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4.3 SR 01-17-2023Request for Action To Item Number Mayor and Ci T Council 4.3 Agenda Section Meeting Date Prepared by Consent January 17, 2023 Ryan Sandhoefner, Engineer 1 Item Description Reviewed by Pay Estimates Justin Femrite P.E., Public Works Director Reviewed by Cal Portner, City Administrator Action Requested Approve, by motion, the pay estimates detailed below. Background/Discussion The following pay estimates have been reviewed and found to be accurate and in accordance with approved contracts. Financial Impact PROJECT Fire Station #3 Fire Station #3 Fire Station #3 Mission/Policy/Goal Opportunity to live, work, and play. Pay Est. # Contractor 23 — Partial Terra Construction 24 — Final Terra Construction CO #2 Terra Construction Attachments ■ Pay Estimate 23 — Terra Construction ■ Pay Estimate 24 — Terra Construction ■ Change Order #2 — Terra Construction Amount $32,149.74 $13,105.90 Final The Elk River Vision P 0 W E e E 0 0 V A welcoming community rvitb revolutionary and spirzted resourcefulness, exceptional NATURE service, and community engagement that encourages and inspires prosperz[ Updated. August 2020 0 +' '= Document G7026 -1992 • e „s Application and Certificate for Payment TO OWNER: City of Elk River 13065 Orono Parkway NW Elk River, MN 55330 FROM Terra General Contractors CONTRACTOR: 21025 Commerce Blvd Ste 1000 Rogers MN 55374 421-4-2310-4520 PROJECT: 20-705 Elk River Fire Station #3 APPLICATION NO: 20-705-023 Distribution to: PERIOD TO: December 31, 2022 OWNER: CONTRACT FOR: General Construction ARCHITECT: VIA BKV Group CONTRACT DATE: October 19, 2020 ARCHITECT: 222 N 2nd St, #101 PROJECT NOS: / 20-705 / CONTRACTOR: MInneapolis, MN 55401 FIELD: ❑ CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for payment, as shown below, in connection with the Contract. AIA Document G703®, Continuation Sheet, is attached. 1.ORIGINAL CONTRACT SUM................................................................................ $6,898,246.00 2. NET CHANGE BY CHANGE ORDERS................................................................. $32,960.51 3. CONTRACT SUM TO DATE (Line 1 f 2)............................................................ $6,931,206.51 4. TOTAL COMPLETED & STORED TO DATE (Column G on G703) ................. $6,931,206.51 5. RETAINAGE: a• 5.00 % of Completed Work (Column D + E on G703) b. 0 % of Stored Material (Column F on G703) $13,105.90 $0.00 Total Retainage (Lines 5a+ 5b or Total in Column I of G703) ................. $13,105.90 6. TOTAL EARNED LESS RETAINAGE................................................................... $6,918,100.61 (Line 4 Less Line 5 Total) 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT ............................................ $6,885,950.87 (Line 6 from prior Certificate) 8. CURRENT PAYMENT DUE.......................................................................... $32,149.74 9. BALANCE TO FINISH, INCLUDING RETAINAGE (Line 3 less Line 6) $13,105.90 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Total changes approved in previous months by Owner $36,266.70 $0.00 Total approved this Month $0.00 $3,306.19 TOTALS $36,266.70 $3,306.19 NET CHANGES by Change Order $32,960.51 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 receiy.9d from the Owner, and that current payment shown herein is now due. CONTRACTO By: Date: r zo Z 3 State of: esota County of: Henne ,q RYAN SCOTT STRICKER Subscribed and sworn to before t Notary Public, State of Minnesota me this -71/el day of my Commission Expires January3l, 2026 Notary Public: Ryan Stricker My Commission expires: Jan ry 31, 2026 ARCHITECT'S CERTIFICATE FOR PAYMENT In accordance with the Contract Documents, based on on -site observations and the data comprising this application, the Architect certifies to the Owner that to the best of the Architect's knowledge, information and belief the Work has progressed as indicated, the quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. AMOUNT CERTIFIED...................................................................................... $32,149.74 (Attach explanation if amount certified differs from the amount applied. Initial all figures on this Application and on the Continuation Sheet that are changed to conform with the amount certified.) ARCHITECT: By: IAbl Date: 01 /04/2023 This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor nameI herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. AIA Document G702®— 1992. Copyright© 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, "G702," and "AIA Contract Documents" are registered trademarks and may not be used without permission. This document was produced by AIA software at 11:09:26 CT on 01 /03/2023 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: (3B9ADA46) m TarERoiv NumberStatic 05 Terra 0 k River on #3 City f E, k MI CONSTRUCTION Cit of Elk River CONTINUATION SHEET AIA DOCUMENTG703 AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 23 Contractor's signed certification is attached. APPLICATION DATE: 12/31/22 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 12/31/22 Use Column I on Contracts where variable retainage for line items may apply. A A.1 B C CA C.2 C.3 D E F G H I SUBCONTRACTOR ITEM BID DESCRIPTION OF WORK SCHEDULED CHANGE BUDGET REVISED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE VENDOR NO. PACK VALUE ORDERS REVISION/ SCHEDULED PRESENTLY COMPLETED (G+C) TO FINISH (IF VARIABLE FROM PREVIOUS THIS PERIOD EMPLOYEE NO. CONTINGENCY VALUE APPLICATION STORED AND STORED (C -G) RATE) COST TRANSFER (D+E) (NOT IN TO DATE CODE D OR E) (D+E+F) Preconstruction 01-0002 Preconstruction $ 10,000.00 $ 10,000.00 $ 10,000.00 $ - $ 10,000.00 100.00% $ - $ 500.00 Bonds & Insurance 01-0100 Bonds & Insurance $ 76,368.00 $ 76,368.00 $ 76,368.00 $ 76,368.00 100.00% $ - $ 3,818.40 Permit 01-0110 Permit $ 400.00 $ 1,033.46 $ 1,433.46 $ 1,433.46 $ 1,433.46 100.00% $ - $ 71.67 CM General Requirements 01-0120 CM General Requirements $ 724,061.00 $ - $ (7,465.48) $ 716,595.52 $ 714,357.33 $ 2,238.19 $ 716,595.52 100.00% $ - $ 35,829.78 CM Contingency 01-0130 CM Contingency $ 233,000.00 $ 27,774.61 $ (260,774.61) $ - $ - $ - #DIV/01 $ - $ - CM Fee 01-0150 CM Fee $ 101,734.00 $ 101,734.00 $ 101,734.00 $ 101,734.00 100.00% $ 0.00 $ 5,086.70 Thomsen Construction Services 03-3300 3A Footings/Pads $ 22,000.00 $ - $ - $ 22,000.00 $ 22,000.00 $ 22,000.00 100.00% $ - $ 1,100.00 Thomsen Construction Services 03-3300 3A Footings Labor $ 32,000.00 $ - $ - $ 32,000.00 $ 32,000.00 $ 32,000.00 100.00% $ - $ 1,600.00 Thomsen Construction Services 03-3300 3A Walls Material $ 14,000.00 $ - $ - $ 14,000.00 $ 14,000.00 $ 14,000.00 100.00% $ - $ 700.00 Thomsen Construction Services 03-3300 3A Walls Labor $ 60,000.00 $ - $ - $ 60,000.00 $ 60,000.00 $ 60,000.00 100.00% $ - $ 3,000.00 Thomsen Construction Services 03-3300 3A Slab on Grade Material $ 73,000.00 $ - $ - $ 73,000.00 $ 73,000.00 $ 73,000.00 100.00% $ - $ 3,650.00 Thomsen Construction Services 03-3300 3A Slab on Grade Labor $ 112,900.00 $ - $ - $ 112,900.00 $ 112,900.00 $ 112,900.00 100.00% $ - $ 5,645.00 Thomsen Construction Services 03-3300 3A Reinforcing Material $ 35,000.00 $ - $ - $ 35,000.00 $ 35,000.00 $ 35,000.00 100.00% $ - $ 1,750.00 Thomsen Construction Services 03-3300 3A CO#1 PR#4 Stepped Footings $ - $ - $ 2,500.00 $ 2,500.00 $ 2,500.00 $ 2,500.00 100.00% $ - $ 125.00 Thomsen Construction Services 03-3300 3A CO#2 B/C to Dryden $ - $ - $ 500.00 $ 500.00 $ 500.00 $ 500.00 100.00% $ - $ 25.00 Thomsen Construction Services 03-3300 3A CO#3 RFI#33 Stepped footings for B" Storm $ - $ - $ 600.00 $ 600.00 $ 600.00 $ 600.00 100.00% $ - $ 30.00 Thomsen Construction Services 03-3300 3A CO#4 RFI#37 Extended Foundation @ 166 $ - $ - $ 550.00 $ 550.00 $ 550.00 $ 550.00 100.00% $ $ 27.50 Thomsen Construction Services 03-3300 3A CO#5 Footings along GL-B $ - $ - $ 2,480.00 $ 2,480.00 $ 2,480.00 $ 2,480.00 100.00% $ - $ 124.00 Thomsen Construction Services 03-3300 3A CO#6 PR#19 Wellness Room $ - $ - $ 5,150.00 $ 5,150.00 $ 5,150.00 $ 5,150.00 100.00% $ - $ 257.50 Thomsen Construction Services 03-3300 3A CO#7 Concrete in Trash Enclosure (From Klein) $ - $ - $ 650.00 $ 650.00 $ 650.00 $ 650.00 100.00% $ - $ 42.50 Concrete Treatments 03-3350 3B & 9E Polished Concrete and Resinous Flooring $ 73,189.00 $ - $ - $ 73,189.00 $ 73,189.00 $ 73,189.00 100.00% $ - $ 3,659.45 Concrete Treatments 03-3350 3B & 9E CO#1 ASI#BR Changed Polished Flooring $ - $ - $ (3,839.00) $ (3,839.00) $ (3,839.00) $ (3,839.00) 100.00% $ - $ (191.95) Concrete Treatments 03-3350 3B & 9E CO#2 ASI#10 Stained Floor Logo in Lobby 116 $ - $ - $ (1,000.00) $ (1,000.00) $ (1,000.00) $ (1,000.00) 100.00% $ - $ (50.00) Concrete Treatments 03-3350 3B & 9E CO#3 Moisture Mitigation at App Bay Floor $ - $ - $ 6,565.00 $ 6,565.00 $ 6,565.00 $ 6,565.00 100.00% $ - $ 326.25 Concrete Treatments 03-3350 3B & 9E CO Decon Vestibule Epoxy $ - $ - $ 2,400.00 $ 2,400.00 $ 2,400.00 $ 2,400.00 100.00% $ - $ 120.00 Ultra Concrete 03-3390 32D Bond $ 2,400.00 $ - $ - $ 2,400.00 $ 2,400.00 $ 2,400.00 100.00% $ - $ 120.00 Ultra Concrete 03-3390 32D Curb $ 37,000.00 $ - $ - $ 37,000.00 $ 37,000.00 $ 37,000.00 100.00% $ - $ 1,850.00 Ultra Concrete 03-3390 32D Bollards/Flag Pole Footings $ 9,800.00 $ - $ - $ 9,800.00 $ 9,800.00 $ 9,800.00 100.00% $ - $ 490.00 Ultra Concrete 03-3390 32D Sidewalks/Paving $ 170,800.00 $ - $ - $ 170,800.00 $ 170,800.00 $ 170,800.00 100.00% $ - $ 8,540.00 Ultra Concrete 03-3390 32D CO#1 PR#7 Water Service $ - $ - $ (994.93) $ (994.93) $ (994.93) $ (994.93) 100.00% $ - $ (49.75) Ultra Concrete 03-3390 32D CO#2 Replacing Asphalt w/Concrete at N side of App Bay $ - $ - $ 11,593.62 $ 11,593.62 $ 11,593.62 $ 11,593.62 100.00% $ - $ 579.66 Ultra Concrete 03-3390 32D CO#3 Colored Concrete Deduct $ - $ - $ (541.20) $ (541.20) $ (541.20) $ (541.20) 100.00% $ - $ (27.06) Ultra Concrete 03-3390 32D CO#4 Trench Drain Concrete Pour $ - $ 1,776.21 $ 1,776.21 $ 1,776.21 $ 1,776.21 100.00% $ - $ 66.61 Ultra Concrete 03-3390 32D Concrete Pavingto Trench Drain Rebar $ - $ - $ 1,779.23 $ 1,779.23 $ 1,779.23 $ 1,779.23 100.00% $ - $ 66.96 Camco Construction 04-4200 4A Masonry -Bond $ 15,000.00 $ - $ - $ 15,000.00 $ 15,000.00 $ 15,000.00 100.00% $ - $ 750.00 Camco Construction 04-4200 4A Masonry-Rebar $ 40,000.00 $ - $ - $ 40,000.00 $ 40,000.00 $ 40,000.00 100.00% $ - $ 2,000.00 Camco Construction 04-4200 4A Masonry-Misc Masonry Materials $ 115,000.00 $ - $ - $ 115,000.00 $ 115,000.00 $ 115,000.00 100.00% $ - $ 5,750.00 Camco Construction 04-4200 4A Masonry -Insulation $ 20,000.00 $ - $ - $ 20,000.00 $ 20,000.00 $ 20,000.00 100.00% $ - $ 1:000.00 Camco Construction 04-4200 4A Masonry -Grout Material $ 42,000.00 $ - $ - $ 42,000.00 $ 42,000.00 $ 42,000.00 100.00% $ - $ 2100.00 Camco Construction 04-4200 4A Masonry -Grout Labor $ 50,000.00 $ - $ - $ 50,000.00 $ 50,000.00 $ 50,000.00 100.00% $ - $ 2,500.00 Camco Construction 04-4200 4A Masonry -Stone Material $ 60,000.00 $ - $ - $ 60,000.00 $ 60,000.00 $ 60,000.00 100.00% $ - $ 3,000.00 Camco Construction 04-4200 4A Masonry -Stone Labor $ 42,000.00 $ - $ - $ 42,000.00 $ 42,000.00 $ 42,000.00 100.00% $ - $ 2,100.00 Camco Construction 04-4200 4A Masonry-Facebrick Material $ 75,000.00 $ - $ - $ 75,000.00 $ 75,000.00 $ 75,000.00 100.00% $ - $ 3,750.00 Pagel /11 m TarERoiv NumberStatic 05 Terra 0 k River on #3 City f E, k MI CONSTRUCTION Cit of Elk River CONTINUATION SHEET AIA DOCUMENTG703 AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 23 Contractor's signed certification is attached. APPLICATION DATE: 12/31/22 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 12/31/22 Use Column I on Contracts where variable retainage for line items may apply. A A.1 B C CA C.2 C.3 D E F G H I SUBCONTRACTOR ITEM BID DESCRIPTION OF WORK SCHEDULED CHANGE BUDGET REVISED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE VENDOR NO. PACK VALUE ORDERS REVISION/ SCHEDULED PRESENTLY COMPLETED (G+C) TO FINISH (IF VARIABLE FROM PREVIOUS THIS PERIOD EMPLOYEE NO. CONTINGENCY VALUE APPLICATION STORED AND STORED (C -G) RATE) COST TRANSFER (D+E) (NOT IN TO DATE CODE D OR E) (D+E+F) Camco Construction 04-4200 4A Mason ry-Facebrick Labor $ 230,000.00 $ - $ - $ 230,000.00 $ 230,000.00 $ 230,000.00 100.00% $ - $ 11500.00 Camco Construction 04-4200 4A Masonry -Precast Material $ 35,000.00 $ - $ - $ 35,000.00 $ 35,000.00 $ 31,000.00 100.00% $ - $ 1:750.00 Camco Construction 04-4200 4A Masonry -Precast Labor $ 40,000.00 $ - $ - $ 40,000.00 $ 40,000.00 $ 40,000.00 100.00% $ - $ 2,000.00 Camco Construction 04-4200 4A Masonry-CMU Material $ 100,000.00 $ - $ - $ 100,000.00 $ 100,000.00 $ 100,000.00 100.00% $ - $ 5,000.00 Camco Construction 04-4200 4A Masonry-CMU Labor $ 251,000.00 $ - $ - $ 251,000.00 $ 251,000.00 $ 251,000.00 100.00% $ - $ 12,550.00 Camco Construction 04-4200 4A CO#1 ASI#5 Added 4'' Block $ - $ - $ 7,661.00 $ 7,661.00 $ 7,661.00 $ 7,661.00 100.00% $ - $ 363.05 Camco Construction 04-4200 4A CO#2 Century Fence - Temp Fence Replacement from Delivery $ - $ - $ (1,977.19) $ (1,977.19) $ (1,977.19) $ (1,977.19) 100.00% $ - $ (98.86) Camco Construction 04-4200 4A CO#3 Added CMU at Sill of S3 per RFI#96 $ - $ - $ 1,655.00 $ 1,655.00 $ 1,655.00 $ 1,655.00 100.00% $ - $ 62.75 Camco Construction 04-4200 4A CO#4 RFI#150 $ - $ - $ (678.00) $ (678.00) $ (678.00) $ (678.00) 100.00% $ - $ (33.90) Camco Construction 04-4200 4A CO#5 Physical Training Duct Work Patch (From PSM) $ - $ - $ 744.50 $ 744.50 $ 744.50 $ 744.50 100.00% $ - $ 37.23 Camco Construction 04-4200 4A CO#6 RFI#201 Door Frame 106 Reinstall (To MCD) $ - $ - $ (740.00) $ (740.00) $ (740.00) $ (740.00) 100.00% $ - $ (37.00) Camco Construction 04-4200 4A CO#7 RFI#201 Bondo and Re -Install Door 106 (To Century) $ - $ - $ (479.27) $ (479.27) $ (479.27) $ (479.27) 100.00% $ - $ (23.96) Camco Construction 04-4200 4A CO#B RFI#201 Repaainting Door Frame 106 (To Steinbrecher) $ - $ - $ (717.00) $ (717.00) $ (717.00) $ (717.00) 100.00% $ - $ (35.85) ACME Tuckpointing 04-4200 Tuckpointing and Brick Replacement for Raising Exterior Sign $ - $ - $ 6,500.00 $ 6,500.00 $ 6,500.00 $ 6,500.00 100.00% $ - $ 325.00 Axel Ohman 04-4200 Patch Stone Veneerto Match $ - $ - $ 1,968.00 $ 1,968.00 $ 1,968.00 $ 1,968.00 100.00% $ - $ 96.40 Distinctive Iron 05-5120 5A Structural Steel Material-Startup/Shop Drawings $ 38,200.00 $ - $ - $ 38,200.00 $ 38,200.00 $ 38,200.00 100.00% $ - $ 1,910.00 Distinctive Iron 05-5120 5A Structural Steel -Material $ 75,000.00 $ - $ - $ 75,000.00 $ 75,000.00 $ 75,000.00 100.00% $ - $ 3,750.00 Distinctive Iron 05-5120 5A Steel Material-Joist/Deck $ 115,553.75 $ - $ 87,196.25 $ 202,750.00 $ 202,750.00 $ 202,750.00 100.00% $ - $ 10,137.50 Distinctive Iron 05-5120 5A Steel Material-Misc $ 67,006.25 $ - $ - $ 67,006.25 $ 67,006.25 $ 67,006.25 100.00% $ - $ 3,350.31 Distinctive Iron 05-5120 5A CO#1 Salvaged Steel Bollards $ - $ - $ (1,232.00) $ (1,232.00) $ (1,232.00) $ (1,232.00) 100.00% $ - $ (61.60) Distinctive Iron 05-5120 5A CO#2 Increased RTU Loads $ - $ - $ 1,305.28 $ 1,305.28 $ 1,305.28 $ 1,305.28 100.00% $ - $ 65.26 Distinctive Iron 05-5120 5A CO#3 RFI#54 WS Beam Connections $ - $ - $ 1,406.22 $ 1,406.22 $ 1,406.22 $ 1,406.22 100.00% $ - $ 70.31 Distinctive Iron 05-5120 5A CO#4 RFI#46 Trench Drain Grates $ - $ - $ 415.34 $ 415.34 $ 415.34 $ 415.34 100.00% $ - $ 20.77 Distinctive Iron 05-5120 5A CO#5 Predrilling Sill Angles for Centuryto Install $ - $ - $ 676.41 $ 676.41 $ 676.41 $ 676.41 100.00% $ - $ 33.62 Distinctive Iron 05-5120 5A CO#6 RFI#69 Removal of 6x4x1/4'' Angle At OH App Doors $ - $ - $ (2,038.93) $ (2,038.93) $ (2,038.93) $ (2,038.93) 100.00% $ - $ (101.95) Distinctive Iron 05-5120 5A CO#7 ASI#BR Roof Transitions $ - $ - $ 6,193.52 $ 6,193.52 $ 6,193.52 $ 6,193.52 100.00% $ - $ 309.66 Distinctive Iron 05-5120 5A CO#B DI Pre Drilling $ - $ - $ 466.54 $ 466.54 $ 466.54 $ 466.54 100.00% $ - $ 23.43 Distinctive Iron 05-5120 5A CO#9 COR#37 Added 2 Loose Lintels $ - $ - $ 512.65 $ 512.65 $ 512.65 $ 512.65 100.00% $ - $ 25.63 Distinctive Iron 05-5120 5A CO#10 COR#36R Added Steel $ - $ - $ 3,702.44 $ 3,702.44 $ 3,702.44 $ 3,702.44 100.00% $ - $ 165.12 Distinctive Iron 05-5120 5A CO#11 RFI#103 Angles Above W1 Windows $ - $ - $ 1,062.67 $ 1,062.67 $ 1,062.67 $ 1,062.67 100.00% $ - $ 53.13 Distinctive Iron 05-5120 5A CO#12 RFI#109 $ - $ - $ (212.00) $ (212.00) $ (212.00) $ (212.00) 100.00% $ - $ (10.60) Distinctive Iron 05-5120 5A CO#13 RFI#100 $ - $ - $ 2,775.64 $ 2,775.64 $ 2,775.64 $ 2,775.64 100.00% $ - $ 136.76 Distinctive Iron 05-5120 5A CO#14 Replacement MC6x12 $ - $ - $ 2,135.02 $ 2,135.02 $ 2,135.02 $ 2,135.02 100.00% $ - $ 106.75 Distinctive Iron 05-5120 5A CO#15 Support for P3 At App Bay $ - $ - $ (212.00) $ (212.00) $ (212.00) $ (212.00) 100.00% $ - $ (10.60) Distinctive Iron 05-5120 5A CO#16 RFI#156Angle Iron Material $ - $ - $ 1,203.29 $ 1,203.29 $ 1,203.29 $ 1,203.29 100.00% $ - $ 60.16 Distinctive Iron 05-5120 5A CO#17 Added Steel Plate at Training Tower $ - $ - $ 633.64 $ 633.64 $ 633.64 $ 633.64 100.00% $ - $ 41.66 Distinctive Iron 05-5120 5A CO Trash Gate $ - $ - $ 2,730.55 $ 2,730.55 $ 2,730.55 $ 2,730.55 100.00% $ - $ 136.53 Patriot Erectors 05-5121 5B Structural Steel Erection $ 58,000.00 $ - $ - $ 58,000.00 $ 58,000.00 $ 58,000.00 100.00% $ - $ 2,900.00 Patriot Erectors 05-5121 5B Joists & Decking $ 29,575.00 $ - $ - $ 29,575.00 $ 29,575.00 $ 29,575.00 100.00% $ - $ 1,478.75 Patriot Erectors 05-5121 5B Metal Fabrications $ 26,175.00 $ - $ - $ 26,175.00 $ 26,175.00 $ 26,175.00 100.00% $ - $ 1,308.75 Patriot Erectors 05-5121 5B Bond $ 4,000.00 $ - $ - $ 4,000.00 $ 4,000.00 $ 4,000.00 100.00% $ - $ 200.00 Patriot Erectors 05-5121 5B CO#1 PR#2R Clerestory Head Detail $ - $ - $ 6,784.00 $ 6,784.00 $ 6,784.00 $ 6,784.00 100.00% $ - $ 339.20 Patriot Erectors 05-5121 5B CO#2 LT GA 3x3 Cavity Closure Angle Install $ - $ - $ 1,272.00 $ 1,272.00 $ 1,272.00 $ 1,272.00 100.00% $ $ 63.60 Patriot Erectors 05-5121 5B CO#3 RFI#69 Removal of angle at App Doors $ - $ - $ (1,060.00) $ (1,060.00) $ (1,060.00) $ (1,060.00) 100.00% $ - $ (53.00) Page 2/11 m TarERoiv NumberStatic 05 Terra 0 k River on #3 City f E, k MI CONSTRUCTION Cit of Elk River CONTINUATION SHEET AIA DOCUMENTG703 AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 23 Contractor's signed certification is attached. APPLICATION DATE: 12/31/22 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 12/31/22 Use Column I on Contracts where variable retainage for line items may apply. A A.1 B C CA C.2 C.3 D E F G H I SUBCONTRACTOR ITEM BID DESCRIPTION OF WORK SCHEDULED CHANGE BUDGET REVISED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE VENDOR NO. PACK VALUE ORDERS REVISION/ SCHEDULED PRESENTLY COMPLETED (G+C) TO FINISH (IF VARIABLE FROM PREVIOUS THIS PERIOD EMPLOYEE NO. CONTINGENCY VALUE APPLICATION STORED AND STORED (C -G) RATE) COST TRANSFER (D+E) (NOT IN TO DATE CODE D OR E) (D+E+F) Patriot Erectors 05-5121 5B C044 ASI#BR Roof Transition $ - $ - $ 530.00 $ 530.00 $ 530.00 $ 530.00 100.00% $ - $ 26.50 Patriot Erectors 05-5121 5B C045 RFI#92 Slab Edge Detail at Mezzanine Opening $ - $ - $ 230.00 $ 230.00 $ 230.00 $ 230.00 100.00% $ - $ 11.50 Patriot Erectors 05-5121 5B C046 PR#16 $ - $ - $ 477.00 $ 477.00 $ 477.00 $ 477.00 100.00% $ - $ 23.65 Patriot Erectors 05-5121 5B C047 RFI#103 Angles Above W1 Windows $ - $ - $ 424.00 $ 424.00 $ 424.00 $ 424.00 100.00% $ - $ 21.20 Patriot Erectors 05-5121 5B CO#B RFI#109 $ - $ - $ 212.00 $ 212.00 $ 212.00 $ 212.00 100.00% $ - $ 10.60 Patriot Erectors 05-5121 5B C049 RFI#100 $ - $ - $ 742.00 $ 742.00 $ 742.00 $ 742.00 100.00% $ - $ 37.10 Patriot Erectors 05-5121 5B CO#10 RFI #101 $ - $ - $ 212.00 $ 212.00 $ 212.00 $ 212.00 100.00% $ - $ 10.60 Patriot Erectors 05-5121 5B CO#11 RFI#156 Additional Angle Iron for Fan $ - $ - $ 1,612.00 $ 1,612.00 $ 1,612.00 $ 1,612.00 100.00% $ - $ 60.60 Patriot Erectors 05-5121 5B CO#12 RFI#159 Training Tower Welding $ - $ - $ 424.00 $ 424.00 $ 424.00 $ 424.00 100.00% $ - $ 21.20 Patriot Erectors 05-5121 5B CO#13 RFI#140 Rapelling Anchors $ - $ - $ 1,219.00 $ 1,219.00 $ 1,219.00 $ 1,219.00 100.00% $ - $ 60.95 Patriot Erectors 05-5121 5B CO Trash Gate $ - $ - $ 1,027.00 $ 1,027.00 $ 1,027.00 $ 1,027.00 100.00% $ - $ 51.35 Century Construction 06-6100 6A Performance & Payment Bond $ 6,400.00 $ - $ - $ 6,400.00 $ 6,400.00 $ 6,400.00 100.00% $ - $ 320.00 Ce ntury Construction 06-6100 6A Allowance $ 10,000.00 $ - $ - $ 10,000.00 $ 10,000.00 $ 10,000.00 100.00% $ - $ 500.00 Century Construction 06-6100 6A Mobilization $ 3,100.00 $ - $ - $ 3,100.00 $ 3,100.00 $ 3,100.00 100.00% $ - $ 155.00 Century Construction 06-6100 6A Materials $ 97,000.00 $ - $ - $ 97,000.00 $ 74,998.00 $ 22,002.00 $ 97,000.00 100.00% $ - $ 4,850.00 Century Construction 06-6100 6A Material Blocking $ 12,000.00 $ - $ - $ 12,000.00 $ 12,000.00 $ 12,000.00 100.00% $ - $ 600.00 Century Construction 06-6100 6A Install Roof Blocking $ 43,000.00 $ - $ - $ 43,000.00 $ 43,000.00 $ 43,000.00 100.00% $ - $ 2,150.00 Century Construction 06-6100 6A Install In Wall Blocking $ 8,000.00 $ - $ - $ 8,000.00 $ 8,000.00 $ 8,000.00 100.00% $ - $ 400.00 Century Construction 06-6100 6A Cabinets and Millwork $ 8,500.00 $ $ - $ 8,500.00 $ 8,500.00 $ 8,500.00 100.00% $ - $ 425.00 Century Construction 06-6100 6A Specialties $ 32,000.00 $ - $ - $ 32,000.00 $ 24,000.00 $ 8,000.00 $ 32,000.00 100.00% $ - $ 1,600.00 Century Construction 06-6100 6A Temp Enclosures $ 6,000.00 $ - $ - $ 6,000.00 $ 6,000.00 $ 6,000.00 100.00% $ - $ 300.00 Century Construction 06-6100 6A Doors & Hardware $ 17,000.00 $ - $ - $ 17,000.00 $ 17,000.00 $ 17,000.00 100.00% $ - $ 650.00 Century Construction 06-6100 6A C041 For Distinctive to Predrill Sill Angles $ - $ - $ (676.41) $ (676.41) $ (676.41) $ (676.41) 100.00% $ - $ (33.82) Century Construction 06-6100 6A C042 PR#15 Flagpoles $ - $ - $ (277.00) $ (277.00) $ (277.00) $ (277.00) 100.00% $ - $ (13.85) Century Construction 06-6100 6A C043 Disctinctive Predrill Holes for Operable Partition $ - $ - $ (468.54) $ (468.54) $ (468.54) $ (468.54) 100.00% $ - $ (23.43) Century Construction 06-6100 6A C044 Wood Blockingat Heads of W1 (Used $655 of Allowance) $ - $ - $ - $ - $ - $ - #DIV/01 $ - $ - Century Construction 06-6100 6A C045 RFI#110 Wood Blocking $ - $ - $ 534.35 $ 534.35 $ 534.35 $ 534.35 100.00% $ - $ 26.72 Century Construction 06-6100 6A C046 Allowance Usage (Remaining $8,290) $ - $ - $ - $ - $ - $ - #DIV/01 $ - $ - Century Construction 06-6100 6A C047 Allowance Usage (Remaining $7,018) $ - $ - $ (1,272.00) $ (1,272.00) $ (1,272.00) $ (1,272.00) 100.00% $ - $ (63.60) Century Construction 06-6100 6A CO#B PR#16Added Paper Towel/Trash Units $ - $ - $ 2,248.00 $ 2,248.00 $ 2,248.00 $ 2,248.00 100.00% $ - $ 112.40 Century Construction 06-6100 6A C049 CSI Div-10 Additional Charges $ - $ - $ 2,335.50 $ 2,335.50 $ 67.50 $ 2,248.00 $ 2,335.50 100.00% $ - $ 116.76 Ce ntury Construction 06-6100 6A CO#10 Interior Signage $ - $ - $ (572.82) $ (572.82) $ (572.82) $ (572.82) 100.00% $ - $ (28.64) Century Construction 06-6100 6A CO#11 Allowance Usage (Remaining $3930.50) $ - $ - $ - $ - $ - $ - #DIV/01 $ - $ - Century Construction 06-6100 6A CO#12 RFI#201 Bondo and Reinstall Door 106 $ - $ - $ 479.27 $ 479.27 $ 479.27 $ 479.27 100.00% $ - $ 23.96 Century Construction 06-6100 6A CO Pergola $ - $ - $ (11,023.27) $ (11,023.27) $ - $ (11,023.27) $ (11,023.27) 100.00% $ - $ (551.16) Century Construction 06-6100 6A CO Alternate Operable Partition $ - $ - $ 9,544.91 $ 9,544.91 $ - $ 9,544.91 $ 9,544.91 100.00% $ - $ 477.25 Niche Visual 06-6100 Raise Exterior Sign $ - $ - $ 1,900.00 $ 1,900.00 $ - $ 1,900.00 $ 1,900.00 100.00% $ - $ 95.00 Northern Woodwork 06-6400 6B Architectural Millwork $ 45,900.00 $ - $ - $ 45,900.00 $ 45,900.00 $ 45,900.00 100.00% $ - $ 2,295.00 Northern Woodwork 06-6400 6B C041 PR#16 $ - $ - $ 165.00 $ 165.00 $ 165.00 $ 165.00 100.00% $ - $ 6.25 Quality Coatings 07-7210 7C Fluid Applied Air Barrier $ 38,600.00 $ - $ - $ 38,600.00 $ 38,600.00 $ 38,600.00 100.00% $ - $ 1,930.00 Quality Coatings 07-7210 7C C041 ASI#BR Removal of Tranisition Membrane $ - $ - $ (800.00) $ (800.00) $ (800.00) $ (800.00) 100.00% $ - $ (40.00) Quality Coatings 07-7210 7C C042 Remove and Reinstall AS at W1 $ - $ - $ 1,590.00 $ 1,590.00 $ 1,590.00 $ 1,590.00 100.009 $ - $ 79.50 Quality Coatings 07-7210 7C C043 PR#20 $ - $ - $ (200.00) $ (200.00) $ (200.00) $ (200.00) 100.00% $ - $ (10.00) Qua Iity Coatings 07-7210 7C Raise Exterior Sign $ - $ - $ 925.00 $ 925.00 $ 925.00 $ 925.00 100.00% $ - $ 46.25 Page 3 / 11 m TarERoiv NumberStatic 05 Terra 0 k River on #3 City f E, k MI CONSTRUCTION Cit of Elk River CONTINUATION SHEET AIA DOCUMENTG703 AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 23 Contractor's signed certification is attached. APPLICATION DATE: 12/31/22 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 12/31/22 Use Column I on Contracts where variable retainage for line items may apply. A A.1 B C CA C.2 C.3 D E F G H I SUBCONTRACTOR ITEM BID DESCRIPTION OF WORK SCHEDULED CHANGE BUDGET REVISED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE VENDOR NO. PACK VALUE ORDERS REVISION/ SCHEDULED PRESENTLY COMPLETED (G+C) TO FINISH (IF VARIABLE FROM PREVIOUS THIS PERIOD EMPLOYEE NO. CONTINGENCY VALUE APPLICATION STORED AND STORED (C -G) RATE) COST TRANSFER (D+E) (NOT IN TO DATE CODE D OR E) (D+E+F) Horizon Roofing 07-7520 7A& 7B Roofing& Metal Wall Panels $ 385,124.00 $ - $ - $ 385,124.00 $ 385,124.00 $ 385,124.00 100.00% $ - $ 19,256.20 Horizon Roofing 07-7520 7A&7B CO#1 ASI#5 LT Angles $ - $ - $ 5,750.00 $ 5,750.00 $ 5,750.00 $ 5,750.00 100.00% $ - $ 287.50 Horizon Roofing 07-7520 7A & 7B CO#2 ASI#8R Reduction of Roof Membrane $ - $ - $ 2,600.00 $ 2,600.00 $ 2,600.00 $ 2,600.00 100.00% $ - $ 130.00 Horizon Roofing 07-7520 7A&7B CO#3 PR#14 Parapet Roofing Membrane $ - $ - $ (1,650.00) $ (1,650.00) $ (1,650.00) $ (1,650.00) 100.00% $ - $ (82.50) Horizon Roofing 07-7520 7A&7B CO#4 Overtime Work on 11/6 $ - $ - $ 2,682.00 $ 2,682.00 $ 2,682.00 $ 2,682.00 100.00% $ - $ 134.10 Horizon Roofing 07-7520 7A&7B CO#5 RFI#100 $ - $ - $ 1,350.00 $ 1,350.00 $ 1,350.00 $ 1,350.00 100.00% $ - $ 67.50 Horizon Roofing 07-7520 7A&7B CO#64th Floor Training Tower Roofing Membrane $ - $ - $ (935.00) $ (935.00) $ (935.00) $ (935.00) 100.00% $ - $ (46.75) Horizon Roofing 07-7520 7A&7B CO#7 Wall Reflashing at tops of Parapet Walls $ - $ - $ 1,425.00 $ 1,425.00 $ 1,425.00 $ 1,425.00 100.00% $ - $ 71.25 Horizon Roofing 07-7520 7A & 7B CO#8 Emergency Repairs on 12/17 $ - $ - $ 1,325.00 $ 1,325.00 $ 1,325.00 $ 1,325.00 100.00% $ - $ 66.25 Horizon Roofing 07-7520 7A&7B CO#9 Saddle Repair at existing saddle at North Training Tower $ - $ - $ 2,980.00 $ 2,980.00 $ 2,980.00 $ 2,980.00 100.00% $ - $ 149.00 Horizon Roofing 07-7520 7A & 7B CO Relocate Roof Vent $ - $ - $ 750.00 $ 750.00 $ 750.00 $ 750.00 100.00% $ - $ 37.50 Spec 07-7520 RFI#163 Training Tower Roofing Membrane $ - $ 5,513.00 $ 5,513.00 $ 5,513.00 $ 5,513.00 100.00% $ - $ 275.65 Sunrise Speciality 07-7900 7D Joint Sealants $ 45,470.00 $ - $ - $ 45,470.00 $ 45,470.00 $ 45,470.00 100.00% $ - $ 2,273.50 Sun rise Speciality 07-7900 7D CO#1 PR#2R Clerestory Head Detail $ - $ - $ 35.00 $ 35.00 $ 35.00 $ 35.00 100.00% $ - $ 1.75 Mid -Central Door 08-8200 SA Hardware $ 41,653.67 $ - $ - $ 41,653.67 $ 41,653.67 $ 41,653.67 100.00% $ - $ 2,082.68 Mid -Central Door 08-8200 SA HM Door $ 22,208.67 $ - $ - $ 22,208.67 $ 22,208.67 $ 22,208.67 100.00% $ - $ 1,110.43 Mid -Central Door 08-8200 SA HM Frame $ 19,666.66 $ - $ - $ 19,666.66 $ 19,666.66 $ 19,666.66 100.00% $ - $ 983.33 Mid -Central Door 08-8200 SA Specialty $ 3,133.00 $ - $ - $ 3,133.00 $ 3,133.00 $ 3,133.00 100.00% $ - $ 156.65 Mid -Central Door 08-8200 SA WD Door $ 7,727.00 $ - $ - $ 7,727.00 $ 7,727.00 $ 7,727.00 100.00% $ - $ 386.35 Mid -Central Door 08-8200 SA CO#1 Door Hardware Revisions (5/5/21) $ - $ - $ 2,152.97 $ 2,152.97 $ 2,152.97 $ 2,152.97 100.00% $ - $ 107.65 Mid -Central Door 08-8200 SA CO#2 Door Frame 108 Refab Door (From Camco) $ - $ - $ 740.00 $ 740.00 $ 740.00 $ 740.00 100.00% $ - $ 37.00 American Door Works 08-8361 SB Sectional Overhead Doors $ 170,570.00 $ - $ - $ 170,570.00 $ 170,570.00 $ 170,570.00 100.00% $ - $ 8,528.50 American Door Works 08-8361 SB CO#1 PR#2 Overhead Doors & Circuiting $ - $ - $ (37,217.00) $ (37,217.00) $ (37,217.00) $ (37,217.00) 100.00% $ - $ (1,860.85) American Door Works 08-8361 SB CO#2 PR#12 Revised the 3 OH Doors $ - $ - $ (36,410.00) $ (36,410.00) $ (36,410.00) $ (36,410.00) 100.00% $ - $ (1,820.50) Hallmark Glass 08-8800 SC Shop Drawings $ 3,500.00 $ - $ - $ 3,500.00 $ 3,500.00 $ 3,500.00 100.00% $ - $ 175.00 Hallmark Glass 08-8800 SC Bond $ 5,000.00 $ - $ - $ 5,000.00 $ 5,000.00 $ 5,000.00 100.00% $ - $ 250.00 Hallmark Glass 08-8800 SC Aluminum Labor $ 32,630.00 $ - $ - $ 32,630.00 $ 32,630.00 $ 32,630.00 100.00% $ - $ 1,631.50 Hallmark Glass 08-8800 SC Aluminum Material $ 48,750.00 $ - $ - $ 48,750.00 $ 48,750.00 $ 48,750.00 100.00% $ - $ 2,437.50 Hallmark Glass 08-8800 SC Door Hardware Labor $ 3,000.00 $ - $ - $ 3,000.00 $ 3,000.00 $ 3,000.00 100.00% $ - $ 150.00 Hallmark Glass 08-8800 SC Door Hardware material $ 26,000.00 $ - $ - $ 26,000.00 $ 26,000.00 $ 26,000.00 100.00% $ - $ 1,300.00 Hallmark Glass 08-8800 SC Glass & Glazing Labor $ 10,200.00 $ - $ - $ 10,200.00 $ 10,200.00 $ 10,200.00 100.00% $ - $ 510.00 Hallmark Glass 08-8800 SC Glass& Glazing Material $ 29,000.00 $ - $ - $ 29,000.00 $ 29,000.00 $ 29,000.00 100.00% $ - $ 1,450.00 Hallmark Glass 08-8800 SC Arch Louvers Labor $ 1,620.00 $ - $ - $ 1,620.00 $ 1,620.00 $ 1,620.00 100.00% $ - $ 81.00 Hallmark Glass 08-8800 SC Arch Louvers Material $ 3,800.00 $ - $ - $ 3,800.00 $ 3,800.00 $ 3,800.00 100.00% $ $ 190.00 Hallmark Glass 08-8800 SC CO#1 RFI#181 SF 140X SF Head Detail $ - $ - $ 362.00 $ 362.00 $ 362.00 $ 362.00 100.00% $ - $ 18.10 Niemela Design and Construction 09-9250 9A Framing- Material $ 19,873.00 $ - $ - $ 19,873.00 $ 19,873.00 $ 19,873.00 100.00% $ - $ 993.65 Niemela Design and Construction 09-9250 9A Insulation - Material $ 5,063.00 $ - $ - $ 5,063.00 $ 5,063.00 $ 5,063.00 100.00% $ - $ 253.15 Niemela Design and Construction 09-9250 9A Drywall- Material $ 20,024.00 $ - $ - $ 20,024.00 $ 20,024.00 $ 20,024.00 100.00% $ - $ 1,001.20 Niemela Design and Construction 09-9250 9A Taping/Finishing- Material $ 2,930.00 $ $ - $ 2,930.00 $ 2,930.00 $ 2,930.00 100.00% $ - $ 146.50 Niemela Design and Construction 09-9250 9A Sealants/Acoustical- Material $ 2,500.00 $ - $ - $ 2,500.00 $ 2,500.00 $ 2,500.00 100.00% $ - $ 125.00 Niemela Design and Construction 09-9250 9A FRP - Material $ 806.00 $ - $ - $ 806.00 $ 806.00 $ 806.00 100.00% $ - $ 40.30 Page 4 / 11 m TarERoiv NumberStatic 05 Terra 0 k River on #3 City f E, k MI CONSTRUCTION Cit of Elk River CONTINUATION SHEET AIA DOCUMENTG703 AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 23 Contractor's signed certification is attached. APPLICATION DATE: 12/31/22 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 12/31/22 Use Column I on Contracts where variable retainage for line items may apply. A A.1 B C CA C.2 C.3 D E F G H I SUBCONTRACTOR ITEM BID DESCRIPTION OF WORK SCHEDULED CHANGE BUDGET REVISED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE VENDOR NO. PACK VALUE ORDERS REVISION/ SCHEDULED PRESENTLY COMPLETED (G+C) TO FINISH (IF VARIABLE FROM PREVIOUS THIS PERIOD EMPLOYEE NO. CONTINGENCY VALUE APPLICATION STORED AND STORED (C -G) RATE) COST TRANSFER (D+E) (NOT IN TO DATE CODE D OR E) (D+E+F) Niemela Design and Construction 09-9250 9A Framing- Labor $ 33,795.00 $ - $ - $ 33,795.00 $ 33,795.00 $ 33,795.00 100.00% $ - $ 1,689.75 Niemela Design and Construction 09-9250 9A Insulation - Labor $ 6,500.00 $ - $ - $ 6,500.00 $ 6,500.00 $ 6,500.00 100.00% $ - $ 325.00 Niemela Design and Construction 09-9250 9A Drywall- Labor $ 22,810.00 $ - $ - $ 22,810.00 $ 22,810.00 $ 22,810.00 100.00% $ - $ 1,140.50 Niemela Design and Construction 09-9250 9A Taping/Finishing- Labor $ 23,301.00 $ - $ - $ 23,301.00 $ 23,301.00 $ 23,301.00 100.00% $ - $ 1,165.05 Niemela Design and Construction 09-9250 9A Sealants/Acoustical- Labor $ 3,000.00 $ - $ - $ 3,000.00 $ 3,000.00 $ 3,000.00 100.00% $ - $ 150.00 Niemela Design and Construction 09-9250 9A FRP - Labor $ 630.00 $ - $ - $ 630.00 $ 630.00 $ 630.00 100.00% $ - $ 31.50 Niemela Design and Construction 09-9250 9A Equipment- Lift $ 7,500.00 $ - $ - $ 7,500.00 $ 7,500.00 $ 7,500.00 100.00% $ - $ 375.00 Niemela Design and Construction 09-9250 9A Mobilization $ 5,000.00 $ - $ - $ 5,000.00 $ 5,000.00 $ 5,000.00 100.00% $ - $ 250.00 Niemela Design and Construction 09-9250 9A Bonding $ 2,915.00 $ - $ - $ 2,915.00 $ 2,915.00 $ 2,915.00 100.00% $ - $ 145.75 Niemela Design and Construction 09-9250 9A Allowance (Terra Directed) $ 5,000.00 $ - $ - $ 5,000.00 $ 5,000.00 $ 5,000.00 100.00% $ - $ 250.00 Niemela Design and Construction 09-9250 9A Allowance -Access Panels $ 2,000.00 $ - $ - $ 2,000.00 $ 2,000.00 $ 2,000.00 100.00% $ - $ 100.00 Niemela Design and Construction 09-9250 9A CO#1 PR#2R Clerestory Head Detail $ - $ - $ 4,963.35 $ 4,963.35 $ 4,963.35 $ 4,963.35 100.00% $ - $ 246.17 Niemela Design and Construction 09-9250 9A CO#2 PR#3R $ - $ - $ (357.00) $ (357.00) $ (357.00) $ (357.00) 100.00% $ - $ (17.85) Niemela Design and Construction 09-9250 9A CO#3 ASI#9 Soffit Revisions $ - $ - $ 295.00 $ 295.00 $ 295.00 $ 295.00 100.00% $ - $ 14.75 Niemela Design and Construction 09-9250 9A CO#4 RFI#107 $ - $ - $ 213.00 $ 213.00 $ 213.00 $ 213.00 100.00% $ - $ 10.65 Niemela Design and Construction 09-9250 9A CO#5 RFI#100 $ - $ - $ 433.00 $ 433.00 $ 433.00 $ 433.00 100.00% $ - $ 21.65 Niemela Design and Construction 09-9250 9A CO#6 RFI#121 $ - $ - $ 250.00 $ 250.00 $ 250.00 $ 250.00 100.00% $ - $ 12.50 Niemela Design and Construction 09-9250 9A CO#7 PR#16Added Framingfor Trash Units $ - $ - $ 1,050.00 $ 1,050.00 $ 1,050.00 $ 1,050.00 100.00% $ - $ 52.50 Niemela Design and Construction 09-9250 9A CO#B RFI#154 2'' XPS Tile Backer at Wellness Room $ - $ - $ 5,666.00 $ 5,666.00 $ 5,666.00 $ 5,666.00 100.00% $ - $ 264.40 Niemela Design and Construction 09-9250 9A CO#9 CMU Laminating and Skim Coating $ - $ $ 10,300.00 $ 10,300.00 $ 10,300.00 $ 10,300.00 100.00% $ - $ 515.00 Niemela Design and Construction 09-9250 9A CO#10 Added Trip Charge $ - $ - $ 950.00 $ 950.00 $ 950.00 $ 950.00 100.00% $ - $ 47.50 Niemela Design and Construction 09-9250 9A CO#11 Option 1 Hilti Spray & Paint $ - $ - $ 4,613.00 $ 4,613.00 $ 4,613.00 $ 4,613.00 100.00% $ - $ 230.65 Niemela Design and Construction 09-9250 9A CO#12 PR#20 $ - $ - $ (245.00) $ (245.00) $ (245.00) $ (245.00) 100.00% $ - $ (12.25) Niemela Design and Construction 09-9250 9A CO#13 RFI#150 $ - $ - $ 1,369.00 $ 1,369.00 $ 1,369.00 $ 1,369.00 100.00% $ - $ 66.45 Niemela Design and Construction 09-9250 9A CO#14 Creditfor Gyp at SF140X Head Detail $ - $ - $ (50.00) $ (50.00) $ (50.00) $ (50.00) 100.00% $ - $ (2.50) Niemela Design and Construction 09-9250 9A CO#15Access Panel Allowance Usage ($0 Remanining) $ - $ - $ - $ - $ - $ - #DIV/01 $ - $ - Niemela Design and Construction 09-9250 9A CO#16 Using$330of $5000AIlowance ($4670 Remaining) $ - $ - $ - $ - $ - $ - #DIV/01 $ - $ - Niemela Design and Construction 09-9250 9A CO#17 Using$325 of Allowance ($4345 Remaining) $ - $ - $ - $ - $ - $ - #DIV/01 $ - $ - Niemela Design and Construction 09-9250 9A CO#16 Soffit Expansion Joint Painting $ - $ - $ (823.00) $ (823.00) $ (823.00) $ (823.00) 100.00% $ - $ (41.15) Niemela Design and Construction 09-9250 9A CO Vent Hood Backing $ - $ - $ 541.25 $ 541.25 $ 541.25 $ 541.25 100.00% $ - $ 27.06 Tim's Construction Group 09-9300 9B Labor $ 23,450.00 $ - $ - $ 23,450.00 $ 23,450.00 $ 23,450.00 100.00% $ - $ 1,172.50 Tim's Construction Group 09-9300 9B Tile Material $ 26,365.00 $ - $ - $ 26,365.00 $ 26,365.00 $ 26,365.00 100.00% $ - $ 1,318.25 Tim's Construction Group 09-9300 9B CO#1 - PR#20 $ - $ - $ (210.00) $ (210.00) $ (210.00) $ (210.00) 100.00% $ - $ (10.50) Sonus Interiors 09-9510 9C ACT-1 Material $ 9,850.00 $ - $ - $ 9,850.00 $ 9,850.00 $ 9,850.00 100.00% $ - $ 492.50 Sonus Interiors 09-9510 9C ACT-1 Labor $ 6,936.00 $ - $ - $ 6,936.00 $ 6,936.00 $ 6,936.00 100.00% $ - $ 346.60 Sonus Interiors 09-9510 9C ACP Material $ 61,659.00 $ - $ - $ 61,659.00 $ 61,659.00 $ 61,659.00 100.00% $ - $ 3,082.95 Sonus Interiors 09-9510 9C ACP Labor $ 9,674.00 $ - $ - $ 9,674.00 $ 9,674.00 $ 9,674.00 100.00% $ - $ 463.70 Sonus Interiors 09-9510 9C Bond $ 1,231.00 $ - $ - $ 1,231.00 $ 1,231.00 $ 1,231.00 100.00% $ - $ 61.55 Sonus Interiors 09-9510 9C CO#1 PR#3R $ - $ - $ 1,130.00 $ 1,130.00 $ 1,130.00 $ 1,130.00 100.00% $ - $ 56.50 Sonus Interiors 09-9510 9C CO#2 RFI#76 Extended Wall Track $ - $ - $ 637.00 $ 637.00 $ 637.00 $ 637.00 100.00% $ - $ 31.65 Sonus Interiors 09-9510 9C CO#3 ASI#9 Removed ACT in Room 124 $ - $ - $ (257.00) $ (257.00) $ (257.00) $ (257.00) 100.00% $ - $ (12.85) Centennial Flooring 09-9660 9D Carpet & Resilient Flooring -Material $ 14,000.00 $ - $ - $ 14,000.00 $ 14,000.00 $ 14,000.00 100.00% $ - $ 700.00 Centennial Flooring 09-9660 9D Carpet & Resilient Flooring -Labor $ 5,500.00 $ - $ - $ 5,500.00 $ 5,500.00 $ 5,500.00 100.00% $ - $ 275.00 Centennial Flooring 09-9660 9D CO#1 RFI#143 Added LokDots $ - $ - $ 215.00 $ 215.00 $ 215.00 $ 215.00 J.00.00% $ - $ 10.75 Centennial Flooring 09-9660 9D Decon Vestibule $ - $ - $ 250.00 $ 250.00 $ 250.00 $ 250.00 J.00.00% $ - $ 12.50 Page 5/11 m TarERoiv NumberStatic 05 Terra 0 k River on #3 City f E, k MI CONSTRUCTION Cit of Elk River CONTINUATION SHEET AIA DOCUMENTG703 AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 23 Contractor's signed certification is attached. APPLICATION DATE: 12/31/22 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 12/31/22 Use Column I on Contracts where variable retainage for line items may apply. A A.1 B C CA C.2 C.3 D E F G H I SUBCONTRACTOR ITEM BID DESCRIPTION OF WORK SCHEDULED CHANGE BUDGET REVISED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE VENDOR NO. PACK VALUE ORDERS REVISION/ SCHEDULED PRESENTLY COMPLETED (G+C) TO FINISH (IF VARIABLE FROM PREVIOUS THIS PERIOD EMPLOYEE NO. CONTINGENCY VALUE APPLICATION STORED AND STORED (C -G) RATE) COST TRANSFER (D+E) (NOT IN TO DATE CODE D OR E) (D+E+F) Steinbrecher Painting 09-9910 9F Painting& Wallcovering $ 76,200.00 $ - $ - $ 76,200.00 $ 76,200.00 $ 76,200.00 100.00% $ - $ 3,810.00 Stein brecher Pa inting 09-9910 9F CO#1 ASI#10 Interior Finishes $ - $ - $ 673.00 $ 673.00 $ 673.00 $ 673.00 100.00% $ - $ 33.65 Steinbrecher Painting 09-9910 9F CO#2 Added Painting at M04 & Vestibule 107 PR#20 $ - $ - $ 415.00 $ 415.00 $ 415.00 $ 415.00 100.00% $ - $ 20.75 Ste in brecher Pa inting 09-9910 9F CO#3 Painting Soffits after Control Joints $ - $ - $ 823.00 $ 823.00 $ 823.00 $ 823.00 100.00% $ - $ 41.15 Steinbrecher Painting 09-9910 9F CO#4 RFI#201 Repainting Door Frame 108 $ - $ - $ 717.00 $ 717.00 $ 717.00 $ 717.00 100.00% $ - $ 35.85 Steinbrecher Painting 09-9910 9F CO Relocate Roof Vent $ - $ - $ 373.00 $ 373.00 $ 373.00 $ 373.00 100.00% $ - $ 18.65 Steinbrecher Painting 09-9910 9F CO Vent Hood Blocking $ - $ - $ 88.00 $ 88.00 $ 88.00 $ 88.00 100.00% $ - $ 4.40 Steinbrecher Painting 09-9910 9F CO Omit WC-1 $ - $ - $ (1,475.00) $ (1,475.00) $ (1,475.00) $ (1,475.00) 100.00% $ - $ (73.75) Peterson Sheet Metal 15-1500 22A Mechanical -Fabricated Ductwork $ 16,475.00 $ - $ - $ 16,475.00 $ 16,475.00 $ 16,475.00 100.00% $ - $ 823.75 Peterson Sheet Metal 15-1500 22A Mechanical -Duct Field Material $ 19,439.00 $ - $ - $ 19,439.00 $ 19,439.00 $ 19,439.00 100.00% $ - $ 971.95 Peterson Sheet Metal 15-1500 22A Mechanical -Plumbing Material $ 71,868.00 $ - $ - $ 71:868.00 $ 71:868.00 $ 71,868.00 100.00% $ - $ 3,593.40 Peterson Sheet Metal 15-1500 22A Mechanical -Piping Material $ 40,271.00 $ - $ - $ 40,271.00 $ 40,271.00 $ 40,271.00 100.00% $ - $ 2,013.55 Peterson Sheet Metal 15-1500 22A Mechanical -Insulation Material $ 16,961.00 $ - $ - $ 16,961.00 $ 16,961.00 $ 16,961.00 100.00% $ - $ 848.05 Peterson Sheet Metal 15-1500 22A Mechanical -Ventilation Material $ 84,721.00 $ - $ - $ 84,721.00 $ 84,721.00 $ 84,721.00 100.00% $ - $ 4,236.05 Peterson Sheet Metal 15-1500 22A Mechanical -Plumbing Labor $ 146,790.00 $ - $ - $ 146,790.00 $ 146,790.00 $ 146,790.00 100.00% $ - $ 7,339.50 Peterson Sheet Metal 15-1500 22A Mechanical -Piping Labor $ 78,083.00 $ - $ - $ 78,083.00 $ 78,083.00 $ 78,083.00 100.00% $ - $ 3,904.15 Peterson Sheet Metal 15-1500 22A Mechanical -Insulation Labor $ 35,439.00 $ - $ - $ 35,439.00 $ 35,439.00 $ 35,439.00 100.00% $ - $ 1,771.95 Peterson Sheet Metal 15-1500 22A Mechanical -Ventilation Equipment $ 84,178.00 $ - $ - $ 84,178.00 $ 84,178.00 $ 84,178.00 100.00% $ - $ 4,208.90 Peterson Sheet Metal 15-1500 22A Mechanical -Plumbing Fixtures/Equip $ 98,598.00 $ - $ - $ 98,598.00 $ 98,598.00 $ 98,598.00 100.00% $ - $ 4,929.90 Peterson Sheet Metal 15-1500 22A Mechanical -Piping Equipment $ 57,433.00 $ - $ - $ 57,433.00 $ 57,433.00 $ 57,433.00 100.00% $ - $ 2,871.65 Peterson Sheet Metal 15-1500 22A Mechanical -Refer Piping/Startup $ 4,394.00 $ - $ - $ 4,394.00 $ 4,394.00 $ 4,394.00 100.00% $ - $ 219.70 Peterson Sheet Metal 15-1500 22A Mechanical -Balancing $ 7,976.00 $ - $ - $ 7,976.00 $ 7,976.00 $ 7,976.00 100.00% $ - $ 398.80 Peterson Sheet Metal 15-1500 22A Mechanical -Temp Controls $ 66,259.00 $ - $ - $ 66,259.00 $ 66,259.00 $ 66,259.00 100.00% $ - $ 3,312.95 Peterson Sheet Metal 15-1500 22A Mechanical -Crane $ 1,785.00 $ - $ - $ 1,785.00 $ 1,785.00 $ 1,785.00 100.00% $ - $ 89.25 Peterson Sheet Metal 15-1500 22A Mechanical -Permits $ 15,000.00 $ - $ - $ 15,000.00 $ 15,000.00 $ 15,000.00 100.00% $ - $ 750.00 Peterson Sheet Metal 15-1500 22A Mechanical -Bond $ 8,000.00 $ - $ - $ 8,000.00 $ 8,000.00 $ 8,000.00 100.00% $ - $ 400.00 Peterson Sheet Metal 15-1500 22A Mechanical -Submittals $ 5,000.00 $ - $ - $ 5,000.00 $ 5,000.00 $ 5,000.00 100.00% $ - $ 250.00 Peterson Sheet Metal 15-1500 22A Mechanical -General Administration $ 63,330.00 $ - $ - $ 63,330.00 $ 63,330.00 $ 63,330.00 100.00% $ - $ 3,166.50 Peterson Sheet Metal 15-1500 22A CO#1 PR#3R $ - $ - $ 3,532.00 $ 3,532.00 $ 3,532.00 $ 3,532.00 100.00% $ - $ 176.60 Peterson Sheet Metal 15-1500 22A CO#2 Added expansion tankforsnow melt $ - $ - $ 2,504.00 $ 2,504.00 $ 2,504.00 $ 2,504.00 100.00% $ - $ 125.20 Peterson Sheet Metal 15-1500 22A CO#3 App Bay Truck Fill & Compressed Air $ - $ - $ 30,621.00 $ 30,621.00 $ 30,621.00 $ 30,621.00 100.00% $ - $ 1,531.05 Peterson Sheet Metal 15-1500 22A CO#4 Eye Wash Station $ - $ - $ (949.00) $ (949.00) $ (949.00) $ (949.00) 100.00% $ - $ (47.45) Peterson Sheet Metal 15-1500 22A CO#5 PR#17 SCBA Compressor $ - $ - $ 1,790.00 $ 1,790.00 $ 1,790.00 $ 1,790.00 100.00% $ - $ 89.50 Peterson Sheet Metal 15-1500 22A CO#6 RFI#107 $ - $ - $ (213.00) $ (213.00) $ (213.00) $ (213.00) 100.00% $ - $ (10.65) Peterson Sheet Metal 15-1500 22A CO#7 RFI#121 $ - $ - $ (250.00) $ (250.00) $ (250.00) $ (250.00) 100.00% $ - $ (12.50) Peterson Sheet Metal 15-1500 22A CO#8 PR#13 Steam Generator $ - $ - $ 8,342.00 $ 8,342.00 $ 8,342.00 $ 8,342.00 100.00% $ - $ 417.10 Peterson Sheet Metal 15-1500 22A CO#9 Duct Insulation Replacement (Carp Allowance) $752 $ - $ - $ - $ - $ - $ - #DIV/01 $ - $ - Peterson Sheet Metal 15-1500 22A CO#10 Added PVC Insualtion $ - $ - $ 723.00 $ 723.00 $ 723.00 $ 723.00 100.00% $ - $ 36.15 Peterson Sheet Metal 15-1500 22A CO#11 Bay Duct Relocation due to Air Drop $ - $ - $ 5,688.00 $ 5,688.00 $ 5,688.00 $ 5,688.00 100.00% $ - $ 284.40 Peterson Sheet Metal 15-1500 22A CO#12 PR#22 $ - $ - $ 709.00 $ 709.00 $ 709.00 $ 709.00 100.00% $ - $ 35.45 Peterson Sheet Metal 15-1500 22A CO#13 CMU Patch work for Duct 139 Training Room $ - $ - $ (744.50) $ (744.50) $ (744.50) $ (744.50) 100.00% $ - $ (37.23) Peterson Sheet Metal 15-1500 22A CO#14 RFI#183 Revised Exhaust Air Register Size $ - $ - $ 2,503.00 $ 2,503.00 $ 2,503.00 $ 2,503.00 100.00% $ - $ 125.15 Peterson Sheet Metal 15-1500 22A CO#15 RFI#139 Credit for Duct Protection $ - $ - $ (470.00) $ (470.00) $ (470.00) $ (470.00) 100.00% $ - $ (23.50) Peterson Sheet Metal 15-1500 22A CO Relocate Roof Vent $ - $ - $ 2,046.00 $ 2,046.00 $ 2,046.00 $ 2,046.00 100.00% $ - $ 102.30 Peterson Sheet Metal 15-1500 22A CO Vent Hood Backing $ - $ - $ 437.00 $ 437.00 $ 437.00 $ 437.00 100.00% $ $ 21.85 Peterson Sheet Metal 15-1500 22A CO for RPZ Labor $ - $ - $ 947.00 $ 947.00 $ 947.00 $ 947.00 100.00% $ - $ 47.35 Page 6 / 11 m TarERoiv NumberStatic 05 Terra 0 k River on #3 City f E, k MI CONSTRUCTION Cit of Elk River CONTINUATION SHEET AIA DOCUMENTG703 AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 23 Contractor's signed certification is attached. APPLICATION DATE: 12/31/22 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 12/31/22 Use Column I on Contracts where variable retainage for line items may apply. A A.1 B C CA C.2 C.3 D E F G H I SUBCONTRACTOR ITEM BID DESCRIPTION OF WORK SCHEDULED CHANGE BUDGET REVISED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE VENDOR NO. PACK VALUE ORDERS REVISION/ SCHEDULED PRESENTLY COMPLETED (G+C) TO FINISH (IF VARIABLE FROM PREVIOUS THIS PERIOD EMPLOYEE NO. CONTINGENCY VALUE APPLICATION STORED AND STORED (C -G) RATE) COST TRANSFER (D+E) (NOT IN TO DATE CODE D OR E) (D+E+F) Peterson Sheet Metal 15-1500 22A CO Creditforwater leakconcrete repair $ - $ (1,068.00) $ - $ (1,068.00) $ - $ (1,068.00) $ (1,068.00) 100.00% $ - $ (53.40) Summit Fire 15-1533 21A Labor $ 18,200.00 $ - $ - $ 18,200.00 $ 18,200.00 $ 18,200.00 100.00% $ - $ 910.00 Summit Fire 15-1533 21A Material $ 22,800.00 $ - $ - $ 22,800.00 $ 22,800.00 $ 22,800.00 100.00% $ - $ 1,140.00 Summit Fire 15-1533 21A Design $ 3,200.00 $ - $ - $ 3,200.00 $ 3,200.00 $ 3,200.00 100.00% $ - $ 160.00 Summit Fire 15-1533 21A Fabrication $ 2,600.00 $ - $ - $ 2,600.00 $ 2,600.00 $ 2,600.00 100.00% $ - $ 130.00 Summit Fire 15-1533 21A Bond $ 800.00 $ - $ - $ 800.00 $ 800.00 $ 800.00 100.00% $ - $ 40.00 Summit Fire 15-1533 21A CO#1 ASI#9 Redesigned Sprinkler Layout $ - $ - $ 620.00 $ 620.00 $ 620.00 $ 620.00 100.00% $ - $ 41.00 Klein Electric 16-1600 26A Electrical -Permit $ 1,325.00 $ - $ - $ 1,325.00 $ 1,325.00 $ 1,325.00 100.00% $ - $ 66.25 Klein Electric 16-1600 26A Electrical -Bond $ 4,347.00 $ - $ - $ 4,347.00 $ 4,347.00 $ 4,347.00 100.00% $ - $ 217.35 Klein Electric 16-1600 26A Mobilization $ 22,936.00 $ - $ - $ 22,936.00 $ 22,936.00 $ 22,936.00 100.00% $ - $ 1,146.80 Klein Electric 16-1600 26A Temp Power/Job Trailer $ 1,710.00 $ - $ - $ 1,710.00 $ 1,710.00 $ 1,710.00 100.00% $ - $ 65.50 Klein Electric 16-1600 26A Temp Power/Site $ 3,325.00 $ - $ - $ 3,325.00 $ 3,325.00 $ 3,325.00 100.00% $ - $ 166.25 Klein Electric 16-1600 26A Temp Power/Building $ 3,325.00 $ - $ - $ 3,325.00 $ 3,325.00 $ 3,325.00 100.00% $ - $ 166.25 Klein Electric 16-1600 26A Switchgear Package/Graybar Electric Co $ 26,645.00 $ - $ - $ 28,845.00 $ 28,845.00 $ 28,845.00 100.00% $ - $ 1,442.25 Klein Electric 16-1600 26A Utility Fees/Elk River Public Utilities $ 6,279.00 $ - $ - $ 8,279.00 $ 8,279.00 $ 8,279.00 100.00% $ - $ 413.95 Klein Electric 16-1600 26A Utility Transformer Pad Material $ 1,045.00 $ - $ - $ 1,045.00 $ 1,045.00 $ 1,045.00 100.00% $ - $ 52.25 Klein Electric 16-1600 26A Utility Transformer Pad Labor $ 1,425.00 $ - $ - $ 1,425.00 $ 1,425.00 $ 1,425.00 100.00% $ - $ 71.25 Klein Electric 16-1600 26A Service Entrance Material $ 4,834.00 $ - $ - $ 4,834.00 $ 4,834.00 $ 4,834.00 100.00% $ - $ 241.70 Klein Electric 16-1600 26A Service Entrance Labor $ 3,827.00 $ - $ - $ 3,827.00 $ 3,827.00 $ 3,827.00 100.00% $ - $ 191.35 Klein Electric 16-1600 26A Service Equipment Material $ 2,776.00 $ - $ - $ 2,776.00 $ 2,776.00 $ 2,776.00 100.00% $ - $ 136.60 Klein Electric 16-1600 26A Service Equipment Labor $ 3,277.00 $ - $ - $ 3,277.00 $ 3,277.00 $ 3,277.00 100.00% $ - $ 163.65 Klein Electric 16-1600 26A Power Panelboards Material $ 2,739.00 $ - $ - $ 2,739.00 $ 2,739.00 $ 2,739.00 100.00% $ - $ 136.95 Klein Electric 16-1600 26A Power Panelboards Labor $ 2,856.00 $ - $ - $ 2,856.00 $ 2,856.00 $ 2,856.00 100.00% $ - $ 142.60 Klein Electric 16-1600 26A Generator Package/Total Energy Systems $ 79,282.00 $ - $ - $ 79,282.00 $ 79,282.00 $ 79,282.00 100.00% $ - $ 3,964.10 Klein Electric 16-1600 26A Generator Pad Material $ 1,235.00 $ - $ - $ 1,235.00 $ 1,235.00 $ 1,235.00 100.00% $ - $ 61.75 Klein Electric 16-1600 26A Generator Pad Labor $ 1,710.00 $ - $ - $ 1,710.00 $ 1,710.00 $ 1,710.00 100.00% $ - $ 65.50 Klein Electric 16-1600 26A Generator Material $ 1,562.00 $ - $ - $ 1,562.00 $ 1,562.00 $ 1,562.00 100.00% $ - $ 76.10 Klein Electric 16-1600 26A Generator Labor $ 4,091.00 $ - $ - $ 4,091.00 $ 4,091.00 $ 4,091.00 100.00% $ - $ 204.55 Klein Electric 16-1600 26A Generator Serivice Entrance Material $ 3,841.00 $ - $ - $ 3,841.00 $ 3,841.00 $ 3,841.00 100.00% $ - $ 192.05 Klein Electric 16-1600 26A Generator Serivice Entrance Labor $ 3,599.00 $ - $ - $ 3,599.00 $ 3,599.00 $ 3,599.00 100.00% $ - $ 179.95 Klein Electric 16-1600 26A ATS Equipment Material $ 2,309.00 $ - $ - $ 2,309.00 $ 2,309.00 $ 2,309.00 100.00% $ - $ 115.45 Klein Electric 16-1600 26A ATS Equipment Labor $ 2,901.00 $ - $ - $ 2,901.00 $ 2,901.00 $ 2,901.00 100.00% $ - $ 145.05 Klein Electric 16-1600 26A ES Panelboards Material $ 601.00 $ - $ - $ 601.00 $ 601.00 $ 601.00 100.00% $ - $ 40.05 Klein Electric 16-1600 26A ES Panelboards Labor $ 1,146.00 $ - $ - $ 1,146.00 $ 1,146.00 $ 1,146.00 100.00% $ - $ 57.30 Klein Electric 16-1600 26A Light Fixture Package/Viking Electric $ 94,954.00 $ - $ - $ 94,954.00 $ 94,954.00 $ 94,954.00 100.00% $ - $ 4,747.70 Klein Electric 16-1600 26A Fixture Material $ 6,196.00 $ - $ - $ 6,196.00 $ 6,196.00 $ 6,196.00 100.00% $ - $ 309.60 Klein Electric 16-1600 26A Fixture Labor $ 21,162.00 $ - $ - $ 21,162.00 $ 21,162.00 $ 21,162.00 100.00% $ - $ 1,058.10 Klein Electric 16-1600 26A Fixture Control Material $ 1,572.00 $ - $ - $ 1,572.00 $ 1,572.00 $ 1,572.00 100.00% $ - $ 76.60 Klein Electric 16-1600 26A Fixture Control Labor $ 4,632.00 $ - $ - $ 4,632.00 $ 4,632.00 $ 4,632.00 100.00% $ - $ 231.60 Klein Electric 16-1600 26A HVLS Fan/Big Ass Fans $ 10,123.00 $ - $ - $ 10,123.00 $ 10,123.00 $ 10,123.00 100.00% $ - $ 506.15 Klein Electric 16-1600 26A HVLS Fan Material $ 313.00 $ - $ - $ 313.00 $ 313.00 $ 313.00 100.00% $ - $ 15.65 Klein Electric 16-1600 26A HVLS Fan Labor $ 676.00 $ - $ - $ 676.00 $ 676.00 $ 676.00 100.00% $ - $ 43.90 Klein Electric 16-1600 26A Site Pole Bases Material $ 2,320.00 $ - $ - $ 2,320.00 $ 2,320.00 $ 2,320.00 100.00% $ - $ 116.00 Klein Electric 16-1600 26A Site Pole Bases Labor $ 2,546.00 $ - $ - $ 2,546.00 $ 2,546.00 $ 2,546.00 100.009 $ - $ 127.30 Klein Electric 16-1600 26A Site Pole Underground Material $ 2,318.00 $ - $ - $ 2,318.00 $ 2,318.00 $ 2,318.00 100.00% $ - $ 115.90 Klein Electric 16-1600 26A Site Pole Underground Labor $ 3,041.00 $ - $ - $ 3,041.00 $ 3,041.00 $ 3,041.00 100.00% $ - $ 152.05 Page 7 / 11 m TarERoiv NumberStatic 05 Terra 0 k River on #3 City f E, k MI CONSTRUCTION Cit of Elk River CONTINUATION SHEET AIA DOCUMENTG703 AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 23 Contractor's signed certification is attached. APPLICATION DATE: 12/31/22 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 12/31/22 Use Column I on Contracts where variable retainage for line items may apply. A A.1 B C CA C.2 C.3 D E F G H I SUBCONTRACTOR ITEM BID DESCRIPTION OF WORK SCHEDULED CHANGE BUDGET REVISED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE VENDOR NO. PACK VALUE ORDERS REVISION/ SCHEDULED PRESENTLY COMPLETED (G+C) TO FINISH (IF VARIABLE FROM PREVIOUS THIS PERIOD EMPLOYEE NO. CONTINGENCY VALUE APPLICATION STORED AND STORED (C -G) RATE) COST TRANSFER (D+E) (NOT IN TO DATE CODE D OR E) (D+E+F) Klein Electric 16-1600 26A Site Pole Install Material $ 98.00 $ - $ - $ 98.00 $ 98.00 $ 98.00 100.00% $ - $ 4.90 Klein Electric 16-1600 26A Site Pole Install Labor $ 1,126.00 $ - $ - $ 1,126.00 $ 1,126.00 $ 1,126.00 100.00% $ - $ 56.30 Klein Electric 16-1600 26A Site Flag Pole -Sign Material $ 1,757.00 $ - $ - $ 1,757.00 $ 1,757.00 $ 1,757.00 100.00% $ - $ 87.85 Klein Electric 16-1600 26A Site Flag Pole -Sign Labor $ 1,982.00 $ - $ - $ 1,982.00 $ 1,982.00 $ 1,982.00 100.00% $ - $ 99.10 Klein Electric 16-1600 26A Site Grill-Recept Material $ 376.00 $ - $ - $ 376.00 $ 376.00 $ 376.00 100.00% $ - $ 18.80 Klein Electric 16-1600 26A Site Grill-Recept Labor $ 507.00 $ - $ - $ 507.00 $ 507.00 $ 507.00 100.00% $ - $ 25.35 Klein Electric 16-1600 26A Power -Device Material $ 15,167.00 $ - $ - $ 15,167.00 $ 15,167.00 $ 15,167.00 100.00% $ - $ 