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4.3 SR 09-19-2022Request for Action To Item Number Ma Tor and CinT Council 4.3 Agenda Section Meeting Date Prepared by Consent September 19, 2022 Ryan SandhoefneY, EngineeY 1 Item Description Reviewed by Payr Estimates ustin Femrite P.E., Public WoYks Director Reviewed by Cal Portner, Ci r Administrator Action Requested Approve, byT 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 Fire Station #3 Fire Station #3 Trott Brook Tennis Courts Pay Est. # 20 — Partial 21 — Partial 4 — Partial Contractor Terra Construction Terra Construction NoYthwest Asphalt, Inc. Amount $30,112.52 $81,584.87 $75,780.00 Mission/Policy/Goal OpportunityT to live, `vork, and p1ayT. Attachments ■ Pay Estimate 20 — Terra Construction ■ Patir Estimate 21 — Terra Construction ■ Pay Estimate 4— Northwest Asphalt, Inc. The Elk River Vision P 0 w E R E U a r A 2a�elcolning co�nlnunity 2a�ith Tevolutiona�y and spizzted Tesou�cefulness, exceptional ������ se�vice, and coln�nunity engagelnent that encou�ages and ins�iz•es pTo�pe�zty. Up�iited.• August 2020 0 ����1� � am�=- Document G702 —1992 _� Application and Certificafe for Payment TO OWNER: City of �Ik River PROJECT: 20-70� �lk River Fire Station #3 APPLICATION N0: 20-705-020 Distribution to: 13065 Orono Parkway NW PERIOD T0: August 31, 2022 OWNER: � Ellc River, MN 55330 CONTRACT FOR: Gencral Construction ARCHITECT: � FROM Tcrra Gcncral Contractars VIA BKV Group CONTRACT DATE: Octobcr 19, 2020 CONTRACTOR: 2�025 Commerce Blvd Ste 1Q00 ARCHITECT: 22? N 2nd St, #101 PROJECT NOS: / 20-705 ! Rogcrs MN 55374 MInneapolis, MN 55401 CONTRACTOR'S APPLICATION FOR PAYMENT npplication is made for payment, as shown below, in connection with the Contract. AIA Document G703�, Contii�uation Sheet, is attached. 1. ORIGINAL CONTRACT SUM ................................................................................ �6,898,246.00 2. NET CHANGE BY CHANGE ORDERS ................................................................. �f,253.90 3. CONTRACT SUM TO DATE (Linc 1� 2) ............................................................ $6,904,499.90 4. TOTAL COMPLETED � STORED TO DATE (Cohimn G on G703) ................. $6,869,088.52 5. RETAINAGE: a� 5.00 % of Complcted Wark (Column D + E on G703) b• 0 % of Stored Materia] (Column F on G�03) �91,SR4.87 $0.00 Total Retainage (Lines 5a + Sb or Total in Cohimn I of G703) ................. $9] ,584.87 6. TOTAL EARNED LESS RETAINAGE ................................................................... $6,777,�03.65 (Linc 4 Lcss Line 5 Total) 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT ............................................ �6,747,391.13 (Linc 6 fi-om prior Certificate) 8. CURRENT PAYMENT DUE .......................................................................... $30,112.52 9. BALANCE TO FINISH, INCLUDING RETAINAGE (Line 3 less Line 6) $126,996.25 CHANUE ORDER SUMMARY ADDITIONS DEDUCTiONS Total changcs approvcd in previous montlis by Owner $6,253.90 $0.00 Total approvcd this Month $0.00 $0.00 TOTALS $6,253.90 $0.00 NGT CHANC�S b Chan e Order $6,25390 CONTRACTOR: � FIELD: ❑ OTHER: ❑ 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 receive o he Owncr, and that current payment shown herein is now due. CONTRACTOR: By: Date: O �z State of: Min ota County of: Hennepin Subscribed and sworn to before � '"" RYAN SCOTT STRICKER me tllis 6 J�^ day of �'� ` �,� ��%�- !� ;;.. ,��Y Public, State of Minnesota ' ����' MY Commission Expires t - January 31, 2026 Notary Public: Ryan Siricker My Commission expires: Jan 31, 2026 ARCHITECT'S CERTIFICATE FOR PAYMENT In accordance witll the Contract Documents, based on on-site observations and the data comprising this application, the Architect certifies to the Owner that to the best of the Architect's knowledge, information and belief the Work has progressed as indicated, the quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIPIED. AMOUNTCERTIFIED ...................................................................................... $30,112.52 (Attacl2 explanation if�amoaint certifiecl differs from the amount applied. Initial all fto �res on tlzis Application and on the ContinuaCio Sheet that are changed to confoYm with the amount certifted.) ARCHITECT: By: vate: 09/09/2022 This Certificate is not negoliaUle. The AMOUNT CERTIFIED is payaUle only to the Contractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rigrts of the Owner or Contractor under this Contract. AIA Document G702�— 1992. Copyright O 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 Logo, `5702," and "AIA Contract Documents" are registered trademarks and may not be used without permission. This document was produced by AIA software at 14:54:10 CT on 09/08/2022 under Order No.2114310719 which expires on 04/24/2023, 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: (3B9ADA4E) Terra CONSTRLICTION ds & Insurance n it General Requirements Contingency Fee isen Construction Services isen Construction Services isen Construction Services isen Construction Services isen Construction Services isen Construction Services isen Construction Services isen Construction Services isen Construction Services isen Construction Services isen Construction Services isen Construction Services isen Construction Services isen Construction Services �ete Treatments �ete Treatments �ete Treatments �ete Treatments Concrete Concrete Concrete Concrete Concrete Concrete Concrete Concrete o Construction o Construction o Construction o Construction o Construction o Construction o Construction o Construction o Construction o Construction o Construction CONTINUATION SHEET AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing Contractor's signed certification is attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. NO. COST CODE 01-000: oi-oia 01-0111 01-0121 01-0131 01-0151 03330 03330 03330 03330 03330 03330 03330 03330 03330 03330 03330 03330 03330 03330 03335 03335 03335 03335 03339 03339 03339 03339 03339 03339 03339 03339 04-420 04-420 04-420 04-420 04-420 04-420 04-420 04-420 04-420 04-420 04-420 PACK NO. Preconstruction Bonds & Insurance Permit CM General Requirements CM Contingency CM Fee 3A Footings/Pads 3A Footings Labor 3A Walls Material 3A Walls Labor 3A Slab on Grade Material 3A Slab on Grade Labor 3A ReinforcingMaterial 3A COif1 PRif45tepped Footings 3A COif2 B/C to Dryden 3A COif3 RFqf33 Stepped footings for S" Storm 3A COif4 RFqf37 Extended Foundation @ 1SS 3A COifS Footings alongGL-S 3A COif6 PRif19 Wellness Room 3A COif7 Concrete in Trash Enclosure (From Klein) 3B & 9E Polished Concrete and Resinous Flooring 3B & 9E COif1 ASqfSR Changed Polished Flooring 3B & 9E COif2 ASqf10 Stained Floor Logo in Lobby 11S 3B & 9E COif3 Moisture Mitigation at App Bay Floor 32D Bond 32D Curb 32D Bollards/Flag Pole Footings 32D Sidewalks/Paving 32D COif1 PRif7 Water Service 32D COif2 ReplacingAsphalt w/ Concrete at N side of App Bay 32D COif3 Colored Concrete Deduct 32D COif4 Trench Drain Concrete Pour 4A Masonry-Bond 4A Masonry-Rebar 4A Masonry-Misc Masonry Materials 4A Masonry-Insulation 4A Masonry-Grout Material 4A Masonry-Grout Labor 4A Masonry-Stone Material 4A Masonry-Stone Labor 4A Masonry-Facebrick Material 4A Masonry-Facebrick Labor 4A Masonry-Precast Material VALUE ORDERS REVISION/ SCHEDULED FROMPREVIOI CONTINGENCY VALUE APPLICATION TRANSFE R (D + E) $ 10,000.00 $ 76,365.00 5 aoo.00 $ 724,061.00 $ 233,000.00 $ 101,734.00 $ 22,000.00 $ 32,000.00 $ 14,000.00 $ 60,000.00 $ 73,000.00 $ 112,900.00 $ 35,000.00 I$ 0 - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ 1,776.21 $ 1,033.46 $ (19,579.35) $ (21S,S15.35) $ 10,000.00 $ 76,365.00 $ 1,433.46 $ 704,151.65 $ 14,154.65 $ 101,734.00 $ 22,000.00 $ 32,000.00 $ 14,000.00 $ 60,000.00 $ 73,000.00 $ 112,900.00 $ 35,000.00 $ 2,500.00 $ 500.00 $ 600.00 $ 550.00 $ 2,450.00 $ 5,150.00 $ 550.00 $ 73,159.00 $ (3,539.00) $ (1,000.00) $ 6,565.00 $ 2,400.00 $ 37,000.00 $ 9,500.00 $ 170,500.00 $ (994.93) $ 11,593.62 $ (541.20) $ 1,776.21 $ 15,000.00 $ 40,000.00 $ 115,000.00 $ 20,000.00 $ 42,000.00 $ 50,000.00 $ 60,000.00 $ 42,000.00 $ 75,000.00 $ 230,000.00 $ 35,000.00 $ 10,000.00 $ 76,365.00 $ 1,433.46 $ 704,151.65 $ $ 101,010.61 $ 22,000.00 $ 32,000.00 $ 14,000.00 $ 60,000.00 $ 73,000.00 $ 112,900.00 $ 35,000.00 $ 2,500.00 $ 500.00 $ 600.00 $ 550.00 $ 2,450.00 $ 5,150.00 $ 550.00 $ 73,159.00 $ (3,539.00) $ (1,000.00) $ 6,565.00 $ 2,400.00 $ 37,000.00 $ 9,500.00 $ 145,150.00 $ (994.93) $ 11,593.62 $ (541.20) $ 1,776.21 $ 15,000.00 $ 40,000.00 $ 115,000.00 $ 20,000.00 $ 42,000.00 $ 50,000.00 $ 60,000.00 $ 42,000.00 $ 75,000.00 $ 230,000.00 $ 35,000.00 5 73,159.00 $ - $ - $ - $ 2,400.00 $ 37,000.00 $ 9,500.00 $ 170,500.00 $ - $ - $ - S - 15,000.00 40,000.00 115,000.00 20,000.00 42,000.00 50,000.00 60,000.00 42,000.00 75,000.00 230,000.00 35,000.00 Pagel/11 2, 500.00 500.00 600.00 550.00 2,450.00 5,150.00 550.00 0 ' $ (3,539.00) $ (1,000.00) $ 6,565.00 $ - $ - $ - $ - $ (994.93) $ 11,593.62 $ (541.20) AIA DOCUMENT G703 E F VIPLETED MATERIALS THISPERIOD PRESENTLY STORED (NOT IN DORE) $ - $ - $ 723.39 $ 25,620.00 0 k Riva F reStati on Citv of Elk Ri APPLICATION NO: 20 APPLICATION DATE: S/31/22 PERIOD TO: S/31/22 COMPLETED (G+C) TOFINISH (IFVARIABLE ANDSTORED (C-G) RATE) TO DATE $ 10,000.00 $ 76,365.00 $ 1,433.46 $ 704,151.65 $ $ 101,734.00 $ 22,000.00 $ 32,000.00 $ 14,000.00 $ 60,000.00 $ 73,000.00 $ 112,900.00 $ 35,000.00 $ 2,500.00 $ 500.00 $ 600.00 $ 550.00 $ 2,450.00 $ 5,150.00 $ 550.00 $ 73,159.00 $ (3,539.00) $ (1,000.00) $ 6,565.00 $ 2,400.00 $ 37,000.00 $ 9,500.00 $ 170,500.00 $ (994.93) $ 11,593.62 $ (541.20) $ 1,776.21 $ 15,000.00 $ 40,000.00 $ 115,000.00 $ 20,000.00 $ 42,000.00 $ 50,000.00 $ 60,000.00 $ 42,000.00 $ 75,000.00 $ 230,000.00 $ 35,000.00 100.00% ioo.00� 100.00% 100.00% 0.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% $ - $ - $ - $ - $ 14,154.65 $ 0.00 0 $ $ $ $ $ $ $ $ $ $ S $ 500.00 $ 3,S1S.40 $ 71.67 $ 35,209.OS $ $ S,OS6.70 $ 1,100.00 $ 1,600.00 $ 700.00 $ 3,000.00 $ 3,650.00 $ 5,645.00 $ 1,750.00 $ 125.00 $ 25.00 $ 30.00 $ 27.50 $ 124.00 $ 257.50 $ 42.50 $ 3,659.45 $ $ $ $ $ $ $ $ $ $ S 325.25 120.00 1,550.00 490.00 5,540.00 (49J5; 579.65 (27.06; SS.S1 750.00 2,000.00 5,750.00 1,000.00 2,100.00 2,500.00 3,000.00 2,100.00 3,750.00 11,500.00 1,750.00 Terra CONSTRLICTION Construction Construction Construction Construction Construction Construction Construction Construction Construction Construction Construction ive Iron ive Iron ive Iron ive Iron ive Iron ive Iron ive Iron ive Iron ive Iron ive Iron ive Iron ive Iron ive Iron ive Iron ive Iron ive Iron ive Iron ive Iron ive Iron ive Iron ive Iron ive Iron Erectors Erectors Erectors Erectors Erectors Erectors Erectors Erectors Erectors Erectors Erectors Erectors Erectors CONTINUATION SHEET AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing Contractor's signed certification is attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. NO. COST CODE 04-420 04-420 04-420 04-420 04-420 04-420 04-420 04-420 04-420 04-420 04-420 OS-51b OS-51b OS-51b OS-51b OS-51b OS-51b OS-51b OS-51b OS-51b OS-51b OS-51b OS-51b OS-51b OS-51b OS-51b OS-51b OS-51b OS-51b OS-51b OS-51b OS-51b OS-51b OS-51Z OS-51Z OS-51Z OS-51Z OS-51Z OS-51Z OS-51Z OS-51Z OS-51Z OS-51Z OS-51Z OS-51Z OS-51Z PACK NO. 4A Masonry-Precast Labor 4A Masonry-CMU Material 4A Masonry-CMU Labor 4A COif1 ASqfS Added 4" Block 4A COif2CenturyFence-TempFenceReplacementfromDelivery 4A COif3 Added CMU at Sill of 53 per RFqf96 4A COif4 RFqf150 4A COifS Physical Training Duct Work Patch (From PSM) 4A COif6 RFqf201 Door Frame 10S Reinstall (To MCD) 4A COif7 RFqf201 Bondo and Re-Install Door 10S (To Century) 4A COifS RFqf201 RepaaintingDoor Frame 10S (To Steinbrecher) SA Structural5teel Material-Startup/Shop Drawings SA Structural5teel-Material SA Steel Material-Joist/Deck SA Steel Material-Misc SA COiflSalvaged Steel Bollards SA COif2lncreased RTU Loads SA COif3 RFqf54 WS Beam Connections SA COif4 RFqf46 Trench Drain Grates SA COifSPredrillingSillAnglesforCenturytolnstall SA COif6 RFqf69 Removal of 6x4x1/4" Angle At OH App Doors SA COif7 ASqfSR Roof Transitions SA COifS DI Pre Drilling SA COif9 CORif37 Added 2 Loose Lintels SA COif10 CORif3SR Added Steel SA COif11 RFqf103 Angles Above W1 Windows SA COif12 RFqf109 SA COif13 RFqf100 SA COif14 Replacement MC6x12 SA COif155upportforP3AtAppBay SA COif16 RFqf156Angle Iron Material SA COifl7AddedSteelPlateatTrainingTower SA CO Trash Gate 5B Structural5teel Erection 5B Joists & Decking 5B Metal Fabrications 5B Bond 5B COiflPRif2RClerestoryHeadDetail 5B COif2 LT GA 3x3 Cavity Closure Angle Install 5B COif3 RFqf69 Removal of angle at App Doors 5B COif4A5qfSRRoofTransition 5B COifS RFqf92 Slab Edge Detail at Mezzanine Opening 5B COif6 PRif16 5B COif7 RFqf103 Angles Above W1 Windows 5B COifS RFqf109 5B COif9 RFqf100 VALUE ORDERS REVISION/ SCHEDULED CONTINGENCY VALUE TRANSFER 5 40,000.00 $ 100,000.00 $ 251,000.00 $ - $ - $ - $ - $ - $ - $ - $ - $ 35,200.00 $ 75,000.00 $ 115,553.75 $ 67,006.25 $ - $ $ - $ - $ - $ - $ - $ - $ $ - $ - $ - $ - $ - $ - $ - $ - < _ $ $ $ $ $ $ $ $ $ 5 $ - $ - $ 7,661.00 $ (1,977.19) $ 1,655.00 $ (675.00) $ 744.50 $ (740.00) $ (479.27) 5 (717.00) 5 40,000.00 $ 100,000.00 $ 251,000.00 $ 7,661.00 $ (1,977.19) $ 1,655.00 $ (675.00) $ 744.50 $ (740.00) $ (479.27) $ (717.00) $ 35,200.00 $ 75,000.00 $ 202,750.00 $ 67,006.25 $ (1,232.00) $ 1,305.25 $ 1,406.22 $ 415.34 $ 676.41 $ (2,035.93) $ 6,193.52 $ 465.54 $ 512.65 $ 3,702.44 $ 1,062.67 $ (212.00) $ 2,775.64 $ 2,135.02 $ (212.00) $ 1,203.29 $ 533.64 $ 2,730.55 $ SS,000.00 $ 29,575.00 $ 26,175.00 $ 4,000.00 $ 6,754.00 $ 1,272.00 $ (1,060.00) $ 530.00 $ 230.00 $ 477.00 $ 424.00 $ 212.00 $ 742.00 SS,000.00 29,575.00 26,175.00 4,000.00 57,196.25 (1,232.00) 1,305.25 1,406.22 415.34 676.41 (2,035.93) 6,193.52 465.54 512.65 3,702.44 1,062.67 (212.00) 2,775.64 2,135.02 (212.00) 1,203.29 533.64 2,730.55 6,754.00 1,272.00 (1,060.00) 530.00 230.00 477.00 424.00 212.00 742.00 APPLICATION (D+E) $ 40,OOO.0 $ 100,OOO.0 $ 251,OOO.0 $ 7,661.0 $ (1,977.7 $ 1,655.0 $ (67S.0 $ 744.