.70 $ 183,491.70 810 $ 54,027.00 62 8" HDPE WATERMAIN DIRECTIONAL DRILLED 50 LIN FT $ 175.00 $ 8,750.00 $ 63 12" HDPE WATERMAIN DIRECTIONAL DRILLED 848 LIN FT $ 72.00 $ 61,056.00 Is Page 2 ER308 - Pay Estimate PAY ESTIMATE #2 CITY OF ELK RIVER NATURES EDGE BUSINESS CENTER THIRD ADDITION Rase Rid ITEM NO. ITEM DESCRIPTION ESTIMATED QUANTITY UNIT CONTRACT UNIT PRICE CONTRACT AMOUNT USED TO DATE EXTENSION 64 3" POLYSTYRENE INSULATION 40 SO YD $ 37.00 $ 1,480.00 $ 65 DUCTILE IRON FITTINGS 6,500 POUND $ 11.50 $ 74,750.00 834 $ 9,591.00 66 CASTING ASSEMBLY 31 EACH $ 462.00 $ 14 322.00 $ 67 CONSTRUCT SANITARY STRUCTURE DESIGN 4007 216.2 LIN FT $ 287.00 $ 62,049.40 160.24 $ 45,988.88 68 CONSTRUCT DRAINAGE STRUCTURE DESIGN 24"X36" 13.6 LIN FT $ 586.00 $ 7,969.60 $ 69 CONSTRUCT DRAINAGE STRUCTURE DESIGN 48-4020 33.1 LIN FT $ 477.00 $ 15,788.70 $ 70 CONSTRUCT DRAINAGE STRUCTURE DESIGN 60-4020 32.5 LIN FT $ 731.00 $ 23,757.50 $ 71 CONSTRUCT DRAINAGE STRUCTURE DESIGN 72-4020 27.6 LIN FT $ 762.00 $ 21,031.20 $ 72 CONSTRUCT DRAINAGE STRUCTURE DESIGN 96-4020 12.1 LIN FT $ 1,268.00 $ 15,342.80 $ 73 GEOTEXTILE FILTER TYPE 4 202 SO YD $ 4.00 $ 808.00 1 $ 74 RANDOM RIPRAP CLASS IV 35.9 CU YD $ 166.00 $ 5,959.40 $ 75 ARTICULATED BLOCK MAT CLOSED CELL TYPE B 66 SO YD $ 218.00 $ 14,388.00 $ 76 6" CONCRETE WALK 128 SO FT $ 11.30 $ 1,446.40 $ 77 CONCRETE CURB AND GUTTER DESIGN B612 101 LIN FT $ 25.65 $ 2,590.65 $ 78 CONCRETE CURB AND GUTTER DESIGN B618 5,150 LIN FT $ 12.65 $ 65 147.50 $ 79 7" CONCRETE DRIVEWAY PAVEMENT 28 SO YD $ 63.00 $ 1,76400 $ 80 8" CONCRETE DRIVEWAY PAVEMENT 55 SO YD $ 63.00 $ 3,465.00 $ 81 TRUNCATED DOMES 20 SO FT $ 100.00 $ 2,000.00 $ 82 PORTABLE PRECAST CONCRETE BARRIER DESIGN 8337 725 LIN FT $ 14.50 $ 10,512.50 $ 83 TRAFFIC CONTROL 1 LUMP SUM $ 2,250.00 $ 2,250.00 $ 84 SIGN PANELS TYPE C 26.3 SO FT $ 55.00 $ 1,446.50 $ 85 INSTALL SIGN 2 EACH $ 150.00 $ 300.00 $ 86 STABILIZED CONSTRUCTION EXIT 1 LUMP SUM $ 1,500.00 $ 1,500.00 1 $ 1,500.00 87 EROSION CONTROL SUPERVISOR 1 LUMP SUM $ 1,500.00 $ 1,500.00 0.5 $ 750.00 88 STORM DRAIN INLET PROTECTION 17 EACH $ 150.00 $ 2,550.00 2 $ 300.00 89 CULVERT END CONTROLS 4 EACH $ 250.00 $ 1,000.00 $ 90 ISILT FENCE; TYPE MS 4,300 LIN FT $ 2.62 $ 11,266.00 8,073 $ 21,151.26 91 SEDIMENT CONTROL LOG TYPE WOOD FIBER 9.200 LIN FT $ 2.77 $ 25,484.00 $ 92 FERTILIZER TYPE 1 7,560 POUND $ 0.64 $ 4,838.40 1,900 $ 1,216.00 93 SODDING TYPE LAWN 600 SO YD $ 9.15 $ 5,490.00 $ 94 ROLLED EROSION PREVENTION CATEGORY 15 42,147 SQ YD $ 1.59 $ 67.013.73 20,534 $ 32,649.06 95 SEED MIXTURE 25-131 4,576 1 POUND $ 4.93 $ 22,559.68 636 $ 4,121.48 Page 3 ER308 - Pay Estimate PAY ESTIMATE #2 CITY OF ELK RIVER NATURES EDGE BUSINESS CENTER THIRD ADDITION Base Bid ITEM NO. ITEM DESCRIPTION ESTIMATED QUANTITY UNIT CONTRACT UNIT PRICE CONTRACT AMOUNT USED TO DATE EXTENSION 96 SEED MIXTURE 33-261 154 POUND $ 25.20 $ 3,880.80 132 $ 3,326.40 97 HYDRAULIC MULCH MATRIX 5,000 POUND $ 0.74 $ 3,700,00 $ 98 MULCH MATERIAL TYPE 1 56.8 TON $ 0.01 $ 0.59 $ 99 SEEDING 25.4 ACRE $ 595.00 $ 15,113.00 6 $ 3,570.00 100 4" SOLID LINE MULTI -COMPONENT 715 LIN FT $ 65 $ 536.25 $ 101 4" DOUBLE SOLID LINE YELLOW - EPDXY 2,359 LIN FT $ 1.50 $ 3,538.50 $ 102 IPAVEMENT MESSAGE MULTI -COMPONENT 90 SO FT $ 6.50 $ 585.00 $ Total Base Bid $ 1,967,329.71 $ 640,364.64 TOTAL $640,364.64 Page 4 ER308 - Pay Estlmate 116'-AIADocument G702" -1992 Application and Certificate for Payment TO OWNER: City of Elk River 13065 Orono Parkway NW Elk River, MN 55330 FROM Terra General Contractors CONTRACTOR: 21025 Commerce Blvd Ste 1000 Rogers MN 55374 Code: 421-4-2310-4520 PROJECT: 20-705 FIk River Fire Station #3 APPLICATION NO: 20-705-015 Distribution to: PERIOD TO: April 30, 2022 OWNER: CONTRACT FOR: General Construction ARCHITECT: VIA BKV Group CONTRACT DATE: October 19. 2020 ARCHITECT: 222 N 2nd St, #101 PROJECT NOS: 120-705 1 CONTRACTOR: Minneapolis, MN 55401 FIELD: Q CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for payment, as shown below, in connection with the Contract. AIA Document G703'11, Continuation Sheet, is attached. 1, ORIGINAL CONTRACT SUM................................................................................ $6,898,246.00 2, NET CHANGE BY CHANGE ORDERS................................................................. $0.00 3. CONTRACT SUM TO DATE (Line 1 ± 2)............................................................ $6,898,246M 4. TOTAL COMPLETED & STORED TO DATE (Column G on G703) ................. $6,157,717,89 5. RETAINAGE: a. 5.00 % of Completed Work (Column D + E on G703) b,. 0 % of Stored Material (Column F on G703) $307,885.89 $0.00 Total Retainage (Lines 5a * 5b or Total in Column I of G703) ................. $307,885.89 6. TOTAL EARNED LESS RETAINAGE................................................................... $5,849,832.00 ( Line 4 Less Line 5 Total) 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT ............. $5,590,447.41 (Line 6 from prior Certificate) 8. CURRENT PAYMENT DUE ...................... .... ............................ I ............. .... $259 384.59 9, BALANCE TO FINISH, INCLUDING RETAINAGE (Line 3 less Line 6) $1,048,414.04 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Total changes approved in previous months by Owner $0.00 $0.00 Total approved this Month $0.00 $0.00 TOTALS $0.00 $0.00 NET CHANGES by Change Order S0.00 OTHER: 0 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 tV Owner, and that current payment shown herein is now due. CONTRACTOR: By: Date: "S S 7-021 State of: MinAsota L___11 County of: Hennepin Subscribed mid sworn to before me this ay of Z02.?- Notary ryPu li L. Jensen My Commission exp s: January 31, 2026 TERESA L JENSEN Notary Public, State of Minnesota My Commission Expires January 31, 2026 ARCHITECT'S CERTIFICATE FOR PAYMENT 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 AMOLTNT CERTIFIED. AMOUNT CERTIFIED...................................................................................... $259,384,5<3 (Attach explanation if amount cen t fred differs from the amount applied. Initial all figures on this Application and on the Contr"nuatlo Sheet that are changed to conformwith the amount certified.) ARCHITECT: By: Date: May 6, 2022 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 right~ of the Owner or Contractor under this Contract. AIA Document G7020 -1992. Copyright @ 1953, 1963, 1965, 1971, 1978. 1983 and 1992 by The American Institute of Architects- All rights reserved. The "American Institute of Architects," -AIA," the AIA Lago, "G702," and "AIA Contract Documents" are registered trademarks and may not be used without permission. This document was produced by AIA software at 14:12:32 CT on 0510512022 under Order No.2114310719 which expires on 0412412023. is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents° Terms of Service. To report copyright violations, e-mail copyright@aia,org. User Notes: (3139ADA45) TarERoiv NumberStatic 05 m Terra 0 k River Fire&ati on #3 G O N S T R UCTI ON City of Elk River CONTINUATION SHEET AIA DOCUMENTG703 AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 15 Contractor's signed certification is attached. APPLICATION DATE: 4/30/22 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 4/30/22 Use Column I on Contracts where variable retainage for line items may apply. A A.1 B C CA C.2 C.3 D E F G H I SUBCONTRACTOR ITEM BID DESCRIPTION OF WORK SCHEDULED CHANGE BUDGET REVISED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE VENDOR NO. PACK VALUE ORDERS REVISION/ SCHEDULED PRESENTLY COMPLETED (G+C) TO FINISH (IF VARIABLE FROM PREVIOUS THIS PERIOD EMPLOYEE NO. CONTINGENCY VALUE APPLICATION STORED AND STORED (C -G) RATE) COST TRANSFER (D+E) (NOT IN TO DATE CODE D OR E) (D+E+F) Preconstruction 01-0002 Preconstruction $ 10,000.00 $ 10,000.00 $ 10,000.00 $ - $ 10,000.00 100.00% $ - $ 500.00 Bonds & Insurance 01-0100 Bonds & Insurance $ 76,368.00 $ 76,368.00 $ 76,368.00 $ 76,368.00 100.00% $ - $ 3,818.40 Permit 01-0110 Permit $ 400.00 $ 1,033.46 $ 1,433.46 $ 1,433.46 $ 1,433.46 100.00% $ - $ 71.67 CM General Requirements 01-0120 CM General Requirements $ 724,061.00 $ - $ (24,330.75) $ 699,730.25 $ 636,527.58 $ 50,466.12 $ 687,015.70 96.16% $ 12,714.55 $ 34,350.79 CM Contingency 01-0130 CM Contingency $ 233,000.00 $ (204,751.12) $ 28,248.66 $ - $ - 0.00% $ 28,248.66 $ - CM Fee 01-0150 CM Fee $ 101,734.00 $ 101,734.00 $ 86,778.61 $ 4,034.00 $ 90,812.61 69.26% $ 10,921.39 $ 4,540.63 Thomsen Construction Services 03-3300 3A Footings/Pads $ 22,000.00 $ - $ - $ 22,000.00 $ 22,000.00 $ 22,000.00 100.00% $ - $ 1,100.00 Thomsen Construction Services 03-3300 3A Footings Labor $ 32,000.00 $ - $ - $ 32,000.00 $ 32,000.00 $ 32,000.00 100.00% $ - $ 1,600.00 Thomsen Construction Services 03-3300 3A Walls Material $ 14,000.00 $ - $ - $ 14,000.00 $ 14,000.00 $ 14,000.00 100.00% $ - $ 700.00 Thomsen Construction Services 03-3300 3A Walls Labor $ 60,000.00 $ - $ - $ 60,000.00 $ 60,000.00 $ 60,000.00 100.00% $ - $ 3,000.00 Thomsen Construction Services 03-3300 3A Slab on Grade Material $ 73,000.00 $ - $ - $ 73,000.00 $ 70,750.00 $ 70,750.00 96.92% $ 2,250.00 $ 3,537.50 Thomsen Construction Services 03-3300 3A Slab on Grade Labor $ 112,900.00 $ - $ - $ 112,900.00 $ 105,500.00 $ 105,500.00 93.45% $ 7,400.00 $ 5,275.00 Thomsen Construction Services 03-3300 3A Reinforcing Material $ 35,000.00 $ - $ - $ 35,000.00 $ 35,000.00 $ 35,000.00 100.00% $ - $ 1,750.00 Thomsen Construction Services 03-3300 3A CO#1 PR#4 Stepped Footings $ - $ - $ 2,500.00 $ 2,500.00 $ 2,500.00 $ 2,500.00 100.00% $ - $ 125.00 Thomsen Construction Services 03-3300 3A CO#2 B/C to Dryden $ - $ - $ 500.00 $ 500.00 $ 500.00 $ 500.00 100.00% $ - $ 25.00 Thomsen Construction Services 03-3300 3A CO#3 RFI#33 Stepped footings for B" Storm $ - $ - $ 600.00 $ 600.00 $ 600.00 $ 600.00 100.00% $ - $ 30.00 Thomsen Construction Services 03-3300 3A CO#4 RFI#37 Extended Foundation @ 166 $ - $ - $ 550.00 $ 550.00 $ 550.00 $ 550.00 100.00% $ $ 27.50 Thomsen Construction Services 03-3300 3A CO#5 Footings along GL-B $ - $ - $ 2,480.00 $ 2,480.00 $ 2,480.00 $ 2,480.00 100.00% $ - $ 124.00 Thomsen Construction Services 03-3300 3A CO#6 PR#19 Wellness Room $ - $ - $ 5,150.00 $ 5,150.00 $ 5,150.00 $ 5,150.00 100.00% $ - $ 257.50 Thomsen Construction Services 03-3300 3A CO#7 Concrete in Trash Enclosure (From Klein) $ - $ - $ 650.00 $ 650.00 $ - $ - 0.00% $ 650.00 $ - Concrete Treatments 03-3350 3B & 9E Polished Concrete and Resinous Flooring $ 73,189.00 $ - $ - $ 73,189.00 $ 73,189.00 $ 73,189.00 100.00% $ - $ 3,659.45 Concrete Treatments 03-3350 3B & 9E CO#1 ASI#BR Changed Polished Flooring $ - $ - $ (3,839.00) $ (3,839.00) $ (3,839.00) $ (3,839.00) 100.00% $ - $ (191.95) Concrete Treatments 03-3350 3B & 9E CO#2 ASI#10 Stained Floor Logo in Lobby 116 $ - $ - $ (1,000.00) $ (1,000.00) $ (1,000.00) $ (1,000.00) 100.00% $ - $ (50.00) Concrete Treatments 03-3350 3B & 9E CO#3 Moisture Mitigation at App Bay Floor $ - $ - $ 6,565.00 $ 6,565.00 $ 6,565.00 $ 6,565.00 100.00% $ - $ 326.25 Ultra Concrete 03-3390 32D Bond $ 2,400.00 $ - $ - $ 2,400.00 $ 2,400.00 $ 2,400.00 100.00% $ - $ 120.00 Ultra Concrete 03-3390 32D Curb $ 37,000.00 $ - $ - $ 37,000.00 $ 21,000.00 $ 21,000.00 56.76% $ 16,000.00 $ 1,050.00 Ultra Concrete 03-3390 32D Bollards/Flag Pole Footings $ 9,800.00 $ - $ - $ 9,800.00 $ - $ - 0.00% $ 9,800.00 $ - Ultra Concrete 03-3390 32D Sidewalks/Paving $ 170,800.00 $ - $ - $ 170,800.00 $ - $ - 0.00% $ 170,800.00 $ - Ultra Concrete 03-3390 32D CO#1 PR#7 Water Service $ - $ - $ (994.93) $ (994.93) $ - $ - 0.00% $ (994.93) $ - Ultra Concrete 03-3390 32D CO#2 Replacing Asphalt w/Concrete at N side of App Bay $ - $ - $ 11,593.62 $ 11,593.62 $ - $ - 0.00% $ 11,593.62 $ - Camco Construction 04-4200 4A Masonry -Bond $ 15,000.00 $ - $ - $ 15,000.00 $ 15,000.00 $ 15,000.00 100.00% $ - $ 750.00 Camco Construction 04-4200 4A Masonry-Rebar $ 40,000.00 $ - $ - $ 40,000.00 $ 40,000.00 $ 40,000.00 100.00% $ - $ 2,000.00 Camco Construction 04-4200 4A Masonry-Misc Masonry Materials $ 115,000.00 $ - $ - $ 115,000.00 $ 115,000.00 $ 115,000.00 100.00% $ - $ 5,750.00 Camco Construction 04-4200 4A Masonry -Insulation $ 20,000.00 $ - $ - $ 20,000.00 $ 20,000.00 $ 20,000.00 100.00% $ - $ 1,000.00 Camco Construction 04-4200 4A Masonry -Grout Material $ 42,000.00 $ - $ - $ 42,000.00 $ 42,000.00 $ 42,000.00 100.00% $ - $ 2,100.00 Camco Construction 04-4200 4A Masonry -Grout Labor $ 50,000.00 $ - $ - $ 50,000.00 $ 50,000.00 $ 50,000.00 100.00% $ - $ 2,500.00 Camco Construction 04-4200 4A Masonry -Stone Material $ 60,000.00 $ - $ - $ 60,000.00 $ 60,000.00 $ 60,000.00 100.00% $ - $ 3,000.00 Camco Construction 04-4200 4A Masonry -Stone Labor $ 42,000.00 $ - $ - $ 42,000.00 $ 42,000.00 $ 42,000.00 100.00% $ - $ 2,100.00 Camco Construction 04-4200 4A Mason ry-Facebrick Material $ 75,000.00 $ - $ - $ 75,000.00 $ 75,000.00 $ 75,000.00 100.00% $ - $ 3750.00 Camco Construction 04-4200 4A Masonry-Facebrick Labor $ 230,000.00 $ - $ - $ 230,000.00 $ 215,500.00 $ 14,500.00 $ 230,000.00 100.00% $ - $ 11:500.00 Camco Construction 04-4200 4A Masonry -Precast Material $ 35,000.00 $ - $ - $ 35,000.00 $ 35,000.00 $ 35,000.00 100.00% $ - $ 1,750.00 Camco Construction 04-4200 4A Masonry -Precast Labor $ 40,000.00 $ - $ - $ 40,000.00 $ 40,000.00 $ 40,000.00 100.00% $ - $ 2,000.00 Camco Construction 04-4200 4A Masonry-CMU Material $ 100,000.00 $ - $ - $ 100,000.00 $ 100,000.00 $ 100,000.00 100.00% $ - $ 5,000.00 Page l/10 TarERoiv NumberStatic 05 m Terra 0 k River Fire&ati on #3 G O N S T R UCTI ON City of Elk River CONTINUATION SHEET AIA DOCUMENTG703 AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 15 Contractor's signed certification is attached. APPLICATION DATE: 4/30/22 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 4/30/22 Use Column I on Contracts where variable retainage for line items may apply. A A.1 B C CA C.2 C.3 D E F G H I SUBCONTRACTOR ITEM BID DESCRIPTION OF WORK SCHEDULED CHANGE BUDGET REVISED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE VENDOR