758.35 Klein Electric 16-1600 26A Power -Device Labor $ 26,781.00 $ - $ - $ 26,781.00 $ 26,781.00 $ 26,781.00 100.00% $ - $ 1,339.05 Klein Electric 16-1600 26A Floor Boxes/Graybar Electric Co $ 2,011.00 $ - $ - $ 2,011.00 $ 2,011.00 $ 2,011.00 100.00% $ - $ 100.55 Klein Electric 16-1600 26A Floor Box Material $ 668.00 $ - $ - $ 668.00 $ 668.00 $ 668.00 100.00% $ - $ 33.40 Klein Electric 16-1600 26A Floor Box Labor $ 2,021.00 $ - $ - $ 2,021.00 $ 2,021.00 $ 2,021.00 100.00% $ - $ 101.05 Klein Electric 16-1600 26A Cord Reels/Graybar Electric Co $ 3,585.00 $ - $ - $ 3,585.00 $ 3,585.00 $ 3,585.00 100.00% $ - $ 179.25 Klein Electric 16-1600 26A Cord Reels Material $ 496.00 $ - $ - $ 496.00 $ 496.00 $ 496.00 100.00% $ - $ 24.80 Klein Electric 16-1600 26A Cord Reels Labor $ 1,694.00 $ - $ - $ 1,694.00 $ 1,694.00 $ 1,694.00 100.00% $ - $ 84.70 Klein Electric 16-1600 26A OHD Material $ 1,247.00 $ - $ - $ 1,247.00 $ 1,247.00 $ 1,247.00 100.00% $ - $ 62.35 Klein Electric 16-1600 26A OHD Labor $ 2,742.00 $ - $ - $ 2,742.00 $ 2,742.00 $ 2,742.00 100.00% $ - $ 137.10 Klein Electric 16-1600 26A Air Comprssor Material $ 325.00 $ - $ - $ 325.00 $ 325.00 $ 325.00 100.00% $ - $ 16.25 Klein Electric 16-1600 26A Air Comprssor Labor $ 498.00 $ - $ - $ 498.00 $ 498.00 $ 498.00 100.00% $ - $ 24.90 Klein Electric 16-1600 26A Boilers Material $ 380.00 $ - $ - $ 380.00 $ 380.00 $ 380.00 100.00% $ - $ 19.00 Klein Electric 16-1600 26A Boilers Labor $ 648.00 $ - $ - $ 648.00 $ 648.00 $ 648.00 100.00% $ - $ 32.40 Klein Electric 16-1600 26A Compressed Air Dryer Material $ 532.00 $ - $ - $ 532.00 $ 532.00 $ 532.00 100.00% $ - $ 26.60 Klein Electric 16-1600 26A Compressed Air Dryer Labor $ 540.00 $ - $ - $ 540.00 $ 540.00 $ 540.00 100.00% $ - $ 27.00 Klein Electric 16-1600 26A Condensing Unit Material $ 208.00 $ - $ - $ 208.00 $ 208.00 $ 208.00 100.00% $ - $ 10.40 Klein Electric 16-1600 26A Condensing Unit Labor $ 369.00 $ - $ - $ 369.00 $ 369.00 $ 369.00 100.00% $ - $ 18.45 Klein Electric 16-1600 26A Domestic Water Heater -Pump Material $ 252.00 $ - $ - $ 252.00 $ 252.00 $ 252.00 100.00% $ - $ 12.60 Klein Electric 16-1600 26A Domestic Water Heater -Pump Labor $ 561.00 $ - $ - $ 561.00 $ 561.00 $ 561.00 100.00% $ - $ 28.05 Klein Electric 16-1600 26A Exhaust -Supply Fans Material $ 1,140.00 $ - $ - $ 1,140.00 $ 1,140.00 $ 1,140.00 100.00% $ - $ 57.00 Klein Electric 16-1600 26A Exhaust -Supply Fans Labor $ 3,306.00 $ - $ - $ 3,306.00 $ 3,306.00 $ 3,306.00 100.00% $ - $ 165.30 Klein Electric 16-1600 26A Furnace Material $ 344.00 $ - $ - $ 344.00 $ 344.00 $ 344.00 100.00% $ - $ 17.20 Klein Electric 16-1600 26A Furnace Labor $ 713.00 $ - $ - $ 713.00 $ 713.00 $ 713.00 100.00% $ - $ 35.65 Klein Electric 16-1600 26A Heat Pumps -Coils Material $ 334.00 $ - $ - $ 334.00 $ 334.00 $ 334.00 100.00% $ - $ 16.70 Klein Electric 16-1600 26A Heat Pumps -Coils Labor $ 1,224.00 $ - $ - $ 1,224.00 $ 1,224.00 $ 1,224.00 100.00% $ - $ 61.20 Klein Electric 16-1600 26A Make Up Air Unit Material $ 1,334.00 $ - $ - $ 1,334.00 $ 1,334.00 $ 1,334.00 100.00% $ - $ 66.70 Klein Electric 16-1600 26A Make Up Air Unit Labor $ 1,590.00 $ - $ - $ 1,590.00 $ 1,590.00 $ 1,590.00 100.00% $ - $ 79.50 Klein Electric 16-1600 26A Pressure Washer Material $ 467.00 $ - $ - $ 467.00 $ 467.00 $ 467.00 100.00% $ - $ 23.35 Klein Electric 16-1600 26A Pressure Washer Labor $ 903.00 $ - $ - $ 903.00 $ 903.00 $ 903.00 100.00% $ - $ 45.15 Klein Electric 16-1600 26A Pumps Material $ 979.00 $ - $ - $ 979.00 $ 979.00 $ 979.00 100.00% $ - $ 48.95 Klein Electric 16-1600 26A Pumps Labor $ 1,443.00 $ - $ - $ 1,443.00 $ 1,443.00 $ 1,443.00 100.00% $ - $ 72.15 Klein Electric 16-1600 26A Roof Top Unit Material $ 968.00 $ - $ - $ 968.00 $ 968.00 $ 968.00 100.00% $ - $ 48.40 Klein Electric 16-1600 26A Roof Top Unit Labor $ 1,918.00 $ - $ - $ 1,918.00 $ 1,918.00 $ 1,918.00 100.00% $ - $ 95.90 Klein Electric 16-1600 26A Unit Heaters Material $ 1,200.00 $ - $ - $ 1,200.00 $ 1,200.00 $ 1,200.00 100.00% $ - $ 60.00 Klein Electric 16-1600 26A Unit Heaters Labor $ 2,335.00 $ - $ - $ 2,335.00 $ 2,335.00 $ 2,335.00 100.00% $ - $ 116.75 Klein Electric 16-1600 26A Steam Generator Material $ 542.00 $ - $ - $ 542.00 $ 542.00 $ 542.00 100.00% $ - $ 27.10 Klein Electric 16-1600 26A Steam Generator Labor $ 532.00 $ - $ - $ 532.00 $ 532.00 $ 532.00 100.009 $ - $ 26.60 Klein Electric 16-1600 26A DIV 27 Data Rough -In Material $ 2,714.00 $ - $ - $ 2,714.00 $ 2,714.00 $ 2,714.00 100.00% $ - $ 135.70 Klein Electric 16-1600 26A DIV 27 Data Rough -In Labor $ 3,398.00 $ - $ - $ 3,398.00 $ 3,398.00 $ 3,398.00 100.009 $ - $ 169.90 Klein Electric 16-1600 26A DIV 27 AV Rough -In Material $ 1,568.00 $ - $ - $ 1,568.00 $ 1,568.00 $ 1,568.00 100.00% $ - $ 78.40 Klein Electric 16-1600 26A DIV 27 AV Rough -In Labor $ 1,760.00 $ - $ - $ 1,760.00 $ 1,760.00 $ 1,760.00 100.00% $ - $ 88.00 Page 8 / 11 m TarERoiv NumberStatic 05 Terra 0 k River on #3 City f E, k MI CONSTRUCTION Cit of Elk River CONTINUATION SHEET AIA DOCUMENTG703 AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 23 Contractor's signed certification is attached. APPLICATION DATE: 12/31/22 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 12/31/22 Use Column I on Contracts where variable retainage for line items may apply. A A.1 B C CA C.2 C.3 D E F G H I SUBCONTRACTOR ITEM BID DESCRIPTION OF WORK SCHEDULED CHANGE BUDGET REVISED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE VENDOR NO. PACK VALUE ORDERS REVISION/ SCHEDULED PRESENTLY COMPLETED (G+C) TO FINISH (IF VARIABLE FROM PREVIOUS THIS PERIOD EMPLOYEE NO. CONTINGENCY VALUE APPLICATION STORED AND STORED (C -G) RATE) COST TRANSFER (D+E) (NOT IN TO DATE CODE D OR E) (D+E+F) Klein Electric 16-1600 26A DIV26 Fire Alarm/Twenty4Seven $ 7,044.00 $ - $ - $ 7,044.00 $ 7,044.00 $ 7,044.00 100.00% $ - $ 352.20 Klein Electric 16-1600 26A DIV 26 Fire Alarm Rough -In Material $ 226.00 $ - $ - $ 226.00 $ 226.00 $ 226.00 100.00% $ - $ 11.40 Klein Electric 16-1600 26A DIV 26 Fire Alarm Rough -In Labor $ 1,082.00 $ - $ - $ 1,082.00 $ 1,082.00 $ 1,082.00 100.00% $ - $ 54.10 Klein Electric 16-1600 26A DIV 26 Security Rough -In Material $ 592.00 $ - $ - $ 592.00 $ 592.00 $ 592.00 100.00% $ - $ 29.60 Klein Electric 16-1600 26A DIV 26 Security Rough -In Labor $ 2,765.00 $ - $ - $ 2,765.00 $ 2,765.00 $ 2,765.00 100.00% $ - $ 136.25 Klein Electric 16-1600 26A DIV 26 Site Future Cameras Material $ 4,147.00 $ - $ - $ 4,147.00 $ 4,147.00 $ 4,147.00 100.00% $ - $ 207.35 Klein Electric 16-1600 26A DIV 26 Site Future Cameras Labor $ 1,856.00 $ - $ - $ 1,856.00 $ 1,856.00 $ 1,856.00 100.00% $ - $ 92.60 Klein Electric 16-1600 26A CO#1 PR#6 Generator and Transformer $ - $ - $ (19,350.00) $ (19,350.00) $ (19,350.00) $ (19,350.00) 100.00% $ - $ (967.50) Klein Electric 16-1600 26A CO#2 PR#2 Overhead Doors & Circuiting $ - $ - $ 1,068.00 $ 1,068.00 $ 1,068.00 $ 1,068.00 100.00% $ - $ 53.40 Klein Electric 16-1600 26A CO#3 PR#3R $ - $ - $ (443.00) $ (443.00) $ (443.00) $ (443.00) 100.00% $ - $ (22.15) Klein Electric 16-1600 26A CO#4 ASI#1/RFI#19 $ - $ - $ (2,625.00) $ (2,625.00) $ (2,625.00) $ (2,625.00) 100.00% $ - $ (131.25) Klein Electric 16-1600 26A CO#5 PR#10R $ - $ - $ 1,875.00 $ 1,875.00 $ 1,875.00 $ 1,875.00 100.00% $ - $ 93.75 Klein Electric 16-1600 26A CO#6 PR#9R Elecrical Revisions $ - $ - $ 2,370.00 $ 2,370.00 $ 2,370.00 $ 2,370.00 100.00% $ - $ 116.50 Klein Electric 16-1600 26A CO#7 ASI#4R Tower Lights $ - $ - $ 8,136.00 $ 8,136.00 $ 8,136.00 $ 8,136.00 100.00% $ - $ 406.60 Klein Electric 16-1600 26A CO#B PR#17 SCBA Compressor $ - $ - $ 1,354.00 $ 1,354.00 $ 1,354.00 $ 1,354.00 100.00% $ - $ 67.70 Klein Electric 16-1600 26A CO#9 RFI#117 $ - $ - $ 963.00 $ 963.00 $ 963.00 $ 963.00 100.00% $ - $ 49.15 Klein Electric 16-1600 26A CO#10 RFI#116 Automatic Push Pad $ - $ - $ 437.00 $ 437.00 $ 437.00 $ 437.00 100.00% $ - $ 21.65 Klein Electric 16-1600 26A CO#11 RFI#156 $ - $ - $ 696.00 $ 696.00 $ 696.00 $ 696.00 100.00% $ - $ 34.90 Klein Electric 16-1600 26A CO#12 ASI#11 Wellness Room Light Fixture $ - $ - $ 1,319.00 $ 1,319.00 $ 1,319.00 $ 1,319.00 100.00% $ - $ 65.95 Klein Electric 16-1600 26A CO#13 RFI#160 $ - $ $ 3,500.00 $ 3,500.00 $ 3,500.00 $ 3,500.00 100.00% $ - $ 175.00 Klein Electric 16-1600 26A CO#14 RFI#21 Added Circuits & Unit Heaters $ - $ - $ 1,120.00 $ 1,120.00 $ 1,120.00 $ 1,120.00 100.00% $ - $ 56.00 Klein Electric 16-1600 26A CO#15 G9 Light Fixture $ - $ - $ 395.00 $ 395.00 $ 395.00 $ 395.00 100.00% $ - $ 19.75 Klein Electric 16-1600 26A CO#16 Omitting Tech Conduit Runs From App Bay $ - $ - $ (1,439.00) $ (1,439.00) $ (1,439.00) $ (1,439.00) 100.00% $ - $ (71.95) Klein Electric 16-1600 26A CO#17 Training Tower G1 Light Fixtures $ - $ - $ 1,427.00 $ 1,427.00 $ 1,427.00 $ 1,427.00 100.00% $ - $ 71.35 Klein Electric 16-1600 26A CO#16 App Bay Sectional Door Control Station $ - $ - $ 2,790.00 $ 2,790.00 $ 2,790.00 $ 2,790.00 100.00% $ - $ 139.50 Klein Electric 16-1600 26A CO#19 Thomsen Poured Concrete in Trash Enclosure $ - $ - $ (850.00) $ (850.00) $ (850.00) $ (850.00) 100.00% $ - $ (42.50) Klein Electric 16-1600 26A CO GFCI Receptacles Laundry $ - $ - $ 1,503.00 $ 1,503.00 $ 1,503.00 $ 1,503.00 100.00% $ - $ 75.15 Klein Electric 16-1600 26A CO IP Dialer $ - $ - $ 576.00 $ 576.00 $ 576.00 $ 576.00 100.00% $ - $ 26.90 Klein Electric 16-1600 26A CO Training Tower Lighting PR#27 $ - $ 3,663.00 $ 3,663.00 $ 3,663.00 $ 3,663.00 100.00% $ - $ 163.15 Klein Electric 16-1600 26A Raise Exterior Sign $ - $ - $ 445.00 $ 445.00 $ 445.00 $ 445.00 100.00% $ - $ 22.25 Klein Electric 16-1600 26A CO Lights at Pergola Credit $ - $ - $ (402.00) $ (402.00) $ (402.00) $ (402.00) 100.00% $ - $ (20.10) Klein Electric 16-1600 26A Decon Epoxy Flooring $ - $ - $ 201.00 $ 201.00 $ 201.00 $ 201.00 100.00% $ - $ 10.05 Twenty4Seven 16-1600 Horn Strobe Relocate and Replace $ - $ - $ 509.25 $ 509.25 $ 509.25 $ 509.25 100.00% $ - $ 25.46 Dryden Excavating 31-1000 31A Mobilization, Bond, SWPP Permit $ 7,000.00 $ - $ - $ 7,000.00 $ 7,000.00 $ 7,000.00 100.00% $ - $ 350.00 Dryden Excavating 31-1000 31A Bituminous Saw -Cutting Labor $ 2,105.00 $ - $ - $ 2,105.00 $ 2,105.00 $ 2,105.00 100.00% $ - $ 105.25 Dryden Excavating 31-1000 31A Bituminous Removal Labor $ 3,640.00 $ - $ - $ 3,640.00 $ 3,640.00 $ 3,640.00 100.00% $ - $ 162.00 Dryden Excavating 31-1000 31A Concrete Saw -Cutting Labor $ 160.00 $ - $ - $ 160.00 $ 160.00 $ 160.00 100.00% $ - $ 8.00 Dryden Excavating 31-1000 31A Concrete Removal Labor $ 3,236.00 $ - $ - $ 3,236.00 $ 3,236.00 $ 3,236.00 100.00% $ - $ 161.60 Dryden Excavating 31-1000 31A Tree Protection Labor $ 75.00 $ - $ - $ 75.00 $ 75.00 $ 75.00 100.00% $ - $ 3.75 Dryden Excavating 31-1000 31A Clearing & Grubbing Labor $ 2,100.00 $ - $ - $ 2,100.00 $ 2,100.00 $ 2,100.00 100.00% $ - $ 105.00 Dryden Excavating 31-1000 31A Topsoil Stripping & Emb. Labor $ 1,386.00 $ - $ - $ 1,386.00 $ 1,386.00 $ 1,386.00 100.00% $ - $ 69.30 Dryden Excavating 31-1000 31A Export Excess Topsoil Labor $ 14,055.00 $ - $ - $ 14,055.00 $ 14,055.00 $ 14,055.00 100.00% $ - $ 702.75 Dryden Excavating 31-1000 31A Site Grading Labor $ 56,076.01 $ - $ - $ 56,076.01 $ 56,076.01 $ 56,076.01 100.00% $ - $ 2,803.80 Dryden Excavating 31-1000 31A Site Grading Material $ 14,040.00 $ - $ - $ 14,040.00 $ 14,040.00 $ 14,040.00 100.00% $ - $ 702.00 Dryden Excavating 31-1000 31A Exc. & Backfill Foundations $ 25,378.00 $ $ - $ 25,378.00 $ 25,378.00 $ 25,378.00 100.00% $ - $ 1,268.90 Dryden Excavating 31-1000 31A Building Sand Cushion Labor $ 3,298.00 $ - $ - $ 3,298.00 $ 3,298.00 $ 3,298.00 100.00% $ - $ 164.90 Page 9 / 11 m TarERoiv NumberStatic 05 Terra 0 k River on #3 City f E, k MI CONSTRUCTION Cit of Elk River CONTINUATION SHEET AIA DOCUMENTG703 AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 23 Contractor's signed certification is attached. APPLICATION DATE: 12/31/22 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 12/31/22 Use Column I on Contracts where variable retainage for line items may apply. A A.1 B C CA C.2 C.3 D E F G H I SUBCONTRACTOR ITEM BID DESCRIPTION OF WORK SCHEDULED CHANGE BUDGET REVISED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE VENDOR NO. PACK VALUE ORDERS REVISION/ SCHEDULED PRESENTLY COMPLETED (G+C) TO FINISH (IF VARIABLE FROM PREVIOUS THIS PERIOD EMPLOYEE NO. CONTINGENCY VALUE APPLICATION STORED AND STORED (C -G) RATE) COST TRANSFER (D+E) (NOT IN TO DATE CODE D OR E) (D+E+F) Dryden Excavating 31-1000 31A Building Sand Cushion Material $ 629.00 $ - $ - $ 629.00 $ 629.00 $ 629.00 100.00% $ - $ 31.45 Dryden Excavating 31-1000 31A Class 5 Labor $ 9,014.00 $ - $ - $ 9,014.00 $ 9,014.00 $ 9,014.00 100.00% $ - $ 450.70 Dryden Excavating 31-1000 31A Class 5 Material $ 7,854.00 $ - $ - $ 7,854.00 $ 7,854.00 $ 7,854.00 100.00% $ - $ 392.70 Dryden Excavating 31-1000 31A Subgrade Prep Labor $ 8,595.00 $ - $ - $ 8,595.00 $ 8,595.00 $ 8,595.00 100.00% $ - $ 429.75 Dryden Excavating 31-1000 31A Dewatering Labor $ 2,625.00 $ - $ - $ 2,625.00 $ 2,625.00 $ 2,625.00 100.00% $ - $ 131.25 Dryden Excavating 31-1000 31A SWPP Permit $ 525.00 $ - $ - $ 525.00 $ 525.00 $ 525.00 100.00% $ - $ 26.25 Dryden Excavating 31-1000 31A Silt Fence Labor $ 2,240.00 $ - $ - $ 2,240.00 $ 2,240.00 $ 2,240.00 100.00% $ - $ 112.00 Dryden Excavating 31-1000 31A Silt Fence Material $ 700.00 $ - $ - $ 700.00 $ 700.00 $ 700.00 100.00% $ - $ 35.00 Dryden Excavating 31-1000 31A Inlet Protection Labor $ 2,502.00 $ - $ - $ 2,502.00 $ 2,502.00 $ 2,502.00 100.00% $ - $ 125.10 Dryden Excavating 31-1000 31A Construction Entrance Labor $ 2,000.00 $ - $ - $ 2,000.00 $ 2,000.00 $ 2,000.00 100.00% $ - $ 100.00 Dryden Excavating 31-1000 31A Construction Entrance Materials $ 100.00 $ - $ - $ 100.00 $ 100.00 $ 100.00 100.00% $ - $ 5.00 Dryden Excavating 31-1000 31A Hydro Seed $ 1,166.00 $ - $ - $ 1,166.00 $ 1,166.00 $ 1,166.00 100.00% $ - $ 56.30 Dryden Excavating 31-1000 31A Flex Mat Labor $ 700.00 $ - $ - $ 700.00 $ 700.00 $ 700.00 100.00% $ - $ 35.00 Dryden Excavating 31-1000 31A Flex Mat Material $ 3,266.00 $ - $ - $ 3,266.00 $ 3,266.00 $ 3,266.00 100.00% $ - $ 163.30 Dryden Excavating 31-1000 33A Mobilization, Bond, Permits $ 20,504.16 $ - $ - $ 20,504.16 $ 20,504.16 $ 20,504.16 100.00% $ - $ 1,025.21 Dryden Excavating 31-1000 33A Water Utilities Labor $ 25,719.19 $ - $ - $ 25,719.19 $ 25,719.19 $ 25,719.19 100.00% $ - $ 1,285.96 Dryden Excavating 31-1000 33A Water Utilities Material $ 52,306.23 $ - $ - $ 52,306.23 $ 52,306.23 $ 52,306.23 100.00% $ - $ 2,615.31 Dryden Excavating 31-1000 33A Wet Tap Labor $ 239.22 $ - $ - $ 239.22 $ 239.22 $ 239.22 100.00% $ - $ 11.96 Dryden Excavating 31-1000 33A Wet Tap Material $ 2,500.00 $ - $ - $ 2,500.00 $ 2,500.00 $ 2,500.00 100.00% $ - $ 125.00 Dryden Excavating 31-1000 33A Sanitary Piping Labor $ 9,667.77 $ - $ - $ 9,667.77 $ 9,667.77 $ 9,667.77 100.00% $ - $ 463.39 Dryden Excavating 31-1000 33A Sanitary Piping Material $ 91622.35 $ - $ - $ 9,622.35 $ 9,622.35 $ 9,622.35 100.00% $ - $ 461.12 Dryden Excavating 31-1000 33A Sanitary Manholes Labor $ 1,808.00 $ - $ - $ 1,808.00 $ 1,808.00 $ 1,808.00 100.00% $ - $ 90.40 Dryden Excavating 31-1000 33A Sanitary Manholes Material $ 9,425.00 $ - $ - $ 9,425.00 $ 9,425.00 $ 9,425.00 100.00% $ - $ 471.25 Dryden Excavating 31-1000 33A Manhole Castings Labor $ 691.20 $ - $ - $ 691.20 $ 691.20 $ 691.20 100.00% $ - $ 34.56 Dryden Excavating 31-1000 33A Manhole Castings Material $ 1,140.00 $ - $ - $ 1,140.00 $ 1,140.00 $ 1,140.00 100.00% $ - $ 57.00 Dryden Excavating 31-1000 33A Storm - PVC Piping Labor $ 8,024.15 $ - $ - $ 8,024.15 $ 8,024.15 $ 8,024.15 100.00% $ - $ 401.21 Dryden Excavating 31-1000 33A Storm - PVC Piping Material $ 10,992.34 $ - $ - $ 10,992.34 $ 10,992.34 $ 10,992.34 100.00% $ - $ 549.62 Dryden Excavating 31-1000 33A Storm -Concrete Piping/Manholes Labor $ 10,155.38 $ - $ - $ 10,155.38 $ 10,155.38 $ 10,155.38 100.00% $ - $ 507.77 Dryden Excavating 31-1000 33A Storm -Concrete Piping/Manholes Material $ 27,063.60 $ - $ - $ 27,063.60 $ 27,063.60 $ 27,063.60 100.00% $ - $ 1,353.18 Dryden Excavating 31-1000 33A Storm - Castings/Grates Labor $ 3,152.40 $ - $ - $ 3,152.40 $ 3,152.40 $ 3,152.40 100.00% $ - $ 157.62 Dryden Excavating 31-1000 33A Storm - Castings/Grates Material $ 52,068.00 $ - $ - $ 52,068.00 $ 52,068.00 $ 52,068.00 100.00% $ - $ 2,603.40 Dryden Excavating 31-1000 33A CO#1 Additional Construction Entrances $ - $ - $ 4,246.61 $ 4,246.61 $ 4,246.61 $ 4,246.61 100.00% $ - $ 212.33 Dryden Excavating 31-1000 33A CO#2 PR#7 Water Service $ - $ - $ (1,517.19) $ (1,517.19) $ (1,517.19) $ (1,517.19) 100.00% $ - $ (75.86) Dryden Excavating 31-1000 33A CO#3 PR#4 Stepped Footings $ - $ - $ 1,584.00 $ 1,584.00 $ 1,584.00 $ 1,584.00 100.00% $ - $ 79.20 Dryden Excavating 31-1000 33A CO#4 ASI#2 $ - $ - $ 6,096.75 $ 6,096.75 $ 6,096.75 $ 6,096.75 100.00% $ - $ 304.64 Dryden Excavating 31-1000 33A CO#5 B/C Thomsen $ - $ - $ (500.00) $ (500.00) $ (500.00) $ (500.00) 100.00% $ - $ (25.00) Dryden Excavating 31-1000 33A CO#6 Overexcavate Footing Trenches for Rock $ - $ - $ 21373.26 $ 2,373.26 $ 2,373.26 $ 2,373.26 100.00% $ - $ 116.66 Dryden Excavating 31-1000 33A CO#7 Furnish and Install 3'' Rock for Pump Truck $ - $ - $ 5,409.16 $ 5,409.16 $ 5,409.16 $ 5,409.16 100.00% $ - $ 270.46 Dryden Excavating 31-1000 33A CO#B Install Temp Drain Pipe $ - $ - $ 5,894.96 $ 5,894.96 $ 5,894.96 $ 5,894.96 100.00% $ - $ 294.75 Dryden Excavating 31-1000 33A CO#9 C-900 Municipal Water Piping $ - $ - $ 276.65 $ 276.65 $ 276.65 $ 276.65 100.00% $ - $ 13.93 Dryden Excavating 31-1000 33A CO#10 Damaged Transformer- repaired by ERMU $ - $ - $ (3,273.92) $ (3,273.92) $ (3,273.92) $ (3,273.92) 100.00% $ - $ (163.70) Dryden Excavating 31-1000 33A CO#11 Revised Finished Grade at Trash Enclosure $ - $ - $ 962.50 $ 962.50 $ 962.50 $ 962.50 100.00% $ - $ 46.13 Dryden Excavating 31-1000 33A CO#12 Crushed Concrete Entrance $ - $ - $ 3,935.75 $ 3,935.75 $ 3,935.75 $ 3,935.75 100.00% $ - $ 196.79 Dryden Excavating 31-1000 33A CO#13 Apparatus Bay Muck Out $ - $ - $ 2,103.84 $ 2,103.84 $ 2,103.84 $ 2,103.84 100.00% $ - $ 105.19 Dryden Excavating 31-1000 33A CO#14 Soil Correction South Parking Lot $ - $ - $ 61917.00 $ 6,917.00 $ 6,917.00 $ 6,917.00 100.00% $ - $ 345.65 Dryden Excavating 31-1000 33A CO#15 Training Tower Manhole $ - $ - $ 3,878.25 $ 3,678.25 $ 3,678.25 $ 3,878.25 100.009 $ - $ 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 Page 10 / 11 m TarERoiv NumberStatic 05 Terra 0 k River on #3 CONSTRUCTION Cit of Elk River MI City f E, k CONTINUATION SHEET AIA DOCUMENTG703 AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 23 Contractor's signed certification is attached. APPLICATION DATE: 12/31/22 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 12/31/22 Use Column I on Contracts where variable retainage for line items may apply. A A.1 B C CA C.2 C.3 D E F G H I SUBCONTRACTOR ITEM BID DESCRIPTION OF WORK SCHEDULED CHANGE BUDGET REVISED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE VENDOR NO. PACK VALUE ORDERS REVISION/ SCHEDULED PRESENTLY COMPLETED (G+C) TO FINISH (IF VARIABLE FROM PREVIOUS THIS PERIOD EMPLOYEE NO. CONTINGENCY VALUE APPLICATION STORED AND STORED (C -G) RATE) COST TRANSFER (D+E) (NOT IN TO DATE CODE D OR E) (D+E+F) Dryden Excavating 31-1000 33A CO Cleveland Ave Existing CBGrate $ - $ 814.69 $ - $ 814.69 $ 814.69 $ 814.69 100.00% $ - $ 40.73 Omann Brothers 32-1216 32C Gravel Base $ 16,920.00 $ - $ - $ 16,920.00 $ 16,920.00 $ 16,920.00 100.00% $ - $ 846.00 Omann Brothers 32-1216 32C Bit Base Course $ 25,370.00 $ - $ - $ 25,370.00 $ 25,370.00 $ 25,370.00 100.00% $ - $ 1,268.50 Omann Brothers 32-1216 32C Bit Wear Course $ 27,700.00 $ - $ - $ 27,700.00 $ 27,700.00 $ 27,700.00 100.00% $ - $ 1,385.00 Omann Brothers 32-1216 32C Striping $ 500.00 $ - $ - $ 500.00 $ 500.00 $ 500.00 100.00% $ - $ 25.00 Omann Brothers 32-1216 32C CO#1 PR#7 Water Service $ - $ - $ (850.00) $ (850.00) $ (850.00) $ (850.00) 100.00% $ - $ (42.50) Omann Brothers 32-1216 32C CO#2 Agg Base at intersection of 191st and Edision $ - $ - $ (845.28) $ (845.28) $ (845.28) $ (845.28) 100.00% $ - $ (42.26) Omann Brothers 32-1216 32C CO#3 Replacing Asphalt w/ Concrete at North Side of Site $ - $ - $ (5,400.00) $ (5,400.00) $ (5,400.00) $ (5,400.00) 100.00% $ - $ (270.00) Omann Brothers 32-1216 32C CO Escalation $ - $ - $ 3,588.30 $ 3,588.30 $ 3,588.30 $ 3,588.30 100.00% $ - $ 179.42 Omann Brothers 32-1216 32C CO Patch Trail $ - $ - $ 5,000.00 $ 5,000.00 $ 5,000.00 $ 5,000.00 100.00% $ - $ 250.00 Peterson Companies 32-4000 32A Fencing $ 4,485.00 $ - $ 1,113.00 $ 5,598.00 $ 5,598.00 $ 5,598.00 100.00% $ - $ 279.90 Autumn Ridge 32-3291 32B Landscaping $ 68,500.00 $ - $ - $ 68,500.00 $ 68,500.00 $ 68,500.00 100.00% $ - $ 3,425.00 Autumn Ridge 32-3291 32B CO#1 Smartlink Irrigation Controller $ - $ - $ 1,132.00 $ 1,132.00 $ 1,132.00 $ 1,132.00 100.00% $ - $ 56.60 Century Fence CO#1 Replacement of Damaged Fence from Camco $ - $ - $ 1,977.19 $ 1,977.19 $ 1,977.19 $ 1,977.19 100.00% $ - $ 98.86 GRANDTOTALS $ 6,898,246.00 1 $ 32,960.51 $ (0.00) $ 6,93 1,2 06.51 $ 6,897,364.68 $ 33,841.83 $ - $ 6,931,206.51 100.00% $ 0.00 $ 346,560.33 Page 11/11 Terra General Contractors, LLC 21025 Commerce Blvd., Ste 1000 Rogers, MN 55374 Phone 763-463-0220 City of Elk River 13065 Orono Parkway Elk River, MN 55330 Construction Services - December 2022 INVOICE Invoice Date Customer ID Invoice ID 12-31-2022 1 1-CIT013 20-705-20221231 Due Date Draw ID Job Number 01-30-2023 23 20-705 Job Location: Elk River Fire Station #3 Elk River, MN 55330 33,841.83 Amount Billed $33,841.83 Retainage Held 1,692.09 Total Amount Due $32,149.74 == Document G702° —1992 Application and Certificate for Payment TO OWNER: City of Elk River 13065 Orono Parkway NW Elk River, MN 55330 FROM Terra General Contractors CONTRACTOR: 21025 Commerce Blvd Ste 1000 Rogers MN 55374 421-4-2310-4520 PROJECT: 20-705 Elk River Fire Station #3 APPLICATION NO: 20-705-024 Retainage Distribution to: PERIOD TO: December 31, 2022 OWNER: CONTRACT FOR: General Construction ARCHITECT: VIA BKV Group CONTRACT DATE: October 19, 2020 ARCHITECT: 222 N 2nd St, #101 PROJECT NOS: / 20-705 / CONTRACTOR: MInneapolis, MN 55401 FIELD: ❑ CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for payment, as shown below, in connection with the Contract. AIA Document G7030, Continuation Sheet, is attached. 1. ORIGINAL CONTRACT SUM................................................................................ $6,899,246.00 2. NET CHANGE BY CHANGE ORDERS................................................................. $32,960.51 3. CONTRACT SUM TO DATE (Line 1 f 2)............................................................ $6,931,206.51 4. TOTAL COMPLETED & STORED TO DATE (Column G on G703) ................. $6,931,206.51 5. RETAINAGE: a. 0 % of Completed Work (Column D + E on G703) b. 0 % of Stored Material (Column F on G703) $0.00 $0.00 Total Retainage (Lines 5a + 5b or Total in Column I of G703) ................. $0.00 6. TOTAL EARNED LESS RETAINAGE................................................................... $6,931,206.51 (Line 4 Less Line 5 Total) 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT ............................................ $6.918.100.61 (Line 6 from prior Certificate) 8. CURRENT PAYMENT DUE.......................................................................... $13,105.90 9. BALANCE TO FINISH, INCLUDING RETAINAGE (Line 3 less Line 6) $0.00 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Total changes approved in previous months by Owner $36,266.70 $3,306.19 Total approved this Month $0.00 $0.00 TOTALS $36,266.70 $3,306.19 NET CHANGES by Change Order $32,960.51 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 received om the Owner, and that current payment shown herein is now due. CONTRACTOR: By: Dater 3 State of: Mi esota County of: Henne n ;�,'v, Subscribed and sworn to before .:_ RYAN SCOTT STRICKER me this 6d- day of<—(V�C)LNotary Public, State of Minnesota Gr✓1V 7 MYCommiJanuar31202gres Notary Public: Ryan Stricker My Commission expires: January 31, 2026 ARCHITECT'S CERTIFICATE FOR PAYMENT In accordance with the Contract Documents, based on on -site observations and the data comprising this application, the Architect certifies to the Owner that to the best of the Architect's knowledge, information and belief the Work has progressed as indicated, the quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. AMOUNTCERTIFIED...................................................................................... $13,105.90 (Attach explanation if amount certified differs from the amount applied. Initial all figures on this Application and on the Continuation Sheet that are changed to conform with the amount certified.) ARCHITECT: By: + Date: 01 /04/2023 This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. AIA Document G70211-1992. Copyright© 1953, 1963, 1965, 1971, 1978, 1983 and 1992 by The American Institute of Architects. All rights reserved. The "American Institute of Architects," "AIA," the AIA Logo, "G702," and "AIA Contract Documents" are registered trademarks and may not be used without permission. This document was produced by AIA software at 11:12:06 CT on 01/03/2023 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: (389ADA3E) m TarERoiv NumberStatic 05 Terra 0 k River on #3 City f E, k MI CONSTRUCTION Cit of Elk River CONTINUATION SHEET AIA DOCUMENTG703 AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 24 FINAL Contractor's signed certification is attached. APPLICATION DATE: 12/31/22 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 12/31/22 Use Column I on Contracts where variable retainage for line items may apply. A A.1 B C CA C.2 C.3 D E F G H I SUBCONTRACTOR ITEM BID DESCRIPTION OF WORK SCHEDULED CHANGE BUDGET REVISED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE VENDOR NO. PACK VALUE ORDERS REVISION/ SCHEDULED PRESENTLY COMPLETED (G+C) TO FINISH (IF VARIABLE FROM PREVIOUS THIS PERIOD EMPLOYEE NO. CONTINGENCY VALUE APPLICATION STORED AND STORED (C -G) RATE) COST TRANSFER (D+E) (NOT IN TO DATE CODE D OR E) (D+E+F) Preconstruction 01-0002 Preconstruction $ 10,000.00 $ 10,000.00 $ 10,000.00 $ - $ 10,000.00 100.00% $ - $ 500.00 Bonds & Insurance 01-0100 Bonds & Insurance $ 76,368.00 $ 76,368.00 $ 76,368.00 $ 76,368.00 100.00% $ - $ 3,818.40 Permit 01-0110 Permit $ 400.00 $ 1,033.46 $ 1,433.46 $ 1,433.46 $ 1,433.46 100.00% $ - $ 71.67 CM General Requirements 01-0120 CM General Requirements $ 724,061.00 $ - $ (7,465.48) $ 716,595.52 $ 716,595.52 $ - $ 716,595.52 100.00% $ - $ 35,829.78 CM Contingency 01-0130 CM Contingency $ 233,000.00 $ 27,774.61 $ (260,774.61) $ - $ - $ - #DIV/01 $ - $ - CM Fee 01-0150 CM Fee $ 101,734.00 $ 101,734.00 $ 101,734.00 $ 101,734.00 100.00% $ 0.00 $ 5,086.70 Thomsen Construction Services 03-3300 3A Footings/Pads $ 22,000.00 $ - $ - $ 22,000.00 $ 22,000.00 $ 22,000.00 100.00% $ - $ 1,100.00 Thomsen Construction Services 03-3300 3A Footings Labor $ 32,000.00 $ - $ - $ 32,000.00 $ 32,000.00 $ 32,000.00 100.00% $ - $ 1,600.00 Thomsen Construction Services 03-3300 3A Walls Material $ 14,000.00 $ - $ - $ 14,000.00 $ 14,000.00 $ 14,000.00 100.00% $ - $ 700.00 Thomsen Construction Services 03-3300 3A Walls Labor $ 60,000.00 $ - $ - $ 60,000.00 $ 60,000.00 $ 60,000.00 100.00% $ - $ 3,000.00 Thomsen Construction Services 03-3300 3A Slab on Grade Material $ 73,000.00 $ - $ - $ 73,000.00 $ 73,000.00 $ 73,000.00 100.00% $ - $ 3,650.00 Thomsen Construction Services 03-3300 3A Slab on Grade Labor $ 112,900.00 $ - $ - $ 112,900.00 $ 112,900.00 $ 112,900.00 100.00% $ - $ 5,645.00 Thomsen Construction Services 03-3300 3A Reinforcing Material $ 35,000.00 $ - $ - $ 35,000.00 $ 35,000.00 $ 35,000.00 100.00% $ - $ 1,750.00 Thomsen Construction Services 03-3300 3A CO#1 PR#4 Stepped Footings $ - $ - $ 2,500.00 $ 2,500.00 $ 2,500.00 $ 2,500.00 100.00% $ - $ 125.00 Thomsen Construction Services 03-3300 3A CO#2 B/C to Dryden $ - $ - $ 500.00 $ 500.00 $ 500.00 $ 500.00 100.00% $ - $ 25.00 Thomsen Construction Services 03-3300 3A CO#3 RFI#33 Stepped footings for B" Storm $ - $ - $ 600.00 $ 600.00 $ 600.00 $ 600.00 100.00% $ - $ 30.00 Thomsen Construction Services 03-3300 3A CO#4 RFI#37 Extended Foundation @ 166 $ - $ - $ 550.00 $ 550.00 $ 550.00 $ 550.00 100.00% $ $ 27.50 Thomsen Construction Services 03-3300 3A CO#5 Footings along GL-B $ - $ - $ 2,480.00 $ 2,480.00 $ 2,480.00 $ 2,480.00 100.00% $ - $ 124.00 Thomsen Construction Services 03-3300 3A CO#6 PR#19 Wellness Room $ - $ - $ 5,150.00 $ 5,150.00 $ 5,150.00 $ 5,150.00 100.00% $ - $ 257.50 Thomsen Construction Services 03-3300 3A CO#7 Concrete in Trash Enclosure (From Klein) $ - $ - $ 650.00 $ 650.00 $ 650.00 $ 650.00 100.00% $ - $ 42.50 Concrete Treatments 03-3350 3B & 9E Polished Concrete and Resinous Flooring $ 73,189.00 $ - $ - $ 73,189.00 $ 73,189.00 $ 73,189.00 100.00% $ - $ 3,659.45 Concrete Treatments 03-3350 3B & 9E CO#1 ASI#BR Changed Polished Flooring $ - $ - $ (3,839.00) $ (3,839.00) $ (3,839.00) $ (3,839.00) 100.00% $ - $ (191.95) Concrete Treatments 03-3350 3B & 9E CO#2 ASI#10 Stained Floor Logo in Lobby 116 $ - $ - $ (1,000.00) $ (1,000.00) $ (1,000.00) $ (1,000.00) 100.00% $ - $ (50.00) Concrete Treatments 03-3350 3B & 9E CO#3 Moisture Mitigation at App Bay Floor $ - $ - $ 6,565.00 $ 6,565.00 $ 6,565.00 $ 6,565.00 100.00% $ - $ 326.25 Concrete Treatments 03-3350 3B & 9E CO Decon Vestibule Epoxy $ - $ - $ 2,400.00 $ 2,400.00 $ 2,400.00 $ 2,400.00 100.00% $ - $ 120.00 Ultra Concrete 03-3390 32D Bond $ 2,400.00 $ - $ - $ 2,400.00 $ 2,400.00 $ 2,400.00 100.00% $ - $ 120.00 Ultra Concrete 03-3390 32D Curb $ 37,000.00 $ - $ - $ 37,000.00 $ 37,000.00 $ 37,000.00 100.00% $ - $ 1,850.00 Ultra Concrete 03-3390 32D Bollards/Flag Pole Footings $ 9,800.00 $ - $ - $ 9,800.00 $ 9,800.00 $ 9,800.00 100.00% $ - $ 490.00 Ultra Concrete 03-3390 32D Sidewalks/Paving $ 170,800.00 $ - $ - $ 170,800.00 $ 170,800.00 $ 170,800.00 100.00% $ - $ 8,540.00 Ultra Concrete 03-3390 32D CO#1 PR#7 Water Service $ - $ - $ (994.93) $ (994.93) $ (994.93) $ (994.93) 100.00% $ - $ (49.75) Ultra Concrete 03-3390 32D CO#2 Replacing Asphalt w/Concrete at N side of App Bay $ - $ - $ 11,593.62 $ 11,593.62 $ 11,593.62 $ 11,593.62 100.00% $ - $ 579.66 Ultra Concrete 03-3390 32D CO#3 Colored Concrete Deduct $ - $ - $ (541.20) $ (541.20) $ (541.20) $ (541.20) 100.00% $ - $ (27.06) Ultra Concrete 03-3390 32D CO#4 Trench Drain Concrete Pour $ - $ 1,776.21 $ 1,776.21 $ 1,776.21 $ 1,776.21 100.00% $ - $ 66.61 Ultra Concrete 03-3390 32D Concrete Pavingto Trench Drain Rebar $ - $ - $ 1,779.23 $ 1,779.23 $ 1,779.23 $ 1,779.23 100.00% $ - $ 66.96 Camco Construction 04-4200 4A Masonry -Bond $ 15,000.00 $ - $ - $ 15,000.00 $ 15,000.00 $ 15,000.00 100.00% $ - $ 750.00 Camco Construction 04-4200 4A Masonry-Rebar $ 40,000.00 $ - $ - $ 40,000.00 $ 40,000.00 $ 40,000.00 100.00% $ - $ 2,000.00 Camco Construction 04-4200 4A Masonry-Misc Masonry Materials $ 115,000.00 $ - $ - $ 115,000.00 $ 115,000.00 $ 115,000.00 100.00% $ - $ 5,750.00 Camco Construction 04-4200 4A Masonry -Insulation $ 20,000.00 $ - $ - $ 20,000.00 $ 20,000.00 $ 20,000.00 100.00% $ - $ 1:000.00 Camco Construction 04-4200 4A Masonry -Grout Material $ 42,000.00 $ - $ - $ 42,000.00 $ 42,000.00 $ 42,000.00 100.00% $ - $ 2100.00 Camco Construction 04-4200 4A Masonry -Grout Labor $ 50,000.00 $ - $ - $ 50,000.00 $ 50,000.00 $ 50,000.00 100.00% $ - $ 2,500.00 Camco Construction 04-4200 4A Masonry -Stone Material $ 60,000.00 $ - $ - $ 60,000.00 $ 60,000.00 $ 60,000.00 100.00% $ - $ 3,000.00 Camco Construction 04-4200 4A Masonry -Stone Labor $ 42,000.00 $ - $ - $ 42,000.00 $ 42,000.00 $ 42,000.00 100.00% $ - $ 2,100.00 Camco Construction 04-4200 4A Masonry-Facebrick Material $ 75,000.00 $ - $ - $ 75,000.00 $ 75,000.00 $ 75,000.00 100.00% $ - $ 3,750.00 Pagel /11 m TarERoiv NumberStatic 05 Terra 0 k River on #3 City f E, k MI CONSTRUCTION Cit of Elk River CONTINUATION SHEET AIA DOCUMENTG703 AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 24 FINAL Contractor's signed certification is attached. APPLICATION DATE: 12/31/22 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 12/31/22 Use Column I on Contracts where variable retainage for line items may apply. A A.1 B C CA C.2 C.3 D E F G H I SUBCONTRACTOR ITEM BID DESCRIPTION OF WORK SCHEDULED CHANGE BUDGET REVISED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE VENDOR NO. PACK VALUE ORDERS REVISION/ SCHEDULED PRESENTLY COMPLETED (G+C) TO FINISH (IF VARIABLE FROM PREVIOUS THIS PERIOD EMPLOYEE NO. CONTINGENCY VALUE APPLICATION STORED AND STORED (C -G) RATE) COST TRANSFER (D+E) (NOT IN TO DATE CODE D OR E) (D+E+F) Camco Construction 04-4200 4A Mason ry-Facebrick Labor $ 230,000.00 $ - $ - $ 230,000.00 $ 230,000.00 $ 230,000.00 100.00% $ - $ 11500.00 Camco Construction 04-4200 4A Masonry -Precast Material $ 35,000.00 $ - $ - $ 35,000.00 $ 35,000.00 $ 31,000.00 100.00% $ - $ 1:750.00 Camco Construction 04-4200 4A Masonry -Precast Labor $ 40,000.00 $ - $ - $ 40,000.00 $ 40,000.00 $ 40,000.00 100.00% $ - $ 2,000.00 Camco Construction 04-4200 4A Masonry-CMU Material $ 100,000.00 $ - $ - $ 100,000.00 $ 100,000.00 $ 100,000.00 100.00% $ - $ 5,000.00 Camco Construction 04-4200 4A Masonry-CMU Labor $ 251,000.00 $ - $ - $ 251,000.00 $ 251,000.00 $ 251,000.00 100.00% $ - $ 12,550.00 Camco Construction 04-4200 4A CO#1 ASI#5 Added 4'' Block $ - $ - $ 7,661.00 $ 7,661.00 $ 7,661.00 $ 7,661.00 100.00% $ - $ 363.05 Camco Construction 04-4200 4A CO#2 Century Fence - Temp Fence Replacement from Delivery $ - $ - $ (1,977.19) $ (1,977.19) $ (1,977.19) $ (1,977.19) 100.00% $ - $ (98.86) Camco Construction 04-4200 4A CO#3 Added CMU at Sill of S3 per RFI#96 $ - $ - $ 1,655.00 $ 1,655.00 $ 1,655.00 $ 1,655.00 100.00% $ - $ 62.75 Camco Construction 04-4200 4A CO#4 RFI#150 $ - $ - $ (678.00) $ (678.00) $ (678.00) $ (678.00) 100.00% $ - $ (33.90) Camco Construction 04-4200 4A CO#5 Physical Training Duct Work Patch (From PSM) $ - $ - $ 744.50 $ 744.50 $ 744.50 $ 744.50 100.00% $ - $ 37.23 Camco Construction 04-4200 4A CO#6 RFI#201 Door Frame 106 Reinstall (To MCD) $ - $ - $ (740.00) $ (740.00) $ (740.00) $ (740.00) 100.00% $ - $ (37.00) Camco Construction 04-4200 4A CO#7 RFI#201 Bondo and Re -Install Door 106 (To Century) $ - $ - $ (479.27) $ (479.27) $ (479.27) $ (479.27) 100.00% $ - $ (23.96) Camco Construction 04-4200 4A CO#B RFI#201 Repaainting Door Frame 106 (To Steinbrecher) $ - $ - $ (717.00) $ (717.00) $ (717.00) $ (717.00) 100.00% $ - $ (35.85) ACME Tuckpointing 04-4200 Tuckpointing and Brick Replacement for Raising Exterior Sign $ - $ - $ 6,500.00 $ 6,500.00 $ 6,500.00 $ 6,500.00 100.00% $ - $ 325.00 Axel Ohman 04-4200 Patch Stone Veneerto Match $ - $ - $ 1,968.00 $ 1,968.00 $ 1,968.00 $ 1,968.00 100.00% $ - $ 96.40 Distinctive Iron 05-5120 5A Structural Steel Material-Startup/Shop Drawings $ 38,200.00 $ - $ - $ 38,200.00 $ 38,200.00 $ 38,200.00 100.00% $ - $ 1,910.00 Distinctive Iron 05-5120 5A Structural Steel -Material $ 75,000.00 $ - $ - $ 75,000.00 $ 75,000.00 $ 75,000.00 100.00% $ - $ 3,750.00 Distinctive Iron 05-5120 5A Steel Material-Joist/Deck $ 115,553.75 $ - $ 87,196.25 $ 202,750.00 $ 202,750.00 $ 