` $ (740.0 $ (479.2 $ (717.0 $ 35,200.0 $ 75,OOO.0 $ 202,750.0 $ 67,006.2 $ (1,232.0 $ 1,305.2 $ 1,406.2 $ 415.? $ 676.4 $ (2,035.� $ 6,193.` $ 465. ` $ 512.E $ 3,702.4 $ 1,062.E $ (212.0 $ 2,775.E $ 2,135.0 $ (212.0 $ 1,203.2 $ S33.E $ 2,730.` $ SS,OOO.0 $ 29,575.0 $ 26,175.0 $ 4,OOO.0 $ 6,7S4.0 $ 1,272.0 $ (1,060.0 $ 530.0 $ 230.0 $ 477.0 $ 424.0 $ 212.0 $ 742.0 AIA DOCUMENT G703 PRESENTLY STORED (NOT IN DORE) 0 k Riva F reStati on Citv of Elk Ri APPLICATION NO: 20 APPLICATION DATE: S/31/22 PERIOD TO: S/31/22 COMPLETED ANDSTORED TO DATE (D+E+F) $ 40,000.0 $ 100,000.0 $ 251,000.0 $ 7,661.0 $ (1,977.1 $ 1,655.0 $ (675.0 $ 744.5 $ (740.0 $ (479.2 $ (717.0 $ 35,200.0 $ 75,000.0 $ 202,750.0 $ 67,006.2 $ (1,232.0 $ 1,305.2 $ 1,406.2 $ 415.3 $ 676.4 $ (2,035.9 $ 6,193.5 $ 465.5 $ 512.6 $ 3,702.4 $ 1,062.6 $ (212.0 $ 2,775.6 $ 2,135.0 $ (212.0 $ 1,203.2 $ 533.6 $ 2,730.5 $ SS,000.0 $ 29,575.0 $ 26,175.0 $ 4,000.0 $ 6,754.0 $ 1,272.0 $ (1,060.0 $ 530.0 $ 230.0 $ 477.0 $ 424.0 $ 212.0 $ 742.0 (G+C) I TOFINISH I (IFVARIABLE (C-G) RATE) 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ < 5 2,000.00 $ 5,000.00 $ 12,550.00 $ 353.05 $ (9S.S6; $ 52.75 $ (33.90; $ 37.23 $ (37.00; $ (23.96; $ (35.55; $ 1,910.00 $ 3,750.00 $ 10,137.50 $ 3,350.31 $ (61.60; $ 65.26 $ 70.31 $ 20.77 $ 33.52 $ (101.95; $ 309.65 $ 23.43 $ 25.63 $ 155.12 $ 53.13 $ (10.60; $ 13S.7S $ 106.75 $ (10.60; $ 60.16 $ 41.65 $ 136.53 $ 2,900.00 $ 1,475.75 $ 1,305.75 $ 200.00 $ 339.20 $ 63.60 $ (53.00; $ 26.50 $ 11.50 $ 23.55 $ 21.20 $ 10.60 $ 37.10 Page 2 / 11 Terra CONSTRLICTION triot Erectors triot Erectors triot Erectors triot Erectors triot Erectors ntury Construction ntury Construction ntury Construction ntury Construction ntury Construction ntury Construction ntury Construction ntury Construction ntury Construction ntury Construction ntury Construction ntury Construction ntury Construction ntury Construction ntury Construction ntury Construction ntury Construction ntury Construction ntury Construction ntury Construction ntury Construction ntury Construction ntury Construction ntury Construction rthern Woodwork rthern Woodwork Roofing Roofing Roofing Roofing Roofing Roofing Roofing Roofing Roofing CONTINUATION SHEET AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing Contractor's signed certification is attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. NO. COST CODE OS-51Z OS-51Z OS-51Z OS-51Z OS-51Z 06-610 06-610 06-610 06-610 06-610 06-610 06-610 06-610 06-610 06-610 06-610 06-610 06-610 06-610 06-610 06-610 06-610 06-610 06-610 06-610 06-610 06-610 06-610 06-610 06-640 06-640 07-72L 07-72L 07-72L 07-72L 07-75b 07-75b 07-75b 07-75b 07-75b 07-75b 07-75b 07-75b 07-75b PACK NO. 5B COif10 RFI if101 5B COif1lRFqf156AdditionalAnglelronforFan 5B COif12RFqf159TrainingTowerWelding 5B COif13 RFqf140 RapellingAnchors 5B CO Trash Gate 6A Performance & Payment Bond 6A Allowance 6A Mobilization 6A Materials 6A Material Blocking 6A Install Roof Blocking 6A Install In Wall Blocking 6A CabinetsandMillwork 6A Specialties 6A Temp Enclosures 6A Doors&Hardware 6A COif1 For Distinctive to Predrill Sill Angles 6A COif2 PRif15 Flagpoles 6A COif3 Disctinctive Predrill Holes for Operable Partition 6A COif4 Wood Blockingat Heads of W1 (Used $S55 of Allowance) 6A COifS RFqf110 Wood Blocking 6A COif6AllowanceUsage(Remaining$5,290) 6A COif7AllowanceUsage(Remaining$7,015) 6A COifS PRiflSAdded Paper Towel/Trash Units 6A COif9C51Div-10AdditionalCharges 6A COif101nterior5ignage 6A COif11 Allowance Usage (Remaining$3930.50) 6A COif12 RFqf201 Bondo and Reinstall Door 10S 6A CO Pergola 6B Architectural Millwork 6B COif1 PRif1S 7C Fluid Applied Air Barrier 7C COif1 ASqfSR Removal of Tranisition Membrane 7C COif2 Remove and Reinstall AB at W1 7C COif3 PRif20 7A&7B Roofing&MetaIWallPanels 7A&7B COiflA5qf5LTAngles 7A & 7B COif2 ASqfSR Reduction of Roof Membrane 7A&7B COif3PRif14ParapetRoofingMembrane 7A&7B COif40vertimeWorkonll/6 7A&7B COifSRFqf100 7A&7B COif64thFloorTrainingTowerRoofingMembrane 7A&7B COif7WallReflashingattopsofParapetWalls 7A & 7B COifS Emergency Repairs on 12/17 VALUE I ORDERS $ - $ - $ - $ - $ 6,400.00 $ 10,000.00 $ 3,100.00 $ 97,000.00 $ 12,000.00 $ 43,000.00 $ 5,000.00 $ 5,500.00 $ 32,000.00 $ 6,000.00 $ 17,000.00 $ $ - $ - $ - $ - $ - $ - $ $ - $ - $ - $ - $ - $ 45,900.00 $ - $ 35,600.00 $ - $ - $ - $ 355,124.00 $ - $ - $ - $ - $ - $ - $ - $ - $ $ $ S 0 $ $ $ $ $ $ $ $ $ $ $ $ $ $ REVISION/ SCHEDULED CONTINGENCY VALUE TRANSFER $ 212.00 $ 212.00 $ 1,612.00 $ 1,612.00 $ 424.00 $ 424.00 $ 1,219.00 $ 1,219.00 $ 1,027.00 $ 1,027.00 (676.41) (277.00) (465.54) 534.35 (1,272.00) 2,245.00 2,335.50 (572.52) 479.27 (11,023.27) 0 ' $ 165.00 $ - $ (500.00) $ 1,590.00 $ (200.00) $ - $ 5,750.00 $ 2,600.00 $ (1,650.00) $ 2,652.00 $ 1,350.00 $ (935.00) $ 1,425.00 $ 1,325.00 $ 6,400.00 $ 10,000.00 $ 3,100.00 $ 97,000.00 $ 12,000.00 $ 43,000.00 $ 5,000.00 $ 5,500.00 $ 32,000.00 $ 6,000.00 $ 17,000.00 $ (676.41) $ (277.00) $ (465.54) $ - $ 534.35 $ - $ (1,272.00) $ 2,245.00 $ 2,335.50 $ (572.52) $ - $ 479.27 $ (11,023.27) $ 45,900.00 $ 165.00 $ 35,600.00 $ (500.00) $ 1,590.00 $ (200.00) $ 355,124.00 $ 5,750.00 $ 2,600.00 $ (1,650.00) $ 2,652.00 $ 1,350.00 $ (935.00) $ 1,425.00 $ 1,325.00 APPLICATION (D+E) $ 212.0 $ 1,612.0 $ 424.0 $ 1,219.0 $ 1,027.0 $ 6,400.0 $ 10,OOO.0 $ 3,100.0 $ 74,99S.0 $ 12,OOO.0 $ 43,OOO.0 $ S,OOO.0 $ S,SOO.0 $ 24,OOO.0 $ 6,OOO.0 $ 17,OOO.0 $ (676.4 $ (277.0 $ (465.` $ - $ 534.? $ - $ (1,272.0 $ 2,24S.0 $ S7.` $ (572.f $ - $ 479.2 $ - $ 45,900.0 $ 165.0 $ 35,600.0 $ (SOO.0 $ 1,590.0 $ (200.0 $ 355,124.0 $ 5,750.0 $ 2,600.0 $ (1,650.0 $ 2,6S2.0 $ 1,350.0 $ (935.0 $ 1,425.0 $ 1,325.0 AIA DOCUMENT G703 PRESENTLY STORED (NOT IN DORE) 0 k Riva F reStati on Citv of Elk Ri APPLICATION NO: 20 APPLICATION DATE: S/31/22 PERIOD TO: S/31/22 COMPLETED ANDSTORED TO DATE (D+E+F) $ 212.0 $ 1,612.0 $ 424.0 $ 1,219.0 $ 1,027.0 $ 6,400.0 $ 10,000.0 $ 3,100.0 $ 74,995.0 $ 12,000.0 $ 43,000.0 $ 5,000.0 $ 5,500.0 $ 24,000.0 $ 6,000.0 $ 17,000.0 $ (676.4 $ (277.0 $ (465.5 $ - $ 534.3 $ - $ (1,272.0 $ 2,245.0 $ 57.5 $ (572.5 $ - $ 479.2 $ - $ 45,900.0 $ 165.0 $ 35,600.0 $ (500.0 $ 1,590.0 $ (200.0 $ 355,124.0 $ 5,750.0 $ 2,600.0 $ (1,650.0 $ 2,652.0 $ 1,350.0 $ (935.0 $ 1,425.0 $ 1,325.0 (G+C) I TOFINISH I (IFVARIABLE (C-G) RATE) 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 77.32% 100.00% 100.00% 100.00% 100.00% 75.00% 100.00% 100.00% 100.00% 100.00% 100.00% ifDIV/0! 100.00% ifDIV/0! 100.00% 100.00% 3.75% 100.00% ifDIV/0! 100.00% 0.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% $ - $ - $ - $ - $ - $ - $ - $ 22,002.00 $ - $ - $ - $ - $ 5,000.00 $ - $ - $ $ - $ - $ - $ - $ - $ - $ $ 2,245.00 $ - $ - $ - $ (11,023.27) $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - 5 10.60 $ 50.60 $ 21.20 $ 60.95 $ 51.35 $ 320.00 $ 500.00 $ 155.00 $ 3,749.90 $ 600.00 $ 2,150.00 $ 400.00 $ 425.00 $ 1,200.00 $ 300.00 $ 550.00 $ (33.52; $ (13.55; $ (23.43; $ - $ 26.72 $ - $ (63.60; $ 112.40 $ 4.35 $ (25.64; $ - $ 23.96 $ - $ 2,295.00 $ 5.25 $ 1,930.00 $ (40.00; $ 79.50 $ (10.00; $ 19,256.20 $ 257.50 $ 130.00 $ (52.50; $ 134.10 $ 67.50 $ (46J5; $ 71.25 $ 66.25 Page 3 / 11 Terra CONSTRLICTION �rizon Roofing ec 7 nrise Speciality nrise Speciality id-Central Door id-Central Door id-Central Door id-Central Door id-Central Door id-Central Door id-Central Door nerican Door Works nerican Door Works nerican Door Works Jlmark Glass Jlmark Glass Jlmark Glass Jlmark Glass Jlmark Glass Jlmark Glass Jlmark Glass Jlmark Glass Jlmark Glass Jlmark Glass Jlmark Glass emela Design and Construction emela Design and Construction emela Design and Construction emela Design and Construction emela Design and Construction emela Design and Construction emela Design and Construction emela Design and Construction emela Design and Construction emela Design and Construction emela Design and Construction emela Design and Construction emela Design and Construction emela Design and Construction emela Design and Construction emela Design and Construction CONTINUATION SHEET AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing Contractor's signed certification is attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. NO. COST CODE 07-75b 07-75b 07-75b 07-790 07-790 OS-S20 OS-S20 OS-S20 OS-S20 OS-S20 OS-S20 OS-S20 OS-S36 OS-S36 OS-S36 OS-SS0 OS-SS0 OS-SS0 OS-SS0 OS-SS0 OS-SS0 OS-SS0 OS-SS0 OS-SS0 OS-SS0 OS-SS0 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 PACK NO. 7A&7B COif95addleRepairatexistingsaddleatNorthTrainingTower 7A & 7B CO Relocate Roof Vent RFqf163 Training Tower Roofing Membrane 7D JointSealants 7D COiflPRif2RClerestoryHeadDetail SA Hardware SA HM Door SA HM Frame SA Specialty SA WDDoor SA COif1 Door Hardware Revisions (5/5/21) SA COif2 Door Frame 10S Refab Door (From Camco) SB Sectional Overhead Doors SB COif1 PRif2 Overhead Doors & Circuiting SB COif2 PRif12 Revised the 3 OH Doors SC Shop Drawings SC Bond SC Aluminum Labor SC Aluminum Material SC DoorHardwareLabor SC DoorHardwarematerial SC Glass&GlazingLabor SC Glass&GlazingMaterial SC Arch Louvers Labor SC Arch Louvers Material SC COif1 RFqf1S1 SF 140X SF Head Detail 9A Framing-Material 9A Insulation-Material 9A Drywall-Material 9A Taping/Finishing-Material 9A Sealants/Acoustical- Material 9A FRP-Material 9A Framing-Labor 9A Insulation-Labor 9A Drywall-Labor 9A Taping/Finishing-Labor 9A Sealants/Acoustical- Labor 9A FRP-Labor 9A Equipment-Lift 9A Mobilization 9A Bonding 9A Allowance (Terra Directed) VALUE I ORDERS $ - $ - $ 45,470.00 $ - $ 41,653.67 $ 22,205.67 $ 19,666.66 $ 3,133.00 $ 7,727.00 $ - $ - $ 170,570.00 $ $ - $ 3,500.00 $ 5,000.00 $ 32,630.00 $ 45,750.00 $ 3,000.00 $ 26,000.00 $ 10,200.00 $ 29,000.00 $ 1,620.00 $ 3,500.00 < _ I$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 5 19,573.00 5,063.00 20,024.00 2,930.00 2, 500.00 506.00 33,795.00 6, 500.00 22,510.00 23,301.00 3,000.00 630.00 7, 500.00 5,000.00 2,915.00 5,000.00 REVISION / CONTINGENCY TRANSFER $ 2,950.00 $ 750.00 $ 5,513.00 $ - $ 35.00 $ - $ - $ - $ - $ - $ 2,152.97 $ 740.00 $ - $ (37,217.00) $ (36,410.00) $ - $ - $ - $ - $ $ - $ - $ - $ - $ - 5 362.00 SCHEDULED VALUE $ 2,950.00 $ 750.00 $ 5,513.00 $ 45,470.00 $ 35.00 $ 41,653.67 $ 22,205.67 $ 19,666.66 $ 3,133.00 $ 7,727.00 $ 2,152.97 $ 740.00 $ 170,570.00 $ (37,217.00) $ (36,410.00) $ 3,500.00 $ 5,000.00 $ 32,630.00 $ 45,750.00 $ 3,000.00 $ 26,000.00 $ 10,200.00 $ 29,000.00 $ 1,620.00 $ 3,500.00 $ 362.00 $ 19,573.00 $ 5,063.00 $ 20,024.00 $ 2,930.00 $ 2,500.00 $ 506.00 $ 33,795.00 $ 6,500.00 $ 22,510.00 $ 23,301.00 $ 3,000.00 $ 630.00 $ 7,500.00 $ 5,000.00 $ 2,915.00 $ 5,000.00 APPLICATION (D+E) $ 2,9SO.0 $ 750.0 $ 5,513.0 $ 45,470.0 $ 35.0 $ 41,653.E $ 22,20S.E $ 19,666.E $ 3,133.0 $ 7,727.0 $ 2,152.� $ 740.0 $ 170,570.0 $ (37,217.0 $ (36,410.0 $ 3,SOO.0 $ S,OOO.0 $ 32,630.0 $ 45,750.0 $ 3,OOO.0 $ 26,OOO.0 $ 10,200.0 $ 29,OOO.0 $ 1,620.0 $ 3,SOO.0 $ 362.0 $ 19,S73.0 $ 5,063.0 $ 20,024.0 $ 2,930.0 $ 2,SOO.0 $ S06.0 $ 33,795.0 $ 6,SOO.0 $ 22,S10.0 $ 23,301.0 $ 3,OOO.0 $ 630.0 $ 7,SOO.0 $ S,OOO.0 $ 2,915.0 $ S,OOO.0 AIA DOCUMENT G703 PRESENTLY STORED (NOT IN DORE) 0 k Riva F reStati on Citv of Elk Ri APPLICATION NO: 20 APPLICATION DATE: S/31/22 PERIOD TO: S/31/22 COMPLETED ANDSTORED TO DATE (D+E+F) $ 2,950.00 $ 750.00 $ 5,513.00 $ 45,470.00 $ 35.00 $ 41,653.67 $ 22,205.67 $ 19,666.66 $ 3,133.00 $ 7,727.00 $ 2,152.97 $ 740.00 $ 170,570.00 $ (37,217.00) $ (36,410.00) $ 3,500.00 $ 5,000.00 $ 32,630.00 $ 45,750.00 $ 3,000.00 $ 26,000.00 $ 10,200.00 $ 29,000.00 $ 1,620.00 $ 3,500.00 $ 362.00 $ 19,573.00 $ 5,063.00 $ 20,024.00 $ 2,930.00 $ 2,500.00 $ 506.00 $ 33,795.00 $ 6,500.00 $ 22,510.00 $ 23,301.00 $ 3,000.00 $ 630.00 $ 7,500.00 $ 5,000.00 $ 2,915.00 $ 5,000.00 (G + C) 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% TO FINISH I (IF VARIABLE (C-G) RATE) $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ < 5 149.00 $ 37.50 $ 275.65 $ 2,273.50 $ 1.75 $ 2,OS2.6S $ 1,110.43 $ 953.33 $ 156.65 $ 356.35 $ 107.65 $ 37.00 $ S,52S.50 $ (1,S60.S5) $ (1,520.50) $ 175.00 $ 250.00 $ 1,631.50 $ 2,437.50 $ 150.00 $ 1,300.00 $ 510.00 $ 1,450.00 $ 51.00 $ 190.00 $ 15.10 $ 993.65 $ 253.15 $ 1,001.20 $ 146.50 $ 125.00 $ 40.30 $ 1,659.75 $ 325.00 $ 1,140.50 $ 1,165.05 $ 150.00 $ 31.50 $ 375.00 $ 250.00 $ 145.75 S 250.00 Page 4 / 11 Terra CONSTRLICTION amela Design and Construction amela Design and Construction amela Design and Construction amela Design and Construction amela Design and Construction amela Design and Construction amela Design and Construction amela Design and Construction amela Design and Construction amela Design and Construction amela Design and Construction amela Design and Construction amela Design and Construction amela Design and Construction amela Design and Construction amela Design and Construction amela Design and Construction amela Design and Construction amela Design and Construction amela Design and Construction n's Construction Group n's Construction Group n's Construction Group nus Interiors nus Interiors nus Interiors nus Interiors nus Interiors nus Interiors nus Interiors nus Interiors ntennial Flooring ntennial Flooring ntennial Flooring �inbrecher Painting �inbrecher Painting �inbrecher Painting �inbrecher Painting �inbrecher Painting �inbrecher Painting �inbrecher Painting terson Sheet Metal terson Sheet Metal CONTINUATION SHEET AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing Contractor's signed certification is attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. NO. COST CODE 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-930 09-930 09-930 09-95L 09-95L 09-95L 09-95L 09-95L 09-95L 09-95L 09-95L 09-965 09-965 09-965 09-99L 09-99L 09-99L 09-99L 09-99L 09-99L 09-99L 15-150 15-150 PACK NO. 9A Allowance-AccessPanels 9A COiflPRif2RClerestoryHeadDetail 9A COif2 PRif3R 9A COif3A5qf95offitRevisions 9A COif4 