NO. PACK VALUE ORDERS REVISION/ SCHEDULED PRESENTLY COMPLETED (G+C) TO FINISH (IF VARIABLE FROM PREVIOUS THIS PERIOD EMPLOYEE NO. CONTINGENCY VALUE APPLICATION STORED AND STORED (C -G) RATE) COST TRANSFER (D+E) (NOT IN TO DATE CODE D OR E) (D+E+F) Camco Construction 04-4200 4A Masonry-CMU Labor $ 251,000.00 $ - $ - $ 251,000.00 $ 251,000.00 $ 251,000.00 100.00% $ - $ 12,550.00 Camco Construction 04-4200 4A CO#1 ASI#5 Added 4'' Block $ - $ - $ 7,661.00 $ 7,661.00 $ 7,661.00 $ 7,.J..00 100.00% $ - $ 363.05 Camco Construction 04-4200 4A CO#2 Century Fence - Temp Fence Replacement from Delivery $ - $ - $ (1,977.19) $ (1,977.19) $ - $ (1,977.19) $ (1,977.19) 100.00% $ - $ (98.86) Camco Construction 04-4200 4A CO#3 Added CMU at Sill of S3 per RFI#96 $ - $ - $ 1,655.00 $ 1,655.00 $ - $ 1,655.00 $ 1,655.00 100.00% $ - $ 82.75 Camco Construction 04-4200 4A CO#4 RFI#150 $ - $ - $ (678.00) $ (678.00) $ - $ (678.00) $ (678.00) 100.00% $ - $ (33.90) Camco Construction 04-4200 4A CO#5 Physical Training Duct Work Patch (From PSM) $ - $ - $ 744.50 $ 744.50 $ - $ 744.50 $ 744.50 100.00% $ - $ 37.23 Camco Construction 04-4200 4A CO#6 RFI#201 Door Frame 106 Reinstall (To MCD) $ - $ - $ (740.00) $ (740.00) $ - $ (740.00) $ (740.00) 100.00% $ - $ (37.00) Camco Construction 04-4200 4A CO#7 RFI#201 Bondo and Re -Install Door 106 (To Century) $ - $ - $ (479.27) $ (479.27) $ - $ (479.27) $ (479.27) 100.00% $ - $ (23.96) Camco Construction 04-4200 4A CO#B RFI#201 Repaainting Door Frame 106 (To Steinbrecher) $ - $ - $ (717.00) $ (717.00) $ - $ (717.00) $ (717.00) 100.00% $ - $ (35.85) Distinctive Iron 05-5120 5A Structural Steel Material-Startup/Shop Drawings $ 38,200.00 $ - $ - $ 38,200.00 $ 38,200.00 $ 38,200.00 100.00% $ - $ 1,910.00 Distinctive Iron 05-5120 5A Structural Steel -Material $ 75,000.00 $ - $ - $ 75,000.00 $ 75,000.00 $ 75,000.00 100.00% $ - $ 3,750.00 Distinctive Iron 05-5120 5A Steel Material-Joist/Deck $ 115,553.75 $ - $ 87,196.25 $ 202,750.00 $ 202,750.00 $ 202,750.00 100.00% $ - $ 10,137.50 Distinctive Iron 05-5120 5A Steel Material-Misc $ 67,006.25 $ - $ - $ 67,006.25 $ 67,006.25 $ 67,006.25 100.00% $ - $ 3,350.31 Distinctive Iron 05-5120 5A CO#1 Salvaged Steel Bollards $ - $ - $ (1,232.00) $ (1,232.00) $ (1,232.00) $ (1,232.00) 100.00% $ - $ (61.60) Distinctive Iron 05-5120 5A CO#2 Increased RTU Loads $ - $ - $ 1,305.28 $ 1,305.28 $ 1,305.28 $ 1,305.28 100.00% $ - $ 65.26 Distinctive Iron 05-5120 5A CO#3 RFI#54 WS Beam Connections $ - $ - $ 1,406.22 $ 1,406.22 $ 1,406.22 $ 1,406.22 100.00% $ - $ 70.31 Distinctive Iron 05-5120 5A CO#4 RFI#46 Trench Drain Grates $ - $ - $ 415.34 $ 415.34 $ 415.34 $ 415.34 100.00% $ - $ 20.77 Distinctive Iron 05-5120 5A CO#5 Predrilling Sill Angles for Centuryto Install $ - $ - $ 676.41 $ 676.41 $ 676.41 $ 676.41 100.00% $ - $ 33.62 Distinctive Iron 05-5120 5A CO#6 RFI#69 Removal of 6x4x1/4'' Angle At OH App Doors $ - $ $ (2,038.93) $ (2,038.93) $ (2,038.93) $ (2,038.93) 100.00% $ - $ (101.95) Distinctive Iron 05-5120 5A CO#7 ASI#BR Roof Transitions $ - $ - $ 6,193.52 $ 6,193.52 $ 6,193.52 $ 6,193.52 100.00% $ - $ 309.66 Distinctive Iron 05-5120 5A CO#B DI Pre Drilling $ - $ - $ 466.54 $ 466.54 $ 466.54 $ 466.54 100.00% $ - $ 23.43 Distinctive Iron 05-5120 5A CO#9 COR#37 Added 2 Loose Lintels $ - $ - $ 512.65 $ 512.65 $ 512.65 $ 512.65 100.00% $ - $ 25.63 Distinctive Iron 05-5120 5A CO#10 COR#36R Added Steel $ - $ - $ 3,702.44 $ 3,702.44 $ 3,702.44 $ 3,702.44 100.00% $ - $ 165.12 Distinctive Iron 05-5120 5A CO#11 RFI#103 Angles Above W1 Windows $ - $ - $ 1,062.67 $ 1,062.67 $ 1,062.67 $ 1,062.67 100.00% $ - $ 53.13 Distinctive Iron 05-5120 5A CO#12 RFI#109 $ - $ - $ (212.00) $ (212.00) $ (212.00) $ (212.00) 100.00% $ - $ (10.60) Distinctive Iron 05-5120 5A CO#13 RFI#100 $ - $ - $ 2,775.64 $ 2,775.64 $ - $ - 0.00% $ 2,775.64 $ - Distinctive Iron 05-5120 5A CO#14 Replacement MC6x12 $ - $ - $ 2,135.02 $ 2,135.02 $ 2,135.02 $ 2,135.02 100.00% $ - $ 106.75 Distinctive Iron 05-5120 5A CO#15 Supportfor P3At App Bay $ - $ - $ (212.00) $ (212.00) $ - $ - 0.00% $ (212.00) $ - Distinctive Iron 05-5120 5A CO#16 RFI#156Angle Iron Material $ - $ - $ 1,203.29 $ 1,203.29 $ - $ - 0.00% $ 1,203.29 $ Distinctive Iron 05-5120 5A CO#17 Added Steel Plate at Training Tower $ - $ - $ 633.64 $ 633.64 $ - $ - 0.00% $ 633.64 $ - Patriot Erectors 05-5121 5B Structural Steel Erection $ 58,000.00 $ - $ - $ 58,000.00 $ 58,000.00 $ 58,000.00 100.00% $ - $ 2,900.00 Patriot Erectors 05-5121 5B Joists & Decking $ 29,575.00 $ - $ - $ 29,575.00 $ 29,575.00 $ 29,575.00 100.00% $ - $ 1,478.75 Patriot Erectors 05-5121 5B Metal Fabrications $ 26,175.00 $ - $ - $ 26,175.00 $ 25,175.00 $ 1,000.00 $ 26,175.00 100.00% $ - $ 1,308.75 Patriot Erectors 05-5121 5B Bond $ 4,000.00 $ - $ - $ 4,000.00 $ 4,000.00 $ 4,000.00 100.00% $ - $ 200.00 Patriot Erectors 05-5121 5B CO#1 PR#2R Clerestory Head Detail $ - $ - $ 6,784.00 $ 6,784.00 $ 6,784.00 $ 6,784.00 100.00% $ - $ 339.20 Patriot Erectors 05-5121 5B CO#2 LT GA 3x3 Cavity Closure Angle Install $ - $ - $ 1,272.00 $ 1,272.00 $ 1,272.00 $ 1,272.00 100.00% $ - $ 63.60 Patriot Erectors 05-5121 5B CO#3 RFI#69 Removal of angle at App Doors $ - $ - $ (1,060.00) $ (1,060.00) $ (1,060.00) $ (1,060.00) 100.00% $ - $ (53.00) Patriot Erectors 05-5121 5B CO#4 ASI#BR Roof Transition $ - $ - $ 530.00 $ 530.00 $ 530.00 $ 530.00 100.00% $ - $ 26.50 Patriot Erectors 05-5121 5B CO#5 RFI#92 Slab Edge Detail at Mezzanine Opening $ - $ - $ 230.00 $ 230.00 $ 230.00 $ 230.00 100.00% $ - $ 11.50 Patriot Erectors 05-5121 5B CO#6 PR#16 $ - $ - $ 477.00 $ 477.00 $ 477.00 $ 477.00 100.00% $ - $ 23.65 Patriot Erectors 05-5121 5B CO#7 RFI#103 Angles Above W1 Windows $ - $ - $ 424.00 $ 424.00 $ 424.00 $ 424.00 100.00% $ - $ 21.20 Patriot Erectors 05-5121 5B CO#B RFI#109 $ - $ - $ 212.00 $ 212.00 $ 212.00 $ 212.00 100.009 $ - $ 10.60 Patriot Erectors 05-5121 5B CO#9 RFI#100 $ - $ - $ 742.00 $ 742.00 $ 742.00 $ 742.00 100.00% $ - $ 37.10 Patriot Erectors 05-5121 5B CO#10 RFI #101 $ - $ - $ 212.00 $ 212.00 $ 212.00 $ 212.00 100.009 $ - $ 10.60 Patriot Erectors 05-5121 5B CO#11 RFI#156 Additional Angle Iron for Fan $ - $ - $ 1,612.00 $ 1,612.00 $ 1,612.00 $ 1,612.00 100.00% $ - $ 60.60 Patriot Erectors 05-5121 5B CO#12 RFI#159 Training Tower Welding $ - $ - $ 424.00 $ 424.00 $ 424.00 $ 424.00 100.00% $ - $ 21.20 Page 2 / 10 TarERoiv NumberStatic 05 m Terra 0 k River Fire&ati on #3 G O N S T R UCTI ON City of Elk River CONTINUATION SHEET AIA DOCUMENTG703 AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 15 Contractor's signed certification is attached. APPLICATION DATE: 4/30/22 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 4/30/22 Use Column I on Contracts where variable retainage for line items may apply. A A.1 B C CA C.2 C.3 D E F G H I SUBCONTRACTOR ITEM BID DESCRIPTION OF WORK SCHEDULED CHANGE BUDGET REVISED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE VENDOR NO. PACK VALUE ORDERS REVISION/ SCHEDULED PRESENTLY COMPLETED (G+C) TO FINISH (IF VARIABLE FROM PREVIOUS THIS PERIOD EMPLOYEE NO. CONTINGENCY VALUE APPLICATION STORED AND STORED (C -G) RATE) COST TRANSFER (D+E) (NOT IN TO DATE CODE D OR E) (D+E+F) Patriot Erectors 05-5121 5B CO#13 RFI#140 Rapelling Anchors $ - $ - $ 1,219.00 $ 1,219.00 $ 1,219.00 $ 1,219.00 100.00% $ - $ 60.95 Century Construction 06-6100 6A Performance & Payment Bond $ 6,400.00 $ - $ - $ 6,400.00 $ 6,400.00 $ 6,400.00 100.00% $ - $ 320.00 Ce ntury Construction 06-6100 6A Allowance $ 10,000.00 $ - $ - $ 10,000.00 $ 6,069.50 $ 6,069.50 60.70% $ 3,930.50 $ 303.48 Century Construction 06-6100 6A Mobilization $ 3,100.00 $ - $ - $ 3,100.00 $ 2,170.00 $ 310.00 $ 2,480.00 80.00% $ 620.00 $ 124.00 Century Construction 06-6100 6A Materials $ 97,000.00 $ - $ - $ 97,000.00 $ 58,508.00 $ 16,490.00 $ 74,998.00 77.32% $ 22,002.00 $ 3,749.90 Century Construction 06-6100 6A Material Blocking $ 12,000.00 $ - $ - $ 12,000.00 $ 12,000.00 $ 12,000.00 100.00% $ - $ 600.00 Century Construction 06-6100 6A Install Roof Blocking $ 43,000.00 $ - $ - $ 43,000.00 $ 43,000.00 $ 43,000.00 100.00% $ - $ 2,150.00 Century Construction 06-6100 6A Install In Wall Blocking $ 8,000.00 $ - $ - $ 8,000.00 $ 8,000.00 $ 8,000.00 100.00% $ - $ 400.00 Century Construction 06-6100 6A Cabinets and Millwork $ 8,500.00 $ - $ - $ 8,500.00 $ 8,500.00 $ 8,500.00 100.00% $ - $ 425.00 Century Construction 06-6100 6A Specialties $ 32,000.00 $ - $ - $ 32,000.00 $ - $ 8,000.00 $ 8,000.00 25.00% $ 24,000.00 $ 400.00 Century Construction 06-6100 6A Temp Enclosures $ 6,000.00 $ - $ - $ 6,000.00 $ 6,000.00 $ 6,000.00 100.00% $ - $ 300.00 Century Construction 06-6100 6A Doors & Hardware $ 17,000.00 $ - $ - $ 17,000.00 $ 17,000.00 $ 17,000.00 100.00% $ - $ 850.00 Century Construction 06-6100 6A C041 For Distinctive to Predrill Sill Angles $ - $ - $ (676.41) $ (676.41) $ (676.41) $ (676.41) 100.00% $ - $ (33.82) Century Construction 06-6100 6A C042 PR#15 Flagpoles $ - $ - $ (277.00) $ (277.00) $ (277.00) $ (277.00) 100.00% $ - $ (13.85) Century Construction 06-6100 6A C043 Disctinctive Predrill Holes for Operable Partition $ - $ - $ (468.54) $ (468.54) $ (468.54) $ (468.54) 100.00% $ - $ (23.43) Century Construction 06-6100 6A C044 Wood Blockingat Heads of W1 (Used $855 of Allowance) $ - $ - $ - $ - $ - $ - #DIV/01 $ - $ - Century Construction 06-6100 6A C045 RFI#110 Wood Blocking $ - $ - $ 534.35 $ 534.35 $ 534.35 $ 534.35 100.00% $ - $ 26.72 Century Construction 06-6100 6A C046 Allowance Usage (Remaining $8,290) $ - $ - $ - $ - $ - $ - #DIV/01 $ - $ - Century Construction 06-6100 6A C047 Allowance Usage (Remaining $7,018) $ - $ - $ (1,272.00) $ (1,272.00) $ (1,272.00) $ (1,272.00) 100.00% $ $ (63.60) Century Construction 06-6100 6A C048PR#18Added Paper Towel/Trash Units $ - $ - $ 2,248.00 $ 2,248.00 $ 2,248.00 $ 2,248.00 100.00% $ - $ 112.40 Century Construction 06-6100 6A C099 CSI Div-10 Additional Charges $ - $ - $ 2,335.50 $ 2,335.50 $ 87.50 $ 87.50 3.75% $ 2,248.00 $ 4.38 Century Construction 06-6100 6A CO#10 Interior Signage $ - $ - $ (572.82) $ (572.82) $ (572.82) $ (572.82) 100.00% $ - $ (28.64) Century Construction 06-6100 6A CO#11 Allowance Usgage (Remaining $3930.50) $ - $ - $ - $ - $ - $ - #DIV/01 $ $ - Century Construction 06-6100 6A CO#12 RFI#201 Bondo and Reinstall Door 108 $ - $ - $ 479.27 $ 479.27 $ - $ - 0.00% $ 479.27 $ - Northern Woodwork 06-6400 6B Architectural Millwork $ 45,900.00 $ - $ - $ 45,900.00 $ 17,917.64 $ 27,982.36 $ 45,900.00 100.00% $ - $ 2,295.00 Northern Woodwork 06-6400 6B C041 PR#18 $ - $ - $ 165.00 $ 165.00 $ 165.00 $ 165.00 100.00% $ - $ 8.25 Quality Coatings 07-7210 7C Fluid Applied Air Barrier $ 38,600.00 $ - $ - $ 38,600.00 $ 38,600.00 $ 38,600.00 100.00% $ - $ 1,930.00 Quality Coatings 07-7210 7C C041 ASI#8R Removal of Tranisition Membrane $ - $ - $ (800.00) $ (800.00) $ (800.00) $ (800.00) 100.00% $ - $ (40.00) Quality Coatings 07-7210 7C C042 Remove and Reinstall AS at W1 $ - $ - $ 1,590.00 $ 1,590.00 $ 1,590.00 $ 1,590.00 100.00% $ - $ 79.50 Quality Coatings 07-7210 7C C043 PR#20 $ - $ - $ (200.00) $ (200.00) $ - $ - 0.00% $ (200.00) $ - Horizon Roofing 07-7520 7A& 7B Roofing& Metal Wall Panels $ 385,124.00 $ - $ - $ 385,124.00 $ 332,347.80 $ 35,762.44 $ 368,110.24 95.58% $ 17,013.76 $ 18,405.51 Horizon Roofing 07-7520 7A&7B C041 ASI#5 LTAngles $ - $ - $ 5,750.00 $ 5,750.00 $ 5,750.00 $ 5,750.00 100.00% $ - $ 287.50 Horizon Roofing 07-7520 7A & 7B C042 ASI#8R Reduction of Roof Membrane $ - $ - $ 2,600.00 $ 2,600.00 $ 2,600.00 $ 2,600.00 100.00% $ - $ 130.00 Horizon Roofing 07-7520 7A&7B C043 PR#14 Parapet Roofing Membrane $ - $ - $ (1,650.00) $ (1,650.00) $ (1,650.00) $ (1,650.00) 100.00% $ - $ (82.50) Horizon Roofing 07-7520 7A&7B C044 Overtime Work on 11/6 $ - $ - $ 2,682.00 $ 2,682.00 $ 2,682.00 $ 2,682.00 100.00% $ - $ 134.10 Horizon Roofing 07-7520 7A&7B C045 RFI#100 $ - $ - $ 1,350.00 $ 1,350.00 $ - $ - 0.00% $ 1,350.00 $ - HorizonRoofing 07-7520 7A&7B C0464th Floor Training Tower Roofing Membrane $ - $ - $ (935.00) $ (935.00) $ - $ - 0.00% $ (935.00) $ - HorizonRoofing 07-7520 7A&7B C047 Wall Reflashingattops of Parapet Walls $ - $ - $ 1,425.00 $ 1,425.00 $ - $ 1,425.00 $ 1,425.00 100.00% $ - $ 71.25 Horizon Roofing 07-7520 7A & 7B C048 Emergency Repairs on 12/17 $ - $ - $ 1,325.00 $ 1,325.00 $ - $ 1,325.00 $ 1,325.00 100.00% $ - $ 66.25 Horizon Roofing 07-7520 7A&7B C049 Saddle Repair at existingsaddle at North Training Tower $ - $ - $ 2,980.00 $ 2,980.00 $ - $ 2,980.00 $ 2,980.00 100.00% $ - $ 149.00 Spec 07-7520 RFI#163 Training Tower Roofing Membrane $ - $ 5,513.00 $ 5,513.00 $ 5,513.00 $ 5,513.00 100.00% $ - $ 275.65 Sunrise Speciality 07-7900 7D Joint Sealants $ 45,470.00 $ - $ - $ 45,470.00 $ 22,735.00 $ 9,094.00 $ 31,829.00 70.00% $ 13,641.00 $ 1,591.45 Page 3 / 10 TarERoiv NumberStatic 05 m Terra 0 k River Fire&ati on #3 G O N S T R UCTI ON City of Elk River CONTINUATION SHEET AIA DOCUMENTG703 AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 15 Contractor's signed certification is attached. APPLICATION DATE: 4/30/22 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 4/30/22 Use Column I on Contracts where variable retainage for line items may apply. A A.1 B C CA C.2 C.3 D E F G H I SUBCONTRACTOR ITEM BID DESCRIPTION OF WORK SCHEDULED CHANGE BUDGET REVISED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE VENDOR NO. PACK VALUE ORDERS REVISION/ SCHEDULED PRESENTLY COMPLETED (G+C) TO FINISH (IF VARIABLE FROM PREVIOUS THIS PERIOD EMPLOYEE NO. CONTINGENCY VALUE APPLICATION STORED AND STORED (C -G) RATE) COST TRANSFER (D+E) (NOT IN TO DATE CODE D OR E) (D+E+F) Sunrise Speciality 07-7900 7D CO#1 PR#2R Clerestory Head Detail $ - $ - $ 35.00 $ 35.00 $ - $ - 0.00% $ 35.00 $ - Mid -Central Door 08-8200 SA Hardware $ 41,653.67 $ - $ - $ 41,653.67 $ 24,041.51 $ 24,041.51 57.72% $ 17,612.16 $ 1,202.08 Mid -Central Door 08-8200 SA HM Door $ 22,208.67 $ - $ - $ 22,208.67 $ 22,208.67 $ 22,208.67 100.00% $ - $ 1,110.43 Mid -Central Door 08-8200 SA HM Frame $ 19,666.66 $ - $ - $ 19,666.66 $ 19,666.66 $ 19,666.66 100.00% $ - $ 983.33 Mid -Central