202,750.00 100.00% $ - $ 10,137.50 Distinctive Iron 05-5120 5A Steel Material-Misc $ 67,006.25 $ - $ - $ 67,006.25 $ 67,006.25 $ 67,006.25 100.00% $ - $ 3,350.31 Distinctive Iron 05-5120 5A CO#1 Salvaged Steel Bollards $ - $ - $ (1,232.00) $ (1,232.00) $ (1,232.00) $ (1,232.00) 100.00% $ - $ (61.60) Distinctive Iron 05-5120 5A CO#2 Increased RTU Loads $ - $ - $ 1,305.28 $ 1,305.28 $ 1,305.28 $ 1,305.28 100.00% $ - $ 65.26 Distinctive Iron 05-5120 5A CO#3 RFI#54 WS Beam Connections $ - $ - $ 1,406.22 $ 1,406.22 $ 1,406.22 $ 1,406.22 100.00% $ - $ 70.31 Distinctive Iron 05-5120 5A CO#4 RFI#46 Trench Drain Grates $ - $ - $ 415.34 $ 415.34 $ 415.34 $ 415.34 100.00% $ - $ 20.77 Distinctive Iron 05-5120 5A CO#5 Predrilling Sill Angles for Centuryto Install $ - $ - $ 676.41 $ 676.41 $ 676.41 $ 676.41 100.00% $ - $ 33.62 Distinctive Iron 05-5120 5A CO#6 RFI#69 Removal of 6x4x1/4'' Angle At OH App Doors $ - $ - $ (2,038.93) $ (2,038.93) $ (2,038.93) $ (2,038.93) 100.00% $ - $ (101.95) Distinctive Iron 05-5120 5A CO#7 ASI#BR Roof Transitions $ - $ - $ 6,193.52 $ 6,193.52 $ 6,193.52 $ 6,193.52 100.00% $ - $ 309.66 Distinctive Iron 05-5120 5A CO#B DI Pre Drilling $ - $ - $ 466.54 $ 466.54 $ 466.54 $ 466.54 100.00% $ - $ 23.43 Distinctive Iron 05-5120 5A CO#9 COR#37 Added 2 Loose Lintels $ - $ - $ 512.65 $ 512.65 $ 512.65 $ 512.65 100.00% $ - $ 25.63 Distinctive Iron 05-5120 5A CO#10 COR#36R Added Steel $ - $ - $ 3,702.44 $ 3,702.44 $ 3,702.44 $ 3,702.44 100.00% $ - $ 165.12 Distinctive Iron 05-5120 5A CO#11 RFI#103 Angles Above W1 Windows $ - $ - $ 1,062.67 $ 1,062.67 $ 1,062.67 $ 1,062.67 100.00% $ - $ 53.13 Distinctive Iron 05-5120 5A CO#12 RFI#109 $ - $ - $ (212.00) $ (212.00) $ (212.00) $ (212.00) 100.00% $ - $ (10.60) Distinctive Iron 05-5120 5A CO#13 RFI#100 $ - $ - $ 2,775.64 $ 2,775.64 $ 2,775.64 $ 2,775.64 100.00% $ - $ 136.76 Distinctive Iron 05-5120 5A CO#14 Replacement MC6x12 $ - $ - $ 2,135.02 $ 2,135.02 $ 2,135.02 $ 2,135.02 100.00% $ - $ 106.75 Distinctive Iron 05-5120 5A CO#15 Support for P3 At App Bay $ - $ - $ (212.00) $ (212.00) $ (212.00) $ (212.00) 100.00% $ - $ (10.60) Distinctive Iron 05-5120 5A CO#16 RFI#156Angle Iron Material $ - $ - $ 1,203.29 $ 1,203.29 $ 1,203.29 $ 1,203.29 100.00% $ - $ 60.16 Distinctive Iron 05-5120 5A CO#17 Added Steel Plate at Training Tower $ - $ - $ 633.64 $ 633.64 $ 633.64 $ 633.64 100.00% $ - $ 41.66 Distinctive Iron 05-5120 5A CO Trash Gate $ - $ - $ 2,730.55 $ 2,730.55 $ 2,730.55 $ 2,730.55 100.00% $ - $ 136.53 Patriot Erectors 05-5121 5B Structural Steel Erection $ 58,000.00 $ - $ - $ 58,000.00 $ 58,000.00 $ 58,000.00 100.00% $ - $ 2,900.00 Patriot Erectors 05-5121 5B Joists & Decking $ 29,575.00 $ - $ - $ 29,575.00 $ 29,575.00 $ 29,575.00 100.00% $ - $ 1,478.75 Patriot Erectors 05-5121 5B Metal Fabrications $ 26,175.00 $ - $ - $ 26,175.00 $ 26,175.00 $ 26,175.00 100.00% $ - $ 1,308.75 Patriot Erectors 05-5121 5B Bond $ 4,000.00 $ - $ - $ 4,000.00 $ 4,000.00 $ 4,000.00 100.00% $ - $ 200.00 Patriot Erectors 05-5121 5B CO#1 PR#2R Clerestory Head Detail $ - $ - $ 6,784.00 $ 6,784.00 $ 6,784.00 $ 6,784.00 100.00% $ - $ 339.20 Patriot Erectors 05-5121 5B CO#2 LT GA 3x3 Cavity Closure Angle Install $ - $ - $ 1,272.00 $ 1,272.00 $ 1,272.00 $ 1,272.00 100.00% $ $ 63.60 Patriot Erectors 05-5121 5B CO#3 RFI#69 Removal of angle at App Doors $ - $ - $ (1,060.00) $ (1,060.00) $ (1,060.00) $ (1,060.00) 100.00% $ - $ (53.00) Page 2/11 m TarERoiv NumberStatic 05 Terra 0 k River on #3 City f E, k MI CONSTRUCTION Cit of Elk River CONTINUATION SHEET AIA DOCUMENTG703 AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 24 FINAL Contractor's signed certification is attached. APPLICATION DATE: 12/31/22 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 12/31/22 Use Column I on Contracts where variable retainage for line items may apply. A A.1 B C CA C.2 C.3 D E F G H I SUBCONTRACTOR ITEM BID DESCRIPTION OF WORK SCHEDULED CHANGE BUDGET REVISED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE VENDOR NO. PACK VALUE ORDERS REVISION/ SCHEDULED PRESENTLY COMPLETED (G+C) TO FINISH (IF VARIABLE FROM PREVIOUS THIS PERIOD EMPLOYEE NO. CONTINGENCY VALUE APPLICATION STORED AND STORED (C -G) RATE) COST TRANSFER (D+E) (NOT IN TO DATE CODE D OR E) (D+E+F) Patriot Erectors 05-5121 5B C044 ASI#BR Roof Transition $ - $ - $ 530.00 $ 530.00 $ 530.00 $ 530.00 100.00% $ - $ 26.50 Patriot Erectors 05-5121 5B C045 RFI#92 Slab Edge Detail at Mezzanine Opening $ - $ - $ 230.00 $ 230.00 $ 230.00 $ 230.00 100.00% $ - $ 11.50 Patriot Erectors 05-5121 5B C046 PR#16 $ - $ - $ 477.00 $ 477.00 $ 477.00 $ 477.00 100.00% $ - $ 23.65 Patriot Erectors 05-5121 5B C047 RFI#103 Angles Above W1 Windows $ - $ - $ 424.00 $ 424.00 $ 424.00 $ 424.00 100.00% $ - $ 21.20 Patriot Erectors 05-5121 5B CO#B RFI#109 $ - $ - $ 212.00 $ 212.00 $ 212.00 $ 212.00 100.00% $ - $ 10.60 Patriot Erectors 05-5121 5B C049 RFI#100 $ - $ - $ 742.00 $ 742.00 $ 742.00 $ 742.00 100.00% $ - $ 37.10 Patriot Erectors 05-5121 5B CO#10 RFI #101 $ - $ - $ 212.00 $ 212.00 $ 212.00 $ 212.00 100.00% $ - $ 10.60 Patriot Erectors 05-5121 5B CO#11 RFI#156 Additional Angle Iron for Fan $ - $ - $ 1,612.00 $ 1,612.00 $ 1,612.00 $ 1,612.00 100.00% $ - $ 60.60 Patriot Erectors 05-5121 5B CO#12 RFI#159 Training Tower Welding $ - $ - $ 424.00 $ 424.00 $ 424.00 $ 424.00 100.00% $ - $ 21.20 Patriot Erectors 05-5121 5B CO#13 RFI#140 Rapelling Anchors $ - $ - $ 1,219.00 $ 1,219.00 $ 1,219.00 $ 1,219.00 100.00% $ - $ 60.95 Patriot Erectors 05-5121 5B CO Trash Gate $ - $ - $ 1,027.00 $ 1,027.00 $ 1,027.00 $ 1,027.00 100.00% $ - $ 51.35 Century Construction 06-6100 6A Performance & Payment Bond $ 6,400.00 $ - $ - $ 6,400.00 $ 6,400.00 $ 6,400.00 100.00% $ - $ 320.00 Ce ntury Construction 06-6100 6A Allowance $ 10,000.00 $ - $ - $ 10,000.00 $ 10,000.00 $ 10,000.00 100.00% $ - $ 500.00 Century Construction 06-6100 6A Mobilization $ 3,100.00 $ - $ - $ 3,100.00 $ 3,100.00 $ 3,100.00 100.00% $ - $ 155.00 Century Construction 06-6100 6A Materials $ 97,000.00 $ - $ - $ 97,000.00 $ 97,000.00 $ 97,000.00 100.00% $ - $ 4,850.00 Century Construction 06-6100 6A Material Blocking $ 12,000.00 $ - $ - $ 12,000.00 $ 12,000.00 $ 12,000.00 100.00% $ - $ 600.00 Century Construction 06-6100 6A Install Roof Blocking $ 43,000.00 $ - $ - $ 43,000.00 $ 43,000.00 $ 43,000.00 100.00% $ - $ 2,150.00 Century Construction 06-6100 6A Install In Wall Blocking $ 8,000.00 $ - $ - $ 8,000.00 $ 8,000.00 $ 8,000.00 100.00% $ - $ 400.00 Century Construction 06-6100 6A Cabinets and Millwork $ 8,500.00 $ $ - $ 8,500.00 $ 8,500.00 $ 8,500.00 100.00% $ - $ 425.00 Century Construction 06-6100 6A Specialties $ 32,000.00 $ - $ - $ 32,000.00 $ 32,000.00 $ 32,000.00 100.00% $ - $ 1,600.00 Century Construction 06-6100 6A Temp Enclosures $ 6,000.00 $ - $ - $ 6,000.00 $ 6,000.00 $ 6,000.00 100.00% $ - $ 300.00 Century Construction 06-6100 6A Doors & Hardware $ 17,000.00 $ - $ - $ 17,000.00 $ 17,000.00 $ 17,000.00 100.00% $ - $ 650.00 Century Construction 06-6100 6A C041 For Distinctive to Predrill Sill Angles $ - $ - $ (676.41) $ (676.41) $ (676.41) $ (676.41) 100.00% $ - $ (33.82) Century Construction 06-6100 6A C042 PR#15 Flagpoles $ - $ - $ (277.00) $ (277.00) $ (277.00) $ (277.00) 100.00% $ - $ (13.85) Century Construction 06-6100 6A C043 Disctinctive Predrill Holes for Operable Partition $ - $ - $ (468.54) $ (468.54) $ (468.54) $ (468.54) 100.00% $ - $ (23.43) Century Construction 06-6100 6A C044 Wood Blockingat Heads of W1 (Used $655 of Allowance) $ - $ - $ - $ - $ - $ - #DIV/01 $ - $ - Century Construction 06-6100 6A C045 RFI#110 Wood Blocking $ - $ - $ 534.35 $ 534.35 $ 534.35 $ 534.35 100.00% $ - $ 26.72 Century Construction 06-6100 6A C046 Allowance Usage (Remaining $8,290) $ - $ - $ - $ - $ - $ - #DIV/01 $ - $ - Century Construction 06-6100 6A C047 Allowance Usage (Remaining $7,018) $ - $ - $ (1,272.00) $ (1,272.00) $ (1,272.00) $ (1,272.00) 100.00% $ - $ (63.60) Century Construction 06-6100 6A CO#B PR#16Added Paper Towel/Trash Units $ - $ - $ 2,248.00 $ 2,248.00 $ 2,248.00 $ 2,248.00 100.00% $ - $ 112.40 Century Construction 06-6100 6A C049 CSI Div-10 Additional Charges $ - $ - $ 2,335.50 $ 2,335.50 $ 2,335.50 $ 2,335.50 100.00% $ - $ 116.76 Ce ntury Construction 06-6100 6A CO#10 Interior Signage $ - $ - $ (572.82) $ (572.82) $ (572.82) $ (572.82) 100.00% $ - $ (28.64) Century Construction 06-6100 6A CO#11 Allowance Usage (Remaining $3930.50) $ - $ - $ - $ - $ - $ - #DIV/01 $ - $ - Century Construction 06-6100 6A CO#12 RFI#201 Bondo and Reinstall Door 106 $ - $ - $ 479.27 $ 479.27 $ 479.27 $ 479.27 100.00% $ - $ 23.96 Century Construction 06-6100 6A CO Pergola $ - $ - $ (11,023.27) $ (11,023.27) $ (11,023.27) $ (11,023.27) 100.00% $ - $ (551.16) Century Construction 06-6100 6A CO Alternate Operable Partition $ - $ - $ 9,544.91 $ 9,544.91 $ 9,544.91 $ 9,544.91 100.00% $ - $ 477.25 Niche Visual 06-6100 Raise Exterior Sign $ - $ - $ 1,900.00 $ 1,900.00 $ 1,900.00 $ 1,900.00 100.00% $ - $ 95.00 Northern Woodwork 06-6400 6B Architectural Millwork $ 45,900.00 $ - $ - $ 45,900.00 $ 45,900.00 $ 45,900.00 100.00% $ - $ 2,295.00 Northern Woodwork 06-6400 6B C041 PR#16 $ - $ - $ 165.00 $ 165.00 $ 165.00 $ 165.00 100.00% $ - $ 6.25 Quality Coatings 07-7210 7C Fluid Applied Air Barrier $ 38,600.00 $ - $ - $ 38,600.00 $ 38,600.00 $ 38,600.00 100.00% $ - $ 1,930.00 Quality Coatings 07-7210 7C C041 ASI#BR Removal of Tranisition Membrane $ - $ - $ (800.00) $ (800.00) $ (800.00) $ (800.00) 100.00% $ - $ (40.00) Quality Coatings 07-7210 7C C042 Remove and Reinstall AS at W1 $ - $ - $ 1,590.00 $ 1,590.00 $ 1,590.00 $ 1,590.00 100.009 $ - $ 79.50 Quality Coatings 07-7210 7C C043 PR#20 $ - $ - $ (200.00) $ (200.00) $ (200.00) $ (200.00) 100.00% $ - $ (10.00) Qua Iity Coatings 07-7210 7C Raise Exterior Sign $ - $ - $ 925.00 $ 925.00 $ 925.00 $ 925.00 100.00% $ - $ 46.25 Page 3 / 11 m TarERoiv NumberStatic 05 Terra 0 k River on #3 City f E, k MI CONSTRUCTION Cit of Elk River CONTINUATION SHEET AIA DOCUMENTG703 AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 24 FINAL Contractor's signed certification is attached. APPLICATION DATE: 12/31/22 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 12/31/22 Use Column I on Contracts where variable retainage for line items may apply. A A.1 B C CA C.2 C.3 D E F G H I SUBCONTRACTOR ITEM BID DESCRIPTION OF WORK SCHEDULED CHANGE BUDGET REVISED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE VENDOR NO. PACK VALUE ORDERS REVISION/ SCHEDULED PRESENTLY COMPLETED (G+C) TO FINISH (IF VARIABLE FROM PREVIOUS THIS PERIOD EMPLOYEE NO. CONTINGENCY VALUE APPLICATION STORED AND STORED (C -G) RATE) COST TRANSFER (D+E) (NOT IN TO DATE CODE D OR E) (D+E+F) Horizon Roofing 07-7520 7A& 7B Roofing& Metal Wall Panels $ 385,124.00 $ - $ - $ 385,124.00 $ 385,124.00 $ 385,124.00 100.00% $ - $ 19,256.20 Horizon Roofing 07-7520 7A&7B CO#1 ASI#5 LT Angles $ - $ - $ 5,750.00 $ 5,750.00 $ 5,750.00 $ 5,750.00 100.00% $ - $ 287.50 Horizon Roofing 07-7520 7A & 7B CO#2 ASI#8R Reduction of Roof Membrane $ - $ - $ 2,600.00 $ 2,600.00 $ 2,600.00 $ 2,600.00 100.00% $ - $ 130.00 Horizon Roofing 07-7520 7A&7B CO#3 PR#14 Parapet Roofing Membrane $ - $ - $ (1,650.00) $ (1,650.00) $ (1,650.00) $ (1,650.00) 100.00% $ - $ (82.50) Horizon Roofing 07-7520 7A&7B CO#4 Overtime Work on 11/6 $ - $ - $ 2,682.00 $ 2,682.00 $ 2,682.00 $ 2,682.00 100.00% $ - $ 134.10 Horizon Roofing 07-7520 7A&7B CO#5 RFI#100 $ - $ - $ 1,350.00 $ 1,350.00 $ 1,350.00 $ 1,350.00 100.00% $ - $ 67.50 Horizon Roofing 07-7520 7A&7B CO#64th Floor Training Tower Roofing Membrane $ - $ - $ (935.00) $ (935.00) $ (935.00) $ (935.00) 100.00% $ - $ (46.75) Horizon Roofing 07-7520 7A&7B CO#7 Wall Reflashing at tops of Parapet Walls $ - $ - $ 1,425.00 $ 1,425.00 $ 1,425.00 $ 1,425.00 100.00% $ - $ 71.25 Horizon Roofing 07-7520 7A & 7B CO#8 Emergency Repairs on 12/17 $ - $ - $ 1,325.00 $ 1,325.00 $ 1,325.00 $ 1,325.00 100.00% $ - $ 66.25 Horizon Roofing 07-7520 7A&7B CO#9 Saddle Repair at existing saddle at North Training Tower $ - $ - $ 2,980.00 $ 2,980.00 $ 2,980.00 $ 2,980.00 100.00% $ - $ 149.00 Horizon Roofing 07-7520 7A & 7B CO Relocate Roof Vent $ - $ - $ 750.00 $ 750.00 $ 750.00 $ 750.00 100.00% $ - $ 37.50 Spec 07-7520 RFI#163 Training Tower Roofing Membrane $ - $ 5,513.00 $ 5,513.00 $ 5,513.00 $ 5,513.00 100.00% $ - $ 275.65 Sunrise Speciality 07-7900 7D Joint Sealants $ 45,470.00 $ - $ - $ 45,470.00 $ 45,470.00 $ 45,470.00 100.00% $ - $ 2,273.50 Sun rise Speciality 07-7900 7D CO#1 PR#2R Clerestory Head Detail $ - $ - $ 35.00 $ 35.00 $ 35.00 $ 35.00 100.00% $ - $ 1.75 Mid -Central Door 08-8200 SA Hardware $ 41,653.67 $ - $ - $ 41,653.67 $ 41,653.67 $ 41,653.67 100.00% $ - $ 2,082.68 Mid -Central Door 08-8200 SA HM Door $ 22,208.67 $ - $ - $ 22,208.67 $ 22,208.67 $ 22,208.67 100.00% $ - $ 1,110.43 Mid -Central Door 08-8200 SA HM Frame $ 19,666.66 $ - $ - $ 19,666.66 $ 19,666.66 $ 19,666.66 100.00% $ - $ 983.33 Mid -Central Door 08-8200 SA Specialty $ 3,133.00 $ - $ - $ 3,133.00 $ 3,133.00 $ 3,133.00 100.00% $ - $ 156.65 Mid -Central Door 08-8200 SA WD Door $ 7,727.00 $ - $ - $ 7,727.00 $ 7,727.00 $ 7,727.00 100.00% $ - $ 386.35 Mid -Central Door 08-8200 SA CO#1 Door Hardware Revisions (5/5/21) $ - $ - $ 2,152.97 $ 2,152.97 $ 2,152.97 $ 2,152.97 100.00% $ - $ 107.65 Mid -Central Door 08-8200 SA CO#2 Door Frame 108 Refab Door (From Camco) $ - $ - $ 740.00 $ 740.00 $ 740.00 $ 740.00 100.00% $ - $ 37.00 American Door Works 08-8361 SB Sectional Overhead Doors $ 170,570.00 $ - $ - $ 170,570.00 $ 170,570.00 $ 170,570.00 100.00% $ - $ 8,528.50 American Door Works 08-8361 SB CO#1 PR#2 Overhead Doors & Circuiting $ - $ - $ (37,217.00) $ (37,217.00) $ (37,217.00) $ (37,217.00) 100.00% $ - $ (1,860.85) American Door Works 08-8361 SB CO#2 PR#12 Revised the 3 OH Doors $ - $ - $ (36,410.00) $ (36,410.00) $ (36,410.00) $ (36,410.00) 100.00% $ - $ (1,820.50) Hallmark Glass 08-8800 SC Shop Drawings $ 3,500.00 $ - $ - $ 3,500.00 $ 3,500.00 $ 3,500.00 100.00% $ - $ 175.00 Hallmark Glass 08-8800 SC Bond $ 5,000.00 $ - $ - $ 5,000.00 $ 5,000.00 $ 5,000.00 100.00% $ - $ 250.00 Hallmark Glass 08-8800 SC Aluminum Labor $ 32,630.00 $ - $ - $ 32,630.00 $ 32,630.00 $ 32,630.00 100.00% $ - $ 1,631.50 Hallmark Glass 08-8800 SC Aluminum Material $ 48,750.00 $ - $ - $ 48,750.00 $ 48,750.00 $ 48,750.00 100.00% $ - $ 2,437.50 Hallmark Glass 08-8800 SC Door Hardware Labor $ 3,000.00 $ - $ - $ 3,000.00 $ 3,000.00 $ 3,000.00 100.00% $ - $ 150.00 Hallmark Glass 08-8800 SC Door Hardware material $ 26,000.00 $ - $ - $ 26,000.00 $ 26,000.00 $ 26,000.00 100.00% $ - $ 1,300.00 Hallmark Glass 08-8800 SC Glass & Glazing Labor $ 10,200.00 $ - $ - $ 10,200.00 $ 10,200.00 $ 10,200.00 100.00% $ - $ 510.00 Hallmark Glass 08-8800 SC Glass& Glazing Material $ 29,000.00 $ - $ - $ 29,000.00 $ 29,000.00 $ 29,000.00 100.00% $ - $ 1,450.00 Hallmark Glass 08-8800 SC Arch Louvers Labor $ 1,620.00 $ - $ - $ 1,620.00 $ 1,620.00 $ 1,620.00 100.00% $ - $ 81.00 Hallmark Glass 08-8800 SC Arch Louvers Material $ 3,800.00 $ - $ - $ 3,800.00 $ 3,800.00 $ 3,800.00 100.00% $ $ 190.00 Hallmark Glass 08-8800 SC CO#1 RFI#181 SF 140X SF Head Detail $ - $ - $ 362.00 $ 362.00 $ 362.00 $ 362.00 100.00% $ - $ 18.10 Niemela Design and Construction 09-9250 9A Framing- Material $ 19,873.00 $ - $ - $ 19,873.00 $ 19,873.00 $ 19,873.00 100.00% $ - $ 993.65 Niemela Design and Construction 09-9250 9A Insulation - Material $ 5,063.00 $ - $ - $ 5,063.00 $ 5,063.00 $ 5,063.00 100.00% $ - $ 253.15 Niemela Design and Construction 09-9250 9A Drywall- Material $ 20,024.00 $ - $ - $ 20,024.00 $ 20,024.00 $ 20,024.00 100.00% $ - $ 1,001.20 Niemela Design and Construction 09-9250 9A Taping/Finishing- Material $ 2,930.00 $ $ - $ 2,930.00 $ 2,930.00 $ 2,930.00 100.00% $ - $ 146.50 Niemela Design and Construction 09-9250 9A Sealants/Acoustical- Material $ 2,500.00 $ - $ - $ 2,500.00 $ 2,500.00 $ 2,500.00 100.00% $ - $ 125.00 Niemela Design and Construction 09-9250 9A FRP - Material $ 806.00 $ - $ - $ 806.00 $ 806.00 $ 806.00 100.00% $ - $ 40.30 Page 4 / 11 m TarERoiv NumberStatic 05 Terra 0 k River on #3 City f E, k MI CONSTRUCTION Cit of Elk River CONTINUATION SHEET AIA DOCUMENTG703 AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 24 FINAL Contractor's signed certification is attached. APPLICATION DATE: 12/31/22 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 12/31/22 Use Column I on Contracts where variable retainage for line items may apply. A A.1 B C CA C.2 C.3 D E F G H I SUBCONTRACTOR ITEM BID DESCRIPTION OF WORK SCHEDULED CHANGE BUDGET REVISED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE VENDOR NO. PACK VALUE ORDERS REVISION/ SCHEDULED PRESENTLY COMPLETED (G+C) TO FINISH (IF VARIABLE FROM PREVIOUS THIS PERIOD EMPLOYEE NO. CONTINGENCY VALUE APPLICATION STORED AND STORED (C -G) RATE) COST TRANSFER (D+E) (NOT IN TO DATE CODE D OR E) (D+E+F) Niemela Design and Construction 09-9250 9A Framing- Labor $ 33,795.00 $ - $ - $ 33,795.00 $ 33,795.00 $ 33,795.00 100.00% $ - $ 1,689.75 Niemela Design and Construction 09-9250 9A Insulation - Labor $ 6,500.00 $ - $ - $ 6,500.00 $ 6,500.00 $ 6,500.00 100.00% $ - $ 325.00 Niemela Design and Construction 09-9250 9A Drywall- Labor $ 22,810.00 $ - $ - $ 22,810.00 $ 22,810.00 $ 22,810.00 100.00% $ - $ 1,140.50 Niemela Design and Construction 09-9250 9A Taping/Finishing- Labor $ 23,301.00 $ - $ - $ 23,301.00 $ 23,301.00 $ 23,301.00 100.00% $ - $ 1,165.05 Niemela Design and Construction 09-9250 9A Sealants/Acoustical- Labor $ 3,000.00 $ - $ - $ 3,000.00 $ 3,000.00 $ 3,000.00 100.00% $ - $ 150.00 Niemela Design and Construction 