RFqf107 9A COifS RFqf100 9A COif6 RFqf121 9A COif7 PRiflSAdded Framingfor Trash Units 9A COifS RFqf154 2" XPS Tile Backer at Wellness Room 9A COif9CMULaminatingandSkimCoating 9A COiflOAddedTripCharge 9A COif11 Option 1 Hilti Spray & Paint 9A COif12 PRif20 9A COif13 RFqf150 9A COifl4CreditforGypat5F140XHeadDetail 9A COiflSAccess Panel Allowance Usage ($0 Remanining) 9A COif16 Using$330of $SOOOAIIowance ($4670 Remainin� 9A COifl7Using$325ofAllowance($4345Remaining) 9A COif1S Soffit Expansion Joint Painting 9A CO Vent Hood Backing 9B Labor 9B Tile Material 9B COif1 - PRif20 9C ACT-1 Material 9C ACT-1 Labor 9C ACP Material 9C ACP Labor 9C Bond 9C COif1 PRif3R 9C COif2 RFqf7S Extended Wall Track 9C COif3 ASqf9 Removed ACT in Room 124 9D Carpet & Resilient Flooring-Material 9D Carpet & Resilient Flooring-Labor 9D COif1 RFqf143 Added LokDots 9F Painting&Wallcovering 9F COiflA5qf101nteriorFinishes 9F COif2 Added Painting at M04 & Vestibule 107 PRif20 9F COif3Painting5offitsafterControlJoints 9F COif4 RFqf201 RepaintingDoor Frame 10S 9F CO Relocate RoofVent 9F CO Vent Hood Blocking 22A Mechanical-Fabricated Ductwork 22A Mechanical-Duct Field Material VALUE ORDERS REVISION/ SCHEDULED CONTINGENCY VALUE TRANSFER 5 2,000.00 $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ $ - $ - $ 23,450.00 $ 26,365.00 $ - $ 9,550.00 $ 6,936.00 $ 61,659.00 $ 9,674.00 $ 1,231.00 $ - $ - $ - $ 14,000.00 $ 5,500.00 $ - $ 76,200.00 $ - $ - $ - $ - $ - $ - $ 16,475.00 $ 19,439.00 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 4,963.35 $ (357.00) $ 295.00 $ 213.00 $ 433.00 $ 250.00 $ 1,050.00 $ 5,6SS.00 $ 10,300.00 $ 950.00 $ 4,613.00 $ (245.00) $ 1,369.00 $ (50.00) $ - $ - $ $ (523.00) $ 541.25 $ - $ - $ (210.00) $ - $ - $ - $ - $ - $ 1,130.00 $ 637.00 $ (257.00) $ - $ - $ 215.00 $ - $ 673.00 $ 415.00 $ 523.00 $ 717.00 $ 373.00 $ SS.00 $ - $ - 5 2,000.00 $ 4,963.35 $ (357.00) $ 295.00 $ 213.00 $ 433.00 $ 250.00 $ 1,050.00 $ 5,6SS.00 $ 10,300.00 $ 950.00 $ 4,613.00 $ (245.00) $ 1,369.00 $ (50.00) $ - $ - $ $ (523.00) $ 541.25 $ 23,450.00 $ 26,365.00 $ (210.00) $ 9,550.00 $ 6,936.00 $ 61,659.00 $ 9,674.00 $ 1,231.00 $ 1,130.00 $ 637.00 $ (257.00) $ 14,000.00 $ 5,500.00 $ 215.00 $ 76,200.00 $ 673.00 $ 415.00 $ 523.00 $ 717.00 $ 373.00 $ SS.00 $ 16,475.00 $ 19,439.00 APPLICATION (D+E) $ 2,OOO.0 $ 4,963.? $ (357.0 $ 295.0 $ 213.0 $ 433.0 $ 250.0 $ 1,OSO.0 $ 5,6SS.0 $ 10,300.0 $ 950.0 $ 4,613.0 $ (245.0 $ 1,369.0 $ (SO.0 $ - $ - $ $ (S23.0 $ 541.2 $ 23,450.0 $ 26,365.0 $ (210.0 $ 9,SSO.0 $ 6,936.0 $ 61,659.0 $ 9,674.0 $ 1,231.0 $ 1,130.0 $ 637.0 $ (257.0 $ 14,OOO.0 $ S,SOO.0 $ 215.0 $ 76,200.0 $ 673.0 $ 415.0 $ S23.0 $ 717.0 $ 373.0 $ SS.0 $ 16,475.0 $ 19,439.0 AIA DOCUMENT G703 PRESENTLY STORED (NOT IN DORE) 0 k Riva F reStati on Citv of Elk Ri APPLICATION NO: 20 APPLICATION DATE: S/31/22 PERIOD TO: S/31/22 COMPLETED ANDSTORED TO DATE (D+E+F) $ 2,000.00 $ 4,963.35 $ (357.00) $ 295.00 $ 213.00 $ 433.00 $ 250.00 $ 1,050.00 $ 5,6SS.00 $ 10,300.00 $ 950.00 $ 4,613.00 $ (245.00) $ 1,369.00 $ (50.00) $ - $ - $ $ (523.00) $ 541.25 $ 23,450.00 $ 26,365.00 $ (210.00) $ 9,550.00 $ 6,936.00 $ 61,659.00 $ 9,674.00 $ 1,231.00 $ 1,130.00 $ 637.00 $ (257.00) $ 14,000.00 $ 5,500.00 $ 215.00 $ 76,200.00 $ 673.00 $ 415.00 $ 523.00 $ 717.00 $ 373.00 $ SS.00 $ 16,475.00 $ 19,439.00 (G + C) 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( ifDIV/ ifDIV/ ifDIV/ 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( TO FINISH I (IF VARIABLE (C-G) RATE) $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 5 100.00 $ 245.17 $ (17.55; $ 14.75 $ 10.65 $ 21.65 $ 12.50 $ 52.50 $ 254.40 $ 515.00 $ 47.50 $ 230.65 $ (1215; $ 65.45 $ (2.50; $ - $ - $ $ (41.15; $ 27.06 $ 1,172.50 $ 1,315.25 $ (10.50; $ 492.50 $ 346.50 $ 3,OS2.95 $ 453.70 $ 61.55 $ 56.50 $ 31.55 $ (12.55; $ 700.00 $ 275.00 $ 10.75 $ 3,510.00 $ 33.65 $ 20.75 $ 41.15 $ 35.55 $ 15.65 $ 4.40 $ 523.75 $ 971.95 PageS/11 Terra CONSTRLICTION son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal nit Fire nit Fire nit Fire nit Fire nit Fire nit Fire Electric Electric Electric Electric CONTINUATION SHEET AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing Contractor's signed certification is attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. NO. COST CODE 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-153. 15-153. 15-153. 15-153. 15-153. 15-153. 16-160 16-160 16-160 16-160 PACK NO. 22A Mechanical-PlumbingMaterial 22A Mechanical-PipingMaterial 22A Mechanical-Insulation Material 22A Mechanical-Ventilation Material 22A Mechanical-PlumbingLabor 22A Mechanical-PipingLabor 22A Mechanical-Insulation Labor 22A Mechanical-Ventilation Equipment 22A Mechanical-PlumbingFixtures/Equip 22A Mechanical-PipingEquipment 22A Mechanical-ReferPiping/Startup 22A Mechanical-Balancing 22A Mechanical-Temp Controls 22A Mechanical-Crane 22A Mechanical-Permits 22A Mechanical-Bond 22A Mechanical-Submittals 22A Mechanical-GeneralAdministration 22A COif1 PRif3R 22A COif2Addedexpansiontankforsnowmelt 22A COif3 App Bay Truck Fill & Compressed Air 22A COif4 Eye Wash Station 22A COifS PRif17 SCBA Compressor 22A COif6 RFqf107 22A COif7 RFqf121 22A COifS PRif135team Generator 22A COif9 Duct Insulation Replacement (W rp Allowance) $752 22A COiflOAdded PVC Insualtion 22A COif11 Bay Duct Relocation due to Air Drop 22A COif12 PRif22 22A COif13CMUPatchworkforDuct139TrainingRoom 22A COif14 RFqf1S3 Revised Exhaust Air Register Size 22A COif15RFqf139CreditforDuctProtection 22A CO Relocate Roof Vent 22A CO Vent Hood Backing 22A COforRPZLabor 21A Labor 21A Material 21A Design 21A Fabrication 21A Bond 21A COif1 ASqf9 Redesigned Sprinkler Layout 26A Electrical-Permit 26A Electrical-Bond 26A Mobilization 26A TempPower/JobTrailer VALUE ORDERS REVISION/ SCHEDULED CONTINGENCY VALUE TRANSFER 5 71,S6S.00 $ 40,271.00 $ 16,961.00 $ 54,721.00 $ 146,790.00 $ 7S,OS3.00 $ 35,439.00 $ 54,175.00 $ 9S,59S.00 $ 57,433.00 $ 4,394.00 $ 7,976.00 $ 66,259.00 $ 1,755.00 $ 15,000.00 $ 5,000.00 $ 5,000.00 $ 63,330.00 $ - $ - $ - $ - $ - $ - $ $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ 15,200.00 $ 22,500.00 $ 3,200.00 $ 2,600.00 $ 500.00 $ - $ 1,325.00 $ 4,347.00 $ 22,936.00 $ 1,710.00 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ $ 3,532.00 $ 2,504.00 $ 30,621.00 $ (949.00) $ 1,790.00 $ (213.00) $ (250.00) $ 5,342.00 $ - $ 723.00 $ 5,6SS.00 $ 709.00 $ (744.50) $ 2,503.00 $ (470.00) $ 2,046.00 $ 437.00 $ 947.00 $ - $ - $ - $ - $ - $ 520.00 $ - $ - $ - $ - 5 71,S6S.00 $ 40,271.00 $ 16,961.00 $ 54,721.00 $ 146,790.00 $ 7S,OS3.00 $ 35,439.00 $ 54,175.00 $ 9S,59S.00 $ 57,433.00 $ 4,394.00 $ 7,976.00 $ 66,259.00 $ 1,755.00 $ 15,000.00 $ 5,000.00 $ 5,000.00 $ 63,330.00 $ 3,532.00 $ 2,504.00 $ 30,621.00 $ (949.00) $ 1,790.00 $ (213.00) $ (250.00) $ 5,342.00 $ - $ 723.00 $ 5,6SS.00 $ 709.00 $ (744.50) $ 2,503.00 $ (470.00) $ 2,046.00 $ 437.00 $ 947.00 $ 15,200.00 $ 22,500.00 $ 3,200.00 $ 2,600.00 $ 500.00 $ 520.00 $ 1,325.00 $ 4,347.00 $ 22,936.00 $ 1,710.00 APPLICATION (D+E) $ 71,S6S.0 $ 40,271.0 $ 16,961.0 $ 54,721.0 $ 146,790.0 $ 7S,OS3.0 $ 35,439.0 $ 54,17S.0 $ 9S,59S.0 $ 57,433.0 $ 4,394.0 $ 7,976.0 $ 66,259.0 $ 1,7SS.0 $ 15,OOO.0 $ S,OOO.0 $ S,OOO.0 $ 63,330.0 $ 3,532.0 $ 2,504.0 $ 30,621.0 $ (949.0 $ 1,790.0 $ (213.0 $ (250.0 $ 5,342.0 $ - $ 723.0 $ 5,6SS.0 $ 709.0 $ (744.` $ 2,503.0 $ (470.0 $ 2,046.0 $ 437.0 $ 947.0 $ 15,200.0 $ 22,SOO.0 $ 3,200.0 $ 2,600.0 $ SOO.0 $ S20.0 $ 1,325.0 $ 4,347.0 $ 22,936.0 $ 1,710.0 AIA DOCUMENT G703 PRESENTLY STORED (NOT IN DORE) 0 k Riva F reStati on Citv of Elk Ri APPLICATION NO: 20 APPLICATION DATE: S/31/22 PERIOD TO: S/31/22 COMPLETED ANDSTORED TO DATE (D+E+F) $ 71,S6S.0 $ 40,271.0 $ 16,961.0 $ 54,721.0 $ 146,790.0 $ 7S,OS3.0 $ 35,439.0 $ 54,175.0 $ 9S,59S.0 $ 57,433.0 $ 4,394.0 $ 7,976.0 $ 66,259.0 $ 1,755.0 $ 15,000.0 $ 5,000.0 $ 5,000.0 $ 63,330.0 $ 3,532.0 $ 2,504.0 $ 30,621.0 $ (949.0 $ 1,790.0 $ (213.0 $ (250.0 $ 5,342.0 $ - $ 723.0 $ 5,6SS.0 $ 709.0 $ (744.5 $ 2,503.0 $ (470.0 $ 2,046.0 $ 437.0 $ 947.0 $ 15,200.0 $ 22,500.0 $ 3,200.0 $ 2,600.0 $ 500.0 $ 520.0 $ 1,325.0 $ 4,347.0 $ 22,936.0 $ 1,710.0 (G+C) I TOFINISH I (IFVARIABLE (C-G) RATE) 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% ifDIV/0! 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 3,593.40 2,013.55 S4S.05 4,236.05 7,339.50 3,904.15 1,771.95 4,205.90 4,929.90 2,571.65 219.70 39S.S0 3,312.95 59.25 750.00 400.00 250.00 3,166.50 176.60 125.20 1,531.05 (47.45; 59.50 (10.65; (12.50; 417.10 36.15 254.40 35.45 (3713; 125.15 (23.50; 102.30 21.55 47.35 910.00 1,140.00 160.00 130.00 40.00 41.00 66.25 217.35 1,146.50 55.50 Page 6 / 11 Terra CONSTRLICTION Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric CONTINUATION SHEET AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing Contractor's signed certification is attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. NO. COST CODE 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 PACK NO. 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A Temp Power/Building Switchgear Package/Graybar Electric Co Utility Fees/Elk River Public Utilities Utility Transformer Pad Material Utility Transformer Pad Labor Service Entrance Material Service Entrance Labor Service Equipment Material Service Equipment Labor Power Panelboards Material Power Panelboards Labor Generator Package/Total Energy Systems Generator Pad Material Generator Pad Labor Generator Material Generator Labor Generator Serivce Entrance Material Generator Serivce Entrance Labor ATS Equipment Material ATS Equipment Labor ES Panelboards Material ES Panelboards Labor Light Fixture Package/Viking Electric Fixture Material Fixture Labor Fixture Control Material Fixture Control Labor HVLS Fan/BigAss Fans HVLS Fan Material HVLS Fan Labor Site Pole Bases Material Site Pole Bases Labor Site Pole Underground Material Site Pole Underground Labor Site Pole Install Material Site Pole Install Labor Site Flag Pole-Sign Material Site Flag Pole-Sign Labor Site Grill-Recept Material Site Grill-Recept Labor Power-Device Material Power-Device Labor Floor Boxes/Graybar Electric Co Floor Box Material Floor Box Labor Cord Reels/Graybar Electric Co Cord Reels Material VALUE $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 3,325.00 3,325.00 2S,S45.00 5,279.00 1,045.00 1,425.00 4,534.00 3,527.00 2,776.00 3,277.00 2,739.00 2,556.00 79,252.00 1,235.00 1,710.00 1,562.00 4,091.00 3,541.00 3, 599.00 2,309.00 2,901.00 501.00 1,146.00 94,954.00 6,196.00 21,162.00 1, 572.00 4,632.00 10,123.00 313.00 S7S.00 2,320.00 2, 546.00 2,315.00 3,041.00 95.00 1,126.00 1,757.00 1,952.00 376.00 507.00 15,167.00 26,751.00 2,011.00 665.00 2,021.00 3,SS5.00 496.00 Page 7 / 11 ORDERS REVISION/ SCHEDULED FROMPREVIOI CONTINGENCY VALUE APPLICATION TRANSFE R (D + E) $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 3,325.00 3,325.00 2S,S45.00 5,279.00 1,045.00 1,425.00 4,534.00 3,527.00 2,776.00 3,277.00 2,739.00 2,556.00 79,252.00 1,235.00 1,710.00 1,562.00 4,091.00 3,541.00 3, 599.00 2,309.00 2,901.00 501.00 1,146.00 94,954.00 6,196.00 21,162.00 1, 572.00 4,632.00 10,123.00 313.00 S7S.00 2,320.00 2, 546.00 2,315.00 3,041.00 95.00 1,126.00 1,757.00 1,952.00 376.00 507.00 15,167.00 26,751.00 2,011.00 665.00 2,021.00 3,SS5.00 496.00 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 3,325.00 3,325.00 2S,S45.00 5,279.00 1,045.00 1,425.00 4,534.00 3,527.00 2,776.00 3,277.00 2,739.00 2,556.00 79,252.00 1,235.00 1,710.00 1,562.00 4,091.00 3,541.00 3, 599.00 2,309.00 2,901.00 501.00 1,146.00 94,954.00 6,196.00 21,162.00 1, 572.00 4,632.00 10,123.00 313.00 S7S.00 2,320.00 2, 546.00 2,315.00 3,041.00 95.00 1,126.00 1,757.00 1,952.00 376.00 507.00 15,167.00 26,751.00 2,011.00 665.00 2,021.00 3,SS5.00 496.00 AIA DOCUMENT G703 PRESENTLY STORED (NOT IN DORE) 0 k Riva F reStati on Citv of Elk Ri APPLICATION NO: 20 APPLICATION DATE: S/31/22 PERIOD TO: S/31/22 COMPLETED (G+C) TOFINISH (IFVARIABLE ANDSTORED (C-G) RATE) TO DATE $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 3,325.00 3,325.00 2S,S45.00 5,279.00 1,045.00 1,425.00 4,534.00 3,527.00 2,776.00 3,277.00 2,739.00 2,556.00 79,252.00 1,235.00 1,710.00 1,562.00 4,091.00 3,541.00 3,599.00 2,309.00 2,901.00 501.00 1,146.00 94,954.00 6,196.00 21,162.00 1,572.00 4,632.00 10,123.00 313.00 S7S.00 2,320.00 2,546.00 2,315.00 3,041.00 95.00 1,126.00 1,757.00 1,952.00 376.00 507.00 15,167.00 26,751.00 2,011.00 665.00 2,021.00 3,SS5.00 496.00 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 166.25 166.25 1,442.25 413.95 52.25 71.25 241.70 191.35 13S.S0 163.55 136.95 142.50 3,964.10 61.75 55.50 75.10 204.55 192.05 179.95 115.45 145.05 40.05 57.30 4,747.70 309.50 1,OSS.10 75.60 231.60 506.15 15.65 43.90 116.00 127.30 115.90 152.05 4.90 56.30 S7.S5 99.10 1S.S0 25.35 755.35 1,339.05 100.55 33.40 101.05 179.25 24.50 Terra CONSTRLICTION Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric CONTINUATION SHEET AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing Contractor's signed certification is attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. NO. COST CODE 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 PACK NO. 