Door 08-8200 SA Specialty $ 3,133.00 $ - $ - $ 3,133.00 $ 3,133.00 $ 3,133.00 100.00% $ - $ 156.65 Mid -Central Door 08-8200 SA WD Door $ 7,727.00 $ - $ - $ 7,727.00 $ - $ 939.65 $ 939.65 12.16% $ 6,787.35 $ 46.98 Mid -Central Door 08-8200 SA CO#1 Door Hardware Revisions (5/5/21) $ - $ - $ 2,152.97 $ 2,152.97 $ 2,152.97 $ 2,152.97 100.00% $ - $ 107.65 Mid -Central Door 08-8200 SA CO#2 Door Frame 108 Refab Door (From Camco) $ - $ - $ 740.00 $ 740.00 $ - $ 740.00 $ 740.00 100.00% $ - $ 37.00 American Door Works 08-8361 SB Sectional Overhead Doors $ 170,570.00 $ - $ - $ 170,570.00 $ - $ - 0.00% $ 170,570.00 $ - American Door Works 08-8361 SB CO#1 PR#2 Overhead Doors & Circuiting $ - $ - $ (37,217.00) $ (37,217.00) $ - $ - 0.00% $ (37,217.00) $ - American Door Works 08-8361 SB CO#2 PR#12 Revised the 3 OH Doors $ - $ - $ (36,410.00) $ (36,410.00) $ - $ - 0.00% $ (36,410.00) $ - Hallmark Glass 08-8800 SC Shop Drawings $ 3,500.00 $ - $ - $ 3,500.00 $ 3,500.00 $ 3,500.00 100.00% $ - $ 175.00 Hallmark Glass 08-8800 SC Bond $ 5,000.00 $ - $ - $ 5,000.00 $ 5,000.00 $ 5,000.00 100.00% $ - $ 250.00 Hallmark Glass 08-8800 SC Aluminum Labor $ 32,630.00 $ - $ - $ 32,630.00 $ 32,630.00 $ 32,630.00 100.00% $ - $ 1,631.50 Hallmark Glass 08-8800 SC Aluminum Material $ 48,750.00 $ - $ - $ 48,750.00 $ 48,750.00 $ 48,750.00 100.00% $ - $ 2,437.50 Hallmark Glass 08-8800 SC Door Hardware Labor $ 3,000.00 $ - $ - $ 3,000.00 $ 3,000.00 $ 3,000.00 100.00% $ - $ 150.00 Hallmark Glass 08-8800 SC Door Hardware material $ 26,000.00 $ $ - $ 26,000.00 $ 26,000.00 $ 26,000.00 100.00% $ - $ 1,300.00 Hallmark Glass 08-8800 SC Glass & Glazing Labor $ 10,200.00 $ - $ - $ 10,200.00 $ 9,200.00 $ 1,000.00 $ 10,200.00 100.00% $ - $ 510.00 Hallmark Glass 08-8800 SC Glass& Glazing Material $ 29,000.00 $ - $ - $ 29,000.00 $ 29,000.00 $ 29,000.00 100.00% $ - $ 1,450.00 Hallmark Glass 08-8800 SC Arch Louvers Labor $ 1,620.00 $ - $ - $ 1,620.00 $ 1,620.00 $ 1,620.00 100.00% $ - $ 81.00 Hallmark Glass 08-8800 SC Arch Louvers Material $ 3,800.00 $ - $ - $ 3,800.00 $ 3,800.00 $ 3,800.00 100.00% $ - $ 190.00 Hallmark Glass 08-8800 SC CO#1 RFI#181 SF 140X SF Head Detail $ - $ - $ 362.00 $ 362.00 $ 362.00 $ 362.00 100.00% $ - $ 18.10 Niemela Design and Construction 09-9250 9A Framing- Material $ 19,873.00 $ - $ - $ 19,873.00 $ 19,873.00 $ 19,873.00 100.00% $ - $ 993.65 Niemela Design and Construction 09-9250 9A Insulation - Material $ 5,063.00 $ - $ - $ 5,063.00 $ 5,063.00 $ 5,063.00 100.00% $ - $ 253.15 Niemela Design and Construction 09-9250 9A Drywall- Material $ 20,024.00 $ - $ - $ 20,024.00 $ 20,024.00 $ 20,024.00 100.00% $ - $ 1,001.20 Niemela Design and Construction 09-9250 9A Taping/Finishing- Material $ 2,930.00 $ - $ - $ 2,930.00 $ 2,930.00 $ 2,930.00 100.00% $ - $ 146.50 Niemela Design and Construction 09-9250 9A Sealants/Acoustical- Material $ 2,500.00 $ - $ - $ 2,500.00 $ 2,500.00 $ 2,500.00 100.00% $ - $ 125.00 Niemela Design and Construction 09-9250 9A FRP - Material $ 806.00 $ - $ - $ 806.00 $ 806.00 $ 806.00 100.00% $ - $ 40.30 Niemela Design and Construction 09-9250 9A Framing- Labor $ 33,795.00 $ - $ - $ 33,795.00 $ 33,795.00 $ 33,795.00 100.00% $ - $ 1,689.75 Niemela Design and Construction 09-9250 9A Insulation - Labor $ 6,500.00 $ - $ - $ 6,500.00 $ 6,500.00 $ 6,500.00 100.00% $ - $ 325.00 Niemela Design and Construction 09-9250 9A Drywall- Labor $ 22,810.00 $ - $ - $ 22,810.00 $ 22,710.00 $ 22,710.00 99.56% $ 100.00 $ 1,135.50 Niemela Design and Construction 09-9250 9A Taping/Finishing- Labor $ 23,301.00 $ - $ - $ 23,301.00 $ 23,151.00 $ 23,151.00 99.36% $ 150.00 $ 1,157.55 Niemela Design and Construction 09-9250 9A Sealants/Acoustical- Labor $ 3,000.00 $ - $ - $ 3,000.00 $ 3,000.00 $ 3,000.00 100.00% $ - $ 150.00 Niemela Design and Construction 09-9250 9A FRP - Labor $ 630.00 $ - $ - $ 630.00 $ 630.00 $ 630.00 100.00% $ - $ 31.50 Niemela Design and Construction 09-9250 9A Equipment- Lift $ 7,500.00 $ - $ - $ 7,500.00 $ 7,500.00 $ 7,500.00 100.00% $ - $ 375.00 Niemela Design and Construction 09-9250 9A Mobilization $ 5,000.00 $ - $ - $ 5,000.00 $ 5,000.00 $ 5,000.00 100.00% $ - $ 250.00 Niemela Design and Construction 09-9250 9A Bonding $ 2,915.00 $ - $ - $ 2,915.00 $ 2,915.00 $ 2,915.00 100.00% $ - $ 145.75 Niemela Design and Construction 09-9250 9A Allowance (Terra Directed) $ 5,000.00 $ - $ - $ 5,000.00 $ - $ - 0.00% $ 5,000.00 $ - Niemela Design and Construction 09-9250 9A Allowance -Access Panels $ 2,000.00 $ - $ - $ 2,000.00 $ - $ - 0.00% $ 2,000.00 $ - Niemela Design and Construction 09-9250 9A CO#1 PR#2R Clerestory Head Detail $ - $ $ 4,963.35 $ 4,963.35 $ 4,963.35 $ 4,963.35 100.00% $ - $ 248.17 Niemela Design and Construction 09-9250 9A CO#2 PR#3R $ - $ - $ (357.00) $ (357.00) $ (357.00) $ (357.00) 100.00% $ - $ (17.85) Niemela Design and Construction 09-9250 9A CO#3 ASI#9 Soffit Revisions $ - $ $ 295.00 $ 295.00 $ 295.00 $ 295.00 100.00% $ - $ 14.75 Niemela Design and Construction 09-9250 9A CO#4 RFI#107 $ - $ - $ 213.00 $ 213.00 $ 213.00 $ 213.00 100.00% $ - $ 10.65 Niemela Design and Construction 09-9250 9A CO#5 RFI#100 $ - $ - $ 433.00 $ 433.00 $ 433.00 $ 433.00 100.00% $ - $ 21.65 Page 4 / 10 TarERoiv NumberStatic 05 m Terra 0 k River Fire&ati on #3 G O N S T R UCTI ON City of Elk River CONTINUATION SHEET AIA DOCUMENTG703 AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 15 Contractor's signed certification is attached. APPLICATION DATE: 4/30/22 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 4/30/22 Use Column I on Contracts where variable retainage for line items may apply. A A.1 B C CA C.2 C.3 D E F G H I SUBCONTRACTOR ITEM BID DESCRIPTION OF WORK SCHEDULED CHANGE BUDGET REVISED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE VENDOR NO. PACK VALUE ORDERS REVISION/ SCHEDULED PRESENTLY COMPLETED (G+C) TO FINISH (IF VARIABLE FROM PREVIOUS THIS PERIOD EMPLOYEE NO. CONTINGENCY VALUE APPLICATION STORED AND STORED (C -G) RATE) COST TRANSFER (D+E) (NOT IN TO DATE CODE D OR E) (D+E+F) Niemela Design and Construction 09-9250 9A CO#6 RFI#121 $ - $ - $ 250.00 $ 250.00 $ 250.00 $ 250.00 100.00% $ - $ 12.50 Niemela Design and Construction 09-9250 9A CO#7 PR#16Added Framingfor Trash Units $ - $ - $ 1,050.00 $ 1,050.00 $ 1,050.00 $ 1,050.00 100.00% $ - $ 52.50 Niemela Design and Construction 09-9250 9A CO#B RFI#154 2'' XPS Tile Backer at Wellness Room $ - $ - $ 5,666.00 $ 5,666.00 $ 5,666.00 $ 5,666.00 100.00% $ - $ 264.40 Niemela Design and Construction 09-9250 9A CO#9 CMU Laminating and Skim Coating $ - $ - $ 10,300.00 $ 10,300.00 $ 10,300.00 $ 10,300.00 100.00% $ - $ 515.00 Niemela Design and Construction 09-9250 9A CO#10 Added Trip Charge $ - $ - $ 950.00 $ 950.00 $ 950.00 $ 950.00 100.00% $ - $ 47.50 Niemela Design and Construction 09-9250 9A CO#11 Option 1 Hilti Spray & Paint $ - $ - $ 4,613.00 $ 4,613.00 $ 4,613.00 $ 4,613.00 100.00% $ - $ 230.65 Niemela Design and Construction 09-9250 9A CO#12 PR#20 $ - $ - $ (245.00) $ (245.00) $ (245.00) $ (245.00) 100.00% $ - $ (12.25) Niemela Design and Construction 09-9250 9A CO#13 RFI#150 $ - $ - $ 1,369.00 $ 1,369.00 $ 1,369.00 $ 1,369.00 100.00% $ - $ 66.45 Niemela Design and Construction 09-9250 9A CO#14 Creditfor Gyp at SF140X Head Detail $ - $ - $ (50.00) $ (50.00) $ - $ - 0.00% $ (50.00) $ - Niemela Design and Construction 09-9250 9A CO#15Access Panel Allowance Usage ($0 Remanining) $ - $ - $ - $ - $ - $ - #DIV/01 $ - $ - Niemela Design and Construction 09-9250 9A CO#16 Using$330of $5000AIlowance ($4670 Remaining) $ - $ - $ - $ - $ - $ - #DIV/01 $ - $ - Niemela Design and Construction 09-9250 9A CO#17 Using$325 of Allowance ($4345 Remaining) $ - $ - $ - $ - $ - $ - #DIV/01 $ - $ - Niemela Design and Construction 09-9250 9A CO#16 Soffit Expansion Joint Painting $ - $ - $ (823.00) $ (823.00) $ - $ - 0.00% $ (823.00) $ - Tim's Construction Group 09-9300 9B Labor $ 23,450.00 $ - $ - $ 23,450.00 $ 23,450.00 $ 23,450.00 100.00% $ - $ 1,172.50 Tim's Construction Group 09-9300 9B Tile Material $ 26,365.00 $ - $ - $ 26,365.00 $ 26,365.00 $ 26,365.00 100.00% $ - $ 1,318.25 Tim's Construction Group 09-9300 9B CO#1 - PR#20 $ - $ - $ (210.00) $ (210.00) $ (210.00) $ (210.00) 100.00% $ - $ (10.50) Sonus Interiors 09-9510 9C ACT-1 Material $ 9,850.00 $ - $ - $ 9,850.00 $ 5,000.00 $ 4,850.00 $ 9,850.00 100.00% $ - $ 492.50 Sonus Interiors 09-9510 9C ACT-1 Labor $ 6,936.00 $ - $ - $ 6,936.00 $ - $ 6,936.00 $ 6,936.00 100.00% $ - $ 346.60 Sonus Interiors 09-9510 9C ACP Material $ 61,659.00 $ - $ - $ 61,659.00 $ 35,860.00 $ 25,799.00 $ 61,659.00 100.00% $ - $ 3,082.95 Sonus Interiors 09-9510 9C ACP Labor $ 9,674.00 $ - $ - $ 9,674.00 $ - $ 9,674.00 $ 9,674.00 100.00% $ - $ 463.70 Sonus Interiors 09-9510 9C Bond $ 1,231.00 $ - $ - $ 1,231.00 $ - $ 1,231.00 $ 1,231.00 100.00% $ - $ 61.55 Sonus Interiors 09-9510 9C CO#1 PR#3R $ - $ - $ 1,130.00 $ 1,130.00 $ - $ 1,130.00 $ 1,130.00 100.00% $ - $ 56.50 Sonus Interiors 09-9510 9C CO#2 RFI#76 Extended Wall Track $ - $ - $ 637.00 $ 637.00 $ - $ 637.00 $ 637.00 100.00% $ - $ 31.65 Sonus Interiors 09-9510 9C CO#3 ASI#9 Removed ACT in Room 124 $ - $ - $ (257.00) $ (257.00) $ - $ (257.00) $ (257.00) 100.00% $ - $ (12.85) Centennial Flooring 09-9660 9D Carpet & Resilient Flooring -Material $ 14,000.00 $ - $ - $ 14,000.00 $ 14,000.00 $ 14,000.00 100.00% $ - $ 700.00 Centennial Flooring 09-9660 9D Carpet & Resilient Flooring -Labor $ 5,500.00 $ - $ - $ 5,500.00 $ - $ 5,500.00 $ 5,500.00 100.00% $ - $ 275.00 Centennial Flooring 09-9660 9D CO#1 RFI#143 Added LokDots $ - $ - $ 215.00 $ 215.00 $ - $ 215.00 $ 215.00 100.00% $ - $ 10.75 Steinbrecher Painting 09-9910 9F Painting& Wallcovering $ 76,200.00 $ - $ - $ 76,200.00 $ 76,200.00 $ 76,200.00 100.00% $ - $ 3,810.00 Ste in brecher Pa inting 09-9910 9F CO#1 ASI#10 Interior Finishes $ - $ - $ 673.00 $ 673.00 $ 673.00 $ 673.00 100.00% $ - $ 33.65 Ste inbrecher Painting 09-9910 9F CO#2 Added Painting at M04 & Vestibule 107 PR#20 $ - $ - $ 415.00 $ 415.00 $ 415.00 $ 415.00 100.00% $ - $ 20.75 Ste inbrecher Pa inting 09-9910 9F CO#3 Painting Soffits after Control Joints $ - $ - $ 623.00 $ 623.00 $ - $ - 0.00% $ 623.00 $ - Steinbrecher Painting 09-9910 9F CO#4 RFI#201 Repainting Door Frame 106 $ - $ - $ 717.00 $ 717.00 $ - $ - 0.00% $ 717.00 $ - Peterson Sheet Metal 15-1500 22A Mechanical -Fabricated Ductwork $ 16,475.00 $ - $ - $ 16,475.00 $ 16,475.00 $ 16,475.00 100.00% $ - $ 623.75 Peterson Sheet Metal 15-1500 22A Mechanical -Duct Field Material $ 19,439.00 $ - $ - $ 19,439.00 $ 19,244.61 $ 194.39 $ 19,439.00 100.00% $ - $ 971.95 Peterson Sheet Metal 15-1500 22A Mechanical -Plumbing Material $ 71,868.00 $ - $ - $ 71,868.00 $ 68,274.60 $ 3,593.40 $ 71,868.00 100.00% $ - $ 3,593.40 Peterson Sheet Metal 15-1500 22A Mechanical -Piping Material $ 40,271.00 $ - $ - $ 40,271.00 $ 40,271.00 $ 40,271.00 100.00% $ - $ 2,013.55 Peterson Sheet Metal 15-1500 22A Mechanical -Insulation Material $ 16,961.00 $ - $ - $ 16,961.00 $ 15,773.73 $ 1,187.27 $ 16,961.00 100.00% $ - $ 646.05 Peterson Sheet Metal 15-1500 22A Mechanical -Ventilation Material $ 84,721.00 $ - $ - $ 84,721.00 $ 83,026.58 $ 1,694.42 $ 84,721.00 100.00% $ - $ 4,236.05 Peterson Sheet Metal 15-1500 22A Mechanical -Plumbing Labor $ 146,790.00 $ - $ - $ 146,790.00 $ 140,918.40 $ 5,871.60 $ 146,790.00 100.00% $ - $ 7,339.50 Peterson Sheet Metal 15-1500 22A Mechanical -Piping Labor $ 78,083.00 $ - $ - $ 78,083.00 $ 74,959.68 $ 3,123.32 $ 78,083.00 100.00% $ - $ 3,904.15 Peterson Sheet Metal 15-1500 22A Mechanical -Insulation Labor $ 35,439.00 $ - $ - $ 35,439.00 $ 33,667.05 $ 1,771.95 $ 35,439.00 100.00% 1,771.95 Peterson Sheet Metal 15-1500 22A Mechanical -Ventilation Equipment $ 84,178.00 $ - $ - $ 84,178.00 $ 84178.00 $ 84,178.00 100.00% $ $ 4208.90 Peterson Sheet Metal 15-1500 22A Mechanical -Plumbing Fixtures/Equip $ 96,598.00 $ - $ - $ 96,596.00 $ 93:666.10 $ 4,929.90 $ 96,598.00 100.00% $ - $ 4:929.90 Page 5/10 TarERoiv NumberStatic 05 m Terra 0 k River Fire&ati on #3 G O N S T R UCTI ON City of Elk River CONTINUATION SHEET AIA DOCUMENTG703 AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 15 Contractor's signed certification is attached. APPLICATION DATE: 4/30/22 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 4/30/22 Use Column I on Contracts where variable retainage for line items may apply. A A.1 B C CA C.2 C.3 D E F G H I SUBCONTRACTOR ITEM BID DESCRIPTION OF WORK SCHEDULED CHANGE BUDGET REVISED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE VENDOR NO. PACK VALUE ORDERS REVISION/ SCHEDULED PRESENTLY COMPLETED (G+C) TO FINISH (IF VARIABLE FROM PREVIOUS THIS PERIOD EMPLOYEE NO. CONTINGENCY VALUE APPLICATION STORED AND STORED (C -G) RATE) COST TRANSFER (D+E) (NOT IN TO DATE CODE D OR E) (D+E+F) Peterson Sheet Metal 15-1500 22A Mechanical -Piping Equipment $ 57,433.00 $ - $ - $ 57,433.00 $ 57,433.00 $ 57,433.00 100.00% $ - $ 2,871.65 Peterson Sheet Metal 15-1500 22A Mechanical -Refer Piping/Startup $ 4,394.00 $ - $ - $ 4,394.00 $ 2,636.40 $ 1,757.60 $ 4,394.00 100.00% $ - $ 219.70 Peterson Sheet Metal 15-1500 22A Mechanical -Balancing $ 7,976.00 $ - $ - $ 7,976.00 $ - $ 7,976.00 $ 7,976.00 100.00% $ - $ 396.60 Peterson Sheet Metal 15-1500 22A Mechanical -Temp Controls $ 66,259.00 $ - $ - $ 66,259.00 $ 62,946.05 $ 3,312.95 $ 66,259.00 100.00% $ - $ 3,312.95 Peterson Sheet Metal 15-1500 22A Mechanical -Crane $ 1,785.00 $ - $ - $ 1,785.00 $ 1,785.00 $ 1,785.00 100.00% $ - $ 69.25 Peterson Sheet Metal 15-1500 22A Mechanical -Permits $ 15,000.00 $ - $ - $ 15,000.00 $ 15,000.00 $ 15,000.00 100.00% $ - $ 750.00 Peterson Sheet Metal 15-1500 22A Mechanical -Bond $ 8,000.00 $ - $ - $ 8,000.00 $ 8,000.00 $ 8,000.00 100.00% $ - $ 400.00 Peterson Sheet Metal 15-1500 22A Mechanical -Submittals $ 5,000.00 $ - $ - $ 5,000.00 $ 5,000.00 $ 5,000.00 100.00% $ - $ 250.00 Peterson Sheet Metal 15-1500 22A Mechanical -General Administration $ 63,330.00 $ - $ - $ 63,330.00 $ 56,997.00 $ 6,333.00 $ 63,330.00 100.00% $ - $ 3,166.50 Peterson Sheet Metal 15-1500 22A CO#1 PR#3R $ - $ - $ 3,532.00 $ 3,532.00 $ 3,532.00 $ 3,532.00 