09-9250 9A FRP - Labor $ 630.00 $ - $ - $ 630.00 $ 630.00 $ 630.00 100.00% $ - $ 31.50 Niemela Design and Construction 09-9250 9A Equipment- Lift $ 7,500.00 $ - $ - $ 7,500.00 $ 7,500.00 $ 7,500.00 100.00% $ - $ 375.00 Niemela Design and Construction 09-9250 9A Mobilization $ 5,000.00 $ - $ - $ 5,000.00 $ 5,000.00 $ 5,000.00 100.00% $ - $ 250.00 Niemela Design and Construction 09-9250 9A Bonding $ 2,915.00 $ - $ - $ 2,915.00 $ 2,915.00 $ 2,915.00 100.00% $ - $ 145.75 Niemela Design and Construction 09-9250 9A Allowance (Terra Directed) $ 5,000.00 $ - $ - $ 5,000.00 $ 5,000.00 $ 5,000.00 100.00% $ - $ 250.00 Niemela Design and Construction 09-9250 9A Allowance -Access Panels $ 2,000.00 $ - $ - $ 2,000.00 $ 2,000.00 $ 2,000.00 100.00% $ - $ 100.00 Niemela Design and Construction 09-9250 9A CO#1 PR#2R Clerestory Head Detail $ - $ - $ 4,963.35 $ 4,963.35 $ 4,963.35 $ 4,963.35 100.00% $ - $ 246.17 Niemela Design and Construction 09-9250 9A CO#2 PR#3R $ - $ - $ (357.00) $ (357.00) $ (357.00) $ (357.00) 100.00% $ - $ (17.85) Niemela Design and Construction 09-9250 9A CO#3 ASI#9 Soffit Revisions $ - $ - $ 295.00 $ 295.00 $ 295.00 $ 295.00 100.00% $ - $ 14.75 Niemela Design and Construction 09-9250 9A CO#4 RFI#107 $ - $ - $ 213.00 $ 213.00 $ 213.00 $ 213.00 100.00% $ - $ 10.65 Niemela Design and Construction 09-9250 9A CO#5 RFI#100 $ - $ - $ 433.00 $ 433.00 $ 433.00 $ 433.00 100.00% $ - $ 21.65 Niemela Design and Construction 09-9250 9A CO#6 RFI#121 $ - $ - $ 250.00 $ 250.00 $ 250.00 $ 250.00 100.00% $ - $ 12.50 Niemela Design and Construction 09-9250 9A CO#7 PR#16Added Framingfor Trash Units $ - $ - $ 1,050.00 $ 1,050.00 $ 1,050.00 $ 1,050.00 100.00% $ - $ 52.50 Niemela Design and Construction 09-9250 9A CO#B RFI#154 2'' XPS Tile Backer at Wellness Room $ - $ - $ 5,666.00 $ 5,666.00 $ 5,666.00 $ 5,666.00 100.00% $ - $ 264.40 Niemela Design and Construction 09-9250 9A CO#9 CMU Laminating and Skim Coating $ - $ $ 10,300.00 $ 10,300.00 $ 10,300.00 $ 10,300.00 100.00% $ - $ 515.00 Niemela Design and Construction 09-9250 9A CO#10 Added Trip Charge $ - $ - $ 950.00 $ 950.00 $ 950.00 $ 950.00 100.00% $ - $ 47.50 Niemela Design and Construction 09-9250 9A CO#11 Option 1 Hilti Spray & Paint $ - $ - $ 4,613.00 $ 4,613.00 $ 4,613.00 $ 4,613.00 100.00% $ - $ 230.65 Niemela Design and Construction 09-9250 9A CO#12 PR#20 $ - $ - $ (245.00) $ (245.00) $ (245.00) $ (245.00) 100.00% $ - $ (12.25) Niemela Design and Construction 09-9250 9A CO#13 RFI#150 $ - $ - $ 1,369.00 $ 1,369.00 $ 1,369.00 $ 1,369.00 100.00% $ - $ 66.45 Niemela Design and Construction 09-9250 9A CO#14 Creditfor Gyp at SF140X Head Detail $ - $ - $ (50.00) $ (50.00) $ (50.00) $ (50.00) 100.00% $ - $ (2.50) Niemela Design and Construction 09-9250 9A CO#15Access Panel Allowance Usage ($0 Remanining) $ - $ - $ - $ - $ - $ - #DIV/01 $ - $ - Niemela Design and Construction 09-9250 9A CO#16 Using$330of $5000AIlowance ($4670 Remaining) $ - $ - $ - $ - $ - $ - #DIV/01 $ - $ - Niemela Design and Construction 09-9250 9A CO#17 Using$325 of Allowance ($4345 Remaining) $ - $ - $ - $ - $ - $ - #DIV/01 $ - $ - Niemela Design and Construction 09-9250 9A CO#16 Soffit Expansion Joint Painting $ - $ - $ (823.00) $ (823.00) $ (823.00) $ (823.00) 100.00% $ - $ (41.15) Niemela Design and Construction 09-9250 9A CO Vent Hood Backing $ - $ - $ 541.25 $ 541.25 $ 541.25 $ 541.25 100.00% $ - $ 27.06 Tim's Construction Group 09-9300 9B Labor $ 23,450.00 $ - $ - $ 23,450.00 $ 23,450.00 $ 23,450.00 100.00% $ - $ 1,172.50 Tim's Construction Group 09-9300 9B Tile Material $ 26,365.00 $ - $ - $ 26,365.00 $ 26,365.00 $ 26,365.00 100.00% $ - $ 1,318.25 Tim's Construction Group 09-9300 9B CO#1 - PR#20 $ - $ - $ (210.00) $ (210.00) $ (210.00) $ (210.00) 100.00% $ - $ (10.50) Sonus Interiors 09-9510 9C ACT-1 Material $ 9,850.00 $ - $ - $ 9,850.00 $ 9,850.00 $ 9,850.00 100.00% $ - $ 492.50 Sonus Interiors 09-9510 9C ACT-1 Labor $ 6,936.00 $ - $ - $ 6,936.00 $ 6,936.00 $ 6,936.00 100.00% $ - $ 346.60 Sonus Interiors 09-9510 9C ACP Material $ 61,659.00 $ - $ - $ 61,659.00 $ 61,659.00 $ 61,659.00 100.00% $ - $ 3,082.95 Sonus Interiors 09-9510 9C ACP Labor $ 9,674.00 $ - $ - $ 9,674.00 $ 9,674.00 $ 9,674.00 100.00% $ - $ 463.70 Sonus Interiors 09-9510 9C Bond $ 1,231.00 $ - $ - $ 1,231.00 $ 1,231.00 $ 1,231.00 100.00% $ - $ 61.55 Sonus Interiors 09-9510 9C CO#1 PR#3R $ - $ - $ 1,130.00 $ 1,130.00 $ 1,130.00 $ 1,130.00 100.00% $ - $ 56.50 Sonus Interiors 09-9510 9C CO#2 RFI#76 Extended Wall Track $ - $ - $ 637.00 $ 637.00 $ 637.00 $ 637.00 100.00% $ - $ 31.65 Sonus Interiors 09-9510 9C CO#3 ASI#9 Removed ACT in Room 124 $ - $ - $ (257.00) $ (257.00) $ (257.00) $ (257.00) 100.00% $ - $ (12.85) Centennial Flooring 09-9660 9D Carpet & Resilient Flooring -Material $ 14,000.00 $ - $ - $ 14,000.00 $ 14,000.00 $ 14,000.00 100.00% $ - $ 700.00 Centennial Flooring 09-9660 9D Carpet & Resilient Flooring -Labor $ 5,500.00 $ - $ - $ 5,500.00 $ 5,500.00 $ 5,500.00 100.00% $ - $ 275.00 Centennial Flooring 09-9660 9D CO#1 RFI#143 Added LokDots $ - $ - $ 215.00 $ 215.00 $ 215.00 $ 215.00 J.00.00% $ - $ 10.75 Centennial Flooring 09-9660 9D Decon Vestibule $ - $ - $ 250.00 $ 250.00 $ 250.00 $ 250.00 J.00.00% $ - $ 12.50 Page 5/11 m TarERoiv NumberStatic 05 Terra 0 k River on #3 City f E, k MI CONSTRUCTION Cit of Elk River CONTINUATION SHEET AIA DOCUMENTG703 AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 24 FINAL Contractor's signed certification is attached. APPLICATION DATE: 12/31/22 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 12/31/22 Use Column I on Contracts where variable retainage for line items may apply. A A.1 B C CA C.2 C.3 D E F G H I SUBCONTRACTOR ITEM BID DESCRIPTION OF WORK SCHEDULED CHANGE BUDGET REVISED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE VENDOR NO. PACK VALUE ORDERS REVISION/ SCHEDULED PRESENTLY COMPLETED (G+C) TO FINISH (IF VARIABLE FROM PREVIOUS THIS PERIOD EMPLOYEE NO. CONTINGENCY VALUE APPLICATION STORED AND STORED (C -G) RATE) COST TRANSFER (D+E) (NOT IN TO DATE CODE D OR E) (D+E+F) Steinbrecher Painting 09-9910 9F Painting& Wallcovering $ 76,200.00 $ - $ - $ 76,200.00 $ 76,200.00 $ 76,200.00 100.00% $ - $ 3,810.00 Stein brecher Pa inting 09-9910 9F CO#1 ASI#10 Interior Finishes $ - $ - $ 673.00 $ 673.00 $ 673.00 $ 673.00 100.00% $ - $ 33.65 Steinbrecher Painting 09-9910 9F CO#2 Added Painting at M04 & Vestibule 107 PR#20 $ - $ - $ 415.00 $ 415.00 $ 415.00 $ 415.00 100.00% $ - $ 20.75 Ste in brecher Pa inting 09-9910 9F CO#3 Painting Soffits after Control Joints $ - $ - $ 823.00 $ 823.00 $ 823.00 $ 823.00 100.00% $ - $ 41.15 Steinbrecher Painting 09-9910 9F CO#4 RFI#201 Repainting Door Frame 108 $ - $ - $ 717.00 $ 717.00 $ 717.00 $ 717.00 100.00% $ - $ 35.85 Steinbrecher Painting 09-9910 9F CO Relocate Roof Vent $ - $ - $ 373.00 $ 373.00 $ 373.00 $ 373.00 100.00% $ - $ 18.65 Steinbrecher Painting 09-9910 9F CO Vent Hood Blocking $ - $ - $ 88.00 $ 88.00 $ 88.00 $ 88.00 100.00% $ - $ 4.40 Steinbrecher Painting 09-9910 9F CO Omit WC-1 $ - $ - $ (1,475.00) $ (1,475.00) $ (1,475.00) $ (1,475.00) 100.00% $ - $ (73.75) Peterson Sheet Metal 15-1500 22A Mechanical -Fabricated Ductwork $ 16,475.00 $ - $ - $ 16,475.00 $ 16,475.00 $ 16,475.00 100.00% $ - $ 823.75 Peterson Sheet Metal 15-1500 22A Mechanical -Duct Field Material $ 19,439.00 $ - $ - $ 19,439.00 $ 19,439.00 $ 19,439.00 100.00% $ - $ 971.95 Peterson Sheet Metal 15-1500 22A Mechanical -Plumbing Material $ 71,868.00 $ - $ - $ 71:868.00 $ 71:868.00 $ 71,868.00 100.00% $ - $ 3,593.40 Peterson Sheet Metal 15-1500 22A Mechanical -Piping Material $ 40,271.00 $ - $ - $ 40,271.00 $ 40,271.00 $ 40,271.00 100.00% $ - $ 2,013.55 Peterson Sheet Metal 15-1500 22A Mechanical -Insulation Material $ 16,961.00 $ - $ - $ 16,961.00 $ 16,961.00 $ 16,961.00 100.00% $ - $ 848.05 Peterson Sheet Metal 15-1500 22A Mechanical -Ventilation Material $ 84,721.00 $ - $ - $ 84,721.00 $ 84,721.00 $ 84,721.00 100.00% $ - $ 4,236.05 Peterson Sheet Metal 15-1500 22A Mechanical -Plumbing Labor $ 146,790.00 $ - $ - $ 146,790.00 $ 146,790.00 $ 146,790.00 100.00% $ - $ 7,339.50 Peterson Sheet Metal 15-1500 22A Mechanical -Piping Labor $ 78,083.00 $ - $ - $ 78,083.00 $ 78,083.00 $ 78,083.00 100.00% $ - $ 3,904.15 Peterson Sheet Metal 15-1500 22A Mechanical -Insulation Labor $ 35,439.00 $ - $ - $ 35,439.00 $ 35,439.00 $ 35,439.00 100.00% $ - $ 1,771.95 Peterson Sheet Metal 15-1500 22A Mechanical -Ventilation Equipment $ 84,178.00 $ - $ - $ 84,178.00 $ 84,178.00 $ 84,178.00 100.00% $ - $ 4,208.90 Peterson Sheet Metal 15-1500 22A Mechanical -Plumbing Fixtures/Equip $ 98,598.00 $ - $ - $ 98,598.00 $ 98,598.00 $ 98,598.00 100.00% $ - $ 4,929.90 Peterson Sheet Metal 15-1500 22A Mechanical -Piping Equipment $ 57,433.00 $ - $ - $ 57,433.00 $ 57,433.00 $ 57,433.00 100.00% $ - $ 2,871.65 Peterson Sheet Metal 15-1500 22A Mechanical -Refer Piping/Startup $ 4,394.00 $ - $ - $ 4,394.00 $ 4,394.00 $ 4,394.00 100.00% $ - $ 219.70 Peterson Sheet Metal 15-1500 22A Mechanical -Balancing $ 7,976.00 $ - $ - $ 7,976.00 $ 7,976.00 $ 7,976.00 100.00% $ - $ 398.80 Peterson Sheet Metal 15-1500 22A Mechanical -Temp Controls $ 66,259.00 $ - $ - $ 66,259.00 $ 66,259.00 $ 66,259.00 100.00% $ - $ 3,312.95 Peterson Sheet Metal 15-1500 22A Mechanical -Crane $ 1,785.00 $ - $ - $ 1,785.00 $ 1,785.00 $ 1,785.00 100.00% $ - $ 89.25 Peterson Sheet Metal 15-1500 22A Mechanical -Permits $ 15,000.00 $ - $ - $ 15,000.00 $ 15,000.00 $ 15,000.00 100.00% $ - $ 750.00 Peterson Sheet Metal 15-1500 22A Mechanical -Bond $ 8,000.00 $ - $ - $ 8,000.00 $ 8,000.00 $ 8,000.00 100.00% $ - $ 400.00 Peterson Sheet Metal 15-1500 22A Mechanical -Submittals $ 5,000.00 $ - $ - $ 5,000.00 $ 5,000.00 $ 5,000.00 100.00% $ - $ 250.00 Peterson Sheet Metal 15-1500 22A Mechanical -General Administration $ 63,330.00 $ - $ - $ 63,330.00 $ 63,330.00 $ 63,330.00 100.00% $ - $ 3,166.50 Peterson Sheet Metal 15-1500 22A CO#1 PR#3R $ - $ - $ 3,532.00 $ 3,532.00 $ 3,532.00 $ 3,532.00 100.00% $ - $ 176.60 Peterson Sheet Metal 15-1500 22A CO#2 Added expansion tankforsnow melt $ - $ - $ 2,504.00 $ 2,504.00 $ 2,504.00 $ 2,504.00 100.00% $ - $ 125.20 Peterson Sheet Metal 15-1500 22A CO#3 App Bay Truck Fill & Compressed Air $ - $ - $ 30,621.00 $ 30,621.00 $ 30,621.00 $ 30,621.00 100.00% $ - $ 1,531.05 Peterson Sheet Metal 15-1500 22A CO#4 Eye Wash Station $ - $ - $ (949.00) $ (949.00) $ (949.00) $ (949.00) 100.00% $ - $ (47.45) Peterson Sheet Metal 15-1500 22A CO#5 PR#17 SCBA Compressor $ - $ - $ 1,790.00 $ 1,790.00 $ 1,790.00 $ 1,790.00 100.00% $ - $ 89.50 Peterson Sheet Metal 15-1500 22A CO#6 RFI#107 $ - $ - $ (213.00) $ (213.00) $ (213.00) $ (213.00) 100.00% $ - $ (10.65) Peterson Sheet Metal 15-1500 22A CO#7 RFI#121 $ - $ - $ (250.00) $ (250.00) $ (250.00) $ (250.00) 100.00% $ - $ (12.50) Peterson Sheet Metal 15-1500 22A CO#8 PR#13 Steam Generator $ - $ - $ 8,342.00 $ 8,342.00 $ 8,342.00 $ 8,342.00 100.00% $ - $ 417.10 Peterson Sheet Metal 15-1500 22A CO#9 Duct Insulation Replacement (Carp Allowance) $752 $ - $ - $ - $ - $ - $ - #DIV/01 $ - $ - Peterson Sheet Metal 15-1500 22A CO#10 Added PVC Insualtion $ - $ - $ 723.00 $ 723.00 $ 723.00 $ 723.00 100.00% $ - $ 36.15 Peterson Sheet Metal 15-1500 22A CO#11 Bay Duct Relocation due to Air Drop $ - $ - $ 5,688.00 $ 5,688.00 $ 5,688.00 $ 5,688.00 100.00% $ - $ 284.40 Peterson Sheet Metal 15-1500 22A CO#12 PR#22 $ - $ - $ 709.00 $ 709.00 $ 709.00 $ 709.00 100.00% $ - $ 35.45 Peterson Sheet Metal 15-1500 22A CO#13 CMU Patch work for Duct 139 Training Room $ - $ - $ (744.50) $ (744.50) $ (744.50) $ (744.50) 100.00% $ - $ (37.23) Peterson Sheet Metal 15-1500 22A CO#14 RFI#183 Revised Exhaust Air Register Size $ - $ - $ 2,503.00 $ 2,503.00 $ 2,503.00 $ 2,503.00 100.00% $ - $ 125.15 Peterson Sheet Metal 15-1500 22A CO#15 RFI#139 Credit for Duct Protection $ - $ - $ (470.00) $ (470.00) $ (470.00) $ (470.00) 100.00% $ - $ (23.50) Peterson Sheet Metal 15-1500 22A CO Relocate Roof Vent $ - $ - $ 2,046.00 $ 2,046.00 $ 2,046.00 $ 2,046.00 100.00% $ - $ 102.30 Peterson Sheet Metal 15-1500 22A CO Vent Hood Backing $ - $ - $ 437.00 $ 437.00 $ 437.00 $ 437.00 100.00% $ $ 21.85 Peterson Sheet Metal 15-1500 22A CO for RPZ Labor $ - $ - $ 947.00 $ 947.00 $ 947.00 $ 947.00 100.00% $ - $ 47.35 Page 6 / 11 m TarERoiv NumberStatic 05 Terra 0 k River on #3 City f E, k MI CONSTRUCTION Cit of Elk River CONTINUATION SHEET AIA DOCUMENTG703 AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 24 FINAL Contractor's signed certification is attached. APPLICATION DATE: 12/31/22 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 12/31/22 Use Column I on Contracts where variable retainage for line items may apply. A A.1 B C CA C.2 C.3 D E F G H I SUBCONTRACTOR ITEM BID DESCRIPTION OF WORK SCHEDULED CHANGE BUDGET REVISED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE VENDOR NO. PACK VALUE ORDERS REVISION/ SCHEDULED PRESENTLY COMPLETED (G+C) TO FINISH (IF VARIABLE FROM PREVIOUS THIS PERIOD EMPLOYEE NO. CONTINGENCY VALUE APPLICATION STORED AND STORED (C -G) RATE) COST TRANSFER (D+E) (NOT IN TO DATE CODE D OR E) (D+E+F) Peterson Sheet Metal 15-1500 22A CO Creditforwater leakconcrete repair $ - $ (1,068.00) $ - $ (1,068.00) $ (1,068.00) $ (1,068.00) 100.00% $ - $ (53.40) Summit Fire 15-1533 21A Labor $ 18,200.00 $ - $ - $ 18,200.00 $ 18,200.00 $ 18,200.00 100.00% $ - $ 910.00 Summit Fire 15-1533 21A Material $ 22,800.00 $ - $ - $ 22,800.00 $ 22,800.00 $ 22,800.00 100.00% $ - $ 1,140.00 Summit Fire 15-1533 21A Design $ 3,200.00 $ - $ - $ 3,200.00 $ 3,200.00 $ 3,200.00 100.00% $ - $ 160.00 Summit Fire 15-1533 21A Fabrication $ 2,600.00 $ - $ - $ 2,600.00 $ 2,600.00 $ 2,600.00 100.00% $ - $ 130.00 Summit Fire 15-1533 21A Bond $ 800.00 $ - $ - $ 800.00 $ 800.00 $ 800.00 100.00% $ - $ 40.00 Summit Fire 15-1533 21A CO#1 ASI#9 Redesigned Sprinkler Layout $ - $ - $ 620.00 $ 620.00 $ 620.00 $ 620.00 100.00% $ - $ 41.00 Klein Electric 16-1600 26A Electrical -Permit $ 1,325.00 $ - $ - $ 1,325.00 $ 1,325.00 $ 1,325.00 100.00% $ - $ 66.25 Klein Electric 16-1600 26A Electrical -Bond $ 4,347.00 $ - $ - $ 4,347.00 $ 4,347.00 $ 4,347.00 100.00% $ - $ 217.35 Klein Electric 16-1600 26A Mobilization $ 22,936.00 $ - $ - $ 22,936.00 $ 22,936.00 $ 22,936.00 100.00% $ - $ 1,146.80 Klein Electric 16-1600 26A Temp Power/Job Trailer $ 1,710.00 $ - $ - $ 1,710.00 $ 1,710.00 $ 1,710.00 100.00% $ - $ 65.50 Klein Electric 16-1600 26A Temp Power/Site $ 3,325.00 $ - $ - $ 3,325.00 $ 3,325.00 $ 3,325.00 100.00% $ - $ 166.25 Klein Electric 16-1600 26A Temp Power/Building $ 3,325.00 $ - $ - $ 3,325.00 $ 3,325.00 $ 3,325.00 100.00% $ - $ 166.25 Klein Electric 16-1600 26A Switchgear Package/Graybar Electric Co $ 26,645.00 $ - $ - $ 28,845.00 $ 28,845.00 $ 28,845.00 100.00% $ - $ 1,442.25 Klein Electric 16-1600 26A Utility Fees/Elk River Public Utilities $ 6,279.00 $ - $ - $ 8,279.00 $ 8,279.00 $ 8,279.00 100.00% $ - $ 413.95 Klein Electric 16-1600 26A Utility Transformer Pad Material $ 1,045.00 $ - $ - $ 1,045.00 $ 1,045.00 $ 1,045.00 100.00% $ - $ 52.25 Klein Electric 16-1600 26A Utility Transformer Pad Labor $ 1,425.00 $ - $ - $ 1,425.00 $ 1,425.00 $ 1,425.00 100.00% $ - $ 71.25 Klein Electric 16-1600 26A Service Entrance Material $ 4,834.00 $ - $ - $ 4,834.00 $ 4,834.00 $ 4,834.00 100.00% $ - $ 241.70 Klein Electric 16-1600 26A Service Entrance Labor $ 3,827.00 $ - $ - $ 3,827.00 $ 3,827.00 $ 3,827.00 100.00% $ - $ 191.35 Klein Electric 16-1600 26A Service Equipment Material $ 2,776.00 $ - $ - $ 2,776.00 $ 2,776.00 $ 2,776.00 100.00% $ - $ 136.60 Klein Electric 16-1600 26A Service Equipment Labor $ 3,277.00 $ - $ - $ 3,277.00 $ 3,277.00 $ 3,277.00 100.00% $ - $ 163.65 Klein Electric 16-1600 26A Power Panelboards Material $ 2,739.00 $ - $ - $ 2,739.00 $ 2,739.00 $ 2,739.00 100.00% $ - $ 136.95 Klein Electric 16-1600 26A Power Panelboards Labor $ 2,856.00 $ - $ - $ 2,856.00 $ 2,856.00 $ 2,856.00 100.00% $ - $ 142.60 Klein Electric 16-1600 26A Generator Package/Total Energy Systems $ 79,282.00 $ - $ - $ 79,282.00 $ 79,282.00 $ 79,282.00 100.00% $ - $ 3,964.10 Klein Electric 16-1600 26A Generator Pad Material $ 1,235.00 $ - $ - $ 1,235.00 $ 1,235.00 $ 1,235.00 100.00% $ - $ 61.75 Klein Electric 16-1600 26A Generator Pad Labor $ 1,710.00 $ - $ - $ 1,710.00 $ 1,710.00 $ 1,710.00 100.00% $ - $ 65.50 Klein Electric 16-1600 26A Generator Material $ 1,562.00 $ - $ - $ 1,562.00 $ 1,562.00 $ 1,562.00 100.00% $ - $ 76.10 Klein Electric 16-1600 26A Generator Labor $ 4,091.00 $ - $ - $ 4,091.00 $ 4,091.00 $ 4,091.00 100.00% $ - $ 204.55 Klein Electric 16-1600 26A Generator Serivice Entrance Material $ 3,841.00 $ - $ - $ 3,841.00 $ 3,841.00 $ 3,841.00 100.00% $ - $ 192.05 Klein Electric 16-1600 26A Generator Serivice Entrance Labor $ 3,599.00 $ - $ - $ 3,599.00 $ 3,599.00 $ 3,599.00 100.00% $ - $ 179.95 Klein Electric 16-1600 26A ATS Equipment Material $ 2,309.00 $ - $ - $ 2,309.00 $ 2,309.00 $ 2,309.00 100.00% $ - $ 115.45 Klein Electric 16-1600 26A ATS Equipment Labor $ 2,901.00 $ - $ - $ 2,901.00 $ 2,901.00 $ 2,901.00 100.00% $ - $ 145.05 Klein Electric 16-1600 26A ES Panelboards Material $ 601.00 $ - $ - $ 601.00 $ 601.00 $ 601.00 100.00% $ - $ 40.05 Klein Electric 16-1600 26A ES Panelboards Labor $ 1,146.00 $ - $ - $ 1,146.00 $ 1,146.00 $ 1,146.00 100.00% $ - $ 57.30 Klein Electric 16-1600 26A Light Fixture Package/Viking Electric $ 94,954.00 $ - $ - $ 94,954.00 $ 94,954.00 $ 94,954.00 100.00% $ - $ 4,747.70 Klein Electric 16-1600 26A Fixture Material $ 6,196.00 $ - $ - $ 6,196.00 $ 6,196.00 $ 6,196.00 100.00% $ - $ 309.60 Klein Electric 16-1600 26A Fixture Labor $ 21,162.00 $ - $ - $ 