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A OHD Material OHD Labor Air Comprssor Material Air Comprssor Labor Boilers Material Boilers Labor Compressed Air Dryer Material Compressed Air Dryer Labor Condensing Unit Material Condensing Unit Labor Domestic Water Heater-Pump Material Domestic Water Heater-Pump Labor Exhaust-Supply Fans Material Exhaust-Supply Fans Labor Furnace Material Furnace Labor Heat Pumps-Coils Material Heat Pumps-Coils Labor Make Up Air Unit Material Make Up Air Unit Labor Pressure Washer Material Pressure Washer Labor Pumps Material Pumps Labor Roof Top Unit Material Roof Top Unit Labor Unit Heaters Material Unit Heaters Labor Steam Generator Material Steam Generator Labor DIV 27 Data Rough-In Material DIV 27 Data Rough-In Labor DIV 27 AV Rough-In Material DIV 27 AV Rough-In Labor DIV 2S Fire Alarm/Twenty45even DIV 2S Fire Alarm Rough-In Material DIV 2S Fire Alarm Rough-In Labor DIV 2S Security Rough-In Material DIV 2S Security Rough-In Labor DIV 2S Site Future Cameras Material DIV 2S Site Future Cameras Labor COif1 PRif6 Generator and Transformer COif2 PRif2 Overhead Doors & Circuiting COif3 PRif3R COif4 ASqf1/RFqf19 COifS PRif10R COif6 PRif9R Elecrical Revisions VALUE $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 1,694.00 1,247.00 2,742.00 325.00 495.00 350.00 645.00 532.00 540.00 205.00 369.00 252.00 561.00 1,140.00 3,306.00 344.00 713.00 334.00 1,224.00 1,334.00 1, 590.00 467.00 903.00 979.00 1,443.00 965.00 1,915.00 1,200.00 2,335.00 542.00 532.00 2,714.00 3,395.00 1, 565.00 1,760.00 7,044.00 225.00 1,OS2.00 592.00 2,765.00 4,147.00 1,556.00 Page 8 / 11 ORDERS REVISION/ SCHEDULED FROMPREVIOI CONTINGENCY VALUE APPLICATION TRANSFE R (D + E) (19,350.00) 1,065.00 (443.00) (2,625.00) 1,575.00 2,370.00 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 1,694.00 1,247.00 2,742.00 325.00 495.00 350.00 645.00 532.00 540.00 205.00 369.00 252.00 561.00 1,140.00 3,306.00 344.00 713.00 334.00 1,224.00 1,334.00 1, 590.00 467.00 903.00 979.00 1,443.00 965.00 1,915.00 1,200.00 2,335.00 542.00 532.00 2,714.00 3,395.00 1, 565.00 1,760.00 7,044.00 225.00 1,OS2.00 592.00 2,765.00 4,147.00 1,556.00 (19,350.00) 1,065.00 (443.00) (2,625.00) 1,575.00 2,370.00 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 1,694.00 1,247.00 2,742.00 325.00 495.00 350.00 645.00 532.00 540.00 205.00 369.00 252.00 561.00 1,140.00 3,306.00 344.00 713.00 334.00 1,224.00 1,334.00 1, 590.00 467.00 903.00 979.00 1,443.00 965.00 1,915.00 1,200.00 2,335.00 542.00 532.00 2,714.00 3,395.00 1, 565.00 1,760.00 7,044.00 225.00 1,OS2.00 592.00 2,765.00 4,147.00 1,556.00 (19,350.00) 1,065.00 (443.00) (2,625.00) 1,575.00 2,370.00 AIA DOCUMENT G703 PRESENTLY STORED (NOT IN DORE) 0 k Riva F reStati on Citv of Elk Ri APPLICATION NO: 20 APPLICATION DATE: S/31/22 PERIOD TO: S/31/22 COMPLETED (G+C) TOFINISH (IFVARIABLE ANDSTORED (C-G) RATE) TO DATE $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 1,694.00 1,247.00 2,742.00 325.00 495.00 350.00 645.00 532.00 540.00 205.00 369.00 252.00 561.00 1,140.00 3,306.00 344.00 713.00 334.00 1,224.00 1,334.00 1,590.00 467.00 903.00 979.00 1,443.00 965.00 1,915.00 1,200.00 2,335.00 542.00 532.00 2,714.00 3,395.00 1,565.00 1,760.00 7,044.00 225.00 1,OS2.00 592.00 2,765.00 4,147.00 1,556.00 (19,350.00) 1,065.00 (443.00) (2,625.00) 1,575.00 2,370.00 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 54.70 62.35 137.10 16.25 24.90 19.00 32.40 26.60 27.00 10.40 15.45 12.60 25.05 57.00 165.30 17.20 35.65 16.70 61.20 66.70 79.50 23.35 45.15 45.95 72.15 45.40 95.90 60.00 116.75 27.10 26.60 135.70 169.90 75.40 SS.00 352.20 11.40 54.10 29.60 135.25 207.35 92.50 (967.50; 53.40 (22.15; (13115; 93.75 115.50 Terra CONSTRLICTION Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating CONTINUATION SHEET AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing Contractor's signed certification is attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. NO. COST CODE 16-160 16-160 16-160 16-160 16-160 16-160 16-160 16-160 16-160 16-160 16-160 16-160 16-160 16-160 16-160 16-160 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 PACK NO. 26A COif7 ASqf4R Tower Lights 26A COifS PRif17 SCBA Compressor 26A COif9 RFqf117 26A COif10 RFqf11S Automatic Push Pad 26A COif11 RFqf156 26A COif12 ASqf11 Wellness Room Light Fixture 26A COif13 RFqf160 26A COif14 RFqf21 Added Circuits & Unit Heaters 26A COif15 G9 Light Fixture 26A COif16 Omitting Tech Conduit Runs From App Bay 26A COif17 Training Tower G1 Light Fixtures 26A COiflSAppBaySectionalDoorControl5tation 26A COif19 Thomsen Poured Concrete in Trash Enclosure 26A CO GFCI Receptacles Laundry 26A CO IP Dialer 26A COTrainingTowerLightingPRif27 31A Mobilization, Bond, SWPP Permit 31A Bituminous5aw-CuttingLabor 31A Bituminous Removal Labor 31A Concrete5aw-CuttingLabor 31A Concrete Removal Labor 31A Tree Protection Labor 31A Clearing&GrubbingLabor 31A Topsoil5tripping & Emb. Labor 31A Export Excess TopsoilLabor 31A SiteGradingLabor 31A SiteGradingMaterial 31A Exc. & Backfill Foundations 31A Building5and Cushion Labor 31A Building5and Cushion Material 31A Class 5 Labor 31A Class 5 Material 31A Subgrade Prep Labor 31A DewateringLabor 31A SWPP Permit 31A Silt Fence Labor 31A Silt Fence Material 31A Inlet Protection Labor 31A Construction Entrance Labor 31A Construction Entrance Materials 31A Hydro Seed 31A Flex Mat Labor 31A Flex Mat Material 33A Mobilization, Bond, Permits 33A WaterUtilitiesLabor 33A WaterUtilitiesMaterial 33A WetTapLabor VALUE I ORDERS $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ 7,000.00 $ 2,105.00 $ 3,640.00 $ 160.00 $ 3,236.00 $ 75.00 $ 2,100.00 $ 1,356.00 $ 14,055.00 $ 56,076.01 $ 14,040.00 $ 25,375.00 $ 3,295.00 $ 629.00 $ 9,014.00 $ 7,554.00 $ 5,595.00 $ 2,625.00 $ 525.00 $ 2,240.00 $ 700.00 $ 2,502.00 $ 2,000.00 $ 100.00 $ 1,166.00 $ 700.00 $ 3,266.00 $ 20,504.16 $ 25,719.19 $ 52,306.23 $ 239.22 $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ 3,663.00 REVISION / CONTINGENCY TRANSFER $ 5,136.00 $ 1,354.00 $ 953.00 $ 437.00 $ 695.00 $ 1,319.00 $ 3,500.00 $ 1,120.00 $ 395.00 $ (1,439.00) $ 1,427.00 $ 2,790.00 $ (550.00) $ 1,503.00 $ 575.00 SCHEDULED VALUE $ 5,136.00 $ 1,354.00 $ 953.00 $ 437.00 $ 695.00 $ 1,319.00 $ 3,500.00 $ 1,120.00 $ 395.00 $ (1,439.00) $ 1,427.00 $ 2,790.00 $ (550.00) $ 1,503.00 $ 575.00 $ 3,663.00 $ 7,000.00 $ 2,105.00 $ 3,640.00 $ 160.00 $ 3,236.00 $ 75.00 $ 2,100.00 $ 1,356.00 $ 14,055.00 $ 56,076.01 $ 14,040.00 $ 25,375.00 $ 3,295.00 $ 629.00 $ 9,014.00 $ 7,554.00 $ 5,595.00 $ 2,625.00 $ 525.00 $ 2,240.00 $ 700.00 $ 2,502.00 $ 2,000.00 $ 100.00 $ 1,166.00 $ 700.00 $ 3,266.00 $ 20,504.16 $ 25,719.19 $ 52,306.23 $ 239.22 APPLICATION (D+E) $ 5,136.00 $ 1,354.00 $ 953.00 $ 437.00 $ 695.00 $ 1,319.00 $ 3,500.00 $ 1,120.00 $ 395.00 $ (1,439.00) $ 1,427.00 $ 2,790.00 $ (550.00) $ 1,503.00 $ - $ - $ 7,000.00 $ 2,105.00 $ 3,640.00 $ 160.00 $ 3,236.00 $ 75.00 $ 2,100.00 $ 1,356.00 $ 14,055.00 $ 56,076.01 $ 14,040.00 $ 25,375.00 $ 3,295.00 $ 629.00 $ 9,014.00 $ 7,554.00 $ 5,595.00 $ 2,625.00 $ 525.00 $ 2,240.00 $ 700.00 $ 2,502.00 $ 2,000.00 $ 100.00 $ 1,166.00 $ 700.00 $ 3,266.00 $ 20,504.16 $ 25,719.19 $ 52,306.23 $ 239.22 AIA DOCUMENT G703 $ 575.00 $ 3,663.00 PRESENTLY STORED (NOT IN DORE) 0 k Riva F reStati on Citv of Elk Ri APPLICATION NO: 20 APPLICATION DATE: S/31/22 PERIOD TO: S/31/22 COMPLETED ANDSTORED TO DATE (D+E+F) $ 5,136.0 $ 1,354.0 $ 953.0 $ 437.0 $ 695.0 $ 1,319.0 $ 3,500.0 $ 1,120.0 $ 395.0 $ (1,439.0 $ 1,427.0 $ 2,790.0 $ (550.0 $ 1,503.0 $ 575.0 $ 3,663.0 $ 7,000.0 $ 2,105.0 $ 3,640.0 $ 160.0 $ 3,236.0 $ 75.0 $ 2,100.0 $ 1,356.0 $ 14,055.0 $ 56,076.0 $ 14,040.0 $ 25,375.0 $ 3,295.0 $ 629.0 $ 9,014.0 $ 7,554.0 $ 5,595.0 $ 2,625.0 $ 525.0 $ 2,240.0 $ 700.0 $ 2,502.0 $ 2,000.0 $ 100.0 $ 1,166.0 $ 700.0 $ 3,266.0 $ 20,504.1 $ 25,719.1 $ 52,306.2 $ 239.2 (G+C) I TOFINISH I (IFVARIABLE (C-G) RATE) 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 406.50 67.70 49.15 21.55 34.90 65.95 175.00 56.00 19.75 (71.95; 71.35 139.50 (42.50; 75.15 25.90 153.15 350.00 105.25 152.00 5.00 161.50 3.75 105.00 69.30 702.75 2,S03.S0 702.00 1,265.90 164.90 31.45 450.70 392.70 429.75 131.25 26.25 112.00 35.00 125.10 100.00 5.00 SS.30 35.00 163.30 1,025.21 1,255.96 2,615.31 11.96 Page 9 / 11 � Terra TaraRoj�tNumba20705 0 k Riva F reStati on #3 CONSTRLICTION CII ofElkRiva CONTINUATION SHEET AIADOCUMENTG703 AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 20 Contractor's signed certification is attached. APPLICATION DATE: S/31/22 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: S/31/22 Use Column I on Contracts where variable retainage for line items may apply. A A.1 B C C.1 C1 C.3 D E F G H I SUBCONTRACTOR ITEM BID DESCRIPTION OF WORK SCHEDULED CHANGE BUDGET REVISED WORK COMPLETED MATERIALS TOTAL % BAL4NCE RETAINAGE VENDOR NO. PACK VALUE ORDERS REVISION/ SCHEDULED FROMPREVIOUS THISPERIOD PRESENTLY COMPLETED (G+C) TOFINISH (IFVARIABLE EMPLOYEE NO. CONTINGENCY VALUE APPLICATION STORED ANDSTORED (C-G) RATE) COST TRANSFER (D+E) (NOTIN TODATE CODE D OR E) (D+E+F) 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% $ - $ 45339 Dryden Excavating 31-1000 33A Sanitary Piping Material $ 9,622.35 $ - $ - $ 9,622.35 $ 9,622.35 $ 9,622.35 100.00% $ - $ 451.12 Dryden Excavating 31-1000 33A Sanitary Manholes Labor $ 1,SOS.00 $ - $ - $ 1,SOS.00 $ 1,SOS.00 $ 1,SOS.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 $ 1,140.00 $ 1,140.00 100.00% $ - $ 57.00 Dryden Excavating 31-1000 33A Storm - PVC Piping Labor $ 5,024.15 $ - $ - $ 5,024.15 $ 5,024.15 $ 5,024.15 100.00% $ - $ 401.21 Dryden Excavating 31-1000 33A Storm - PVC Piping Material $ 10,99234 $ - $ - $ 10,99234 $ 10,99234 $ 10,99234 100.00% $ - $ 549.62 Dryden Excavating 31-1000 33A Storm -Concrete Pipin@/Manholes Labor $ 10,155.35 $ - $ - $ 10,155.35 $ 10,155.35 $ 10,155.35 100.00% $ - $ 507.77 Dryden Excavating 31-1000 33A Storm -Concrete Pipin@/Manholes Material $ 27,063.60 $ - $ - $ 27,063.60 $ 27,063.60 $ 27,063.60 100.00% $ - $ 1,353.15 Dryden Excavating 31-1000 33A Storm - Castings/Grates Labor $ 3,152.40 $ - $ - $ 3,152.40 $ 3,152.40 $ 3,152.40 100.00% $ - $ 157.62 Dryden Excavating 31-1000 33A Storm - Castings/Grates Material $ 52,065.00 $ - $ - $ 52,065.00 $ 52,065.00 $ 52,065.00 100.00% $ - $ 2,603.40 Dryden Excavating 31-1000 33A COif1 Additional Construction Entrances $ - $ - $ 4,246.61 $ 4,246.61 $ 4,246.61 $ 4,246.61 100.00% $ - $ 21233 Dryden Excavating 31-1000 33A COif2 PRif7 Water Service $ - $ - $ (1,517.19) $ (1,517.19) $ (1,517.19) $ (1,517.19) 100.00% $ - $ (75.56) Dryden Excavating 31-1000 33A COif3 PRif45tepped Footings $ - $ - $ 1,SS4.00 $ 1,SS4.00 $ 1,SS4.00 $ 1,SS4.00 100.00% $ - $ 79.20 DrydenExcavating 31-1000 33A COif4A5qf2 $ - $ - $ 6,096J5 $ 6,096J5 $ 6,096J5 $ 6,096J5 100.00% $ - $ 304.54 Dryden Excavating 31-1000 33A COifS B/C Thomsen $ - $ - $ (500.00) $ (500.00) $ (500.00) $ (500.00) 100.00% $ - $ (25.00) DrydenExcavating 31-1000 33A COif60verexcavateFootingTrenchesforRock $ - $ - $ 2,37316 $ 2,37316 $ 2,37316 $ 2,37316 100.00% $ - $ 115.66 Dryden Excavating 31-1000 33A COif7 Furnish and Install3" Rockfor Pump Truck $ - $ - $ 5,409.16 $ 5,409.16 $ 5,409.16 $ 5,409.16 100.00% $ - $ 270.46 Dryden Excavating 31-1000 33A COifS Install Temp Drain Pipe $ - $ - $ S,S94.96 $ S,S94.96 $ S,S94.96 $ S,S94.96 100.00% $ - $ 294J5 Dryden Excavating 31-1000 33A COif9 C-900 Municipal Water Piping $ - $ - $ 275.65 $ 275.65 $ 275.65 $ 275.65 100.00% $ - $ 13.93 Dryden Excavating 31-1000 33A COif10 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 COif11 Revised Finished Grade at Trash Enclosure $ - $ - $ 962.50 $ 962.50 $ 962.50 $ 962.50 100.00% $ - $ 45.13 Dryden Excavating 31-1000 33A COif12 Crushed Concrete Entrance $ - $ - $ 3,935J5 $ 3,935J5 $ 3,935J5 $ 3,935J5 100.00% $ - $ 196J9 Dryden Excavating 31-1000 33A COif13 Apparatus Bay Muck Out $ - $ - $ 2,103.54 $ 2,103.54 $ 2,103.54 $ 2,103.54 100.00% $ - $ 105.19 Dryden Excavating 31-1000 33A COif14 Soil Correction South Parking Lot $ - $ - $ 6,917.00 $ 6,917.00 $ 6,917.00 $ 6,917.00 100.00% $ - $ 345.55 DrydenExcavating 31-1000 33A COiflSTrainingTowerManhole $ - $ - $ 3,S7S.25 $ 3,S7S.25 $ 3,S7S.25 $ 3,S7S.25 100.00% $ - $ 193.91 Dryden Excavating 31-1000 33A CO Aggregate at Concrete $ - $ - $ 2,455.20 $ 2,455.20 $ 2,455.20 $ 2,455.20 100.00% $ - $ 122.76 Dryden Excavating 31-1000 33A CO Escalation $ - $ - $ 3,000.00 $ 3,000.00 $ 3,000.00 $ 3,000.00 100.00% $ - $ 150.00 DrydenExcavating 31-1000 33A COClevelandAveExistingCBGrate $ - $ 514.69 $ - $ 514.69 S 814.69 $ 514.69 100.00% $ - $ 40.73 Omann Brothers 32-1216 32C Gravel Base $ 16,920.00 $ - $ - $ 16,920.00 $ 16,920.00 $ 16,920.00 100.00% $ - $ 546.00 Omann Brothers 32-1216 32C Bit Base Course $ 25,370.00 $ - $ - $ 25,370.00 $ 25,370.00 $ 25,370.00 100.00% $ - $ 1,265.50 Omann Brothers 32-1216 32C Bit WearCourse $ 27,700.00 $ - $ - $ 27,700.00 $ 27,700.00 $ 27,700.00 100.00% $ - $ 1,355.00 Omann Brothers 32-1216 32C Striping $ 500.00 $ - $ - $ 500.00 $ 500.00 $ 500.00 100.00% $ - $ 25.00 Omann Brothers 32-1216 32C COif1 PRif7 Water Service $ - $ - $ (550.00) $ (550.00) $ (550.00) $ (550.00) 100.00% $ - $ (42.50) Omann Brothers 32-1216 32C COif2 Agg Base at intersection of 191st and Edision $ - $ - $ (545.25) $ (545.25) $ (545.25) $ (545.25) 100.00% $ - $ (42.26) OmannBrothers 32-1216 32C COif3ReplacingAsphaltw/ConcreteatNorthSideof5ite $ - $ - $ (5,400.00) $ (5,400.00) $ (5,400.00) $ (5,400.00) 100.00% $ - $ (270.00) Omann Brothers 32-1216 32C CO Escalation $ - $ - $ 3,SSS.30 $ 3,SSS.30 $ 3,SSS.30 $ 3,SSS.30 100.00% $ - $ 179.42 Peterson Companies 32-4000 32A Fencing $ 4,455.00 $ - $ 1,113.00 $ 5,595.00 $ 4,455.00 $ 1,113.00 $ 5,595.00 100.00% $ - $ 279.90 Autumn Ridge 32-3291 32B Landscaping $ 65,500.00 $ - $ - $ 65,500.00 $ 65,500.00 $ 65,500.00 100.00% $ - $ 3,425.00 Autumn Ridge 32-3291 32B COiflSmartlink Irrigation Controller $ - $ - $ 1,132.00 $ 1,132.00 $ 1,132.00 $ 1,132.00 100.00% $ - $ 56.60 $ - Century Fence COif1 Replacement of Damaged Fence from Camco $ - $ - $ 1,977.19 $ 1,977.19 $ 1,977.19 S 1,9��.19 100.00% $ - $ 9S.S6 Page 10 / 11 Pagell/11 Terra Genera! Contractars, LLC 21025 Commerce Blvd., Ste 1000 Rogers, MN 55374 Phone 763-463-022Q City of Eik River 13065 Orono Parkway Eik River, MN 5533d Invoice Date 08-31-2022 INVOICE Customer ID Invoice ID 11-CIT013 20-705-20220831 Due Date Draw ID Job Number 09-30-2Q22 2Q 2d-705 Job �ocafion: Elk River Fire Station #3 Elk River. MN 55330 Construction Senrices -August 2022 31,697.39 Amount Billed $31,697.39 Retainage Held 1,584.87 Total Amount Due $30,112.52 0 i����"'/ 0 �'�== Document G702 -1992 _ � _ Application and Certificate for Payment TO OWNER: City of �lk Rivcr PROJECT: 20-705 L,lk River Fire Station #3 APPLICATION N0: 20-705-021 Retainagc Distribution to: 13065 Orono Parkway NW PERIOD T0: nu��st 31, 2022 OWNER: � Elk River, MN 55330 CONTRACT FOR: General Construction ARCHITECT: � FROM Terra General Contractors �/�Q BKV Group CON7RACTOR: 21025 Commerce Blvd Ste 1000 ARCHITECT: 222 N 2nd St, #101 IZogers MN 55374 Mlnneapolis, MN 55401 CONTRACTOR'S APPLICATION FOR PAYMENT npplication is made for payment, as shown below, in connection with the Contract. AIA Doeument G703�', Continuation Shcct, is attached. 