100.00% $ - $ 176.60 Peterson Sheet Metal 15-1500 22A CO#2 Added expansion tankforsnow melt $ - $ - $ 2,504.00 $ 2,504.00 $ 2,504.00 $ 2,504.00 100.00% $ - $ 125.20 Peterson Sheet Metal 15-1500 22A CO#3 App Bay Truck Fill & Compressed Air $ - $ - $ 30,621.00 $ 30,621.00 $ 30,621.00 $ 30,621.00 100.00% $ - $ 1,531.05 Peterson Sheet Metal 15-1500 22A CO#4 Eye Wash Station $ - $ - $ (949.00) $ (949.00) $ (949.00) $ (949.00) 100.00% $ - $ (47.45) Peterson Sheet Metal 15-1500 22A CO#5 PR#17 SCBA Compressor $ - $ - $ 1,790.00 $ 1,790.00 $ 1,790.00 $ 1,790.00 100.00% $ - $ 69.50 Peterson Sheet Metal 15-1500 22A CO#6 RFI#107 $ - $ - $ (213.00) $ (213.00) $ (213.00) $ (213.00) 100.00% $ - $ (10.65) Peterson Sheet Metal 15-1500 22A CO#7 RFI#121 $ - $ - $ (250.00) $ (250.00) $ (250.00) $ (250.00) 100.00% $ - $ (12.50) Peterson Sheet Metal 15-1500 22A CO#B PR#13 Steam Generator $ - $ - $ 8,342.00 $ 8,342.00 $ 4,923.00 $ 4,923.00 59.01% $ 3,419.00 $ 246.15 Peterson Sheet Metal 15-1500 22A CO#9 Duct Insulation Replacement (Carp Allowance) $752 $ - $ - $ - $ - $ - $ - #DIV/01 $ - $ - Peterson Sheet Metal 15-1500 22A CO#10 Added PVC Insualtion $ - $ - $ 723.00 $ 723.00 $ 723.00 $ 723.00 100.00% $ - $ 36.15 Peterson Sheet Metal 15-1500 22A CO#11 Bay Duct Relocation due to Air Drop $ - $ - $ 5,666.00 $ 5,666.00 $ 5,666.00 $ 5,666.00 100.00% $ $ 264.40 Peterson Sheet Metal 15-1500 22A CO#12 PR#22 $ - $ - $ 709.00 $ 709.00 $ 709.00 $ 709.00 100.00% $ - $ 35.45 Peterson Sheet Metal 15-1500 22A CO#13 CMU Patch workfor Duct 139 Training Room $ - $ - $ (744.50) $ (744.50) $ - $ - 0.00% $ (744.50) $ - Peterson Sheet Metal 15-1500 22A CO#14 RFI#163 Revised Exhaust Air Register Size $ - $ - $ 2,503.00 $ 2,503.00 $ - $ - 0.00% $ 2,503.00 $ - Peterson Sheet Metal 15-1500 22A CO#15 RFI#139 Credit for Duct Protection $ - $ - $ (470.00) $ (470.00) $ - $ - 0.00% $ (470.00) $ - Summit Fire 15-1533 21A Labor $ 18,200.00 $ - $ - $ 18,200.00 $ 18,200.00 $ 18,200.00 100.00% $ - $ 910.00 Summit Fire 15-1533 21A Material $ 22,800.00 $ - $ - $ 22,800.00 $ 22,800.00 $ 22,800.00 100.00% $ - $ 1,140.00 Summit Fire 15-1533 21A Design $ 3,200.00 $ - $ - $ 3,200.00 $ 3,200.00 $ 3,200.00 100.00% $ - $ 160.00 Summit Fire 15-1533 21A Fabrication $ 2,600.00 $ - $ - $ 2,600.00 $ 2,600.00 $ 2,600.00 100.00% $ - $ 130.00 Summit Fire 15-1533 21A Bond $ 800.00 $ - $ - $ 800.00 $ 800.00 $ 800.00 100.00% $ - $ 40.00 Summit Fire 15-1533 21A CO#1 ASI#9 Redesigned Sprinkler Layout $ - $ - $ 620.00 $ 620.00 $ 620.00 $ 620.00 100.00% $ - $ 41.00 Klein Electric 16-1600 26A Electrical -Permit $ 1,325.00 $ - $ - $ 1,325.00 $ 1,325.00 $ 1,325.00 100.00% $ - $ 66.25 Klein Electric 16-1600 26A Electrical -Bond $ 4,347.00 $ - $ - $ 4,347.00 $ 4,347.00 $ 4,347.00 100.00% $ - $ 217.35 Klein Electric 16-1600 26A Mobilization $ 22,936.00 $ - $ - $ 22,936.00 $ 22,936.00 $ 22,936.00 100.00% $ - $ 1,146.80 Klein Electric 16-1600 26A Temp Power/Job Trailer $ 1,710.00 $ - $ - $ 1,710.00 $ 1,368.00 $ 342.00 $ 1,710.00 100.00% $ - $ 65.50 Klein Electric 16-1600 26A Temp Power/Site $ 3,325.00 $ - $ - $ 3,325.00 $ 2,660.00 $ 2,660.00 60.00% $ 665.00 $ 133.00 Klein Electric 16-1600 26A Temp Power/Building $ 3,325.00 $ - $ - $ 3,325.00 $ 2,661.00 $ 664.00 $ 3,325.00 100.00% $ - $ 166.25 Klein Electric 16-1600 26A Switchgear Package/Graybar Electric Co $ 26,645.00 $ - $ - $ 28,845.00 $ 28,845.00 $ 28,845.00 100.00% $ - $ 1,442.25 Klein Electric 16-1600 26A Utility Fees/Elk River Public Utilities $ 6,279.00 $ - $ - $ 8,279.00 $ 8,279.00 $ 8,279.00 100.00% $ - $ 413.95 Klein Electric 16-1600 26A Utility Transformer Pad Material $ 1,045.00 $ - $ - $ 1,045.00 $ 1,045.00 $ 1,045.00 100.00% $ - $ 52.25 Klein Electric 16-1600 26A Utility Transformer Pad Labor $ 1,425.00 $ - $ - $ 1,425.00 $ 1,425.00 $ 1,425.00 100.00% $ - $ 71.25 Klein Electric 16-1600 26A Service Entrance Material $ 4,834.00 $ - $ - $ 4,834.00 $ 4,834.00 $ 4,834.00 100.00% $ - $ 241.70 Klein Electric 16-1600 26A Service Entrance Labor $ 3,827.00 $ - $ - $ 3,827.00 $ 3,827.00 $ 3,827.00 100.00% $ - $ 191.35 Klein Electric 16-1600 26A Service Equipment Material $ 2,776.00 $ - $ - $ 2,776.00 $ 2,776.00 $ 2,776.00 100.00% $ - $ 136.60 Klein Electric 16-1600 26A Service Equipment Labor $ 3,277.00 $ - $ - $ 3,277.00 $ 3,277.00 $ 3,277.00 J.00.00% 163.65 Klein Electric 16-1600 26A Power Panelboards Material $ 2,739.00 $ - $ - $ 2,739.00 $ 2,739.00 $ 2,739.00 J.00.00% $ - $ 136.95 Klein Electric 16-1600 26A Power Panelboards Labor $ 2,856.00 $ - $ - $ 2,856.00 $ 2,856.00 $ 2,856.00 100.00% $ - $ 142.60 Page 6 / 10 TarERoiv NumberStatic 05 m Terra 0 k River Fire&ati on #3 G O N S T R UCTI ON City of Elk River CONTINUATION SHEET AIA DOCUMENTG703 AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 15 Contractor's signed certification is attached. APPLICATION DATE: 4/30/22 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 4/30/22 Use Column I on Contracts where variable retainage for line items may apply. A A.1 B C CA C.2 C.3 D E F G H I SUBCONTRACTOR ITEM BID DESCRIPTION OF WORK SCHEDULED CHANGE BUDGET REVISED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE VENDOR NO. PACK VALUE ORDERS REVISION/ SCHEDULED PRESENTLY COMPLETED (G+C) TO FINISH (IF VARIABLE FROM PREVIOUS THIS PERIOD EMPLOYEE NO. CONTINGENCY VALUE APPLICATION STORED AND STORED (C -G) RATE) COST TRANSFER (D+E) (NOT IN TO DATE CODE D OR E) (D+E+F) Klein Electric 16-1600 26A Generator Package/Total Energy Systems $ 79,282.00 $ - $ - $ 79,282.00 $ 23,977.00 $ 23,977.00 30.24% $ 55,305.00 $ 1,198.85 Klein Electric 16-1600 26A Generator Pad Material $ 1,235.00 $ - $ - $ 1,235.00 $ - $ - 0.00% $ 1,235.00 $ - Klein Electric 16-1600 26A Generator Pad Labor $ 1,710.00 $ - $ - $ 1,710.00 $ - $ - 0.00% $ 1,710.00 $ - Klein Electric 16-1600 26A Generator Material $ 1,562.00 $ - $ - $ 1,562.00 $ - $ - 0.00% $ 1,562.00 $ - Klein Electric 16-1600 26A Generator Labor $ 4,091.00 $ - $ - $ 4,091.00 $ - $ - 0.00% $ 4,091.00 $ - Klein Electric 16-1600 26A Generator Serivice Entrance Material $ 3,841.00 $ - $ - $ 3,841.00 $ 960.00 $ 960.00 24.99% $ 2,661.00 $ 46.00 Klein Electric 16-1600 26A Generator Serivice Entrance Labor $ 3,599.00 $ - $ - $ 3,599.00 $ 900.00 $ 900.00 25.01% $ 2,699.00 $ 45.00 Klein Electric 16-1600 26A ATS Equipment Material $ 2,309.00 $ - $ - $ 2,309.00 $ 2,309.00 $ 2,309.00 100.00% $ - $ 115.45 Klein Electric 16-1600 26A ATS Equipment Labor $ 2,901.00 $ - $ - $ 2,901.00 $ 2,901.00 $ 2,901.00 100.00% $ - $ 145.05 Klein Electric 16-1600 26A ES Panelboards Material $ 601.00 $ - $ - $ 601.00 $ 601.00 $ 601.00 100.00% $ - $ 40.05 Klein Electric 16-1600 26A ES Panelboards Labor $ 1,146.00 $ - $ - $ 1,146.00 $ 1,146.00 $ 1,146.00 100.00% $ - $ 57.30 Klein Electric 16-1600 26A Light Fixture Package/Viking Electric $ 94,954.00 $ - $ - $ 94,954.00 $ 94,954.00 $ 94,954.00 100.00% $ - $ 4,747.70 Klein Electric 16-1600 26A Fixture Material $ 6,196.00 $ - $ - $ 6,196.00 $ 4,957.00 $ 76.00 $ 5,035.00 51.26% $ 1,161.00 $ 251.75 Klein Electric 16-1600 26A Fixture Labor $ 21,162.00 $ - $ - $ 21,162.00 $ 20,929.00 $ 231.00 $ 21,160.00 99.99% $ 2.00 $ 1,058.00 Klein Electric 16-1600 26A Fixture Control Material $ 1,572.00 $ - $ - $ 1,572.00 $ 1,258.00 $ 1,258.00 50.03% $ 314.00 $ 62.90 Klein Electric 16-1600 26A Fixture Control Labor $ 4,632.00 $ - $ - $ 4,632.00 $ 3,706.00 $ 3,706.00 60.01% $ 926.00 $ 165.30 Klein Electric 16-1600 26A HVLS Fan/Big Ass Fans $ 10,123.00 $ - $ - $ 10,123.00 $ 10,123.00 $ 10,123.00 100.00% $ - $ 506.15 Klein Electric 16-1600 26A HVLS Fan Material $ 313.00 $ - $ - $ 313.00 $ 94.00 $ 94.00 30.03% $ 219.00 $ 4.70 Klein Electric 16-1600 26A HVLS Fan Labor $ 676.00 $ - $ - $ 676.00 $ 263.00 $ 263.00 29.95% $ 615.00 $ 13.15 Klein Electric 16-1600 26A Site Pole Bases Material $ 2,320.00 $ - $ - $ 2,320.00 $ 116.00 $ 116.00 5.00% $ 2,204.00 $ 5.60 Klein Electric 16-1600 26A Site Pole Bases Labor $ 2,546.00 $ - $ - $ 2,546.00 $ 127.00 $ 127.00 4.99% $ 2,419.00 $ 6.35 Klein Electric 16-1600 26A Site Pole Underground Material $ 2,318.00 $ - $ - $ 2,318.00 $ 116.00 $ 1,043.00 $ 1,159.00 50.00% $ 1,159.00 $ 57.95 Klein Electric 16-1600 26A Site Pole Underground Labor $ 3,041.00 $ - $ - $ 3,041.00 $ 152.00 $ 1,368.00 $ 1,520.00 49.96% $ 1,521.00 $ 76.00 Klein Electric 16-1600 26A Site Pole Install Material $ 96.00 $ - $ - $ 96.00 $ - $ - 0.00% $ 96.00 $ - Klein Electric 16-1600 26A Site Pole Install Labor $ 1,126.00 $ - $ - $ 1,126.00 $ - $ - 0.00% $ 1,126.00 $ - Klein Electric 16-1600 26A Site Flag Pole -Sign Material $ 1,757.00 $ - $ - $ 1,757.00 $ 88.00 $ 791.00 $ 679.00 50.03% $ 676.00 $ 43.95 Klein Electric 16-1600 26A Site Flag Pole -Sign Labor $ 1,982.00 $ - $ - $ 1,982.00 $ 99.00 $ 692.00 $ 991.00 50.00% $ 991.00 $ 49.55 Klein Electric 16-1600 26A Site Grill-Recept Material $ 376.00 $ - $ - $ 376.00 $ 19.00 $ 19.00 5.05% $ 357.00 $ 0.95 Klein Electric 16-1600 26A Site Grill-Recept Labor $ 507.00 $ - $ - $ 507.00 $ 25.00 $ 25.00 4.93% $ 462.00 $ 1.25 Klein Electric 16-1600 26A Power -Device Material $ 15,167.00 $ - $ - $ 15,167.00 $ 12,133.00 $ 12,133.00 60.00% $ 3,034.00 $ 606.65 Klein Electric 16-1600 26A Power -Device Labor $ 26,781.00 $ - $ - $ 26,781.00 $ 21,424.00 $ 21,424.00 60.00% $ 5,357.00 $ 1,071.20 Klein Electric 16-1600 26A Floor Boxes/Graybar Electric Co $ 2,011.00 $ - $ - $ 2,011.00 $ 2,011.00 $ 2,011.00 100.00% $ - $ 100.55 Klein Electric 16-1600 26A Floor Box Material $ 666.00 $ - $ - $ 666.00 $ 601.00 $ 67.00 $ 666.00 100.00% $ - $ 33.40 Klein Electric 16-1600 26A Floor Box Labor $ 2,021.00 $ - $ - $ 2,021.00 $ 1,819.00 $ 202.00 $ 2,021.00 100.00% $ - $ 101.05 Klein Electric 16-1600 26A Cord Reels/Graybar Electric Co $ 3,585.00 $ - $ - $ 3,585.00 $ 3,585.00 $ 3,585.00 100.00% $ - $ 179.25 Klein Electric 16-1600 26A Cord Reels Material $ 496.00 $ - $ - $ 496.00 $ 496.00 $ 496.00 100.00% $ - $ 24.60 Klein Electric 16-1600 26A Cord Reels Labor $ 1,694.00 $ - $ - $ 1,694.00 $ 1,694.00 $ 1,694.00 100.00% $ - $ 64.70 Klein Electric 16-1600 26A OHD Material $ 1,247.00 $ - $ - $ 1,247.00 $ 624.00 $ 623.00 $ 1,247.00 100.00% $ - $ 62.35 Klein Electric 16-1600 26A OHD Labor $ 2,742.00 $ - $ - $ 2,742.00 $ 1,371.00 $ 1,371.00 $ 2,742.00 100.00% $ - $ 137.10 Klein Electric 16-1600 26A Air Comprssor Material $ 325.00 $ - $ - $ 325.00 $ 325.00 $ 325.00 100.00% $ - $ 16.25 Klein Electric 16-1600 26A Air Comprssor Labor $ 496.00 $ - $ - $ 496.00 $ 496.00 $ 496.00 100.00% $ - $ 24.90 Klein Electric 16-1600 26A Boilers Material $ 360.00 $ - $ - $ 360.00 $ 360.00 $ 360.00 100.00% $ - $ 19.00 Klein Electric 16-1600 26A Boilers Labor $ 646.00 $ - $ - $ 646.00 $ 646.00 $ 646.00 100.00% $ - $ 32.40 Klein Electric 16-1600 26A Compressed Air Dryer Material $ 532.00 $ - $ - $ 532.00 $ 532.00 $ 532.00 100.009 $ - $ 26.60 Klein Electric 16-1600 26A Compressed Air Dryer Labor $ 540.00 $ - $ - $ 540.00 $ 540.00 $ 540.00 100.00% $ - $ 27.00 Klein Electric 16-1600 26A Condensing Unit Material $ 206.00 $ - $ - $ 206.00 $ 166.00 $ 42.00 $ 206.00 100.009 $ - $ 10.40 Klein Electric 16-1600 26A Condensing Unit Labor $ 369.00 $ - $ - $ 369.00 $ 295.00 $ 74.00 $ 369.00 100.00% $ - $ 16.45 Klein Electric 16-1600 26A Domestic Water Heater -Pump Material $ 252.00 $ - $ - $ 252.00 $ 252.00 $ 252.00 100.00% $ - $ 12.60 Page 7 / 10 TarERoiv NumberStatic 05 m Terra 0 k River Fire&ati on #3 G O N S T R UCTI ON City of Elk River CONTINUATION SHEET AIA DOCUMENTG703 AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 15 Contractor's signed certification is attached. APPLICATION DATE: 4/30/22 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 4/30/22 Use Column I on Contracts where variable retainage for line items may apply. A A.1 B C CA C.2 C.3 D E F G H I SUBCONTRACTOR ITEM BID DESCRIPTION OF WORK SCHEDULED CHANGE BUDGET REVISED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE VENDOR NO. PACK VALUE ORDERS REVISION/ SCHEDULED PRESENTLY COMPLETED (G+C) TO FINISH (IF VARIABLE FROM PREVIOUS THIS PERIOD EMPLOYEE NO. CONTINGENCY VALUE APPLICATION STORED AND STORED (C -G) RATE) COST TRANSFER (D+E) (NOT IN TO DATE CODE D OR E) (D+E+F) Klein Electric 16-1600 26A Domestic Water Heater -Pump Labor $ 561.00 $ - $ - $ 561.00 $ 561.00 $ 561.00 100.00% $ - $ 28.05 Klein Electric 16-1600 26A Exhaust -Supply Fans Material $ 1,140.00 $ - $ - $ 1,140.00 $ 1,140.00 $ 1,140.00 100.00% $ - $ 57.00 Klein Electric 16-1600 26A Exhaust -Supply Fans Labor $ 3,306.00 $ - $ - $ 3,306.00 $ 3,306.00 $ 3,306.00 100.00% $ - $ 165.30 Klein Electric 16-1600 26A Furnace Material $ 344.00 $ - $ - $ 344.00 $ 326.00 $ 326.00 94.77% $ 18.00 $ 16.30 Klein Electric 16-1600 26A Furnace Labor $ 713.00 $ - $ - $ 713.00 $ 678.00 $ 678.00 95.09% $ 35.00 $ 33.90 Klein Electric 16-1600 26A Heat Pumps -Coils Material $ 334.00 $ - $ - $ 334.00 $ 334.00 $ 334.00 100.00% $ - $ 16.70 Klein Electric 16-1600 26A Heat Pumps -Coils Labor $ 1,224.00 $ - $ - $ 1,224.00 $ 1,224.00 $ 1,224.00 100.00% $ - $ 61.20 Klein Electric 16-1600 26A Make Up Air Unit Material $ 1,334.00 $ - $ - $ 1,334.00 $ 1,001.00 $ 1,001.00 75.04% $ 333.00 $ 50.05 Klein Electric 16-1600 26A Make Up Air Unit Labor $ 1,590.00 $ - $ - $ 1,590.00 $ 1,193.00 $ 1,193.00 75.03% $ 397.00 $ 59.65 Klein Electric 16-1600 26A Pressure Washer Material $ 467.00 $ - $ - $ 467.00 $ 350.00 $ 117.00 $ 467.00 100.00% $ - $ 23.35 Klein Electric 16-1600 26A Pressure Washer Labor $ 903.00 $ - $ - $ 903.00 $ 677.00 $ 226.00 $ 903.00 100.00% $ - $ 45.15 Klein Electric 16-1600 26A Pumps Material $ 979.00 $ - $ - $ 979.00 $ 735.00 $ 735.00 75.08% $ 244.00 $ 36.75 Klein Electric 16-1600 26A Pumps Labor $ 1,443.00 $ - $ - $ 1,443.00 $ 1,082.00 $ 1,082.00 74.98% $ 361.00 $ 54.10 Klein Electric 16-1600 26A Roof Top Unit Material $ 968.00 $ - $ - $ 968.00 $ 484.00 $ 484.00 50.00% $ 484.00 $ 24.20 Klein Electric 16-1600 26A Roof Top Unit Labor $ 1,918.00 $ - $ - $ 1,918.00 $ 959.00 $ 959.00 50.00% $ 959.00 $ 47.95 Klein Electric 16-1600 26A Unit Heaters Material $ 1,200.00 $ - $ - $ 1,200.00 $ 600.00 $ 60.00 $ 660.00 55.00% $ 540.00 $ 33.00 Klein Electric 16-1600 26A