1. ORIGINAL CONTRACT SUM ................................................................................ �6,898,246.00 2. NET CHANGE BY CHANGE ORDERS ................................................................. �,6,253.90 3. CONTRACT SUM TO DATE (Linc 1� 2) ............................................................ $6,904,499.90 4. TOTAL COMPLETED & STORED TO DATE (Column G on G703) ................. $G,869,088.52 5. RETAINAGE: a. 5.00 % of Completed Work (Cohimn D + E on G703) b. 0 % of Stored Material (Column F on G703) �io,000.00 $0.00 Total Retainage (Lines Sa + Sb or Total in Column I of G703) ................. $10,000.00 6. 70TAL EARNED LESS RETAINAGE ................................................................... $6,859,088.52 (Line 4 Less Linc S Total) 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT ............................................ $6,777,503.65 (Linc 6 from prior Ccrtificatc) CURRENT PAYMENT DUE .......................................................................... �81,584.87 BALANCE TO FINISH, INCLUDING RETAINAGE (Linc 3 Icss Linc 6) �45,4113� CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS 1�otal changes approved in previous months by Owner �6,253.90 $0.00 Total approved this Month $0.00 $0.00 TOTALS $6,253.90 $O.Oa NCT CHANG�S b Chan e Order $6,253.90 CONTRACT DATE: October 19, 2020 PROJECT NOS: / 20-705 / CONTRACTOR: � FIELD: ❑ OTHER: ❑ The undersigncd 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 bcen paid by the Contractor for W rk f r which previous Certificates for Payment were issued and payments received fr he wner, and that current payment shown herein is now duc. CONTRACTOR: By: Date: 22 Slate of. Minnesot County of: Hen pin RYAN SCOTT STRICKER -�lry •eL Subscribed and sworn to before = - Notat�rPuWie,StateoiMinnesota me this �-�'i/� day of �.� � MY�+�P� !" / h � � Z� '' ::::� � .�►,��y s,. 2ozs Notary Public: Ryan Stnckcr My Commission expires: Janti4ary 3l, 2026 ARCHITECT'S CERTIFICATE FOR PAYMENT In accordance with the Contract Documents, based on on-site observations and thc data comprising this application, the Architect certifies to the Own�r that to tl�e best of the Architect's knowledge, information and belieF the Worlc has progressed as indicated, the quality of the Work is in accordance �vith the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. AMOUNT CERTIFIED ...................................................................................... �81,584.87 (Attacl2 explanation if amount certi aed cliffers from the amount applzecl. Initial all figures on this Application and n the Continuati n heet at m•e changed to conform with tive amount certified.) ARCHITECT: By: Dat�: 09/09/2022 This Certificate is not negotiable. The AMO[JNT CF,RTIFIED is payaUle only to the Contractor natned herein. Issuancc, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. AIA Document G702° — 1992. Copyright O 1953, 1963, 1965, 1971, 1978, 1983 and 1992 by The American Institute of Architects. All rights reserved. The "American Institu[e of Architects," "AIA," the AIA Logo, '�'702," and "AIA Contract Documents" are registered trademarks and may not be used without permission. This document was produced by AIA software at 14:59:02 CT on 09/08/2022 under Order No.2114310719 which expires on 04/24/2023, 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: (369ADA54) Terra CONSTRLICTION ds & Insurance n it General Requirements Contingency Fee isen Construction Services isen Construction Services isen Construction Services isen Construction Services isen Construction Services isen Construction Services isen Construction Services isen Construction Services isen Construction Services isen Construction Services isen Construction Services isen Construction Services isen Construction Services isen Construction Services �ete Treatments �ete Treatments �ete Treatments �ete Treatments Concrete Concrete Concrete Concrete Concrete Concrete Concrete Concrete o Construction o Construction o Construction o Construction o Construction o Construction o Construction o Construction o Construction o Construction o Construction CONTINUATION SHEET AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing Contractor's signed certification is attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. NO. COST CODE 01-000: oi-oia 01-0111 01-0121 01-0131 01-0151 03330 03330 03330 03330 03330 03330 03330 03330 03330 03330 03330 03330 03330 03330 03335 03335 03335 03335 03339 03339 03339 03339 03339 03339 03339 03339 04-420 04-420 04-420 04-420 04-420 04-420 04-420 04-420 04-420 04-420 04-420 PACK NO. Preconstruction Bonds & Insurance Permit CM General Requirements CM Contingency CM Fee 3A Footings/Pads 3A Footings Labor 3A Walls Material 3A Walls Labor 3A Slab on Grade Material 3A Slab on Grade Labor 3A ReinforcingMaterial 3A COif1 PRif45tepped Footings 3A COif2 B/C to Dryden 3A COif3 RFqf33 Stepped footings for S" Storm 3A COif4 RFqf37 Extended Foundation @ 1SS 3A COifS Footings alongGL-S 3A COif6 PRif19 Wellness Room 3A COif7 Concrete in Trash Enclosure (From Klein) 3B & 9E Polished Concrete and Resinous Flooring 3B & 9E COif1 ASqfSR Changed Polished Flooring 3B & 9E COif2 ASqf10 Stained Floor Logo in Lobby 11S 3B & 9E COif3 Moisture Mitigation at App Bay Floor 32D Bond 32D Curb 32D Bollards/Flag Pole Footings 32D Sidewalks/Paving 32D COif1 PRif7 Water Service 32D COif2 ReplacingAsphalt w/ Concrete at N side of App Bay 32D COif3 Colored Concrete Deduct 32D COif4 Trench Drain Concrete Pour 4A Masonry-Bond 4A Masonry-Rebar 4A Masonry-Misc Masonry Materials 4A Masonry-Insulation 4A Masonry-Grout Material 4A Masonry-Grout Labor 4A Masonry-Stone Material 4A Masonry-Stone Labor 4A Masonry-Facebrick Material 4A Masonry-Facebrick Labor 4A Masonry-Precast Material VALUE ORDERS REVISION/ SCHEDULED FROMPREVIOI CONTINGENCY VALUE APPLICATION TRANSFE R (D + E) $ 10,000.00 $ 76,365.00 5 aoo.00 $ 724,061.00 $ 233,000.00 $ 101,734.00 $ 22,000.00 $ 32,000.00 $ 14,000.00 $ 60,000.00 $ 73,000.00 $ 112,900.00 $ 35,000.00 I$ 0 - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ 1,776.21 $ 1,033.46 $ (19,579.35) $ (21S,S15.35) $ 10,000.00 $ 76,365.00 $ 1,433.46 $ 704,151.65 $ 14,154.65 $ 101,734.00 $ 22,000.00 $ 32,000.00 $ 14,000.00 $ 60,000.00 $ 73,000.00 $ 112,900.00 $ 35,000.00 $ 2,500.00 $ 500.00 $ 600.00 $ 550.00 $ 2,450.00 $ 5,150.00 $ 550.00 $ 73,159.00 $ (3,539.00) $ (1,000.00) $ 6,565.00 $ 2,400.00 $ 37,000.00 $ 9,500.00 $ 170,500.00 $ (994.93) $ 11,593.62 $ (541.20) $ 1,776.21 $ 15,000.00 $ 40,000.00 $ 115,000.00 $ 20,000.00 $ 42,000.00 $ 50,000.00 $ 60,000.00 $ 42,000.00 $ 75,000.00 $ 230,000.00 $ 35,000.00 $ 10,000.00 $ 76,365.00 $ 1,433.46 $ 704,151.65 $ $ 101,734.00 $ 22,000.00 $ 32,000.00 $ 14,000.00 $ 60,000.00 $ 73,000.00 $ 112,900.00 $ 35,000.00 $ 2,500.00 $ 500.00 $ 600.00 $ 550.00 $ 2,450.00 $ 5,150.00 $ 550.00 $ 73,159.00 $ (3,539.00) $ (1,000.00) $ 6,565.00 $ 2,400.00 $ 37,000.00 $ 9,500.00 $ 170,500.00 $ (994.93) $ 11,593.62 $ (541.20) $ 1,776.21 $ 15,000.00 $ 40,000.00 $ 115,000.00 $ 20,000.00 $ 42,000.00 $ 50,000.00 $ 60,000.00 $ 42,000.00 $ 75,000.00 $ 230,000.00 $ 35,000.00 5 73,159.00 $ - $ - $ - $ 2,400.00 $ 37,000.00 $ 9,500.00 $ 170,500.00 $ - $ - $ - S - 15,000.00 40,000.00 115,000.00 20,000.00 42,000.00 50,000.00 60,000.00 42,000.00 75,000.00 230,000.00 35,000.00 Pagel/11 2, 500.00 500.00 600.00 550.00 2,450.00 5,150.00 550.00 0 ' $ (3,539.00) $ (1,000.00) $ 6,565.00 $ - $ - $ - $ - $ (994.93) $ 11,593.62 $ (541.20) AIA DOCUMENT G703 E F VIPLETED MATERIALS THISPERIOD PRESENTLY STORED (NOT IN DORE) $ - $ - 0 k Riva F reStati on Citv of Elk Ri APPLICATION NO: 21RET APPLICATION DATE: S/31/22 PERIOD TO: S/31/22 COMPLETED (G+C) TOFINISH (IFVARIABLE ANDSTORED (C-G) RATE) TO DATE $ 10,000.00 $ 76,365.00 $ 1,433.46 $ 704,151.65 $ $ 101,734.00 $ 22,000.00 $ 32,000.00 $ 14,000.00 $ 60,000.00 $ 73,000.00 $ 112,900.00 $ 35,000.00 $ 2,500.00 $ 500.00 $ 600.00 $ 550.00 $ 2,450.00 $ 5,150.00 $ 550.00 $ 73,159.00 $ (3,539.00) $ (1,000.00) $ 6,565.00 $ 2,400.00 $ 37,000.00 $ 9,500.00 $ 170,500.00 $ (994.93) $ 11,593.62 $ (541.20) $ 1,776.21 $ 15,000.00 $ 40,000.00 $ 115,000.00 $ 20,000.00 $ 42,000.00 $ 50,000.00 $ 60,000.00 $ 42,000.00 $ 75,000.00 $ 230,000.00 $ 35,000.00 100.00% ioo.00� 100.00% 100.00% 0.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% $ - $ - $ - $ - $ 14,154.65 $ 0.00 0 $ $ $ $ $ $ $ $ $ $ S $ 500.00 $ 3,S1S.40 $ 71.67 $ 35,209.OS $ $ S,OS6.70 $ 1,100.00 $ 1,600.00 $ 700.00 $ 3,000.00 $ 3,650.00 $ 5,645.00 $ 1,750.00 $ 125.00 $ 25.00 $ 30.00 $ 27.50 $ 124.00 $ 257.50 $ 42.50 $ 3,659.45 $ $ $ $ $ $ $ $ $ $ S 325.25 120.00 1,550.00 490.00 5,540.00 (49J5; 579.65 (27.06; SS.S1 750.00 2,000.00 5,750.00 1,000.00 2,100.00 2,500.00 3,000.00 2,100.00 3,750.00 11,500.00 1,750.00 Terra CONSTRLICTION Construction Construction Construction Construction Construction Construction Construction Construction Construction Construction Construction ive Iron ive Iron ive Iron ive Iron ive Iron ive Iron ive Iron ive Iron ive Iron ive Iron ive Iron ive Iron ive Iron ive Iron ive Iron ive Iron ive Iron ive Iron ive Iron ive Iron ive Iron ive Iron Erectors Erectors Erectors Erectors Erectors Erectors Erectors Erectors Erectors Erectors Erectors Erectors Erectors CONTINUATION SHEET AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing Contractor's signed certification is attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. NO. COST CODE 04-420 04-420 04-420 04-420 04-420 04-420 04-420 04-420 04-420 04-420 04-420 OS-51b OS-51b OS-51b OS-51b OS-51b OS-51b OS-51b OS-51b OS-51b OS-51b OS-51b OS-51b OS-51b OS-51b OS-51b OS-51b OS-51b OS-51b OS-51b OS-51b OS-51b OS-51b OS-51Z OS-51Z OS-51Z OS-51Z OS-51Z OS-51Z OS-51Z OS-51Z OS-51Z OS-51Z OS-51Z OS-51Z OS-51Z PACK NO. 4A Masonry-Precast Labor 4A Masonry-CMU Material 4A Masonry-CMU Labor 4A COif1 ASqfS Added 4" Block 4A COif2CenturyFence-TempFenceReplacementfromDelivery 4A COif3 Added CMU at Sill of 53 per RFqf96 4A COif4 RFqf150 4A COifS Physical Training Duct Work Patch (From PSM) 4A COif6 RFqf201 Door Frame 10S Reinstall (To MCD) 4A COif7 RFqf201 Bondo and Re-Install Door 10S (To Century) 4A COifS RFqf201 RepaaintingDoor Frame 10S (To Steinbrecher) SA Structural5teel Material-Startup/Shop Drawings SA Structural5teel-Material SA Steel Material-Joist/Deck SA Steel Material-Misc SA COiflSalvaged Steel Bollards SA COif2lncreased RTU Loads SA COif3 RFqf54 WS Beam Connections SA COif4 RFqf46 Trench Drain Grates SA COifSPredrillingSillAnglesforCenturytolnstall SA COif6 RFqf69 Removal of 6x4x1/4" Angle At OH App Doors SA COif7 ASqfSR Roof Transitions SA COifS DI Pre Drilling SA COif9 CORif37 Added 2 Loose Lintels SA COif10 CORif3SR Added Steel SA COif11 RFqf103 Angles Above W1 Windows SA COif12 RFqf109 SA COif13 RFqf100 SA COif14 Replacement MC6x12 SA COif155upportforP3AtAppBay SA COif16 RFqf156Angle Iron Material SA COifl7AddedSteelPlateatTrainingTower SA CO Trash Gate 5B Structural5teel Erection 5B Joists & Decking 5B Metal Fabrications 5B Bond 5B COiflPRif2RClerestoryHeadDetail 5B COif2 LT GA 3x3 Cavity Closure Angle Install 5B COif3 RFqf69 Removal of angle at App Doors 5B COif4A5qfSRRoofTransition 5B COifS RFqf92 Slab Edge Detail at Mezzanine Opening 5B COif6 PRif16 5B COif7 RFqf103 Angles Above W1 Windows 5B COifS RFqf109 5B COif9 RFqf100 VALUE ORDERS REVISION/ SCHEDULED CONTINGENCY VALUE TRANSFER 5 40,000.00 $ 100,000.00 $ 251,000.00 $ - $ - $ - $ - $ - $ - $ - $ - $ 35,200.00 $ 75,000.00 $ 115,553.75 $ 67,006.25 $ - $ $ - $ - $ - $ - $ - $ - $ $ - $ - $ - $ - $ - $ - $ - $ - < _ $ $ $ $ $ $ $ $ $ 5 $ - $ - $ 7,661.00 $ (1,977.19) $ 1,655.00 $ (675.00) $ 744.50 $ (740.00) $ (479.27) 5 (717.00) 5 40,000.00 $ 100,000.00 $ 251,000.00 $ 7,661.00 $ (1,977.19) $ 1,655.00 $ (675.00) $ 744.50 $ (740.00) $ (479.27) $ (717.00) $ 35,200.00 $ 75,000.00 $ 202,750.00 $ 67,006.25 $ (1,232.00) $ 1,305.25 $ 1,406.22 $ 415.34 $ 676.41 $ (2,035.93) $ 6,193.52 $ 465.54 $ 512.65 $ 3,702.44 $ 1,062.67 $ (212.00) $ 2,775.64 $ 2,135.02 $ (212.00) $ 1,203.29 $ 533.64 $ 2,730.55 $ SS,000.00 $ 29,575.00 $ 26,175.00 $ 4,000.00 $ 6,754.00 $ 1,272.00 $ (1,060.00) $ 530.00 $ 230.00 $ 477.00 $ 424.00 $ 212.00 $ 742.00 SS,000.00 29,575.00 26,175.00 4,000.00 57,196.25 (1,232.00) 1,305.25 1,406.22 415.34 676.41 (2,035.93) 6,193.52 465.54 512.65 3,702.44 1,062.67 (212.00) 2,775.64 2,135.02 (212.00) 1,203.29 533.64 2,730.55 6,754.00 1,272.00 (1,060.00) 530.00 230.00 477.00 424.00 212.00 742.00 APPLICATION (D+E) $ 40,OOO.0 $ 100,OOO.0 $ 251,OOO.0 $ 7,661.0 $ (1,977.7 $ 1,655.0 $ (67S.0 $ 744.` $ (740.0 $ (479.2 $ (717.0 $ 35,200.0 $ 75,OOO.0 $ 202,750.0 $ 67,006.2 $ (1,232.0 $ 1,305.2 $ 1,406.2 $ 415.? $ 676.4 $ (2,035.� $ 6,193.` $ 465. ` $ 512.E $ 3,702.4 $ 1,062.E $ (212.0 $ 2,775.E $ 2,135.0 $ (212.0 $ 1,203.2 $ S33.E $ 2,730.