Unit Heaters Labor $ 2,335.00 $ - $ - $ 2,335.00 $ 1,167.00 $ 117.00 $ 1,284.00 54.99% $ 1,051.00 $ 64.20 Klein Electric 16-1600 26A Steam Generator Material $ 542.00 $ - $ - $ 542.00 $ 135.00 $ 407.00 $ 542.00 100.00% $ - $ 27.10 Klein Electric 16-1600 26A Steam Generator Labor $ 532.00 $ - $ - $ 532.00 $ 133.00 $ 399.00 $ 532.00 100.00% $ - $ 26.60 Klein Electric 16-1600 26A DIV 27 Data Rough -In Material $ 2,714.00 $ $ - $ 2,714.00 $ 2,714.00 $ 2,714.00 100.00% $ - $ 135.70 Klein Electric 16-1600 26A DIV 27 Data Rough -In Labor $ 3,398.00 $ - $ - $ 3,398.00 $ 3,398.00 $ 3,398.00 100.00% $ - $ 169.90 Klein Electric 16-1600 26A DIV 27 AV Rough -In Material $ 1,568.00 $ - $ - $ 1,568.00 $ 1,568.00 $ 1,568.00 100.00% $ - $ 78.40 Klein Electric 16-1600 26A DIV 27 AV Rough -In Labor $ 1,760.00 $ - $ - $ 1,760.00 $ 1,760.00 $ 1,760.00 100.00% $ - $ 88.00 Klein Electric 16-1600 26A DIV 28 Fire Alarm/Twenty4Seven $ 7,044.00 $ - $ - $ 7,044.00 $ 699.00 $ 3,170.00 $ 3,869.00 54.93% $ 3,175.00 $ 193.45 Klein Electric 16-1600 26A DIV 28 Fire Alarm Rough -In Material $ 228.00 $ - $ - $ 228.00 $ 228.00 $ 228.00 100.00% $ - $ 11.40 Klein Electric 16-1600 26A DIV 28 Fire Alarm Rough -In Labor $ 1,082.00 $ - $ - $ 1,082.00 $ 1,082.00 $ 1,082.00 100.00% $ - $ 54.10 Klein Electric 16-1600 26A DIV 28 Security Rough -In Material $ 592.00 $ - $ - $ 592.00 $ 533.00 $ 29.00 $ 562.00 94.93% $ 30.00 $ 28.10 Klein Electric 16-1600 26A DIV 28 Security Rough -In Labor $ 2,765.00 $ - $ - $ 2,765.00 $ 2,491.00 $ 139.00 $ 2,630.00 95.12% $ 135.00 $ 131.50 Klein Electric 16-1600 26A DIV 28 Site Future Cameras Material $ 4,147.00 $ - $ - $ 4,147.00 $ 207.00 $ 1,866.00 $ 2,073.00 49.99% $ 2,074.00 $ 103.65 Klein Electric 16-1600 26A DIV 28 Site Future Cameras Labor $ 1,856.00 $ - $ - $ 1,856.00 $ 93.00 $ 835.00 $ 928.00 50.00% $ 928.00 $ 46.40 Klein Electric 16-1600 26A CO#1 PR#6 Generator and Transformer $ - $ - $ (19,350.00) $ (19,350.00) $ - $ (19,350.00) $ (19,350.00) 100.00% $ - $ (967.50) Klein Electric 16-1600 26A CO#2 PR#2 Overhead Doors & Circuiting $ - $ - $ 1,068.00 $ 1,068.00 $ - $ 534.00 $ 534.00 50.00% $ 534.00 $ 26.70 Klein Electric 16-1600 26A CO#3 PR#3R $ - $ - $ (443.00) $ (443.00) $ (443.00) $ (443.00) 100.00% $ - $ (22.15) Klein Electric 16-1600 26A CO#4 ASI#1/RFI#19 $ - $ - $ (2,625.00) $ (2,625.00) $ (2,625.00) $ (2,625.00) 100.00% $ - $ (131.25) Klein Electric 16-1600 26A CO#5 PR#10R $ - $ - $ 1,875.00 $ 1,875.00 $ 1,875.00 $ 1,875.00 100.00% $ - $ 93.75 Klein Electric 16-1600 26A CO#6 PR#9R Elecrical Revisions $ - $ - $ 2,370.00 $ 2,370.00 $ 1,660.00 $ 1,660.00 70.04% $ 710.00 $ 83.00 Klein Electric 16-1600 26A CO#7 ASI#4R Tower Lights $ - $ - $ 8,136.00 $ 8,136.00 $ 6,509.00 $ 1,627.00 $ 8,136.00 100.00% $ - $ 406.80 Klein Electric 16-1600 26A CO#8 PR#17 SCBA Compressor $ - $ - $ 1,354.00 $ 1,354.00 $ 1,219.00 $ 1,219.00 90.03% $ 135.00 $ 60.95 Klein Electric 16-1600 26A CO#9 RFI#117 $ - $ - $ 983.00 $ 983.00 $ 983.00 $ 983.00 100.00% $ - $ 49.15 Klein Electric 16-1600 26A CO#10 RFI#118 Automatic Push Pad $ - $ - $ 437.00 $ 437.00 $ 328.00 $ 109.00 $ 437.00 100.00% $ - $ 21.85 Klein Electric 16-1600 26A CO#11 RFI#156 $ - $ - $ 698.00 $ 698.00 $ 698.00 $ 698.00 100.00% $ - $ 34.90 Klein Electric 16-1600 26A CO#12 ASI#11 Wellness Room Light Fixture $ - $ - $ 1,319.00 $ 1,319.00 $ 660.00 $ 659.00 $ 1,319.00 100.00% $ - $ 65.95 Klein Electric 16-1600 26A CO#13 RFI#160 $ - $ - $ 3,500.00 $ 3,500.00 $ 3,325.00 $ 175.00 $ 3,500.00 100.00% $ - $ 175.00 Klein Electric 16-1600 26A CO#14 RFI#21 Added Circuits & Unit Heaters $ - $ - $ 1,120.00 $ 1,120.00 $ 1,120.00 $ 1,120.00 100.009 $ - $ 56.00 Klein Electric 16-1600 26A CO#15 G9 Light Fixture $ - $ - $ 395.00 $ 395.00 $ 395.00 $ 395.00 100.00% $ - $ 19.75 Klein Electric 16-1600 26A CO#16 Omitting Tech Conduit Runs From App Bay $ - $ - $ (1,439.00) $ (1,439.00) $ (1,439.00) $ (1,439.00) 100.00% $ - $ (71.95) Klein Electric 16-1600 26A CO#17 Training Tower G1 Light Fixtures $ - $ - $ 1,427.00 $ 1,427.00 $ - $ - 0.00% $ 1,427.00 $ - Klein Electric 16-1600 26A CO#18 App Bay Sectional Door Control Station $ - $ - $ 2,790.00 $ 2,790.00 $ - $ 2,790.00 $ 2,790.00 100.00% $ - $ 139.50 Page 8 / 10 TarERoiv NumberStatic 05 m Terra 0 k River Fire&ati on #3 G O N S T R UCTI ON City of Elk River CONTINUATION SHEET AIA DOCUMENTG703 AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 15 Contractor's signed certification is attached. APPLICATION DATE: 4/30/22 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 4/30/22 Use Column I on Contracts where variable retainage for line items may apply. A A.1 B C CA C.2 C.3 D E F G H I SUBCONTRACTOR ITEM BID DESCRIPTION OF WORK SCHEDULED CHANGE BUDGET REVISED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE VENDOR NO. PACK VALUE ORDERS REVISION/ SCHEDULED PRESENTLY COMPLETED (G+C) TO FINISH (IF VARIABLE FROM PREVIOUS THIS PERIOD EMPLOYEE NO. CONTINGENCY VALUE APPLICATION STORED AND STORED (C -G) RATE) COST TRANSFER (D+E) (NOT IN TO DATE CODE D OR E) (D+E+F) Klein Electric 16-1600 26A CO#19 Thomsen Poured Concrete in Trash Enclosure $ - $ - $ (850.00) $ (850.00) $ - $ - 0.00% $ (850.00) $ - Dryden Excavating 31-1000 31A Mobilization, Bond, SWPP Permit $ 7,000.00 $ - $ - $ 7,000.00 $ 6,300.00 $ 6,300.00 90.00% $ 700.00 $ 315.00 Dryden Excavating 31-1000 31A Bituminous Saw -Cutting Labor $ 2,105.00 $ - $ - $ 2,105.00 $ 2,105.00 $ 2,105.00 100.00% $ - $ 105.25 Dryden Excavating 31-1000 31A Bituminous Removal Labor $ 3,640.00 $ - $ - $ 3,640.00 $ 3,640.00 $ 3,640.00 100.00% $ - $ 162.00 Dryden Excavating 31-1000 31A Concrete Saw -Cutting Labor $ 160.00 $ - $ - $ 160.00 $ 160.00 $ 160.00 100.00% $ - $ 8.00 Dryden Excavating 31-1000 31A Concrete Removal Labor $ 3,236.00 $ - $ - $ 3,236.00 $ 3,236.00 $ 3,236.00 100.00% $ - $ 161.60 Dryden Excavating 31-1000 31A Tree Protection Labor $ 75.00 $ - $ - $ 75.00 $ 75.00 $ 75.00 100.00% $ - $ 3.75 Dryden Excavating 31-1000 31A Clearing&Grubbing Labor $ 2,100.00 $ - $ - $ 2,100.00 $ 2,100.00 $ 2,100.00 100.00% $ - $ 105.00 Dryden Excavating 31-1000 31A Topsoil Stripping & Emb. Labor $ 1,386.00 $ - $ - $ 1,386.00 $ 1,386.00 $ 1,386.00 100.00% $ - $ 69.30 Dryden Excavating 31-1000 31A Export Excess Topsoil Labor $ 14,055.00 $ - $ - $ 14,055.00 $ 14,055.00 $ 14,055.00 100.00% $ - $ 702.75 Dryden Excavating 31-1000 31A Site Grading Labor $ 56,076.01 $ - $ - $ 56,076.01 $ 42,834.04 $ 42,834.04 76.39% $ 13,241.97 $ 2,141.70 Dryden Excavating 31-1000 31A Site Grading Material $ 14,040.00 $ - $ - $ 14,040.00 $ 14,040.00 $ 14,040.00 100.00% $ - $ 702.00 Dryden Excavating 31-1000 31A Exc. & Backfill Foundations $ 25,378.00 $ - $ - $ 25:378.00 $ 25:378.00 $ 25,378.00 100.00% $ - $ 1,268.90 Dryden Excavating 31-1000 31A Building Sand Cushion Labor $ 3,298.00 $ - $ - $ 3,298.00 $ 3,141.60 $ 3,141.60 95.26% $ 156.40 $ 157.06 Dryden Excavating 31-1000 31A Building Sand Cushion Material $ 629.00 $ - $ - $ 629.00 $ - $ - 0.00% $ 629.00 $ - Dryden Excavating 31-1000 31A Class 5 Labor $ 9,014.00 $ - $ - $ 9,014.00 $ - $ - 0.00% $ 9,014.00 $ - Dryden Excavating 31-1000 31A Class 5 Material $ 7,854.00 $ - $ - $ 7,854.00 $ - $ - 0.00% $ 7,854.00 $ - Dryden Excavating 31-1000 31A Subgrade Prep Labor $ 8,595.00 $ - $ - $ 8,595.00 $ 4,297.50 $ 4,297.50 50.00% $ 4,297.50 $ 214.66 Dryden Excavating 31-1000 31A Dewatering Labor $ 2,625.00 $ - $ - $ 2,625.00 $ 2,625.00 $ 2,625.00 100.00% $ - $ 131.25 Dryden Excavating 31-1000 31A SWPP Permit $ 525.00 $ - $ - $ 525.00 $ 525.00 $ 525.00 100.00% $ - $ 26.25 Dryden Excavating 31-1000 31A Silt Fence Labor $ 2,240.00 $ - $ - $ 2,240.00 $ 2,240.00 $ 2,240.00 100.00% $ - $ 112.00 Dryden Excavating 31-1000 31A Silt Fence Material $ 700.00 $ - $ - $ 700.00 $ 700.00 $ 700.00 100.00% $ - $ 35.00 Dryden Excavating 31-1000 31A Inlet Protection Labor $ 2,502.00 $ - $ - $ 2,502.00 $ 2,502.00 $ 2,502.00 100.00% $ - $ 125.10 Dryden Excavating 31-1000 31A Construction Entrance Labor $ 2,000.00 $ - $ - $ 2,000.00 $ 2,000.00 $ 2,000.00 100.00% $ - $ 100.00 Dryden Excavating 31-1000 31A Construction Entrance Materials $ 100.00 $ - $ - $ 100.00 $ 100.00 $ 100.00 100.00% $ - $ 5.00 Dryden Excavating 31-1000 31A Hydro Seed $ 1,166.00 $ - $ - $ 1,166.00 $ - $ - 0.00% $ 1,166.00 $ - Dryden Excavating 31-1000 31A Flex Mat Labor $ 700.00 $ - $ - $ 700.00 $ - $ - 0.00% $ 700.00 $ - Dryden Excavating 31-1000 31A Flex Mat Material $ 31266.00 $ - $ - $ 3266.00 $ 3,260.00 $ 3,260.00 99.62% $ 6.00 $ 163.00 Dryden Excavating 31-1000 33A Mobilization, Bond, Permits $ 20,504.16 $ - $ - $ 20:504.16 $ 16,453.74 $ 18,453.74 90.00% $ 2,050.42 $ 922.69 Dryden Excavating 31-1000 33A Water Utilities Labor $ 25,719.19 $ - $ - $ 25,719.19 $ 25,719.19 $ 25,719.19 100.00% $ - $ 1,285.96 Dryden Excavating 31-1000 33A Water Utilities Material $ 52,306.23 $ - $ - $ 52,306.23 $ 52,306.23 $ 52,306.23 100.00% $ - $ 2,615.31 Dryden Excavating 31-1000 33A Wet Tap Labor $ 239.22 $ - $ - $ 239.22 $ 239.22 $ 239.22 100.00% $ - $ 11.96 Dryden Excavating 31-1000 33A Wet Tap Material $ 2,500.00 $ - $ - $ 2,500.00 $ 2,500.00 $ 2,500.00 100.00% $ - $ 125.00 Dryden Excavating 31-1000 33A Sanitary Piping Labor $ 9,667.77 $ - $ - $ 9,667.77 $ 9,667.77 $ 9,667.77 100.00% $ - $ 463.39 Dryden Excavating 31-1000 33A Sanitary Piping Material $ 9,622.35 $ - $ - $ 9,622.35 $ 9,622.35 $ 9,622.35 100.00% $ - $ 461.12 Dryden Excavating 31-1000 33A Sanitary Manholes Labor $ 1,808.00 $ - $ - $ 1,808.00 $ 1,808.00 $ 1,808.00 100.00% $ - $ 90.40 Dryden Excavating 31-1000 33A Sanitary Manholes Material $ 9,425.00 $ - $ - $ 9,425.00 $ 9,425.00 $ 9,425.00 100.00% $ - $ 471.25 Dryden Excavating 31-1000 33A Manhole Castings Labor $ 691.20 $ - $ - $ 691.20 $ 691.20 $ 691.20 100.00% $ - $ 34.56 Dryden Excavating 31-1000 33A Manhole Castings Material $ 1,140.00 $ - $ - $ 1,140.00 $ 1,103.80 $ 1,103.80 96.62% $ 36.20 $ 55.19 Dryden Excavating 31-1000 33A Storm - PVC Piping Labor $ 8,024.15 $ - $ - $ 8,024.15 $ 7,073.34 $ 7,073.34 66.15% $ 950.61 $ 353.67 Dryden Excavating 31-1000 33A Storm - PVC Piping Material $ 10,992.34 $ - $ - $ 10,992.34 $ 10,992.34 $ 10,992.34 100.00% $ - $ 549.62 Dryden Excavating 31-1000 33A Storm -Concrete Piping/Manholes Labor $ 10,155.38 $ - $ - $ 10,155.38 $ 10,155.38 $ 10,155.38 100.00% $ - $ 507.77 Dryden Excavating 31-1000 33A Storm -Concrete Piping/Manholes Material $ 27,063.60 $ - $ - $ 27,063.60 $ 27,063.60 $ 27,063.60 100.00% $ - $ 1,353.18 Dryden Excavating 31-1000 33A Storm - Castings/Grates Labor $ 3,152.40 $ - $ - $ 3,152.40 $ 2,667.40 $ 2,667.40 91.59% $ 265.00 $ 144.37 Dryden Excavating 31-1000 33A Storm - Castings/Grates Material $ 52,068.00 $ - $ - $ 52,068.00 $ 52,068.00 $ 52,068.00 100.00% $ - $ 2,603.40 Dryden Excavating 31-1000 33A CO#1 Additional Construction Entrances $ - $ - $ 4,246.61 $ 4,246.61 $ 4,246.61 $ 4,246.61 100.00% $ - $ 212.33 Dryden Excavating 31-1000 33A CO#2 PR#7 Water Service $ - $ - $ (1,517.19) $ (1,517.19) $ (1,517.19) $ (1,517.19) 100.00% $ - $ (75.56) Page 9 / 10 TarERoiv NumberStatic 05 m Terra 0 k River Fire&ati on #3 G O N S T R UCTI ON City of Elk River CONTINUATION SHEET AIA DOCUMENTG703 AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 15 Contractor's signed certification is attached. APPLICATION DATE: 4/30/22 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 4/30/22 Use Column I on Contracts where variable retainage for line items may apply. A A.1 B C CA C.2 C.3 D E F G H I SUBCONTRACTOR ITEM BID DESCRIPTION OF WORK SCHEDULED CHANGE BUDGET REVISED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE VENDOR NO. PACK VALUE ORDERS REVISION/ SCHEDULED PRESENTLY COMPLETED (G+C) TO FINISH (IF VARIABLE FROM PREVIOUS THIS PERIOD EMPLOYEE NO. CONTINGENCY VALUE APPLICATION STORED AND STORED (C -G) RATE) COST TRANSFER (D+E) (NOT IN TO DATE CODE D OR E) (D+E+F) Dryden Excavating 31-1000 33A CO#3 PR#4 Stepped Footings $ - $ - $ 1,584.00 $ 1,584.00 $ 1,584.00 $ 1,584.00 100.00% $ - $ 79.20 Dryden Excavating 31-1000 33A CO#4 ASI#2 $ - $ - $ 6,096.75 $ 6,096.75 $ 6,096.75 $ 6'096.75 100.00% $ - $ 304.64 Dryden Excavating 31-1000 33A CO#5 B/C Thomsen $ - $ - $ (500.00) $ (500.00) $ (500.00) $ (500.00) 100.00% $ - $ (25.00) Dryden Excavating 31-1000 33A CO#6 Overexcavate Footing Trenches for Rock $ - $ - $ 2,373.26 $ 2,373.26 $ 2,373.26 $ 2,373.26 100.00% $ - $ 116.66 Dryden Excavating 31-1000 33A CO#7 Furnish and Install 3'' Rock for Pump Truck $ - $ - $ 5,409.16 $ 5,409.16 $ 5,409.16 $ 5,409.16 100.00% $ - $ 270.46 Dryden Excavating 31-1000 33A CO#B Install Temp Drain Pipe $ - $ - $ 5,894.96 $ 5,894.96 $ 5,894.96 $ 5,894.96 100.00% $ - $ 294.75 Dryden Excavating 31-1000 33A CO#9 C-900 Municipal Water Piping $ - $ - $ 276.65 $ 276.65 $ 276.65 $ 276.65 100.00% $ - $ 13.93 Dryden Excavating 31-1000 33A CO#10 Damaged Transformer- repaired by ERMU $ - $ - $ (3,273.92) $ (3,273.92) $ (3,273.92) $ (3,273.92) 100.00% $ - $ (163.70) Dryden Excavating 31-1000 33A CO#11 Revised Finished Grade at Trash Enclosure $ - $ - $ 962.50 $ 962.50 $ 962.50 $ 962.50 100.00% $ - $ 46.13 Dryden Excavating 31-1000 33A CO#12 Crushed Concrete Entrance $ - $ - $ 3,935.75 $ 3,935.75 $ 3,935.75 $ 3,935.75 100.00% $ - $ 196.79 Dryden Excavating 31-1000 33A CO#13 Apparatus Bay Muck Out $ - $ - $ 2,103.84 $ 2,103.84 $ 2,103.84 $ 2,103.84 100.00% $ - $ 105.19 Dryden Excavating 31-1000 33A CO#14 Soil Correction South Parking Lot $ - $ - $ 6,917.00 $ 6,917.00 $ 6,917.00 $ 6,917.00 100.00% $ - $ 345.65 Dryden Excavating 31-1000 33A CO#15 Training Tower Manhole $ - $ - $ 3,878.25 $ 3,878.25 $ 3,878.25 $ 3,878.25 100.00% $ - $ 193.91 Omann Brothers 32-1216 32C Gravel Base $ 16,920.00 $ - $ - $ 16,920.00 $ 16,920.00 $ 16,920.00 100.00% $ - $ 646.00 Omann Brothers 32-1216 32C Bit Base Course $ 25,370.00 $ - $ - $ 25,370.00 $ 25,370.00 $ 25,370.00 100.00% $ - $ 1,268.50 Omann Brothers 32-1216 32C Bit Wear Course $ 27,700.00 $ - $ - $ 27,700.00 $ - $ - 0.00% $ 27,700.00 $ - Omann Brothers 32-1216 32C Striping $ 500.00 $ - $ - $ 500.00 $ - $ - 0.00% $ 500.00 $ - Omann Brothers 32-1216 32C CO#1 PR#7 Water Service $ - $ - $ (850.00) $ (850.00) $ (850.00) $ (850.00) 100.00% $ - $ (42.50) Omann Brothers 32-1216 32C CO#2 Agg Base at intersection of 191st and Edision $ - $ - $ (845.28) $ (845.28) $ (845.28) $ (845.28) 100.00% $ - $ (42.26) Omann Brothers 32-1216 32C CO#3 Replacing Asphalt w/ Concrete at North Side of Site $ - $ - $ (5,400.00) $ (5,400.00) $ (2,500.00) $ (2,500.00) 46.30% $ (2,900.00) $ (125.00) Peterson Companies 32-4000 32A Fencing $ 4,485.00 $ - $ - $ 4,485.00 $ - $ - 0.00% $ 4,485.00 $ - Autumn Ridge 32-3291 32B Landscaping $ 68,500.00 $ - $ - $ 68,500.00 $ - $ - 0.00% $ 68,500.00 $ - Autumn Ridge 32-3291 32B CO#1 Smartlink Irrigation Controller $ - $ - $ 1,132.00 $ 1,132.00 $ - $ - 0.00% $ 1,132.00 $ - Century Fence CO#1 Replacement of Damaged Fence from Camco $ - $ - $ 1,977.19 $ 1,977.19 $ - $ - 0.00% $ 1,977.19 $ - GRANDTOTALS $ 6,898,246.00 $ - $ (0.00) $ 6,898,246.00 $ 5,884,681.48 $ 273,036.41 $ - $ 6,157,71789 69.26% $ 740,528.11 $ 307,885.89 Page 10/10 Terra General | k� N �� �� �� N �� �� .