` $ SS,OOO.0 $ 29,575.0 $ 26,175.0 $ 4,OOO.0 $ 6,7S4.0 $ 1,272.0 $ (1,060.0 $ 530.0 $ 230.0 $ 477.0 $ 424.0 $ 212.0 $ 742.0 AIA DOCUMENT G703 PRESENTLY STORED (NOT IN DORE) 0 k Riva F reStati on Citv of Elk Ri APPLICATION NO: 21RET APPLICATION DATE: S/31/22 PERIOD TO: S/31/22 COMPLETED ANDSTORED TO DATE (D+E+F) $ 40,000.0 $ 100,000.0 $ 251,000.0 $ 7,661.0 $ (1,977.1 $ 1,655.0 $ (675.0 $ 744.5 $ (740.0 $ (479.2 $ (717.0 $ 35,200.0 $ 75,000.0 $ 202,750.0 $ 67,006.2 $ (1,232.0 $ 1,305.2 $ 1,406.2 $ 415.3 $ 676.4 $ (2,035.9 $ 6,193.5 $ 465.5 $ 512.6 $ 3,702.4 $ 1,062.6 $ (212.0 $ 2,775.6 $ 2,135.0 $ (212.0 $ 1,203.2 $ 533.6 $ 2,730.5 $ SS,000.0 $ 29,575.0 $ 26,175.0 $ 4,000.0 $ 6,754.0 $ 1,272.0 $ (1,060.0 $ 530.0 $ 230.0 $ 477.0 $ 424.0 $ 212.0 $ 742.0 (G+C) I TOFINISH I (IFVARIABLE (C-G) RATE) 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ < 5 2,000.00 $ 5,000.00 $ 12,550.00 $ 353.05 $ (9S.S6; $ 52.75 $ (33.90; $ 37.23 $ (37.00; $ (23.96; $ (35.55; $ 1,910.00 $ 3,750.00 $ 10,137.50 $ 3,350.31 $ (61.60; $ 65.26 $ 70.31 $ 20.77 $ 33.52 $ (101.95; $ 309.65 $ 23.43 $ 25.63 $ 155.12 $ 53.13 $ (10.60; $ 13S.7S $ 106.75 $ (10.60; $ 60.16 $ 41.65 $ 136.53 $ 2,900.00 $ 1,475.75 $ 1,305.75 $ 200.00 $ 339.20 $ 63.60 $ (53.00; $ 26.50 $ 11.50 $ 23.55 $ 21.20 $ 10.60 $ 37.10 Page 2 / 11 Terra CONSTRLICTION triot Erectors triot Erectors triot Erectors triot Erectors triot Erectors ntury Construction ntury Construction ntury Construction ntury Construction ntury Construction ntury Construction ntury Construction ntury Construction ntury Construction ntury Construction ntury Construction ntury Construction ntury Construction ntury Construction ntury Construction ntury Construction ntury Construction ntury Construction ntury Construction ntury Construction ntury Construction ntury Construction ntury Construction ntury Construction rthern Woodwork rthern Woodwork Roofing Roofing Roofing Roofing Roofing Roofing Roofing Roofing Roofing CONTINUATION SHEET AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing Contractor's signed certification is attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. NO. COST CODE OS-51Z OS-51Z OS-51Z OS-51Z OS-51Z 06-610 06-610 06-610 06-610 06-610 06-610 06-610 06-610 06-610 06-610 06-610 06-610 06-610 06-610 06-610 06-610 06-610 06-610 06-610 06-610 06-610 06-610 06-610 06-610 06-640 06-640 07-72L 07-72L 07-72L 07-72L 07-75b 07-75b 07-75b 07-75b 07-75b 07-75b 07-75b 07-75b 07-75b PACK NO. 5B COif10 RFI if101 5B COif1lRFqf156AdditionalAnglelronforFan 5B COif12RFqf159TrainingTowerWelding 5B COif13 RFqf140 RapellingAnchors 5B CO Trash Gate 6A Performance & Payment Bond 6A Allowance 6A Mobilization 6A Materials 6A Material Blocking 6A Install Roof Blocking 6A Install In Wall Blocking 6A CabinetsandMillwork 6A Specialties 6A Temp Enclosures 6A Doors&Hardware 6A COif1 For Distinctive to Predrill Sill Angles 6A COif2 PRif15 Flagpoles 6A COif3 Disctinctive Predrill Holes for Operable Partition 6A COif4 Wood Blockingat Heads of W1 (Used $S55 of Allowance) 6A COifS RFqf110 Wood Blocking 6A COif6AllowanceUsage(Remaining$5,290) 6A COif7AllowanceUsage(Remaining$7,015) 6A COifS PRiflSAdded Paper Towel/Trash Units 6A COif9C51Div-10AdditionalCharges 6A COif101nterior5ignage 6A COif11 Allowance Usage (Remaining$3930.50) 6A COif12 RFqf201 Bondo and Reinstall Door 10S 6A CO Pergola 6B Architectural Millwork 6B COif1 PRif1S 7C Fluid Applied Air Barrier 7C COif1 ASqfSR Removal of Tranisition Membrane 7C COif2 Remove and Reinstall AB at W1 7C COif3 PRif20 7A&7B Roofing&MetaIWallPanels 7A&7B COiflA5qf5LTAngles 7A & 7B COif2 ASqfSR Reduction of Roof Membrane 7A&7B COif3PRif14ParapetRoofingMembrane 7A&7B COif40vertimeWorkonll/6 7A&7B COifSRFqf100 7A&7B COif64thFloorTrainingTowerRoofingMembrane 7A&7B COif7WallReflashingattopsofParapetWalls 7A & 7B COifS Emergency Repairs on 12/17 VALUE I ORDERS $ - $ - $ - $ - $ 6,400.00 $ 10,000.00 $ 3,100.00 $ 97,000.00 $ 12,000.00 $ 43,000.00 $ 5,000.00 $ 5,500.00 $ 32,000.00 $ 6,000.00 $ 17,000.00 $ $ - $ - $ - $ - $ - $ - $ $ - $ - $ - $ - $ - $ 45,900.00 $ - $ 35,600.00 $ - $ - $ - $ 355,124.00 $ - $ - $ - $ - $ - $ - $ - $ - $ $ $ S 0 $ $ $ $ $ $ $ $ $ $ $ $ $ $ REVISION/ SCHEDULED CONTINGENCY VALUE TRANSFER $ 212.00 $ 212.00 $ 1,612.00 $ 1,612.00 $ 424.00 $ 424.00 $ 1,219.00 $ 1,219.00 $ 1,027.00 $ 1,027.00 (676.41) (277.00) (465.54) 534.35 (1,272.00) 2,245.00 2,335.50 (572.52) 479.27 (11,023.27) 0 ' $ 165.00 $ - $ (500.00) $ 1,590.00 $ (200.00) $ - $ 5,750.00 $ 2,600.00 $ (1,650.00) $ 2,652.00 $ 1,350.00 $ (935.00) $ 1,425.00 $ 1,325.00 $ 6,400.00 $ 10,000.00 $ 3,100.00 $ 97,000.00 $ 12,000.00 $ 43,000.00 $ 5,000.00 $ 5,500.00 $ 32,000.00 $ 6,000.00 $ 17,000.00 $ (676.41) $ (277.00) $ (465.54) $ - $ 534.35 $ - $ (1,272.00) $ 2,245.00 $ 2,335.50 $ (572.52) $ - $ 479.27 $ (11,023.27) $ 45,900.00 $ 165.00 $ 35,600.00 $ (500.00) $ 1,590.00 $ (200.00) $ 355,124.00 $ 5,750.00 $ 2,600.00 $ (1,650.00) $ 2,652.00 $ 1,350.00 $ (935.00) $ 1,425.00 $ 1,325.00 APPLICATION (D+E) $ 212.0 $ 1,612.0 $ 424.0 $ 1,219.0 $ 1,027.0 $ 6,400.0 $ 10,OOO.0 $ 3,100.0 $ 74,99S.0 $ 12,OOO.0 $ 43,OOO.0 $ S,OOO.0 $ S,SOO.0 $ 24,OOO.0 $ 6,OOO.0 $ 17,OOO.0 $ (676.4 $ (277.0 $ (465.` $ - $ 534.? $ - $ (1,272.0 $ 2,24S.0 $ S7.` $ (572.f $ - $ 479.2 $ - $ 45,900.0 $ 165.0 $ 35,600.0 $ (SOO.0 $ 1,590.0 $ (200.0 $ 355,124.0 $ 5,750.0 $ 2,600.0 $ (1,650.0 $ 2,6S2.0 $ 1,350.0 $ (935.0 $ 1,425.0 $ 1,325.0 AIA DOCUMENT G703 PRESENTLY STORED (NOT IN DORE) 0 k Riva F reStati on Citv of Elk Ri APPLICATION NO: 21RET APPLICATION DATE: S/31/22 PERIOD TO: S/31/22 COMPLETED ANDSTORED TO DATE (D+E+F) $ 212.0 $ 1,612.0 $ 424.0 $ 1,219.0 $ 1,027.0 $ 6,400.0 $ 10,000.0 $ 3,100.0 $ 74,995.0 $ 12,000.0 $ 43,000.0 $ 5,000.0 $ 5,500.0 $ 24,000.0 $ 6,000.0 $ 17,000.0 $ (676.4 $ (277.0 $ (465.5 $ - $ 534.3 $ - $ (1,272.0 $ 2,245.0 $ 57.5 $ (572.5 $ - $ 479.2 $ - $ 45,900.0 $ 165.0 $ 35,600.0 $ (500.0 $ 1,590.0 $ (200.0 $ 355,124.0 $ 5,750.0 $ 2,600.0 $ (1,650.0 $ 2,652.0 $ 1,350.0 $ (935.0 $ 1,425.0 $ 1,325.0 (G+C) I TOFINISH I (IFVARIABLE (C-G) RATE) 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 77.32% 100.00% 100.00% 100.00% 100.00% 75.00% 100.00% 100.00% 100.00% 100.00% 100.00% ifDIV/0! 100.00% ifDIV/0! 100.00% 100.00% 3.75% 100.00% ifDIV/0! 100.00% 0.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% $ - $ - $ - $ - $ - $ - $ - $ 22,002.00 $ - $ - $ - $ - $ 5,000.00 $ - $ - $ $ - $ - $ - $ - $ - $ - $ $ 2,245.00 $ - $ - $ - $ (11,023.27) $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - 5 10.60 $ 50.60 $ 21.20 $ 60.95 $ 51.35 $ 320.00 $ 500.00 $ 155.00 $ 3,749.90 $ 600.00 $ 2,150.00 $ 400.00 $ 425.00 $ 1,200.00 $ 300.00 $ 550.00 $ (33.52; $ (13.55; $ (23.43; $ - $ 26.72 $ - $ (63.60; $ 112.40 $ 4.35 $ (25.64; $ - $ 23.96 $ - $ 2,295.00 $ 5.25 $ 1,930.00 $ (40.00; $ 79.50 $ (10.00; $ 19,256.20 $ 257.50 $ 130.00 $ (52.50; $ 134.10 $ 67.50 $ (46J5; $ 71.25 $ 66.25 Page 3 / 11 Terra CONSTRLICTION �rizon Roofing ec 7 nrise Speciality nrise Speciality id-Central Door id-Central Door id-Central Door id-Central Door id-Central Door id-Central Door id-Central Door nerican Door Works nerican Door Works nerican Door Works Jlmark Glass Jlmark Glass Jlmark Glass Jlmark Glass Jlmark Glass Jlmark Glass Jlmark Glass Jlmark Glass Jlmark Glass Jlmark Glass Jlmark Glass emela Design and Construction emela Design and Construction emela Design and Construction emela Design and Construction emela Design and Construction emela Design and Construction emela Design and Construction emela Design and Construction emela Design and Construction emela Design and Construction emela Design and Construction emela Design and Construction emela Design and Construction emela Design and Construction emela Design and Construction emela Design and Construction CONTINUATION SHEET AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing Contractor's signed certification is attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. NO. COST CODE 07-75b 07-75b 07-75b 07-790 07-790 OS-S20 OS-S20 OS-S20 OS-S20 OS-S20 OS-S20 OS-S20 OS-S36 OS-S36 OS-S36 OS-SS0 OS-SS0 OS-SS0 OS-SS0 OS-SS0 OS-SS0 OS-SS0 OS-SS0 OS-SS0 OS-SS0 OS-SS0 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 PACK NO. 7A&7B COif95addleRepairatexistingsaddleatNorthTrainingTower 7A & 7B CO Relocate Roof Vent RFqf163 Training Tower Roofing Membrane 7D JointSealants 7D COiflPRif2RClerestoryHeadDetail SA Hardware SA HM Door SA HM Frame SA Specialty SA WDDoor SA COif1 Door Hardware Revisions (5/5/21) SA COif2 Door Frame 10S Refab Door (From Camco) SB Sectional Overhead Doors SB COif1 PRif2 Overhead Doors & Circuiting SB COif2 PRif12 Revised the 3 OH Doors SC Shop Drawings SC Bond SC Aluminum Labor SC Aluminum Material SC DoorHardwareLabor SC DoorHardwarematerial SC Glass&GlazingLabor SC Glass&GlazingMaterial SC Arch Louvers Labor SC Arch Louvers Material SC COif1 RFqf1S1 SF 140X SF Head Detail 9A Framing-Material 9A Insulation-Material 9A Drywall-Material 9A Taping/Finishing-Material 9A Sealants/Acoustical- Material 9A FRP-Material 9A Framing-Labor 9A Insulation-Labor 9A Drywall-Labor 9A Taping/Finishing-Labor 9A Sealants/Acoustical- Labor 9A FRP-Labor 9A Equipment-Lift 9A Mobilization 9A Bonding 9A Allowance (Terra Directed) VALUE I ORDERS $ - $ - $ 45,470.00 $ - $ 41,653.67 $ 22,205.67 $ 19,666.66 $ 3,133.00 $ 7,727.00 $ - $ - $ 170,570.00 $ $ - $ 3,500.00 $ 5,000.00 $ 32,630.00 $ 45,750.00 $ 3,000.00 $ 26,000.00 $ 10,200.00 $ 29,000.00 $ 1,620.00 $ 3,500.00 < _ I$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 5 19,573.00 5,063.00 20,024.00 2,930.00 2, 500.00 506.00 33,795.00 6, 500.00 22,510.00 23,301.00 3,000.00 630.00 7, 500.00 5,000.00 2,915.00 5,000.00 REVISION / CONTINGENCY TRANSFER $ 2,950.00 $ 750.00 $ 5,513.00 $ - $ 35.00 $ - $ - $ - $ - $ - $ 2,152.97 $ 740.00 $ - $ (37,217.00) $ (36,410.00) $ - $ - $ - $ - $ $ - $ - $ - $ - $ - 5 362.00 SCHEDULED VALUE $ 2,950.00 $ 750.00 $ 5,513.00 $ 45,470.00 $ 35.00 $ 41,653.67 $ 22,205.67 $ 19,666.66 $ 3,133.00 $ 7,727.00 $ 2,152.97 $ 740.00 $ 170,570.00 $ (37,217.00) $ (36,410.00) $ 3,500.00 $ 5,000.00 $ 32,630.00 $ 45,750.00 $ 3,000.00 $ 26,000.00 $ 10,200.00 $ 29,000.00 $ 1,620.00 $ 3,500.00 $ 362.00 $ 19,573.00 $ 5,063.00 $ 20,024.00 $ 2,930.00 $ 2,500.00 $ 506.00 $ 33,795.00 $ 6,500.00 $ 22,510.00 $ 23,301.00 $ 3,000.00 $ 630.00 $ 7,500.00 $ 5,000.00 $ 2,915.00 $ 5,000.00 APPLICATION (D+E) $ 2,9SO.0 $ 750.0 $ 5,513.0 $ 45,470.0 $ 35.0 $ 41,653.E $ 22,20S.E $ 19,666.E $ 3,133.0 $ 7,727.0 $ 2,152.� $ 740.0 $ 170,570.0 $ (37,217.0 $ (36,410.0 $ 3,SOO.0 $ S,OOO.0 $ 32,630.0 $ 45,750.0 $ 3,OOO.0 $ 26,OOO.0 $ 10,200.0 $ 29,OOO.0 $ 1,620.0 $ 3,SOO.0 $ 362.0 $ 19,S73.0 $ 5,063.0 $ 20,024.0 $ 2,930.0 $ 2,SOO.0 $ S06.0 $ 33,795.0 $ 6,SOO.0 $ 22,S10.0 $ 23,301.0 $ 3,OOO.0 $ 630.0 $ 7,SOO.0 $ S,OOO.0 $ 2,915.0 $ S,OOO.0 AIA DOCUMENT G703 PRESENTLY STORED (NOT IN DORE) 0 k Riva F reStati on Citv of Elk Ri APPLICATION NO: 21RET APPLICATION DATE: S/31/22 PERIOD TO: S/31/22 COMPLETED ANDSTORED TO DATE (D+E+F) $ 2,950.00 $ 750.00 $ 5,513.00 $ 45,470.00 $ 35.00 $ 41,653.67 $ 22,205.67 $ 19,666.66 $ 3,133.00 $ 7,727.00 $ 2,152.97 $ 740.00 $ 170,570.00 $ (37,217.00) $ (36,410.00) $ 3,500.00 $ 5,000.00 $ 32,630.00 $ 45,750.00 $ 3,000.00 $ 26,000.00 $ 10,200.00 $ 29,000.00 $ 1,620.00 $ 3,500.00 $ 362.00 $ 19,573.00 $ 5,063.00 $ 20,024.00 $ 2,930.00 $ 2,500.00 $ 506.00 $ 33,795.00 $ 6,500.00 $ 22,510.00 $ 23,301.00 $ 3,000.00 $ 630.00 $ 7,500.00 $ 5,000.00 $ 2,915.00 $ 5,000.00 (G + C) 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% TO FINISH I (IF VARIABLE (C-G) RATE) $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ < 5 149.00 $ 37.50 $ 275.65 $ 2,273.50 $ 1.75 $ 2,OS2.6S $ 1,110.43 $ 953.33 $ 156.65 $ 356.35 $ 107.65 $ 37.00 $ S,52S.50 $ (1,S60.S5) $ (1,520.50) $ 175.00 $ 250.00 $ 1,631.50 $ 2,437.50 $ 150.00 $ 1,300.00 $ 510.00 $ 1,450.00 $ 51.00 $ 190.00 $ 15.10 $ 993.65 $ 253.15 $ 1,001.20 $ 146.50 $ 125.00 $ 40.30 $ 1,659.75 $ 325.00 $ 1,140.50 $ 1,165.05 $ 150.00 $ 31.50 $ 375.00 $ 250.00 $ 145.75 S 250.00 Page 4 / 11 Terra CONSTRLICTION amela Design and Construction amela Design and Construction amela Design and Construction amela Design and Construction amela Design and Construction amela Design and Construction amela Design and Construction amela Design and Construction amela Design and Construction amela Design and Construction amela Design and Construction amela Design and Construction amela Design and Construction amela Design and Construction amela Design and Construction amela Design and Construction amela Design and Construction amela Design and Construction amela Design and Construction amela Design and Construction n's Construction Group n's Construction Group n's Construction Group nus Interiors nus Interiors nus Interiors nus Interiors nus Interiors nus Interiors nus Interiors nus Interiors ntennial Flooring ntennial Flooring ntennial Flooring �inbrecher Painting �inbrecher Painting �inbrecher Painting �inbrecher Painting �inbrecher Painting �inbrecher Painting �inbrecher Painting terson Sheet Metal terson Sheet Metal CONTINUATION SHEET AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing Contractor's signed certification is attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. NO. COST CODE 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-925 09-930 09-930 09-930 09-95L 09-95L 09-95L 09-95L 09-95L 09-95L 09-95L 09-95L 09-965 09-965 09-965 09-99L 09-99L 09-99L 09-99L 09-99L 09-99L 09-99L 15-150 15-150 PACK NO. 9A Allowance-AccessPanels 9A COiflPRif2RClerestoryHeadDetail 9A COif2 PRif3R 9A COif3A5qf95offitRevisions 9A COif4 RFqf107 9A COifS RFqf100 9A COif6 RFqf121 9A COif7 PRiflSAdded Framingfor Trash Units 9A COifS RFqf154 2" XPS Tile Backer at Wellness Room 9A COif9CMULaminatingandSkimCoating 9A COiflOAddedTripCharge 9A COif11 Option 1 Hilti Spray & Paint 9A COif12 PRif20 9A COif13 RFqf150 9A COifl4CreditforGypat5F140XHeadDetail 9A COiflSAccess Panel Allowance Usage ($0 Remanining) 9A COif16 Using$330of $SOOOAIIowance ($4670 Remainin� 9A COifl7Using$325ofAllowance($4345Remaining) 9A COif1S Soffit Expansion Joint Painting 9A CO Vent Hood Backing 9B Labor 9B Tile Material 9B COif1 - PRif20 9C ACT-1 Material 9C ACT-1 Labor 9C ACP Material 9C ACP Labor 9C Bond 9C COif1 PRif3R 9C COif2 RFqf7S Extended Wall Track 9C COif3 ASqf9 Removed ACT in Room 124 9D Carpet & Resilient Flooring-Material 9D Carpet & Resilient Flooring-Labor 9D COif1 RFqf143 Added LokDots 9F Painting&Wallcovering 9F COiflA5qf101nteriorFinishes 9F COif2 Added Painting at M04 & Vestibule 107 PRif20 9F COif3Painting5offitsafterControlJoints 9F COif4 RFqf201 RepaintingDoor Frame 10S 9F CO Relocate RoofVent 9F CO Vent Hood Blocking 22A Mechanical-Fabricated Ductwork 22A Mechanical-Duct Field Material VALUE ORDERS REVISION/ SCHEDULED CONTINGENCY VALUE TRANSFER 5 2,000.00 $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ $ - $ - $ 23,450.00 $ 26,365.00 $ - $ 9,550.00 $ 6,936.00 $ 61,659.00 $ 9,674.00 $ 1,231.00 $ - $ - $ - $ 14,000.00 $ 5,500.00 $ - $ 76,200.00 $ - $ - $ - $ - $ - $ - $ 16,475.00 $ 19,439.00 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 4,963.35 $ (357.00) $ 295.00 $ 213.00 $ 433.00 $ 250.00 $ 1,050.00 $ 5,6SS.00 $ 10,300.00 $ 950.00 $ 4,613.00 $ (245.00) $ 1,369.00 $ (50.00) $ - $ - $ $ (523.00) $ 541.25 $ - $ - $ (210.00) $ - $ - $ - $ - $ - $ 1,130.00 $ 637.00 $ (257.00) $ - $ - $ 215.00 $ - $ 673.00 $ 415.00 $ 523.00 $ 717.00 $ 373.00 $ SS.00 $ - $ - 5 2,000.00 $ 4,963.35 $ (357.00) $ 295.00 $ 213.00 $ 433.00 $ 250.00 $ 1,050.00 $ 5,6SS.00 $ 10,300.00 $ 950.00 $ 4,613.00 $ (245.00) $ 1,369.00 $ (50.00) $ - $ - $ $ (523.00) $ 541.25 $ 23,450.00 $ 26,365.00 $ (210.00) $ 9,550.00 $ 6,936.00 $ 61,659.00 $ 9,674.00 $ 1,231.00 $ 1,130.00 $ 637.00 $ (257.00) $ 14,000.00 $ 5,500.00 $ 215.00 $ 76,200.00 $ 673.00 $ 415.00 $ 523.00 $ 717.00 $ 373.00 $ SS.00 $ 16,475.00 $ 19,439.00 APPLICATION (D+E) $ 2,OOO.0 $ 4,963.? $ (357.0 $ 295.0 $ 213.0 $ 433.0 $ 250.0 $ 1,OSO.0 $ 5,6SS.0 $ 10,300.0 $ 950.0 $ 4,613.0 $ (245.0 $ 1,369.0 $ (SO.0 $ - $ - $ $ (S23.0 $ 541.2 $ 23,450.0 $ 26,365.0 $ (210.0 $ 9,SSO.0 $ 6,936.0 $ 61,659.0 $ 9,674.0 $ 1,231.0 $ 1,130.0 $ 637.0 $ (257.0 $ 14,OOO.0 $ S,SOO.0 $ 215.0 $ 76,200.0 $ 673.0 $ 415.0 $ S23.0 $ 717.0 $ 373.0 $ SS.0 $ 16,475.0 $ 19,439.0 AIA DOCUMENT G703 PRESENTLY STORED (NOT IN DORE) 0 k Riva F reStati on Citv of Elk Ri APPLICATION NO: 21RET APPLICATION DATE: S/31/22 PERIOD TO: S/31/22 COMPLETED ANDSTORED TO DATE (D+E+F) $ 2,000.00 $ 4,963.35 $ (357.00) $ 295.00 $ 213.00 $ 433.00 $ 250.00 $ 1,050.00 $ 5,6SS.00 $ 10,300.00 $ 950.00 $ 4,613.00 $ (245.00) $ 1,369.00 $ (50.00) $ - $ - $ $ (523.00) $ 541.25 $ 23,450.00 $ 26,365.00 $ (210.00) $ 9,550.00 $ 6,936.00 $ 61,659.00 $ 9,674.00 $ 1,231.00 $ 1,130.00 $ 637.00 $ (257.00) $ 14,000.00 $ 5,500.00 $ 215.00 $ 76,200.00 $ 673.00 $ 415.00 $ 523.00 $ 717.00 $ 373.00 $ SS.00 $ 16,475.00 $ 19,439.00 (G + C) 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( ifDIV/ ifDIV/ ifDIV/ 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( 100.0( TO FINISH I (IF VARIABLE (C-G) RATE) $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 5 100.00 $ 245.17 $ (17.55; $ 14.75 $ 10.65 $ 21.65 $ 12.50 $ 52.50 $ 254.40 $ 515.00 $ 47.50 $ 230.65 $ (1215; $ 65.45 $ (2.50; $ - $ - $ $ (41.15; $ 27.06 $ 1,172.50 $ 1,315.25 $ (10.50; $ 492.50 $ 346.50 $ 3,OS2.95 $ 453.70 $ 61.55 $ 56.50 $ 31.55 $ (12.55; $ 700.00 $ 275.00 $ 10.75 $ 3,510.00 $ 33.65 $ 20.75 $ 41.15 $ 35.55 $ 15.65 $ 4.40 $ 523.75 $ 971.95 PageS/11 Terra CONSTRLICTION son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal son Sheet Metal nit Fire nit Fire nit Fire nit Fire nit Fire nit Fire Electric Electric Electric Electric CONTINUATION SHEET AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing Contractor's signed certification is attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. NO. COST CODE 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-150 15-153. 15-153. 15-153. 15-153. 15-153. 15-153. 16-160 16-160 16-160 16-160 PACK NO. 22A Mechanical-PlumbingMaterial 22A Mechanical-PipingMaterial 22A Mechanical-Insulation Material 22A Mechanical-Ventilation Material 22A Mechanical-PlumbingLabor 22A Mechanical-PipingLabor 22A Mechanical-Insulation Labor 22A Mechanical-Ventilation Equipment 22A Mechanical-PlumbingFixtures/Equip 22A Mechanical-PipingEquipment 22A Mechanical-ReferPiping/Startup 22A Mechanical-Balancing 22A Mechanical-Temp Controls 22A Mechanical-Crane 22A Mechanical-Permits 22A Mechanical-Bond 22A Mechanical-Submittals 22A Mechanical-GeneralAdministration 22A COif1 PRif3R 22A COif2Addedexpansiontankforsnowmelt 22A COif3 App Bay Truck Fill & Compressed Air 22A COif4 Eye Wash Station 22A COifS PRif17 SCBA Compressor 22A COif6 RFqf107 22A COif7 RFqf121 22A COifS PRif135team Generator 22A COif9 Duct Insulation Replacement (W rp Allowance) $752 22A COiflOAdded PVC Insualtion 22A COif11 Bay Duct Relocation due to Air Drop 22A COif12 PRif22 22A COif13CMUPatchworkforDuct139TrainingRoom 22A COif14 RFqf1S3 Revised Exhaust Air Register Size 22A COif15RFqf139CreditforDuctProtection 22A CO Relocate Roof Vent 22A CO Vent Hood Backing 22A COforRPZLabor 21A Labor 21A Material 21A Design 21A Fabrication 21A Bond 21A COif1 ASqf9 Redesigned Sprinkler Layout 26A Electrical-Permit 26A Electrical-Bond 26A Mobilization 26A TempPower/JobTrailer VALUE ORDERS REVISION/ SCHEDULED CONTINGENCY VALUE TRANSFER 5 71,S6S.00 $ 40,271.00 $ 16,961.00 $ 54,721.00 $ 146,790.00 $ 7S,OS3.00 $ 35,439.00 $ 54,175.00 $ 9S,59S.00 $ 57,433.00 $ 4,394.00 $ 7,976.00 $ 66,259.00 $ 1,755.00 $ 15,000.00 $ 5,000.00 $ 5,000.00 $ 63,330.00 $ - $ - $ - $ - $ - $ - $ $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ 15,200.00 $ 22,500.00 $ 3,200.00 $ 2,600.00 $ 500.00 $ - $ 1,325.00 $ 4,347.00 $ 22,936.00 $ 1,710.00 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ $ 3,532.00 $ 2,504.00 $ 30,621.00 $ (949.00) $ 1,790.00 $ (213.00) $ (250.00) $ 5,342.00 $ - $ 723.00 $ 5,6SS.00 $ 709.00 $ (744.50) $ 2,503.00 $ (470.00) $ 2,046.00 $ 437.00 $ 947.00 $ - $ - $ - $ - $ - $ 520.00 $ - $ - $ - $ - 5 71,S6S.00 $ 40,271.00 $ 16,961.00 $ 54,721.00 $ 146,790.00 $ 7S,OS3.00 $ 35,439.00 $ 54,175.00 $ 9S,59S.00 $ 57,433.00 $ 4,394.00 $ 7,976.00 $ 66,259.00 $ 1,755.00 $ 15,000.00 $ 5,000.00 $ 5,000.00 $ 63,330.00 $ 3,532.00 $ 2,504.00 $ 30,621.00 $ (949.00) $ 1,790.00 $ (213.00) $ (250.00) $ 5,342.00 $ - $ 723.00 $ 5,6SS.00 $ 709.00 $ (744.50) $ 2,503.00 $ (470.00) $ 2,046.00 $ 437.00 $ 947.00 $ 15,200.00 $ 22,500.00 $ 3,200.00 $ 2,600.00 $ 500.00 $ 520.00 $ 1,325.00 $ 4,347.00 $ 22,936.00 $ 1,710.00 APPLICATION (D+E) $ 71,S6S.0 $ 40,271.0 $ 16,961.0 $ 54,721.0 $ 146,790.0 $ 7S,OS3.0 $ 35,439.0 $ 54,17S.0 $ 9S,59S.0 $ 57,433.0 $ 4,394.0 $ 7,976.0 $ 66,259.0 $ 1,7SS.0 $ 15,OOO.0 $ S,OOO.0 $ S,OOO.0 $ 63,330.0 $ 3,532.0 $ 2,504.0 $ 30,621.0 $ (949.0 $ 1,790.0 $ (213.0 $ (250.0 $ 5,342.0 $ - $ 723.0 $ 5,6SS.0 $ 709.0 $ (744.` $ 2,503.0 $ (470.0 $ 2,046.0 $ 437.0 $ 947.0 $ 15,200.0 $ 22,SOO.0 $ 3,200.0 $ 2,600.0 $ SOO.0 $ S20.0 $ 1,325.0 $ 4,347.0 $ 22,936.0 $ 1,710.0 AIA DOCUMENT G703 PRESENTLY STORED (NOT IN DORE) 0 k Riva F reStati on Citv of Elk Ri APPLICATION NO: 21RET APPLICATION DATE: S/31/22 PERIOD TO: S/31/22 COMPLETED ANDSTORED TO DATE (D+E+F) $ 71,S6S.0 $ 40,271.0 $ 16,961.0 $ 54,721.0 $ 146,790.0 $ 7S,OS3.0 $ 35,439.0 $ 54,175.0 $ 9S,59S.0 $ 57,433.0 $ 4,394.0 $ 7,976.0 $ 66,259.0 $ 1,755.0 $ 15,000.0 $ 5,000.0 $ 5,000.0 $ 63,330.0 $ 3,532.0 $ 2,504.0 $ 30,621.0 $ (949.0 $ 1,790.0 $ (213.0 $ (250.0 $ 5,342.0 $ - $ 723.0 $ 5,6SS.0 $ 709.0 $ (744.5 $ 2,503.0 $ (470.0 $ 2,046.0 $ 437.0 $ 947.0 $ 15,200.0 $ 22,500.0 $ 3,200.0 $ 2,600.0 $ 500.0 $ 520.0 $ 1,325.0 $ 4,347.0 $ 22,936.0 $ 1,710.0 (G+C) I TOFINISH I (IFVARIABLE (C-G) RATE) 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% ifDIV/0! 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 3,593.40 2,013.55 S4S.05 4,236.05 7,339.50 3,904.15 1,771.95 4,205.90 4,929.90 2,571.65 219.70 39S.S0 3,312.95 59.25 750.00 400.00 250.00 3,166.50 176.60 125.20 1,531.05 (47.45; 59.50 (10.65; (12.50; 417.10 36.15 254.40 35.45 (3713; 125.15 (23.50; 102.30 21.55 47.35 910.00 1,140.00 160.00 130.00 40.00 41.00 66.25 217.35 1,146.50 55.50 Page 6 / 11 Terra CONSTRLICTION Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric CONTINUATION SHEET AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing Contractor's signed certification is attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. NO. COST CODE 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 PACK NO. 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A Temp Power/Building Switchgear Package/Graybar Electric Co Utility Fees/Elk River Public Utilities Utility Transformer Pad Material Utility Transformer Pad Labor Service Entrance Material Service Entrance Labor Service Equipment Material Service Equipment Labor Power Panelboards Material Power Panelboards Labor Generator Package/Total Energy Systems Generator Pad Material Generator Pad Labor Generator Material Generator Labor Generator Serivce Entrance Material Generator Serivce Entrance Labor ATS Equipment Material ATS Equipment Labor ES Panelboards Material ES Panelboards Labor Light Fixture Package/Viking Electric Fixture Material Fixture Labor Fixture Control Material Fixture Control Labor HVLS Fan/BigAss Fans HVLS Fan Material HVLS Fan Labor Site Pole Bases Material Site Pole Bases Labor Site Pole Underground Material Site Pole Underground Labor Site Pole Install Material Site Pole Install Labor Site Flag Pole-Sign Material Site Flag Pole-Sign Labor Site Grill-Recept Material Site Grill-Recept Labor Power-Device Material Power-Device Labor Floor Boxes/Graybar Electric Co Floor Box Material Floor Box Labor Cord Reels/Graybar Electric Co Cord Reels Material VALUE $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 3,325.00 3,325.00 2S,S45.00 5,279.00 1,045.00 1,425.00 4,534.00 3,527.00 2,776.00 3,277.00 2,739.00 2,556.00 79,252.00 1,235.00 1,710.00 1,562.00 4,091.00 3,541.00 3, 599.00 2,309.00 2,901.00 501.00 1,146.00 94,954.00 6,196.00 21,162.00 1, 572.00 4,632.00 10,123.00 313.00 S7S.00 2,320.00 2, 546.00 2,315.00 3,041.00 95.00 1,126.00 1,757.00 1,952.00 376.00 507.00 15,167.00 26,751.00 2,011.00 665.00 2,021.00 3,SS5.00 496.00 Page 7 / 11 ORDERS REVISION/ SCHEDULED FROMPREVIOI CONTINGENCY VALUE APPLICATION TRANSFE R (D + E) $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 3,325.00 3,325.00 2S,S45.00 5,279.00 1,045.00 1,425.00 4,534.00 3,527.00 2,776.00 3,277.00 2,739.00 2,556.00 79,252.00 1,235.00 1,710.00 1,562.00 4,091.00 3,541.00 3, 599.00 2,309.00 2,901.00 501.00 1,146.00 94,954.00 6,196.00 21,162.00 1, 572.00 4,632.00 10,123.00 313.00 S7S.00 2,320.00 2, 546.00 2,315.00 3,041.00 95.00 1,126.00 1,757.00 1,952.00 376.00 507.00 15,167.00 26,751.00 2,011.00 665.00 2,021.00 3,SS5.00 496.00 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 3,325.00 3,325.00 2S,S45.00 5,279.00 1,045.00 1,425.00 4,534.00 3,527.00 2,776.00 3,277.00 2,739.00 2,556.00 79,252.00 1,235.00 1,710.00 1,562.00 4,091.00 3,541.00 3, 599.00 2,309.00 2,901.00 501.00 1,146.00 94,954.00 6,196.00 21,162.00 1, 572.00 4,632.00 10,123.00 313.00 S7S.00 2,320.00 2, 546.00 2,315.00 3,041.00 95.00 1,126.00 1,757.00 1,952.00 376.00 507.00 15,167.00 26,751.00 2,011.00 665.00 2,021.00 3,SS5.00 496.00 AIA DOCUMENT G703 PRESENTLY STORED (NOT IN DORE) 0 k Riva F reStati on Citv of Elk Ri APPLICATION NO: 21RET APPLICATION DATE: S/31/22 PERIOD TO: S/31/22 COMPLETED (G+C) TOFINISH (IFVARIABLE ANDSTORED (C-G) RATE) TO DATE $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 3,325.00 3,325.00 2S,S45.00 5,279.00 1,045.00 1,425.00 4,534.00 3,527.00 2,776.00 3,277.00 2,739.00 2,556.00 79,252.00 1,235.00 1,710.00 1,562.00 4,091.00 3,541.00 3,599.00 2,309.00 2,901.00 501.00 1,146.00 94,954.00 6,196.00 21,162.00 1,572.00 4,632.00 10,123.00 313.00 S7S.00 2,320.00 2,546.00 2,315.00 3,041.00 95.00 1,126.00 1,757.00 1,952.00 376.00 507.00 15,167.00 26,751.00 2,011.00 665.00 2,021.00 3,SS5.00 496.00 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 166.25 166.25 1,442.25 413.95 52.25 71.25 241.70 191.35 13S.S0 163.55 136.95 142.50 3,964.10 61.75 55.50 75.10 204.55 192.05 179.95 115.45 145.05 40.05 57.30 4,747.70 309.50 1,OSS.10 75.60 231.60 506.15 15.65 43.90 116.00 127.30 115.90 152.05 4.90 56.30 S7.S5 99.10 1S.S0 25.35 755.35 1,339.05 100.55 33.40 101.05 179.25 24.50 Terra CONSTRLICTION Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric CONTINUATION SHEET AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing Contractor's signed certification is attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. NO. COST CODE 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 16-1600 PACK NO. 