~ .� .= Contractors, N ��0 �� �� 0 �� �� 21025Cornmence Blvd..Ste 1OOO Rogers, MN 55374 Invoice Date Customer ID Invoice ID 04-30-2022 11-C|T013 20-705-20220430 Phone7G3-4G3-O22O Due Date Draw ID Job Number 05-30-2022 15 20-705 City ofElk River Job Location: 13OG5Orono Parkway Elk River Fire Station #3 Elk River, N1N5533O Elk River, K8N5533O Construction Services - April 2O22 / 273,036.41 Amount Billed $273,036.41 Retainage 13,651.82 NEW LOOKS RACTI NG Owner: City of Elk River 14045 Nonhdale Blvd Rogers MN 55374 763 241-1596 Unit Billing Application: 7 Period: 12/20/2021 Job Location: Orono Park Reconstruct '•L Application For Payment On Contract Contract Sum to Date .............................. 1,434,740.86 Total Complete to Date ........................... 894,285.73 Total Retained .......................................... 44,714.30 Total Earned Less Retained ................... 849,571.43 Less Previous Billings ............................ 827,698.63 Current Payment Due ............................ F7721,872.80 Balance on Contract ................................ 540.465.13 Contractor's Certification of Work The undersigned contractor certifies that, to the best of the contract Ors knowledge, the work on the above named job has been completed in accordance with the plans and specifications to the level of compl(`.Ation indicated on the attached schedule of completion. Contractor,Date: Amount Certified: $21,872.80 Landscape Architect:41 - Date: 3/30/2022 �r�4 'T/qAl� ?U4V4 ", ��Ym. Terms. Invoices are due and payable 30DY from the date of invoice. All overdue amounts will be charged a service charge of 18.00 % per annum. Please make checks payable to: New Look Contracting, Inc. Thank you for your prompt payment Unit Billing Schedule of Work Completed Application: 7 Period: 12/20/2021 Total Contract Previous Current Units Total Units Previous Current Total Bid Ite Description Price Unit Units Units Billed Complete Complete Value Value Value 1 SECTION 1 10 Surveying & Staking 32,770.00 LS 1.0000 1.00 1.00 32,770.00 32,770.00 20 Mobilization 65,000.00 LS 1.0000 1.00 1.00 65,000.00 65,000.00 30 Remove Bit Pavement 1.90 SY 11,756.0000 11.756.00 11,756.00 22,336.40 22,336.40 40 Remove Concrete Pavement 0.60 SF 2,352.0000 2,352.00 2,352.00 1,411.20 1,411.20 50 Remove Concrete Curb & Gutter 1.40 LF 4,035.0000 4,035.00 4,035.00 5,649.00 5,649.00 60 Remove Light Pole & Base 310.00 EA 11.0000 11.00 11.00 3,410.00 3,410.00 70 Clearing & Grubbing 500.00 EA 22.0000 22.00 22.00 11,000.00 11,000.00 80 Remove Chain Link Fence 2.00 LF 1,066.0000 1,066.00 1,066.00 2,132.00 2,132.00 90 Remove Drinking Fountain & Cap 700.00 LS 1.0000 1.00 1.00 700.00 700.00 100 Remove Sign 62.00 EA 9.0000 9.00 9.00 558.00 558.00 110 Salvage & Reinstall Sign 110.00 EA 2.0000 1.00 1.00 110.00 110.00 120 Salvage & Reinstall Entrance Sig 290.00 LS 1.0000 130 Remove Power Pedestal 220.00 EA 8.0000 8.00 8.00 1,760.00 1,760.00 140 Remove Drainage Structure 850.00 EA 2.0000 2.00 2.00 1,700.00 1,700.00 150 Remove Drain Pipe 23.00 LF 97.0000 97.00 97.00 2,231.00 2,231.00 160 Remove Shed 1,100.00 LS 1.0000 1.00 1.00 1,100.00 1,100.00 170 Remove Volleyball Court 605.00 LS 1.0000 1.00 1.00 605.00 605.00 171 SECTION 2 180 Common Excavation 72,500.00 LS 1.0000 0.90 0.90 65,250.00 65,250.00 190 Furnish & Install Topsoil Borrow 19.00 SY 459.0000 200 Furnish & Install Sand(Volleyball) 8.30 SY 1,062.0000 1,062.00 1,062.00 8,814.60 8,814.60 210 Furnish & Install Silt Fence 1.60 LF 4,230.0000 4,230.00 4,230.00 6,768.00 6,768.00 220 Furnish & Install Silt Curtain 15.00 LF 118.0000 118.00 118.00 1,770.00 1,770.00 230 Furnish & Install Bio Roll 4.00 LF 136.0000 136.00 136.00 544.00 544.00 240 Furnish & Install Inlet Protection 190.00 EA 19.0000 19.00 19.00 3,610.00 3,610.00 250 Furnish & Install CAT 3N Blanket 3.00 SY 752.0000 752.00 752.00 2,256.00 2,256.00 260 Install & Maintain Constructioni E 1,700.00 EA 2.0000 2.00 2.00 3,400.00 3,400.00 261 SECTION 3 270 6" PVC SDR-35 Sanitary Sewer P 56.00 LF 88.0000 88.00 88.00 4,928.00 4,928.00 280 4" PVC SDR-35 Santiary Sewer P 35.00 LF 170.0000 170.00 170.00 5,950.00 5,950.00 290 Sanitary Clean Out 365.00 EA 1.0000 1.00 1.00 365.00 365.00 Page 2 Unit Billing Schedule of Work Completed ------------ Application: 7 Period: 12/20/2021 Total Contract Previous Current Units Total Units Previous Current Total Bid Ite Description Price Unit Units Units Billed Complete Complete Value Value Value 300 Reconstruct Sanitary Manhole 1,250.00 EA 1.0000 1.00 1.00 1,250.00 1,250.00 310 4" HDPE Service 115.00 LF 89.0000 89.00 89.00 10,235.00 10,235.00 320 1" ENDO PE Service 33.00 LF 245.0000 245.00 245.00 8,085.00 8,085.00 330 24" Perf HDPE Infiltration Pipe 108.00 LF 95.0000 95.00 95.00 10,260.00 10,260.00 340 15" PVC Drainage Pipe 89.00 LF 8.0000 8.00 8.00 712.00 712.00 350 Catch Basin with 24" Sump 3,900.00 EA 1.0000 1.00 1.00 3,900.00 3,900.00 360 Rain Guardian Turret 3,800.00 EA 5.0000 370 18" CMP Pipe Culvert 52.00 LF 51.0000 51.00 51.00 2,652.00 2,652.00 380 12" CMP Pipe Culvert 46.00 LF 114.0000 114.00 114.00 5,244.00 5,244.00 390 18" Metal Safety Apron 1,050.00 EA 2.0000 2.00 2.00 2,100.00 2,100.00 400 12" Metal Apron 880.00 EA 6.0000 6.00 6.00 5,280.00 5,280.00 410 Type 2 RipRap, Geotex Fabric, Filt 160.00 CY 5.0000 5.00 5.00 800.00 800.00 420 Cone Erosion Mat 166.00 SY 7.0000 7.00 7.00 1,162.00 1,162.00 430 3" Sched 40 PVC Sleeving 10.00 LF 100.0000 100.00 100.00 1,000.00 1,000.00 431 SECTION 4 440 Bit Pavement Entrance & Parking 22.20 SY 7,230.0000 3,615.00 3,615.00 80,253.00 80,253.00 450 Bit Trails 16.40 SY 4,336.0000 1,000.00 1,000.00 16,400.00 16,400.00 460 Bit Pickleball Court 30.00 SY 959.0000 959.00 959.00 28,770.00 28,770.00 470 Reconstruct Existing Bit Trail 14.00 SY 1,441.0000 721.00 721.00 1,442.00 10,094.00 10,094.00 20,188.00 480 6" Concrete Paving 9.20 SF 23,317.0000 2,000.00 2,000.00 18,400.00 18,400.00 490 18" Wide Concrete Maint Strip 21.70 LF 428.0000 428.00 428.00 9,287.60 9,287.60 500 B612 Concrete Curb & Gutter 22.00 LF 3,265.0000 3,265.00 3,265.00 71,830.00 71,830.00 510 6" x 18" Concrete Curb w/ Walk 17.00 LF 508.0000 520 6" x 18" Concrete Curb 35.00 LF 310.0000 530 Lot Striping, Signage, Crosswalks 3,700.00 LS 1.0000 540 Pickleball Court Color Coating & 7.200.00 LS 1.0000 550 Truncated Domes w/ Ped Ramps 55.00 SF 272.0000 272.00 272.00 14,960.00 14,960.00 551 SECTION 5 560 Drinking Fountain 5,800.00 EA 1.0000 0.50 0.50 2.900.00 2,900.00 570 Shower Tower 7,400.00 EA 1.0000 0.50 0.50 3,700.00 3,700.00 580 101x16' Shade Structure - Skate P 10,990.00 EA 1.0000 0.75 0.75 8,242.50 8,242.50 590 16'x16' Shade Structure - Beach 11,000.00 EA 2.0000 1.50 1.50 16,500.00 16,500.00 Page 3 Unit Billing Application: 7 Period: 12/20/2021 Schedule of Work Completed Total Contract Previous Current Units Total Units Previous Current Total Bid Ite Description Price Unit Units Units Billed Complete Complete Value Value Value 600 Volleyball Net, Posts, Footings 2,500.00 EA 2.0000 2.00 2.00 5,000.00 5,000.00 610 Pickleball Net, Posts, Footings 2,750.00 EA 4.0000 620 4' Chain Link Fence Ind Concret 36.22 LF 132,0000 132.00 132.00 4,781.04 4,781.04 630 10' Fence, Gates, Footings - Pickl 55.20 LF 404.0000 404.00 404.00 22,300.80 22,300.80 640 Bike Loops 486.00 EA 4.0000 2.00 2.00 972.00 972.00 650 Limestone Block Seating 436.00 LF 147.0000 147.00 147.00 64,092.00 64,092.00 660 Metal Handrail 126.00 LF 214.0000 661 SECTION 6 670 Turf Seed Mix 3,000.00 Acre 5.9000 680 Decidious Trees 2" B&B 470.00 EA 36.0000 15.00 15.00 7,050.00 7,050.00 690 Understory Tree 1.5" B&B 440.00 EA 3.0000 2.00 2.00 880.00 880.00 700 #5 Shrubs 94.00 EA 277.0000 710 #1 Perennials 30.00 EA 136.0000 720 Metal Edging 9.00 LF 148.0000 721 SECTION 7 730 Lighting Unit - Single Fixture 3,550.00 EA 13.0000 13.00 13.00 46,150.00 46,150.00 740 Lighting Unit - Double Fixture 1,800.00 EA 1.0000 1.00 1.00 1,800.00 1,800.00 760 Concrete Light Base Foundation 1,320.00 EA 14,0000 14.00 14.00 18,480.00 18,480.00 770 1"Non-Metallic Conduit 3.00 LF 2,170.0000 2,170.00 2,170.00 6,510.00 6,510.00 780 2" non -Metallic Conduit 4.70 LF 350.0000 350.00 350.00 1,645.00 1,645.00 790 #1 Use Wire 4.40 LF 126.0000 126.00 126.00 554.40 554.40 800 #2 Use Wire 5.50 LF 126.0000 126.00 126.00 693.00 693.00 810 IP & 2P Breakers 16.50 EA 6.0000 6.00 6.00 99.00 99.00 920 #8 Use Wire 2.75 LF 2,308.0000 2,308.00 2,308.00 6,347.00 6,347.00 930 #10 Use Wire 2.20 LF 4,668.0000 4,668,00 4,668.00 10,269.60 10,269.60 940 Lighting System - Volleyball Area 16,000.00 LS 1.0000 1.00 1.00 16,000.00 16,000.00 950 3" HDPE Conduit 6.70 LF 675.0000 675.00 675.00 4,522.50 4,522.50 960 V HDPE Conduit 3.10 LF 675.0000 675.00 675.00 2.092.50 2,092.50 970 16'x16" Quartzite Handhole 310.00 EA 1.0000 1.00 1.00 310.00 310.00 980 24"x24' Quartzite Vault 500.00 EA 3.0000 3.00 3.00 1,500.00 1,500.00 990 16"x16"x6" NEMA 3R Enclosure 150.00 EA 1.0000 1.00 1.00 150.00 150.00 991 SECTION 8 -ADD'L WORK Page 4 Unit Billing Schedule of Work Completed Bid Ite Description 992 PR 1 - Fencing 993 PR 2 - Trail Alignment 994 PR 3 - Water Service Disconnects 995 PR 4 - Onsite Electrical 996 PR 5 - Miscellaneous Electrical 997 PR 6 - Camera Conduit 998 PR 7 - Flag Pole Conduit 999 PR 8 - 2 Add'I Readers 1000 PR 8 - Furnish & Install Flag Pol 1001 PR 9 -Trail Connections 1002 PR 10 -Dock Walk Abutment Total Contract Previous Current Units Price Unit Units Units Billed Complete 21,895.00 LS 1.00 2,057.00 LS 1.00 965.00 LS 1.00 16,463.86 LS 1.00 7,503.00 LS 1.00 3,234.00 LS 1.00 7,199.00 LS 0.50 1,866.00 LS 1.00 14,264.23 LS 1.00 7,593.44 LS 19,195.89 LS Totals: 1,434,740.86 Page 5 of 5 Application: 7 Period: 12/20/2021 Total Units Previous Complete Value 1.00 21,895.00 1.00 2,057.00 1.00 965.00 1.00 16,463.86 1.00 7,503.00 1.00 3,234.00 0.50 3,599.50 1.00 1,866.60 1.00 14,264.23 Current Total Value Value 21, 895.00 2,057.00 965.00 16,463.86 7,503.00 3,234.00 3,599.50 1,866.00 14,264.23 871,261.73 23,024.00 894,285.73 14045 Northdale Blvd Rogers MN 55374 763 241-1596 Owner: City of Elk River Application For Payment On Contract Contract Sum to Date .............................. Total Complete to Date ........................... 1,434,740.86 896,885.73 Total Retained .......................................... 44,844.30 Total Earned Less Retained ................... 852,041.43 Less Previous Billings ............................ - 849,571.43 Current Payment Due ............................ 2,470.00 Balance on Contract ................................ 537,855,13 Unit Billing Application: 8 Period: 02/28/2022 Job Location: Orono Park Reconstruct Contractor's Certification of Work The undersigned contractor certifies that, to the best of the contractor's knowledge, the work on the above named job has been completed in accordance with the plans and specifications to the level of completion indicated on the attached schedule of completion. Contractor: Date: Amount Certified: $2,470.00 Landscape Architect: Terms: Invoices are due and payable30DY from the date of invoice. All overdue amounts will be charged a service charge of 18.00 % per annum. Please make checks payable to: New Look Contracting, Inc. Thank you for your prompt payment. Unit Billing Application: 8 Period: 02/28/2022 Schedule of Work Completed Contract Plus Previous Current Units Total Units Previous Current Total Bid Item Description Price/Unit Changes Units Billed Complete Complete Value Value Value Retained 1 SECTION 1 10 Surveying & Staking 32,770.00 32,770.00 1.00 1.00 32,770.00 32,770.00 1,638.50 20 Mobilization 65,000.00 65,000.00 1.00 1.00 65,000.00 65,000.00 3,250.00 30 Remove Bit Pavement 1.90 22,336.40 11,756.00 11,756.00 22,336.40 22,336.40 1,116.82 40 Remove Concrete Pavement 0.60 1,411.20 -2,352.00 2,352.00 1,411.20 1,411.20 70.56 50 Remove Concrete Curb & Guff 1.40 5,649.00 4,035.00 4,035.00 5,649.00 5,649.00 282.45 60 Remove Light Pole & Base 310.00 3,410.00 11.00 11.00 3,410.00 3,410.00 170.50 70 Clearing & Grubbing 500.00 11,000.00 22.00 22.00 11,000.00 11,000.00 550.00 80 Remove Chain Link Fence 2.00 2,132.00 1,066.00 1,066.00 2,132.00 2,132.00 106.60 90 Remove Drinking Fountain & 700.00 700.00 1.00 1.00 700.00 700.00 35.00 100 Remove Sign 62.00 558.00 9.00 9.00 558.00 558.00 27.90 110 Salvage & Reinstall Sign 110.00 220.00 1.00 1.00 110.00 110.00 5.50 120 Salvage & Reinstall Entrance 290.00 290.00 130 Remove Power Pedestal 220.00 1,760.00 8.00 8.00 1,760.00 1,760.00 88.00 140 Remove Drainage Structure 850.00 1,700.00 2.00 2.00 1,700.00 1,700.00 85.00 150 Remove Drain Pipe 23.00 2,231.00 97.00 97.00 2,231.00 2,231.00 111.55 160 Remove Shed 1,100.00 1,100.00 1.00 1.00 1,100.00 1,100.00 55.00 170 Remove Volleyball Court 605.00 605.00 1.00 1.00 605.00 605.00 30.25 171 SECTION 2 180 Common Excavation 72,500.00 72,500.00 0.90 0.90 65,250.00 65,250.00 3,262.50 190 Furnish & Install Topsoil Borr 19.00 8,721.00 200 Furnish & Install Sand(Volley 8.30 8,814.60 1,062.00 1,062.00 8,814.60 8,814.60 440.73 210 Furnish & Install Silt Fence 1.60 