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A 26A OHD Material OHD Labor Air Comprssor Material Air Comprssor Labor Boilers Material Boilers Labor Compressed Air Dryer Material Compressed Air Dryer Labor Condensing Unit Material Condensing Unit Labor Domestic Water Heater-Pump Material Domestic Water Heater-Pump Labor Exhaust-Supply Fans Material Exhaust-Supply Fans Labor Furnace Material Furnace Labor Heat Pumps-Coils Material Heat Pumps-Coils Labor Make Up Air Unit Material Make Up Air Unit Labor Pressure Washer Material Pressure Washer Labor Pumps Material Pumps Labor Roof Top Unit Material Roof Top Unit Labor Unit Heaters Material Unit Heaters Labor Steam Generator Material Steam Generator Labor DIV 27 Data Rough-In Material DIV 27 Data Rough-In Labor DIV 27 AV Rough-In Material DIV 27 AV Rough-In Labor DIV 2S Fire Alarm/Twenty45even DIV 2S Fire Alarm Rough-In Material DIV 2S Fire Alarm Rough-In Labor DIV 2S Security Rough-In Material DIV 2S Security Rough-In Labor DIV 2S Site Future Cameras Material DIV 2S Site Future Cameras Labor COif1 PRif6 Generator and Transformer COif2 PRif2 Overhead Doors & Circuiting COif3 PRif3R COif4 ASqf1/RFqf19 COifS PRif10R COif6 PRif9R Elecrical Revisions VALUE $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 1,694.00 1,247.00 2,742.00 325.00 495.00 350.00 645.00 532.00 540.00 205.00 369.00 252.00 561.00 1,140.00 3,306.00 344.00 713.00 334.00 1,224.00 1,334.00 1, 590.00 467.00 903.00 979.00 1,443.00 965.00 1,915.00 1,200.00 2,335.00 542.00 532.00 2,714.00 3,395.00 1, 565.00 1,760.00 7,044.00 225.00 1,OS2.00 592.00 2,765.00 4,147.00 1,556.00 Page 8 / 11 ORDERS REVISION/ SCHEDULED FROMPREVIOI CONTINGENCY VALUE APPLICATION TRANSFE R (D + E) (19,350.00) 1,065.00 (443.00) (2,625.00) 1,575.00 2,370.00 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 1,694.00 1,247.00 2,742.00 325.00 495.00 350.00 645.00 532.00 540.00 205.00 369.00 252.00 561.00 1,140.00 3,306.00 344.00 713.00 334.00 1,224.00 1,334.00 1, 590.00 467.00 903.00 979.00 1,443.00 965.00 1,915.00 1,200.00 2,335.00 542.00 532.00 2,714.00 3,395.00 1, 565.00 1,760.00 7,044.00 225.00 1,OS2.00 592.00 2,765.00 4,147.00 1,556.00 (19,350.00) 1,065.00 (443.00) (2,625.00) 1,575.00 2,370.00 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 1,694.00 1,247.00 2,742.00 325.00 495.00 350.00 645.00 532.00 540.00 205.00 369.00 252.00 561.00 1,140.00 3,306.00 344.00 713.00 334.00 1,224.00 1,334.00 1, 590.00 467.00 903.00 979.00 1,443.00 965.00 1,915.00 1,200.00 2,335.00 542.00 532.00 2,714.00 3,395.00 1, 565.00 1,760.00 7,044.00 225.00 1,OS2.00 592.00 2,765.00 4,147.00 1,556.00 (19,350.00) 1,065.00 (443.00) (2,625.00) 1,575.00 2,370.00 AIA DOCUMENT G703 PRESENTLY STORED (NOT IN DORE) 0 k Riva F reStati on Citv of Elk Ri APPLICATION NO: 21RET APPLICATION DATE: S/31/22 PERIOD TO: S/31/22 COMPLETED (G+C) TOFINISH (IFVARIABLE ANDSTORED (C-G) RATE) TO DATE $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 1,694.00 1,247.00 2,742.00 325.00 495.00 350.00 645.00 532.00 540.00 205.00 369.00 252.00 561.00 1,140.00 3,306.00 344.00 713.00 334.00 1,224.00 1,334.00 1,590.00 467.00 903.00 979.00 1,443.00 965.00 1,915.00 1,200.00 2,335.00 542.00 532.00 2,714.00 3,395.00 1,565.00 1,760.00 7,044.00 225.00 1,OS2.00 592.00 2,765.00 4,147.00 1,556.00 (19,350.00) 1,065.00 (443.00) (2,625.00) 1,575.00 2,370.00 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 54.70 62.35 137.10 16.25 24.90 19.00 32.40 26.60 27.00 10.40 15.45 12.60 25.05 57.00 165.30 17.20 35.65 16.70 61.20 66.70 79.50 23.35 45.15 45.95 72.15 45.40 95.90 60.00 116.75 27.10 26.60 135.70 169.90 75.40 SS.00 352.20 11.40 54.10 29.60 135.25 207.35 92.50 (967.50; 53.40 (22.15; (13115; 93.75 115.50 Terra CONSTRLICTION Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric Electric =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating =.n Excavating CONTINUATION SHEET AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing Contractor's signed certification is attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. NO. COST CODE 16-160 16-160 16-160 16-160 16-160 16-160 16-160 16-160 16-160 16-160 16-160 16-160 16-160 16-160 16-160 16-160 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 31-100 PACK NO. 26A COif7 ASqf4R Tower Lights 26A COifS PRif17 SCBA Compressor 26A COif9 RFqf117 26A COif10 RFqf11S Automatic Push Pad 26A COif11 RFqf156 26A COif12 ASqf11 Wellness Room Light Fixture 26A COif13 RFqf160 26A COif14 RFqf21 Added Circuits & Unit Heaters 26A COif15 G9 Light Fixture 26A COif16 Omitting Tech Conduit Runs From App Bay 26A COif17 Training Tower G1 Light Fixtures 26A COiflSAppBaySectionalDoorControl5tation 26A COif19 Thomsen Poured Concrete in Trash Enclosure 26A CO GFCI Receptacles Laundry 26A CO IP Dialer 26A COTrainingTowerLightingPRif27 31A Mobilization, Bond, SWPP Permit 31A Bituminous5aw-CuttingLabor 31A Bituminous Removal Labor 31A Concrete5aw-CuttingLabor 31A Concrete Removal Labor 31A Tree Protection Labor 31A Clearing&GrubbingLabor 31A Topsoil5tripping & Emb. Labor 31A Export Excess TopsoilLabor 31A SiteGradingLabor 31A SiteGradingMaterial 31A Exc. & Backfill Foundations 31A Building5and Cushion Labor 31A Building5and Cushion Material 31A Class 5 Labor 31A Class 5 Material 31A Subgrade Prep Labor 31A DewateringLabor 31A SWPP Permit 31A Silt Fence Labor 31A Silt Fence Material 31A Inlet Protection Labor 31A Construction Entrance Labor 31A Construction Entrance Materials 31A Hydro Seed 31A Flex Mat Labor 31A Flex Mat Material 33A Mobilization, Bond, Permits 33A WaterUtilitiesLabor 33A WaterUtilitiesMaterial 33A WetTapLabor VALUE I ORDERS $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ 7,000.00 $ 2,105.00 $ 3,640.00 $ 160.00 $ 3,236.00 $ 75.00 $ 2,100.00 $ 1,356.00 $ 14,055.00 $ 56,076.01 $ 14,040.00 $ 25,375.00 $ 3,295.00 $ 629.00 $ 9,014.00 $ 7,554.00 $ 5,595.00 $ 2,625.00 $ 525.00 $ 2,240.00 $ 700.00 $ 2,502.00 $ 2,000.00 $ 100.00 $ 1,166.00 $ 700.00 $ 3,266.00 $ 20,504.16 $ 25,719.19 $ 52,306.23 $ 239.22 $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ 3,663.00 REVISION / CONTINGENCY TRANSFER $ 5,136.00 $ 1,354.00 $ 953.00 $ 437.00 $ 695.00 $ 1,319.00 $ 3,500.00 $ 1,120.00 $ 395.00 $ (1,439.00) $ 1,427.00 $ 2,790.00 $ (550.00) $ 1,503.00 $ 575.00 SCHEDULED VALUE $ 5,136.00 $ 1,354.00 $ 953.00 $ 437.00 $ 695.00 $ 1,319.00 $ 3,500.00 $ 1,120.00 $ 395.00 $ (1,439.00) $ 1,427.00 $ 2,790.00 $ (550.00) $ 1,503.00 $ 575.00 $ 3,663.00 $ 7,000.00 $ 2,105.00 $ 3,640.00 $ 160.00 $ 3,236.00 $ 75.00 $ 2,100.00 $ 1,356.00 $ 14,055.00 $ 56,076.01 $ 14,040.00 $ 25,375.00 $ 3,295.00 $ 629.00 $ 9,014.00 $ 7,554.00 $ 5,595.00 $ 2,625.00 $ 525.00 $ 2,240.00 $ 700.00 $ 2,502.00 $ 2,000.00 $ 100.00 $ 1,166.00 $ 700.00 $ 3,266.00 $ 20,504.16 $ 25,719.19 $ 52,306.23 $ 239.22 APPLICATION (D+E) $ 5,136.0 $ 1,354.0 $ 9S3.0 $ 437.0 $ 69S.0 $ 1,319.0 $ 3,SOO.0 $ 1,120.0 $ 395.0 $ (1,439.0 $ 1,427.0 $ 2,790.0 $ (SSO.0 $ 1,503.0 $ 57S.0 $ 3,663.0 $ 7,OOO.0 $ 2,105.0 $ 3,640.0 $ 160.0 $ 3,236.0 $ 75.0 $ 2,100.0 $ 1,3S6.0 $ 14,OSS.0 $ 56,076.0 $ 14,040.0 $ 25,37S.0 $ 3,29S.0 $ 629.0 $ 9,014.0 $ 7,S54.0 $ 5,595.0 $ 2,625.0 $ 525.0 $ 2,240.0 $ 700.0 $ 2,502.0 $ 2,OOO.0 $ 100.0 $ 1,166.0 $ 700.0 $ 3,266.0 $ 20,504.7 $ 25,719.7 $ 52,306.2 $ 239.2 AIA DOCUMENT G703 PRESENTLY STORED (NOT IN DORE) 0 k Riva F reStati on Citv of Elk Ri APPLICATION NO: 21RET APPLICATION DATE: S/31/22 PERIOD TO: S/31/22 COMPLETED ANDSTORED TO DATE (D+E+F) $ 5,136.0 $ 1,354.0 $ 953.0 $ 437.0 $ 695.0 $ 1,319.0 $ 3,500.0 $ 1,120.0 $ 395.0 $ (1,439.0 $ 1,427.0 $ 2,790.0 $ (550.0 $ 1,503.0 $ 575.0 $ 3,663.0 $ 7,000.0 $ 2,105.0 $ 3,640.0 $ 160.0 $ 3,236.0 $ 75.0 $ 2,100.0 $ 1,356.0 $ 14,055.0 $ 56,076.0 $ 14,040.0 $ 25,375.0 $ 3,295.0 $ 629.0 $ 9,014.0 $ 7,554.0 $ 5,595.0 $ 2,625.0 $ 525.0 $ 2,240.0 $ 700.0 $ 2,502.0 $ 2,000.0 $ 100.0 $ 1,166.0 $ 700.0 $ 3,266.0 $ 20,504.1 $ 25,719.1 $ 52,306.2 $ 239.2 (G+C) I TOFINISH I (IFVARIABLE (C-G) RATE) 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 406.50 67.70 49.15 21.55 34.90 65.95 175.00 56.00 19.75 (71.95; 71.35 139.50 (42.50; 75.15 25.90 153.15 350.00 105.25 152.00 5.00 161.50 3.75 105.00 69.30 702.75 2,S03.S0 702.00 1,265.90 164.90 31.45 450.70 392.70 429.75 131.25 26.25 112.00 35.00 125.10 100.00 5.00 SS.30 35.00 163.30 1,025.21 1,255.96 2,615.31 11.96 Page 9 / 11 � Terra TaraRoj�tNumba20705 0 k Riva F reStati on #3 CONSTRLICTION CII ofElkRiva CONTINUATION SHEET AIADOCUMENTG703 AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 21RET Contractor's signed certification is attached. APPLICATION DATE: S/31/22 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: S/31/22 Use Column I on Contracts where variable retainage for line items may apply. A A.1 B C C.1 C1 C.3 D E F G H I SUBCONTRACTOR ITEM BID DESCRIPTION OF WORK SCHEDULED CHANGE BUDGET REVISED WORK COMPLETED MATERIALS TOTAL % BAL4NCE RETAINAGE VENDOR NO. PACK VALUE ORDERS REVISION/ SCHEDULED FROMPREVIOUS THISPERIOD PRESENTLY COMPLETED (G+C) TOFINISH (IFVARIABLE EMPLOYEE NO. CONTINGENCY VALUE APPLICATION STORED ANDSTORED (C-G) RATE) COST TRANSFER (D+E) (NOTIN TODATE CODE D OR E) (D+E+F) 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% $ - $ 45339 Dryden Excavating 31-1000 33A Sanitary Piping Material $ 9,622.35 $ - $ - $ 9,622.35 $ 9,622.35 $ 9,622.35 100.00% $ - $ 451.12 Dryden Excavating 31-1000 33A Sanitary Manholes Labor $ 1,SOS.00 $ - $ - $ 1,SOS.00 $ 1,SOS.00 $ 1,SOS.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 $ 1,140.00 $ 1,140.00 100.00% $ - $ 57.00 Dryden Excavating 31-1000 33A Storm - PVC Piping Labor $ 5,024.15 $ - $ - $ 5,024.15 $ 5,024.15 $ 5,024.15 100.00% $ - $ 401.21 Dryden Excavating 31-1000 33A Storm - PVC Piping Material $ 10,99234 $ - $ - $ 10,99234 $ 10,99234 $ 10,99234 100.00% $ - $ 549.62 Dryden Excavating 31-1000 33A Storm -Concrete Pipin@/Manholes Labor $ 10,155.35 $ - $ - $ 10,155.35 $ 10,155.35 $ 10,155.35 100.00% $ - $ 507.77 Dryden Excavating 31-1000 33A Storm -Concrete Pipin@/Manholes Material $ 27,063.60 $ - $ - $ 27,063.60 $ 27,063.60 $ 27,063.60 100.00% $ - $ 1,353.15 Dryden Excavating 31-1000 33A Storm - Castings/Grates Labor $ 3,152.40 $ - $ - $ 3,152.40 $ 3,152.40 $ 3,152.40 100.00% $ - $ 157.62 Dryden Excavating 31-1000 33A Storm - Castings/Grates Material $ 52,065.00 $ - $ - $ 52,065.00 $ 52,065.00 $ 52,065.00 100.00% $ - $ 2,603.40 Dryden Excavating 31-1000 33A COif1 Additional Construction Entrances $ - $ - $ 4,246.61 $ 4,246.61 $ 4,246.61 $ 4,246.61 100.00% $ - $ 21233 Dryden Excavating 31-1000 33A COif2 PRif7 Water Service $ - $ - $ (1,517.19) $ (1,517.19) $ (1,517.19) $ (1,517.19) 100.00% $ - $ (75.56) Dryden Excavating 31-1000 33A COif3 PRif45tepped Footings $ - $ - $ 1,SS4.00 $ 1,SS4.00 $ 1,SS4.00 $ 1,SS4.00 100.00% $ - $ 79.20 DrydenExcavating 31-1000 33A COif4A5qf2 $ - $ - $ 6,096J5 $ 6,096J5 $ 6,096J5 $ 6,096J5 100.00% $ - $ 304.54 Dryden Excavating 31-1000 33A COifS B/C Thomsen $ - $ - $ (500.00) $ (500.00) $ (500.00) $ (500.00) 100.00% $ - $ (25.00) DrydenExcavating 31-1000 33A COif60verexcavateFootingTrenchesforRock $ - $ - $ 2,37316 $ 2,37316 $ 2,37316 $ 2,37316 100.00% $ - $ 115.66 Dryden Excavating 31-1000 33A COif7 Furnish and Install3" Rockfor Pump Truck $ - $ - $ 5,409.16 $ 5,409.16 $ 5,409.16 $ 5,409.16 100.00% $ - $ 270.46 Dryden Excavating 31-1000 33A COifS Install Temp Drain Pipe $ - $ - $ S,S94.96 $ S,S94.96 $ S,S94.96 $ S,S94.96 100.00% $ - $ 294J5 Dryden Excavating 31-1000 33A COif9 C-900 Municipal Water Piping $ - $ - $ 275.65 $ 275.65 $ 275.65 $ 275.65 100.00% $ - $ 13.93 Dryden Excavating 31-1000 33A COif10 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 COif11 Revised Finished Grade at Trash Enclosure $ - $ - $ 962.50 $ 962.50 $ 962.50 $ 962.50 100.00% $ - $ 45.13 Dryden Excavating 31-1000 33A COif12 Crushed Concrete Entrance $ - $ - $ 3,935J5 $ 3,935J5 $ 3,935J5 $ 3,935J5 100.00% $ - $ 196J9 Dryden Excavating 31-1000 33A COif13 Apparatus Bay Muck Out $ - $ - $ 2,103.54 $ 2,103.54 $ 2,103.54 $ 2,103.54 100.00% $ - $ 105.19 Dryden Excavating 31-1000 33A COif14 Soil Correction South Parking Lot $ - $ - $ 6,917.00 $ 6,917.00 $ 6,917.00 $ 6,917.00 100.00% $ - $ 345.55 DrydenExcavating 31-1000 33A COiflSTrainingTowerManhole $ - $ - $ 3,S7S.25 $ 3,S7S.25 $ 3,S7S.25 $ 3,S7S.25 100.00% $ - $ 193.91 Dryden Excavating 31-1000 33A CO Aggregate at Concrete $ - $ - $ 2,455.20 $ 2,455.20 $ 2,455.20 $ 2,455.20 100.00% $ - $ 122.76 Dryden Excavating 31-1000 33A CO Escalation $ - $ - $ 3,000.00 $ 3,000.00 $ 3,000.00 $ 3,000.00 100.00% $ - $ 150.00 DrydenExcavating 31-1000 33A COClevelandAveExistingCBGrate $ - $ 514.69 $ - $ 514.69 S 814.69 $ 514.69 100.00% $ - $ 40.73 Omann Brothers 32-1216 32C Gravel Base $ 16,920.00 $ - $ - $ 16,920.00 $ 16,920.00 $ 16,920.00 100.00% $ - $ 546.00 Omann Brothers 32-1216 32C Bit Base Course $ 25,370.00 $ - $ - $ 25,370.00 $ 25,370.00 $ 25,370.00 100.00% $ - $ 1,265.50 Omann Brothers 32-1216 32C Bit WearCourse $ 27,700.00 $ - $ - $ 27,700.00 $ 27,700.00 $ 27,700.00 100.00% $ - $ 1,355.00 Omann Brothers 32-1216 32C Striping $ 500.00 $ - $ - $ 500.00 $ 500.00 $ 500.00 100.00% $ - $ 25.00 Omann Brothers 32-1216 32C COif1 PRif7 Water Service $ - $ - $ (550.00) $ (550.00) $ (550.00) $ (550.00) 100.00% $ - $ (42.50) Omann Brothers 32-1216 32C COif2 Agg Base at intersection of 191st and Edision $ - $ - $ (545.25) $ (545.25) $ (545.25) $ (545.25) 100.00% $ - $ (42.26) OmannBrothers 32-1216 32C COif3ReplacingAsphaltw/ConcreteatNorthSideof5ite $ - $ - $ (5,400.00) $ (5,400.00) $ (5,400.00) $ (5,400.00) 100.00% $ - $ (270.00) Omann Brothers 32-1216 32C CO Escalation $ - $ - $ 3,SSS.30 $ 3,SSS.30 $ 3,SSS.30 $ 3,SSS.30 100.00% $ - $ 179.42 Peterson Companies 32-4000 32A Fencing $ 4,455.00 $ - $ 1,113.00 $ 5,595.00 $ 5,595.00 $ 5,595.00 100.00% $ - $ 279.90 Autumn Ridge 32-3291 32B Landscaping $ 65,500.00 $ - $ - $ 65,500.00 $ 65,500.00 $ 65,500.00 100.00% $ - $ 3,425.00 Autumn Ridge 32-3291 32B COiflSmartlink Irrigation Controller $ - $ - $ 1,132.00 $ 1,132.00 $ 1,132.00 $ 1,132.00 100.00% $ - $ 56.60 $ - Century Fence COif1 Replacement of Damaged Fence from Camco $ - $ - $ 1,977.19 $ 1,977.19 $ 1,977.19 S 1,9��.19 100.00% $ - $ 9S.S6 Page 10 / 11 Closeout Documents $5,000.00 Trench Drain Grates $0.00 Punchlist5ignoff $5,000.00 RMention Release Request This PayApp $ 81,584.87 Pagell/11 Terra General Contractors, LLC 29025 Gommerce Blvd., Ste 100Q Rogers, MN 55374 Phone 763-463-0224 City of Elk River 13065 Qrono Parkway Elk River. MN 5533Q � Retainage Retainage Invoice irivoice Date Customer ID Invoice ID 08-31-2022 11-CIT013 20-705-20220832 Due Date 09-30-2022 Job Location: Draw ID Jab Number 21 Ret 20-705 Elk River Fire Station #3 Elk River, MN 55330 81, 584.87 Retainage Bi((ed $81,584.$� $81,584.87 INVOICE — - ; 'Nfl���wesr � _� NORTHWEST ASPHALT, INC. 1451 Stagecoach Road Shakopee, MN 55379 PHONE (952j 445-1003 FAX (952) 445-1056 INVOICE DATE CUSTOMERNQ INVOICE NUMBER 7.31.22 2703 50243 P.O_ NUMBER WORK ORDER NO. JOB NO. 2703 City of Elk River 13065 Orono Parkway Elk River, MN 55330 Trott Brook Tennis Elk River, MN ot� �nSgoB g$3gg�o888g$,.�g $; N M �� o:0000 c000dod�ov��oo` � � � N1 ' .C!1:RiA" . -1�.:. n � �� . . � .y. ;; ;d,... c O':O O O O O O O O O O O O S S O Q,Q:O +�0�. 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Rate ExfensioR U180R 1 $ - 2 Basketball court resurfacing Is 1.00 $ 6,720.40 $ 6,720.00 3 $ - 4 $ - 5 $ - 6 $ - 7 $ - 8 $ - 9 $ - 10 SUBTOTAL LA60R & EQUIPMENT $ 6,720.00 11 MATERIALS & MISC. 12 $ - 13 $ - 14 $ - 15 $ - 16 $ - 17 $ - 18 $ - SUBTQTAL MATERIALS � - Total Amount Due $ G�72�.�0 After you have had a chance to review this request piease call with any questions or concems. Otherwise, we would greatly appreciate payment for the amount requested as soon as possible or added to our current pay estimate. Respectfully submitted, Northwest Asphalt, Inc. John .�lnderson Project Manager �ss� � z�u z-u� 8�41�D 6•720•�Q