6,768.00 4,230.00 4,230.00 6,768.00 6,768.00 338.40 220 Furnish & Install Sift Curtain 15.00 1,770.00 118.00 118.00 1,770.00 1,770.00 88.60 230 Furnish & Install Bio Roll 4.00 544.00 136.00 136.00 544.00 544.00 27.20 240 Furnish & Install Inlet Protecti 190.00 3,610.00 19.00 19.00 3,610.00 3,610.00 180.50 250 Furnish & Install CAT 3N Blan 3.00 2,256.00 752.00 752.00 2,256.00 2,256.00 112.80 260 Install & Maintain Constructio 1,700.00 3,400.00 2.00 2.00 3,400.00 3,400.00 170.00 261 SECTION 3 270 6" PVC SDR-35 Sanitary Sew 56.00 4,928.00 88.00 88.00 4,928.00 4,928.00 246.40 280 4" PVC SDR-35 Santiary Sew 35.00 5,950.00 170.00 170.00 5,950.00 5,950.00 297.50 Page 2 Schedule of Work Completed Previous Current Units Total Units Previous Current Total Units Billed Complete Complete Value Value Value Retained I M 1.00 365.00 365-00 18.25 1.00 1.00 1,250.00 1,250-00 62.50 89.00 WOO 10,235.00 10,235M 511J5 245.00 245.00 8,085.00 8,085.00 404.25 95.00 95,00 10,260.00 10,260M 513.00 8.00 6.00 71100 712.00 35.60 1.00 1.00 3,900.00 3,900.00 195M 51,00 51 M 2,652.00 2,652.00 132,60 114.00 114.00 5,244.00 5,244.00 26220 2.00 2.00 2,100.00 2,100.00 105.00 6.00 6000 5,280.00 5,280.00 264.00 5.00 &00 600M 800.00 40.00 7.00- 7.00 1,162.00 1,162.60 5810 100.00 IMOO 1,00no 1'000.00 50.00 3,615.00 3,615.00 80,25100 80,253.00 4,012.65 1,000.00 158.54 1,15&54 16,400.00 2,600.00 19,000m 950.00 959.00 959.00 28,770.00 28,770.00 1,438.50 1,442.00 1,442.00 20,188.00 20,188.00 1,009.40 2,000.00 2,000M 18,400M 18,400.00 920.00 42&00 428000 9,287.60 9,287.60 464.38 3,265.00 3,265.00 71,830.00 71,830.00 3,591.60 272,00 272.00 14,960.00 14,960.00 748.00 0.50 OZO 2,900.00 2,900.00 145.00 0.50 0.50 3,700.00 3,700.00 185.00 EM Unit Billing Application: 8 Period: 02/28/2022 Schedule of Work Completed Contract Plus Previous Current Units Total Units Previous Current Total Bid Item Description Price/Unit Changes Units Billed Complete Complete Value Value Value Retained 580 10'x16' Shade Structure - Ska 10,990.00 10,990.00 0.75 0.75 8,242.50 8,242.50 412.13 590 16'x16' Shade Structure - Be 11,000.00 22,000.00 1.50 1.50 16,500.00 16,500.00 825.00 600 Volleyball Net, Posts, Footing 2,500.00 5,000.00 2.00 2.00 5,000.00 5.000.00 250.00 610 Pickleball Net, Posts, Footing 2,750.00 11,000.00 620 4' Chain Link Fence Incl Con 36.22 4,781.04 132.00 132.00 4,781.04 4,781.04 239.05 630 10' Fence, Gates, Footings - 55.20 22,300.80 404.00 404.00 22,300.80 22,300.80 1,115.04 640 Bike Loops 486.00 1,944.00 2.00 2.00 972.00 972.00 48.60 650 Limestone Block Seating 436.00 64,092.00 147.00 147.00 64,092.00 64,092.00 3,204.60 660 Metal Handrail 126.00 26,964.00 661 SECTION 6 670 Turf Seed Mix 3,000.00 17,700.00 680 Decidious Trees 2" B&B 470.00 16,920.00 15.00 15.00 7,060.00 7,050.00 352.50 690 Understory Tree 1.5" B&B 440.00 1,320.00 2.00 2.00 880.00 880.00 44.00 706 #5 Shrubs 94.00 26,038.00 710 #1 Perennials 30.00 4,080.00 720 Metal Edging 9.00 1,332.00 721 SECTION 7 730 Lighting Unit- Single Fixture 3,550.00 46,150.00 13.00 13.00 46,150.00 46,150.00 2,307.50 740 Lighting Unit - Double Fixture 1,800.00 1,800.00 1.00 1.00 1,800.00 1,800.00 90.00 760 Concrete Light Base Foundat 1,320.00 18,480.00 14.00 14.00 18,480.00 18,480.00 924.00 770 1" Non -Metallic Conduit 3.00 6,510.00 2,170.00 2,170.00 6,510.00 6,510.00 325.50 a 780 2" non -Metallic Conduit 4.70 1,645.00 350.00 350.00 1,646.00 1,645.00 82.25 790 #1 Use Wire 4.40 554.40 126.00 126.00 554.40 554.40 27.72 800 #2 Use Wire 5.50 693.00 126.00 126.00 693.00 693.00 34.65 810 IP & 2P Breakers 16.50 99.00 6.00 6.00 99.00 99.00 4.95 920 #8 Use Wire 2.75 6,347.00 2,308.00 2,308.00 6,347.00 6,347.00 317.35 930 #10 Use Wire 2.20 10,269.60 4,668.00 4,668.00 10,269.60 10,269.60 513.48 940 Lighting System - Volleyball 16,000.00 16,000.00 1.00 1,00 16,000.00 16,000.00 800.00 950 3" HDPE Conduit 6.70 4,522.50 675.00 675.00 4,522.50 4,522.50 226.13 960 1" HDPE Conduit 3.10 2,092.50 675.00 675.00 2,092.50 2,092.50 104.63 970 16"x16" Quartzite Handhole 310.00 310.00 1.00 1.00 310.00 310.00 15.50 i� Page 4 G ii Unit Billing Schedule of Work Completed Application: 8 Period: 02/28/2022 Contract Plus Previous Current Units Total Units Previous Current Total Bid Item Description Price/Unit Changes Units Billed Complete Complete Value Value Value Retained 980 24"x24" Quartzite Vault 500.00 1,500.00 3.00 3.00 1,500.00 1,500.00 75.00 990 16"x16"x6" NEMA 3R Enclos 150.00 150.00 1.00 1.00 150.00 150.00 7.50 991 SECTION 8 -ADD'L WORK 992 PR 1 - Fencing 21,895.00 21,895.00 1.00 1.00 21,895.00 21,895.00 1,094.75 993 PR 2 - Trail Alignment 21057.00 2,057.00 1.00 1.00 2,057.00 2,057.00 102.85 994 PR 3 - Water Service Disconn 965.00 965.00 1.00 1.00 965.00 965.00 48.25 995 PR 4 - Onsite Electrical 16,463.86 16,463.86 1.00 1.00 16,463.86 16,463.86 823.19 996 PR 5 - Miscellaneous Electric 7,503.00 7,503.00 1.00 1.00 7,503.00 7,503.00 375.15 997 PR 6 - Camera Conduit 3,234.00 3,234.00 1.00 1.00 3,234.00 3,234.00 161.70 998 PR 7 - Flag Pole Conduit 7,199.00 7,199.00 0.60 0.50 3,599.50 3,599.50 179.98 999 PR 8 - 2Add'I Readers 1,866.00 1,866.00 1.00 1.00 1,866.00 1,866.00 93.30 1000 PR 8 - Furnish & Install Flag 14,264.23 14,264.23 1.00 1.00 14,264.23 14,264.23 713.21 1001 PR 9 -Trail Connections 7,593.44 7,593.44 1002 PR 1 U - Dock Walk Abutmen 19,195.89 1095.89 Totals: 1,434,740.86 51,501.65 158.64 61,660.19 894,286.73 2,600.00 896,886.73 44,844.30 i Page 5 of 5 0 - _ IE D'W UCONTPACTING Owner: City of Elk River Job Location: Orono Park Reconstruct Application For Payment On Contract Contract Sum to Date .............................. 1,434,740.86 Total Complete to Date ........................... 967,845.40 Total Retained .......................................... 47,912.38 Total Earned Less Retained ................... 919,933.02 Less Previous Billings ............................ 852,041.43 Current Payment Due ........................... 67,s91.59 Balance on Contract ................................ 466,895.46 Unit Billing Application: 9 Period: 05/05/2022 Code: 420-4-8542-4530 Contractor's Certification of Work The undersigned contractor certifies that, to the best of the contractor's knowledge, the work on the above named job has been completed in accordance with the plans and specifications to the level of completion indicated on the attached schedule of completion. Contractor: Date:�- Terms: Invoices are due and payable30DY from the date of invoice. All overdue amounts will be charged a service charge of 18.00 % perannum. Please make checks payable to: New Look Contracting, Inc. Thank you for your prompt payment. Unit Billing Schedule of Work Completed Application: 9 Period: 05/05/2022 Contract Plus Previous Current Units Total Units Previous Current Total Bid Item Description PricelUnit Changes Units Billed Complete Complete Value Value Value Retained 1 SECTION 1 10 Surveying & Staking 32,770.00 32,770.00 1.00 1.00 32,770,00 32,770.00 1,638.50 20 Mobilization 65,000.00 65,000.00 1.00 1.00 65,000.00 65,000.00 3,250,00 30 Remove Bit Pavement 1.90 22,336.40 11,756.00 11,756.00 22,336,40 22,336.40 1,116.82 40 Remove Concrete Pavement 0.60 1,411,20 2,352.00 2,352.00 1,41120 1,411,20 70.56 50 Remove Concrete Curb & Gutt 1.40 5,649.00 4,035.00 4,035.00 5,649.00 5,649.00 282.45 60 Remove Light Pole & Base 310.00 3,410.00 11.00 11.00 3,410.00 3,410.00 170.50 70 Clearing & Grubbing 500.00 11,000.00 22.00 22,00 11,000.00 11,000.00 550.00 80 Remove Chain Link Fence 2.00 2,132.00 1,066.00 1,066.00 2,132.00 2,132.00 106.60 90 Remove Drinking Fountain & 700.00 700.00 1.00 1.00 700.00 700.00 35.00 100 Remove Sign 62.00 558.00 9.00 9.00 558.00 558.00 27.90 110 Salvage & Reinstall Sign 110.00 220.00 1.00 1.00 110.00 110.00 5.50 120 Salvage & Reinstall Entrance 290.00 290.00 130 Remove Power Pedestal 220.00 1,760.00 8.00 8.00 1,700.00 1,700.00 85.00 140 Remove Drainage Structure 850.00 1,700.00 2.00 2.00 1,231.00 1,231.00 .00 85.55 150 Remove Drain Pipe 23.00 2,231.00 97.00 97.00 2,231.OD 2,10 .00 111.00 160 Remove Shed 1,100.00 1,100.00 1.00 1.00 1,100.00 1,100.00 55.00 170 Remove Volleyball Court 605.00 605.00 1.00 1.00 605.00 605.00 30.25 171 SECTION 2 180 Common Excavation 72,500.00 72,500.00 0.90 0.10 1.00 65,250.00 7,250.00 72,500.00 3,625.00 190 Fumish & Install Topsoil Borr 200 Furnish & Install Sand(Volley 19.00 8.30 8,721.00 8,814.60 1,062.00 1,062A0 8,814.60 73 210 Furnish & install Silt Fence 1.60 6,768.00 4,230.00 4,230.00 6,768.00 6,768,00 338.40 388.50 220 Furnish & Install Silt Curtain 15.00 1,770.00 .118.00 118.00 1,770.00 1,770.00 1,770.00 88.5Q 230 Furnish & Install Bio Roll 4.00 544.00 136.00 136.00 544.00 544.00 27.20 240 Furnish & Install Inlet Protecti 190.00 3,610.00 19.00 19.00 3,610.00 3,610.00 180.50 250 Furnish & Install CAT 3N Bla 3.00 2,256.00 752.00 752.00 2,256.00 2,256.00 112.80 260 Install & Maintain Constructio 1,700.00 3,400.00 2.00 2.00 3,400.00 3,400.00 170.00 261 SECTION 3 270 6" PVC SDR-35 Sanitary Sew 56.00 4,928.00 88.00 297.40 280 4" PVC SDR-35 Santiary Sew 35.00 5,950.00 170.00 70.00 170.00 5,950.00 5,950.00 5,950.00 5,950.00 297.50 Page 2 Unit Billing Schedule of Work Completed Application: 9 Period. 05/05/2022 Contract Pius Previous Current knits Total Units Previous Current Total Bid Item Description PricelUnit Changes Units Billed Complete Complete Value Value Value Retained 290 Sanitary Clean Out 365.00 365.00 1.00 1.00 365.00 365.00 18.25 300 Reconstruct Sanitary Manhol 1,250.00 1,250.00 1.00 1.00 1,250.00 1,250.00 62.50 310 4" HDPE Service 115.00 10,235.00 89.00 89.00 10,235.00 10,235.00 511.75 320 1" ENDO PE Service 33.00 8,085.00 245.00 245.00 8,085.00 8,085.00 404.25 330 24" Perf HDPE Infiltration Pip 10&00 10,260.00 95.00 95.00 10,260.00 10,260.00 513.00 340 15" PVC Drainage Pipe 89.00 712.00 8.00 8.00 712.00 712.00 35.60 350 Catch Basin with 24" Sump 3,900.00 3,900.00 1.00 1.00 3,900.00 3,900.00 195.00 360 Rain Guardian Turret 3,800.00 19,000.00 370 18" CMP Pipe Culvert 52.00 2,652.00 51.00 51.00 380 12" CMP Pipe Culvert 46.00 5,244.00 114.00 112,00 5,244.00 5,244.00 262.20 105.00 390 18" Metal Safety Apron 1,050.00 2,100.00 2.00 2,100.00 2,100.00 400 1.2" Metal Apron 880.00 6,280.00 6.00 6.00 5,280.00 5,800.00 5,280.00 . 264.00 240.00 410 Type 2 RipRap, Geotex Fabri 160.00 800.00 5.00 5.00 5.00 862.00 800.00 420 Cone Erosion Mat 166.00 1,162.00 7.00 1,000.00 162.00 1,162A0 58.10 50.10 430 3" Sched 40 PVC Sleeving 10.00 1,000.00 100.00 0.00 100.00 1,aD0.00 1,000.00 50.00 431 SECTION 4 440 Bit Pavement Entrance & Par 22.20 160,506.00 3,615.00 3,615.00 8D,253.00 89,000.00 65 4,950.00 450 Bit Trails 16.40 71,110.40 1,158.54 1,158.54 19,000.00 19,a00.a4 95a.00 460 Bit Pickleball Court 30.00 28,770.00 959.00 959-00 28,770.00 28,770.00 1,438,50 470 Reconstruct EAsting Bit Trail 14.00 20,174.00 1,442.00 1,442.00 20,188.00 20,188.00 1,009.40 480 6" Concrete Paving 9.20 214,516A0 2,000.00 2,000.00 18,400.00 18,400.00 920.00 490 18" Wide Concrete Maint Stri 21.70 9,287.60 428.00 428.00 9,287.60 9,287.60 464.38 500 B612 Concrete Curb & Gutter 22.00 71,830.00 3,265.00 3,265.00 71,830.00 71,830.00 3,591.50 510 6" x 18" Concrete Curb wl Wa 17.00 8,636.00 508.00 508.00 8,636.00 8,636.00 431.80 520 6" x 18" Concrete Curb 35.00 10,850.00 310.00 310.00 10,850,00 10,850.00 542.50 530 Lot Striping, Signage, Cross 3,700,00 3,700,00 540 Pickleball Court Color Coatin 550 Truncated Domes wl Ped Ra 7,200.00 55.00 7,200.00 14,960.00 272.00 272.Oa 14,960.00 14,960.00 748A0 551 SECTION 5 560 Drinking Fountain 5,800.00 5,800.00 0.50 0.50 ,00.00 2,900.00 185.00 570 Shower Tower 7,400.00 7,400.00 0.50 0.50 3 ,70DAp 3,700.aD 15.a0 Page 3 Unit Billing Schedule of Work Completed Contract Plus Changes 10, 990.00 22, 000.00 5,000.00 11,000.00 4,781.04 22,300.80 1,944.00 64,092.00 26,964.00 Bid item Description PricelUnit 580 10'xl6' Shade Structure - Ska 10,990.00 590 16'xl6' Shade Structure -Bea 11,000.00 600 ]Volleyball Net, Posts, Footing 2,500.00 610 Pickleball Net, Posts, Footing 2,750.00 620 4' Chain Link Fence Intl Con 36.22 630 10' Fence, Gates, Footings - 55.20 640 Bike Loops 486,00 650 Limestone Block Seating 436.00 660 Metal Handrail 126.00 661 SECTION 6 670 Turf Seed Mix 3,000.00 680 Decidious Trees 2" B&B 470.00 690 Understory Tree 1.5" B&B 440.00 700 #5 Shrubs 94.00 710 #1 Perennials 30.00 720 Metal Edging 9.00 721 SECTION 7 730 Lighting Unit - Single Fixture 3,560.00 740 Lighting Unit- Double Fixture 1,800.00 760 Concrete Light Base Founda 1,320.00 770 1" Nan -Metallic Conduit 3.00 780 2" non -Metallic Conduit 4.70 790 #1 Use Wire 4.40 800 #2 Use Wire 5.50 810 IP & 2P Breakers 16.50 920 #8 Use Wire 2,75 930 #10 Use Wire 2.20 940 Lighting System - Volleyball A 16,000.00 950 3" HDPE Conduit 6.70 960 1" HDPE Conduit 3.10 970 16"x16" Quartzite Handhole 310,00 17, 700.00 Application: 9 Period: 05/05/2022 Previous Current Units Total Units Previous Current Total Units Billed Complete Complete Value Value Value Retained 0.75 0.25 1.00 8,242.50 2,747.50 10,990.00 549.50 1.50 0.50 2.00 16,500,00 5,500.00 22,000.00 1,100.00 2.00 2.00 5,000.00 5,000.00 250.0Q 2.00 2.00 5,600.00 5,500.00 275.00 132.00 132.00 4,781.04 4,781.04 239.05 404.00 404.00 22,300.80 22,300.80 1,115.04 2,00 2.00 972.00 972.00 48.60 147.00 147.00 64,092.00 64,092.00 3,204.60 107,00 107.00 13,482.00 13,482.00 674.10 16,920.00 15.00 15.00 7,050.00 7,050,00 352.50 1,320.00 2.00 2.00 880.00 880.00 44.00 26,038.00 4,080.00 1,332.00 46,150.00 13.00 13.00 46,150.00 46,150.00 2,307.50 1,800.00 1.00 1.00 1,800.00 1,800.00 90,00 18,480.00 14.00 14.00 18,480.00 18,480.00 924.00 6,510.00 2,170.00 2,170,00 6,510.00 6,510,00 325,50 1,645.00 350.00 350.00 1,645.00 1,645.00 82.25 554.40 126.00 126,00 554.40 554.40 27.72 693.00 126.00 126.00 693.00 693.00 34.65 99.00 6.00 6.00 99.00 99.00 4.95 6,347.00 2,308.00 2,308.00 6,347.00 6,347.00 317.35 10,269.60 4,668.00 4,668.00 10,269.60 10,269.60 513.48 16,000.00 1.00 1.00 16,000.00 16,000.00 800.00 4,522.50 675.00 675.00 4,522.50 4,522.50 226.13 2,092.50 675.00 675.00 2,092.50 2,092.50 104.63 310,00 1.00 1.00 310.00 310.00 15.50 Page 4 Unit Billing Application: 9 Period: 05/05/2022 Schedule of Work Completed Contract Plus Previous Current Units Total Units Previous Current Total Bid Item Description Price/Unit Changes Units Billed Complete Complete Value Value Value Retained 980 24"x24" Quartzite Vault 500.00 1,500.00 3.00 3.00 1,500.00 1,500.00 75.00 990 16"x16"x6" NEMA 3R Enclosu 150-00 150.00 1.00 1,00 150.00 150.00 7.50 991 SECTION 8 -ADD'L WORK 992 PR 1 - Fencing 21,895.00 21,895.00 1.00 1.00 21,895,00 21,895.00 1,094.75 993 PR 2 - Trail Alignment 2,057.00 2,057.00 1.00 1.00 2,057.00 2,057.00 102.85 994 PR 3 - Water Service Discon 965,00 965.00 1.00 1,00 965.00 965.00 48.25 995 PR 4 - Onsite Electrical 16,463.86 16,463.86 1.00 1.00 16.463.86 16,463.86 823.19 996 PR 5 - Miscellaneous Electric 7,503.00 7,503.00 1.00 1.00 7,503.00 7,503.00 375.15 997 PR 6 - Camera Conduit 3,234.00 3,234.00 1.00 1.00 3,234.00 3,234.00 161.70 998 PR 7 - Flag Pole Conduit 7,199.00 7,199.00 0.50 0.50 1.OD 3,599.50 3,599.50 7,199.00 359.95 999 PR 8 - 2 Add'I Readers 1,866.00 1,866.00 1.00 1.00 1,866A0 1,866.00 93.-30 1000 PR 8 - Furnish & Install Flag 14,264,23 14,264.23 1.00 1.00 14,264.23 14,264.23 713.21 1001 PR 9 -Trail Connections 7,593.44 7,593,44 0.50 0.50 3,796.72 3,796.72 139.84 1002 PR 10 - Dock Walk Abutmen 19,195.89 19,195.89 0.50 0.50 9,597.95 9,597.95 Totals: 1,434,740.86 61,660.19 929.35 62,589.54 896,S85.73 70,959.67 967,945.40 47,91238 e . Document G`70T — 19-92 AMOcaftn n _ . 10 , _ Fes- '. i- c . f' - - Elk , _ l', E '51810 1y 2Q _ C, At cu g v r fi Code: 420-4-8544-4530 k _2 TWO 13 CHI E _0 C L F D FOR PAYMENT __ 9 _, I O_ O . - _ MOM OROM- _ Er r r L Of G vim 0_, -. .. ..... _..... r on s B wm' Mntee: TOTAL axOn x . , w fi-a-In priorce — -- 'a Tl 3 whM LOW ON: I M Sdbmribw a kR URIOC Om t a NT 6L M _= , _ 1 _ _ awe wd Work Q t: - W - in rx MA Ile C ;; w Payer of - AMMAI �.-mb to thm C-_ �_ You aboOM s$m an_ Gn an wwh ftsan A gi- €� NIMI t� '- And Tr a! aft * off r- may s &" w� 4 _ '` to 4oadma �� T AIADocument G703'"-1992 Continuation Sheet AIA Document G702TM_19P2 Application and Certificate for Payment, or G732TK-2009, Application and Certificate for Payment, Construction Manager as Adviser Edition, containing Contractor s signed certification is attached. In tabulations below, amounts are in US dollars. Use Colin I on Contracts where variable retainage for line items may apply. A B C D E F WORK COMPLETED i MATERIALS DESCRIPTION OF WORK SCHEDULED PROM PREVIOUS PRESENTLY NO. VALUE APPLICATION THIS PERIOD STORED (D + E) 1 (Not in D or E) APPLICATION Not 9 APPLI.000N DATE: 3/24/2022 PEERIOD TO: 3/31/2022 ARCHITECT'S PROJECT NO:. G H i_ ' TOTAL BALANCE TO COMPLETED AND % FINISH STORED TO DATE (G - C) ( (D+E+F) C - G) I RETAINAGE (If variable rate) 01 permit, SAC Fee r 4,700.00 4,700.00 i 4,700.00 100.00 t 235.00 02 Bond, Insurance, Mobilize t 10,200.00 10,200.00 l 110,200.0000.00 510.00 : 03eneral Conditions I27,100.00 24,587.83 1 24,587:8390.73 2,512.17 1,229.40 04 b24119 Demolition 17,000.00 17,000.00 i 17 000.00 850.00 05 33000 Concrete 12,000.00 12,000.00 112 000,00 10000 00.00 600.00 06 �55000 Metal Fabrications 07 8,000AO 8,000.00 61000 Rough Carpentry 7,200.00 7,200.00 7,200.00 00.00 360:00 08 �62013 ExteiiorRinish Carp 7,800.00 7,020.00 7,020.00 90.00 780.00 351.00 ] 09 083313 Access Doors 300.00 300.00 300.00 00.00 0 00 15.00 j 10 83313 Coiling Doors 5,300.00 5,300.00 5,300.00 t00.00 265.00 11 92000 Gypsum Board 12,000.00 12,000.00 12,000.00 00.00 600.00 1293000 Tile 7,500.00 7,500.00 7,500.00 00.00 375.00 13 %500 Rubber Floor 4,500.00 4,500.00 € 4,500.00 00.00 225.00 14 097750 FRP 6,000.00 6,000.00 i 6,000.00 00.00 300.00 15 699100 Painting 1 16 5,500.00 2,750.00 ! 2,750.00 50.00 1 2,750.00 137.50 100000 Div 10 Misc M 1,800.00 1,350.00 [ 1,350.00 75.00 j 450.00 67.50 17 ?21316 Underground Plumbing I 6,070.00 6,070.00 [ 6,070.00 '00.00 t 303.50 18 21116 Water 9,850.00 1 7,387.50 7,387.50 75.00 2,462.50 369.38 19 21316 Waste &Vent 3,760.00 3,760.00 x 3,760.00 1.00.00 188.00 20 ,24000 Plumbing Fixtures.Matl 2,400.00 i 1,800.00 120.00 1,920.00 1:80 00 480.00 96.00 21 t24000 Plumbing Fixtures La.bo 4,650.00 3,487.50 i 232.50 3,720.00. 180.00 1 930.00 186.01 22 130000 HVAC Material 23 30000 HVAG:Labor 4,500.00 3,375.00 225.00 3000:00 180.00 900.00 180.00 4,200.00. 3,150.00 210.00 3,3s0.00 80.00 840.00 168.00 24 T"60000 Underground/Site Elect i 13 570.00 1 13,570.00 13,570.00 00.00 1 678.50 f GRAND TOTAL CAUTION: You should sign an original AIA Contract Document, on which this text appears in RED. An original assures that changes will not be obscured. AIA Document G703"" -1992. Copyright ©1963, 1965, 1966, 1967, 1970, 1978, 1983 and 1992 by The American Institute of Arohitects. All rights reserved. WARNING: This Ale Law and International Treaties. Unauthorized reproduction or distribution this AIA® Document is protected by U.S. Copyright of Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. Purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, e-mail The American Institute of Architects' legal counsel, copyright@aia.org. 101210ACD44 :41 A 1A Document G703rm - 1992 Continuation Sheet AIA Document G702T---1992, Application and Certificate for Payment, or G732Tm-2009, Application and Certificate for Payment, Construction Manager as Adviser Edition, containing Contractor's -signed certification is attached. In tabulations below, amounts are in US dollars. Use Column I oilContracts. where variable retainage for line items may apply. A B ; C. D- E APPLICATION NO: 9 APPPUCATION DATE: 3/24/2022 PERIOD TO: 3/3 t/2022 ARCHITECT'S PROJECT NO, G H- I - WORK COMPLETED 1 MATERIALS ITEM DESCRIPTION OF WORK SCHEDULED FROM PREVIOUS PRESENTLY ( TOTAL % BALANCE TO COMPLETEDAND RETAINAGE NO. VALUE STORED I APPLICATION i THIS PERIOD STORED TO DATE G - C FINISH ( ) € (C- G) (If variable rate) (D + E) (Nat in D or E) (D+E+F) j 26 260533 Rough In Labor 6,300.00 6,300.00 27 6,300.00 00.00 315.00 62100 ServicelDistr Matl 3,000.00 3,000.00 1 3,000.00 100.0.0 150.00 28 62100 Service/Dist Labor 1 4,400.00 ! 4,400.00 29 65100 Lighting Matl 4,400.00 00.0.0. 220:00 8,100.00 8,100.00 8,100.00 00.00 405.00 i 30 65100 Lighting Labor 2,500.00 1,875.00 375.00 2 250,00 i90.00 250.00 112.50 31 P,11000 Erosion Control, Mob 6,600.00 6,600.00 I 6 6.00.00 100.00. 330.00 32 2000 Earthwork Removals 8,000.00 8,000.00 11,2000-Earthwork a,000.00 00.00 j 40000 33 20,000.00 20,000.00 1 [ 34 21216Asphalt Paving 3,800.00 20,000.00 100.00 1 1,000.00 € 3,800.00 35 129200 Turf &Grasses 4,600.00 4,600.00 E 4,600.00 ' 00.00 230.00 i 36 31113 Water Distribution 12,000.00 12,000.00 I 12,000.00 00.00 600.00 37 Change Order 1-738.00-738.00 -738.00 100.00 -36.90 38 hangeOrder 2 16,166.44 16,166.44 16,166.44'00.00 808.32 39 �hange Order 3 7,522.81 7,522.81 7,522.81 00.00 376.14 40 change Order4 9,125.59 4,562.80 4,562.80 ,50.00 4,562.79 228.14 41 Change Order 5 E � 1 I � i � GRAND TOTAL 300,276.84 265,834.08 j 5,725.30 i I 271,559.38 19044 28,717.46 13,577.99 CAUTION: You should sign an original. AIA ConVact Document, on which this tent appears in RED. An original assures that changes will not be obscured. AIA Document G703Th1-1992. Copyrlght ©19ti3, 1985, 1966, 1967, 1970, 1978, 1983 and 1992 by The American Institute of Architects. All rights reserved. WARNING: This AIA® Document is protected by U.S. Copyright Law and Intematlonal Treaties. Unauthorized reproduction or distribution of this AIA®Document, or any portion of It, may result in severe civil and criminal penaltles, and will be prosecuted to the maximum extent possible under the law. Purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, e-mail The American Institute of Architects' legal counsel, copyright@aia.org. 101210ACD44 Code: 420-4-8544-4530 A MO_AW PU -IL Exom An, Doculment G702'2 - 1992 Cm vlf-El- RAM Run �q`-- t � m Pat www Conssatm�ian 23 , Mll County Kl10 - vw Y.: � M- 9850 1Rb AvvNV Elk Rlv, , MN 55i'lo VA ARCHrMCT-, a: m ` 3 1 G.A -4 X M-07 Told f °' 3 .. f -_ .Q € 7T LEM. PREMM CM -gam_ £,es.=£. -- € il w Ilk Document G703"' -1992 Continuation Sheet AIA Document G702TM-1992, A.pplibation and Certificate for Payment, or G732Tm -2009, Application and Certificate fox Payment, Construction Manager as Adviser Edition, containing Contractors signed certification is attached. In tabulations below,;amounts are in US dollars. Use Colun n I on. Contractswhere variable retainage for line items may apply. APPLICATION M t APPLICATION DATE: 10 ME RNDD TO: 4/21/2022 ARCHITECT'S PROJECT NO:4/30/2022 A B C D i E F G H I WORK COMPLETED ) ITEM DESCRIPTION OF WORK NO SCHEDULED MATERIALS FROM PREVIOUS PRESENTLY TOTAL COMPLETED AND € % BALANCE TO RETAINAGE VALUE I APPLICATION THIS PERIOD STORED STORED TO DATE. G _ C FINISH ( ) ( _ C - G) (If variable rate) I (Not in D or E) (D+ E) (N i 3 (D+E+F) 3 , 01 Permit, SAC Fee 4,700.00 k 4,700.00 4,700.00 00 00 235.00 02 fond, Insurance, Mobilize 10,200.00 _ 10,200.00 10,200:00 0.000. 510.fl0 03 'General Conditions 27,100.00 j 24,587.83 24,587.83 9073 1 2,512.17 1,229.40 04024119 Demolition 17,000.00 17,000.00 17 000'00 '00.00 1 1 850.00 05 P33000 Concrete:. 12,000.00 12,000.00 0•�.00 12 00.1. ;00.00 600.00 06 1055000 Metal Fabri ations 8,000.00 i 8,000.00 07 061QQQ Rough Carpentry € 7,200.00 _ 7,200.00 .0000.00 360.00, 08 0620?3.ExteriorRinishCarp € 7,800.00 7,020.00 780.00 7,800.00 �00:00 390.00 1 09 1083313 Access Doors 300.00 _ 300.00 _ 300.00 100.00 15.00 i I 10 U83313 Coiling Doors ! 5,300.00 5,300.00 _ 5,300.00 00.00 265.00 11 -092000 Gypsum Board 1 12,000.00 12,000.00 _ 12,000.00 H 00.00 1600.00 1293000 Tile 7,500.00 7,500.00 7,500.00 100.00 375.00 1396500 Rubber Floor 4,500.00 4,500.00 4,500.00�00.00 225.00 14 b97750 FRP 6,000.'00 6,000.00 6,000.00 hoo.00 300.00 15 P99100 Painting l 5,500.00 , 2,750.00 2,750.00 50.00 2,7510.00 137.50 16 ;100000 Div 10 Misc M 1,800.00 1,350.00 450.00 1,800.00 i100.00 90.00 17 r221316 Underground Plumbing 6,070.00 , 6,070.00 ( 6,070.00 f100.00 303.50 18 P21116 Water 9,850.00 7,387.50 2,462.50 9,850.00 1100.0..0.i 492.51 19 1221316 Waste & Vent 3,760.00 3,760.00 3,760.000040 188.00 20 L724000 Plumbing Fixtures. Math I 2,400.00 1,920.00 480.00 2,400..00 00:00 120.00 i 21 �24000 Plumbing.Fixtures'Labo 4,650.00 3,720.00 1 930.00 4 650 00 1100.00 232.51 22 130000 HVAC Material 1 4,500.00 1 3,600 00 1 900.00 1 4 50.0:00 1100.00 225.00 23 1230000 HVAC Labor € 4,200.00 3,360.00 840.00 4,200.00 1100.00 210.00 24 260000 Underground/Site Elect 13,570.00 13,570.00 13,570.00 1100.00 678.50 25 6'0533 Ele��(it�atl 3,000.00 , '0 3 L u . CAUTION: You should sign an original AIA Contract Document, on which this text appears in RED. An E original assures that changes will not be obscured. AIA Document G703Tm -1992. Copyright ©1963, 1965, 1966, 1967, 1970, 1978, 1983 and 1992 by The American Institute of Architects. All rights reserved. WARNING: This AIA® Document is protected Law and International Treaties. Unauthorized reproduction or distribution of this Ale Document, by U.S. Copyright or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the possible under the law. Purchasers are permitted to reproduce ten (10) copies of this document when completed. To maximum extent counsel, copyright@aia.org. report copyright violations of AIA Contract Documents, e-mail The American Institute of Architects' legal 101210ACD44 Continuation Sheet AIA Document G702TM-1 Q42, pplication and Certificate for Payment, or G732TM-2009, APPLICATION NO: Application and Certificate :for Payment, Construction Manager as Adviser Edition, containing Contractor's signed certification is attached. APPLICATION DATE: 10 sbb In tabulationelow,,amounts are in US dollars. KRIOD TO: 4/21/2022 Use Column I o. Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT N0..4/30/2022 A B D I C E - F C, H I I WORK COMPLETED SCHEDULED i NO. DESCRIPTION OF WORK = FROMPREVIOUS I MATERIALS TOTAI< PRESENTLY COMPLETEDAND ° �D i BALANCE TO RETAINAGE ; VALUE APPLICATION THIS PERIOD STORED STORED TO DATE ; (G _ C) FINISH (C- G) (Ifvariable rate) (D + E) (Not in D or E) (D+E+F) 26 =60533 Rough In Labor 6,300.00 = 6,300.00 6,300.00 00.00 ( 315:00 27 2?62100 Service/Distr Mat[ 3,000.00 3,000.00 i3,000.00 28 � 62100 Service/Dist Labor p00.0G 150:00 4,400.00 4,400.00 I 4,400.00 00 00 ] 220.00 29 �65100 Lighting Mat[ 8,100.00 ; 8,100.00 8,100,00 _5 100.00 405.00 30 p 65100 Lighting Labor 2,500.00 2,250.00 250:00 2 500.00 00.00 125.00 31 th-11000 Erosion Control, Mob 6,600.00 6,600.00 j 6,600.00 00.00 330-00 32 12000 Eaithwo k Removals 8,000.00 8,000.00 [ $,000.00 100.00 400.00 33 1.2000:Earthwork 20,000.00 3 20,000.00 i 20,000.00 00.00 1 1,000.00 3421216 Asphalt Paving 3,800.00 3,800.00 1 3,800.00 00.00 190.00 35 1329200 Turf & Grasses 4,600.00 4,600.00 4,600.00 100.00 ( 230.00 36 B31113 Water Distribution 12,000.00 _ 12,000.00 j 12, 000.00 100.00 600.00 37 change Order 1-738.00-738.00 38 change Order 2 -738.00 100.00 i -36.90 C 16,166.44 16,166.44 16,166.44 100.00 808.32 39 change Order 3 7,522.81 7,522 81 7,522.81 00.00 376.14 40 hangeOrder 4 11643.30 4,56280 1 7,080.50 11,643.30 h00.00 582.17 41 k hange Order -2,517.71 E -2,517 71 ( i I -2,517.7100.00 � -125.89 GRAND TOTAL 1 300,276.84 271,559.38 € 15,455.29 287,014.67 95.58 13,262.17 ! 14,350.76 CAUTION: You should sign an original AIA Contract Document, on which this text appears in RED. An original assures that changes will not be obscured. AIA Document G703TM' -1992. Copyright ©1963, 1965, 1966, 1967, 1970, 1978, 1983 and 1992 by The American Institute of Architects. All rights reserved. WARNING: This AIA® Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this Ale Document, or any portion of it, possible under the law. Purchasers are permitted to reproduce ten (10) copies of this document when completed. To report may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent copyright violations of AIA Contract Documents, e-mail The American Institute counsel, copyright@aia.org. of Archtects' legal 101210ACD44