21,162.00 $ 21,162.00 $ 21,162.00 100.00% $ - $ 1,058.10 Klein Electric 16-1600 26A Fixture Control Material $ 1,572.00 $ - $ - $ 1,572.00 $ 1,572.00 $ 1,572.00 100.00% $ - $ 76.60 Klein Electric 16-1600 26A Fixture Control Labor $ 4,632.00 $ - $ - $ 4,632.00 $ 4,632.00 $ 4,632.00 100.00% $ - $ 231.60 Klein Electric 16-1600 26A HVLS Fan/Big Ass Fans $ 10,123.00 $ - $ - $ 10,123.00 $ 10,123.00 $ 10,123.00 100.00% $ - $ 506.15 Klein Electric 16-1600 26A HVLS Fan Material $ 313.00 $ - $ - $ 313.00 $ 313.00 $ 313.00 100.00% $ - $ 15.65 Klein Electric 16-1600 26A HVLS Fan Labor $ 676.00 $ - $ - $ 676.00 $ 676.00 $ 676.00 100.00% $ - $ 43.90 Klein Electric 16-1600 26A Site Pole Bases Material $ 2,320.00 $ - $ - $ 2,320.00 $ 2,320.00 $ 2,320.00 100.00% $ - $ 116.00 Klein Electric 16-1600 26A Site Pole Bases Labor $ 2,546.00 $ - $ - $ 2,546.00 $ 2,546.00 $ 2,546.00 100.009 $ - $ 127.30 Klein Electric 16-1600 26A Site Pole Underground Material $ 2,318.00 $ - $ - $ 2,318.00 $ 2,318.00 $ 2,318.00 100.00% $ - $ 115.90 Klein Electric 16-1600 26A Site Pole Underground Labor $ 3,041.00 $ - $ - $ 3,041.00 $ 3,041.00 $ 3,041.00 100.00% $ - $ 152.05 Page 7 / 11 m TarERoiv NumberStatic 05 Terra 0 k River on #3 City f E, k MI CONSTRUCTION Cit of Elk River CONTINUATION SHEET AIA DOCUMENTG703 AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 24 FINAL Contractor's signed certification is attached. APPLICATION DATE: 12/31/22 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 12/31/22 Use Column I on Contracts where variable retainage for line items may apply. A A.1 B C CA C.2 C.3 D E F G H I SUBCONTRACTOR ITEM BID DESCRIPTION OF WORK SCHEDULED CHANGE BUDGET REVISED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE VENDOR NO. PACK VALUE ORDERS REVISION/ SCHEDULED PRESENTLY COMPLETED (G+C) TO FINISH (IF VARIABLE FROM PREVIOUS THIS PERIOD EMPLOYEE NO. CONTINGENCY VALUE APPLICATION STORED AND STORED (C -G) RATE) COST TRANSFER (D+E) (NOT IN TO DATE CODE D OR E) (D+E+F) Klein Electric 16-1600 26A Site Pole Install Material $ 98.00 $ - $ - $ 98.00 $ 98.00 $ 98.00 100.00% $ - $ 4.90 Klein Electric 16-1600 26A Site Pole Install Labor $ 1,126.00 $ - $ - $ 1,126.00 $ 1,126.00 $ 1,126.00 100.00% $ - $ 56.30 Klein Electric 16-1600 26A Site Flag Pole -Sign Material $ 1,757.00 $ - $ - $ 1,757.00 $ 1,757.00 $ 1,757.00 100.00% $ - $ 87.85 Klein Electric 16-1600 26A Site Flag Pole -Sign Labor $ 1,982.00 $ - $ - $ 1,982.00 $ 1,982.00 $ 1,982.00 100.00% $ - $ 99.10 Klein Electric 16-1600 26A Site Grill-Recept Material $ 376.00 $ - $ - $ 376.00 $ 376.00 $ 376.00 100.00% $ - $ 18.80 Klein Electric 16-1600 26A Site Grill-Recept Labor $ 507.00 $ - $ - $ 507.00 $ 507.00 $ 507.00 100.00% $ - $ 25.35 Klein Electric 16-1600 26A Power -Device Material $ 15,167.00 $ - $ - $ 15,167.00 $ 15,167.00 $ 15,167.00 100.00% $ - $ 758.35 Klein Electric 16-1600 26A Power -Device Labor $ 26,781.00 $ - $ - $ 26,781.00 $ 26,781.00 $ 26,781.00 100.00% $ - $ 1,339.05 Klein Electric 16-1600 26A Floor Boxes/Graybar Electric Co $ 2,011.00 $ - $ - $ 2,011.00 $ 2,011.00 $ 2,011.00 100.00% $ - $ 100.55 Klein Electric 16-1600 26A Floor Box Material $ 668.00 $ - $ - $ 668.00 $ 668.00 $ 668.00 100.00% $ - $ 33.40 Klein Electric 16-1600 26A Floor Box Labor $ 2,021.00 $ - $ - $ 2,021.00 $ 2,021.00 $ 2,021.00 100.00% $ - $ 101.05 Klein Electric 16-1600 26A Cord Reels/Graybar Electric Co $ 3,585.00 $ - $ - $ 3,585.00 $ 3,585.00 $ 3,585.00 100.00% $ - $ 179.25 Klein Electric 16-1600 26A Cord Reels Material $ 496.00 $ - $ - $ 496.00 $ 496.00 $ 496.00 100.00% $ - $ 24.80 Klein Electric 16-1600 26A Cord Reels Labor $ 1,694.00 $ - $ - $ 1,694.00 $ 1,694.00 $ 1,694.00 100.00% $ - $ 84.70 Klein Electric 16-1600 26A OHD Material $ 1,247.00 $ - $ - $ 1,247.00 $ 1,247.00 $ 1,247.00 100.00% $ - $ 62.35 Klein Electric 16-1600 26A OHD Labor $ 2,742.00 $ - $ - $ 2,742.00 $ 2,742.00 $ 2,742.00 100.00% $ - $ 137.10 Klein Electric 16-1600 26A Air Comprssor Material $ 325.00 $ - $ - $ 325.00 $ 325.00 $ 325.00 100.00% $ - $ 16.25 Klein Electric 16-1600 26A Air Comprssor Labor $ 498.00 $ - $ - $ 498.00 $ 498.00 $ 498.00 100.00% $ - $ 24.90 Klein Electric 16-1600 26A Boilers Material $ 380.00 $ - $ - $ 380.00 $ 380.00 $ 380.00 100.00% $ - $ 19.00 Klein Electric 16-1600 26A Boilers Labor $ 648.00 $ - $ - $ 648.00 $ 648.00 $ 648.00 100.00% $ - $ 32.40 Klein Electric 16-1600 26A Compressed Air Dryer Material $ 532.00 $ - $ - $ 532.00 $ 532.00 $ 532.00 100.00% $ - $ 26.60 Klein Electric 16-1600 26A Compressed Air Dryer Labor $ 540.00 $ - $ - $ 540.00 $ 540.00 $ 540.00 100.00% $ - $ 27.00 Klein Electric 16-1600 26A Condensing Unit Material $ 208.00 $ - $ - $ 208.00 $ 208.00 $ 208.00 100.00% $ - $ 10.40 Klein Electric 16-1600 26A Condensing Unit Labor $ 369.00 $ - $ - $ 369.00 $ 369.00 $ 369.00 100.00% $ - $ 18.45 Klein Electric 16-1600 26A Domestic Water Heater -Pump Material $ 252.00 $ - $ - $ 252.00 $ 252.00 $ 252.00 100.00% $ - $ 12.60 Klein Electric 16-1600 26A Domestic Water Heater -Pump Labor $ 561.00 $ - $ - $ 561.00 $ 561.00 $ 561.00 100.00% $ - $ 28.05 Klein Electric 16-1600 26A Exhaust -Supply Fans Material $ 1,140.00 $ - $ - $ 1,140.00 $ 1,140.00 $ 1,140.00 100.00% $ - $ 57.00 Klein Electric 16-1600 26A Exhaust -Supply Fans Labor $ 3,306.00 $ - $ - $ 3,306.00 $ 3,306.00 $ 3,306.00 100.00% $ - $ 165.30 Klein Electric 16-1600 26A Furnace Material $ 344.00 $ - $ - $ 344.00 $ 344.00 $ 344.00 100.00% $ - $ 17.20 Klein Electric 16-1600 26A Furnace Labor $ 713.00 $ - $ - $ 713.00 $ 713.00 $ 713.00 100.00% $ - $ 35.65 Klein Electric 16-1600 26A Heat Pumps -Coils Material $ 334.00 $ - $ - $ 334.00 $ 334.00 $ 334.00 100.00% $ - $ 16.70 Klein Electric 16-1600 26A Heat Pumps -Coils Labor $ 1,224.00 $ - $ - $ 1,224.00 $ 1,224.00 $ 1,224.00 100.00% $ - $ 61.20 Klein Electric 16-1600 26A Make Up Air Unit Material $ 1,334.00 $ - $ - $ 1,334.00 $ 1,334.00 $ 1,334.00 100.00% $ - $ 66.70 Klein Electric 16-1600 26A Make Up Air Unit Labor $ 1,590.00 $ - $ - $ 1,590.00 $ 1,590.00 $ 1,590.00 100.00% $ - $ 79.50 Klein Electric 16-1600 26A Pressure Washer Material $ 467.00 $ - $ - $ 467.00 $ 467.00 $ 467.00 100.00% $ - $ 23.35 Klein Electric 16-1600 26A Pressure Washer Labor $ 903.00 $ - $ - $ 903.00 $ 903.00 $ 903.00 100.00% $ - $ 45.15 Klein Electric 16-1600 26A Pumps Material $ 979.00 $ - $ - $ 979.00 $ 979.00 $ 979.00 100.00% $ - $ 48.95 Klein Electric 16-1600 26A Pumps Labor $ 1,443.00 $ - $ - $ 1,443.00 $ 1,443.00 $ 1,443.00 100.00% $ - $ 72.15 Klein Electric 16-1600 26A Roof Top Unit Material $ 968.00 $ - $ - $ 968.00 $ 968.00 $ 968.00 100.00% $ - $ 48.40 Klein Electric 16-1600 26A Roof Top Unit Labor $ 1,918.00 $ - $ - $ 1,918.00 $ 1,918.00 $ 1,918.00 100.00% $ - $ 95.90 Klein Electric 16-1600 26A Unit Heaters Material $ 1,200.00 $ - $ - $ 1,200.00 $ 1,200.00 $ 1,200.00 100.00% $ - $ 60.00 Klein Electric 16-1600 26A Unit Heaters Labor $ 2,335.00 $ - $ - $ 2,335.00 $ 2,335.00 $ 2,335.00 100.00% $ - $ 116.75 Klein Electric 16-1600 26A Steam Generator Material $ 542.00 $ - $ - $ 542.00 $ 542.00 $ 542.00 100.00% $ - $ 27.10 Klein Electric 16-1600 26A Steam Generator Labor $ 532.00 $ - $ - $ 532.00 $ 532.00 $ 532.00 100.009 $ - $ 26.60 Klein Electric 16-1600 26A DIV 27 Data Rough -In Material $ 2,714.00 $ - $ - $ 2,714.00 $ 2,714.00 $ 2,714.00 100.00% $ - $ 135.70 Klein Electric 16-1600 26A DIV 27 Data Rough -In Labor $ 3,398.00 $ - $ - $ 3,398.00 $ 3,398.00 $ 3,398.00 100.009 $ - $ 169.90 Klein Electric 16-1600 26A DIV 27 AV Rough -In Material $ 1,568.00 $ - $ - $ 1,568.00 $ 1,568.00 $ 1,568.00 100.00% $ - $ 78.40 Klein Electric 16-1600 26A DIV 27 AV Rough -In Labor $ 1,760.00 $ - $ - $ 1,760.00 $ 1,760.00 $ 1,760.00 100.00% $ - $ 88.00 Page 8 / 11 m TarERoiv NumberStatic 05 Terra 0 k River on #3 City f E, k MI CONSTRUCTION Cit of Elk River CONTINUATION SHEET AIA DOCUMENTG703 AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 24 FINAL Contractor's signed certification is attached. APPLICATION DATE: 12/31/22 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 12/31/22 Use Column I on Contracts where variable retainage for line items may apply. A A.1 B C CA C.2 C.3 D E F G H I SUBCONTRACTOR ITEM BID DESCRIPTION OF WORK SCHEDULED CHANGE BUDGET REVISED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE VENDOR NO. PACK VALUE ORDERS REVISION/ SCHEDULED PRESENTLY COMPLETED (G+C) TO FINISH (IF VARIABLE FROM PREVIOUS THIS PERIOD EMPLOYEE NO. CONTINGENCY VALUE APPLICATION STORED AND STORED (C -G) RATE) COST TRANSFER (D+E) (NOT IN TO DATE CODE D OR E) (D+E+F) Klein Electric 16-1600 26A DIV26 Fire Alarm/Twenty4Seven $ 7,044.00 $ - $ - $ 7,044.00 $ 7,044.00 $ 7,044.00 100.00% $ - $ 352.20 Klein Electric 16-1600 26A DIV 26 Fire Alarm Rough -In Material $ 226.00 $ - $ - $ 226.00 $ 226.00 $ 226.00 100.00% $ - $ 11.40 Klein Electric 16-1600 26A DIV 26 Fire Alarm Rough -In Labor $ 1,082.00 $ - $ - $ 1,082.00 $ 1,082.00 $ 1,082.00 100.00% $ - $ 54.10 Klein Electric 16-1600 26A DIV 26 Security Rough -In Material $ 592.00 $ - $ - $ 592.00 $ 592.00 $ 592.00 100.00% $ - $ 29.60 Klein Electric 16-1600 26A DIV 26 Security Rough -In Labor $ 2,765.00 $ - $ - $ 2,765.00 $ 2,765.00 $ 2,765.00 100.00% $ - $ 136.25 Klein Electric 16-1600 26A DIV 26 Site Future Cameras Material $ 4,147.00 $ - $ - $ 4,147.00 $ 4,147.00 $ 4,147.00 100.00% $ - $ 207.35 Klein Electric 16-1600 26A DIV 26 Site Future Cameras Labor $ 1,856.00 $ - $ - $ 1,856.00 $ 1,856.00 $ 1,856.00 100.00% $ - $ 92.60 Klein Electric 16-1600 26A CO#1 PR#6 Generator and Transformer $ - $ - $ (19,350.00) $ (19,350.00) $ (19,350.00) $ (19,350.00) 100.00% $ - $ (967.50) Klein Electric 16-1600 26A CO#2 PR#2 Overhead Doors & Circuiting $ - $ - $ 1,068.00 $ 1,068.00 $ 1,068.00 $ 1,068.00 100.00% $ - $ 53.40 Klein Electric 16-1600 26A CO#3 PR#3R $ - $ - $ (443.00) $ (443.00) $ (443.00) $ (443.00) 100.00% $ - $ (22.15) Klein Electric 16-1600 26A CO#4 ASI#1/RFI#19 $ - $ - $ (2,625.00) $ (2,625.00) $ (2,625.00) $ (2,625.00) 100.00% $ - $ (131.25) Klein Electric 16-1600 26A CO#5 PR#10R $ - $ - $ 1,875.00 $ 1,875.00 $ 1,875.00 $ 1,875.00 100.00% $ - $ 93.75 Klein Electric 16-1600 26A CO#6 PR#9R Elecrical Revisions $ - $ - $ 2,370.00 $ 2,370.00 $ 2,370.00 $ 2,370.00 100.00% $ - $ 116.50 Klein Electric 16-1600 26A CO#7 ASI#4R Tower Lights $ - $ - $ 8,136.00 $ 8,136.00 $ 8,136.00 $ 8,136.00 100.00% $ - $ 406.60 Klein Electric 16-1600 26A CO#B PR#17 SCBA Compressor $ - $ - $ 1,354.00 $ 1,354.00 $ 1,354.00 $ 1,354.00 100.00% $ - $ 67.70 Klein Electric 16-1600 26A CO#9 RFI#117 $ - $ - $ 963.00 $ 963.00 $ 963.00 $ 963.00 100.00% $ - $ 49.15 Klein Electric 16-1600 26A CO#10 RFI#116 Automatic Push Pad $ - $ - $ 437.00 $ 437.00 $ 437.00 $ 437.00 100.00% $ - $ 21.65 Klein Electric 16-1600 26A CO#11 RFI#156 $ - $ - $ 696.00 $ 696.00 $ 696.00 $ 696.00 100.00% $ - $ 34.90 Klein Electric 16-1600 26A CO#12 ASI#11 Wellness Room Light Fixture $ - $ - $ 1,319.00 $ 1,319.00 $ 1,319.00 $ 1,319.00 100.00% $ - $ 65.95 Klein Electric 16-1600 26A CO#13 RFI#160 $ - $ $ 3,500.00 $ 3,500.00 $ 3,500.00 $ 3,500.00 100.00% $ - $ 175.00 Klein Electric 16-1600 26A CO#14 RFI#21 Added Circuits & Unit Heaters $ - $ - $ 1,120.00 $ 1,120.00 $ 1,120.00 $ 1,120.00 100.00% $ - $ 56.00 Klein Electric 16-1600 26A CO#15 G9 Light Fixture $ - $ - $ 395.00 $ 395.00 $ 395.00 $ 395.00 100.00% $ - $ 19.75 Klein Electric 16-1600 26A CO#16 Omitting Tech Conduit Runs From App Bay $ - $ - $ (1,439.00) $ (1,439.00) $ (1,439.00) $ (1,439.00) 100.00% $ - $ (71.95) Klein Electric 16-1600 26A CO#17 Training Tower G1 Light Fixtures $ - $ - $ 1,427.00 $ 1,427.00 $ 1,427.00 $ 1,427.00 100.00% $ - $ 71.35 Klein Electric 16-1600 26A CO#16 App Bay Sectional Door Control Station $ - $ - $ 2,790.00 $ 2,790.00 $ 2,790.00 $ 2,790.00 100.00% $ - $ 139.50 Klein Electric 16-1600 26A CO#19 Thomsen Poured Concrete in Trash Enclosure $ - $ - $ (850.00) $ (850.00) $ (850.00) $ (850.00) 100.00% $ - $ (42.50) Klein Electric 16-1600 26A CO GFCI Receptacles Laundry $ - $ - $ 1,503.00 $ 1,503.00 $ 1,503.00 $ 1,503.00 100.00% $ - $ 75.15 Klein Electric 16-1600 26A CO IP Dialer $ - $ - $ 576.00 $ 576.00 $ 576.00 $ 576.00 100.00% $ - $ 26.90 Klein Electric 16-1600 26A CO Training Tower Lighting PR#27 $ - $ 3,663.00 $ 3,663.00 $ 3,663.00 $ 3,663.00 100.00% $ - $ 163.15 Klein Electric 16-1600 26A Raise Exterior Sign $ - $ - $ 445.00 $ 445.00 $ 445.00 $ 445.00 100.00% $ - $ 22.25 Klein Electric 16-1600 26A CO Lights at Pergola Credit $ - $ - $ (402.00) $ (402.00) $ (402.00) $ (402.00) 100.00% $ - $ (20.10) Klein Electric 16-1600 26A Decon Epoxy Flooring $ - $ - $ 201.00 $ 201.00 $ 201.00 $ 201.00 100.00% $ - $ 10.05 Twenty4Seven 16-1600 Horn Strobe Relocate and Replace $ - $ - $ 509.25 $ 509.25 $ 509.25 $ 509.25 100.00% $ - $ 25.46 Dryden Excavating 31-1000 31A Mobilization, Bond, SWPP Permit $ 7,000.00 $ - $ - $ 7,000.00 $ 7,000.00 $ 7,000.00 100.00% $ - $ 350.00 Dryden Excavating 31-1000 31A Bituminous Saw -Cutting Labor $ 2,105.00 $ - $ - $ 2,105.00 $ 2,105.00 $ 2,105.00 100.00% $ - $ 105.25 Dryden Excavating 31-1000 31A Bituminous Removal Labor $ 3,640.00 $ - $ - $ 3,640.00 $ 3,640.00 $ 3,640.00 100.00% $ - $ 162.00 Dryden Excavating 31-1000 31A Concrete Saw -Cutting Labor $ 160.00 $ - $ - $ 160.00 $ 160.00 $ 160.00 100.00% $ - $ 8.00 Dryden Excavating 31-1000 31A Concrete Removal Labor $ 3,236.00 $ - $ - $ 3,236.00 $ 3,236.00 $ 3,236.00 100.00% $ - $ 161.60 Dryden Excavating 31-1000 31A Tree Protection Labor $ 75.00 $ - $ - $ 75.00 $ 75.00 $ 75.00 100.00% $ - $ 3.75 Dryden Excavating 31-1000 31A Clearing & Grubbing Labor $ 2,100.00 $ - $ - $ 2,100.00 $ 2,100.00 $ 2,100.00 100.00% $ - $ 105.00 Dryden Excavating 31-1000 31A Topsoil Stripping & Emb. Labor $ 1,386.00 $ - $ - $ 1,386.00 $ 1,386.00 $ 1,386.00 100.00% $ - $ 69.30 Dryden Excavating 31-1000 31A Export Excess Topsoil Labor $ 14,055.00 $ - $ - $ 14,055.00 $ 14,055.00 $ 14,055.00 100.00% $ - $ 702.75 Dryden Excavating 31-1000 31A Site Grading Labor $ 56,076.01 $ - $ - $ 56,076.01 $ 56,076.01 $ 56,076.01 100.00% $ - $ 2,803.80 Dryden Excavating 31-1000 31A Site Grading Material $ 14,040.00 $ - $ - $ 14,040.00 $ 14,040.00 $ 14,040.00 100.00% $ - $ 702.00 Dryden Excavating 31-1000 31A Exc. & Backfill Foundations $ 25,378.00 $ $ - $ 25,378.00 $ 25,378.00 $ 25,378.00 100.00% $ - $ 1,268.90 Dryden Excavating 31-1000 31A Building Sand Cushion Labor $ 3,298.00 $ - $ - $ 3,298.00 $ 3,298.00 $ 3,298.00 100.00% $ - $ 164.90 Page 9 / 11 m TarERoiv NumberStatic 05 Terra 0 k River on #3 City f E, k MI CONSTRUCTION Cit of Elk River CONTINUATION SHEET AIA DOCUMENTG703 AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 24 FINAL Contractor's signed certification is attached. APPLICATION DATE: 12/31/22 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 12/31/22 Use Column I on Contracts where variable retainage for line items may apply. A A.1 B C CA C.2 C.3 D E F G H I SUBCONTRACTOR ITEM BID DESCRIPTION OF WORK SCHEDULED CHANGE BUDGET REVISED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE VENDOR NO. PACK VALUE ORDERS REVISION/ SCHEDULED PRESENTLY COMPLETED (G+C) TO FINISH (IF VARIABLE FROM PREVIOUS THIS PERIOD EMPLOYEE NO. CONTINGENCY VALUE APPLICATION STORED AND STORED (C -G) RATE) COST TRANSFER (D+E) (NOT IN TO DATE CODE D OR E) (D+E+F) Dryden Excavating 31-1000 31A Building Sand Cushion Material $ 629.00 $ - $ - $ 629.00 $ 629.00 $ 629.00 100.00% $ - $ 31.45 Dryden Excavating 31-1000 31A Class 5 Labor $ 9,014.00 $ - $ - $ 9,014.00 $ 9,014.00 $ 9,014.00 100.00% $ - $ 450.70 Dryden Excavating 31-1000 31A Class 5 Material $ 7,854.00 $ - $ - $ 7,854.00 $ 7,854.00 $ 7,854.00 100.00% $ - $ 392.70 Dryden Excavating 31-1000 31A Subgrade Prep Labor $ 8,595.00 $ - $ - $ 8,595.00 $ 8,595.00 $ 8,595.00 100.00% $ - $ 429.75 Dryden Excavating 31-1000 31A Dewatering Labor $ 2,625.00 $ - $ - $ 2,625.00 $ 2,625.00 $ 2,625.00 100.00% $ - $ 131.25 Dryden Excavating 31-1000 31A SWPP Permit $ 525.00 $ - $ - $ 525.00 $ 525.00 $ 525.00 100.00% $ - $ 26.25 Dryden Excavating 31-1000 31A Silt Fence Labor $ 2,240.00 $ - $ - $ 2,240.00 $ 2,240.00 $ 2,240.00 100.00% $ - $ 112.00 Dryden Excavating 31-1000 31A Silt Fence Material $ 700.00 $ - $ - $ 700.00 $ 700.00 $ 700.00 100.00% $ - $ 35.00 Dryden Excavating 31-1000 31A Inlet Protection Labor $ 2,502.00 $ - $ - $ 2,502.00 $ 2,502.00 $ 2,502.00 100.00% $ - $ 125.10 Dryden Excavating 31-1000 31A Construction Entrance Labor $ 2,000.00 $ - $ - $ 2,000.00 $ 2,000.00 $ 2,000.00 100.00% $ - $ 100.00 Dryden Excavating 31-1000 31A Construction Entrance Materials $ 100.00 $ - $ - $ 100.00 $ 100.00 $ 100.00 100.00% $ - $ 5.00 Dryden Excavating 31-1000 31A Hydro Seed $ 1,166.00 $ - $ - $ 1,166.00 $ 1,166.00 $ 1,166.00 100.00% $ - $ 56.30 Dryden Excavating 31-1000 31A Flex Mat Labor $ 700.00 $ - $ - $ 700.00 $ 700.00 $ 700.00 100.00% $ - $ 35.00 Dryden Excavating 31-1000 31A Flex Mat Material $ 3,266.00 $ - $ - $ 3,266.00 $ 3,266.00 $ 3,266.00 100.00% $ - $ 163.30 Dryden Excavating 31-1000 33A Mobilization, Bond, Permits $ 20,504.16 $ - $ - $ 20,504.16 $ 20,504.16 $ 20,504.16 100.00% $ - $ 1,025.21 Dryden Excavating 31-1000 33A Water Utilities Labor $ 25,719.19 $ - $ - $ 25,719.19 $ 25,719.19 $ 25,719.19 100.00% $ - $ 1,285.96 Dryden Excavating 31-1000 33A Water Utilities Material $ 52,306.23 $ - $ - $ 52,306.23 $ 52,306.23 $ 52,306.23 100.00% $ - $ 2,615.31 Dryden Excavating 31-1000 33A Wet Tap Labor $ 239.22 $ - $ - $ 239.22 $ 239.22 $ 239.22 100.00% $ - $ 11.96 Dryden Excavating 31-1000 33A Wet Tap Material $ 2,500.00 $ - $ - $ 2,500.00 $ 2,500.00 $ 2,500.00 100.00% $ - $ 125.00 Dryden Excavating 31-1000 33A Sanitary Piping Labor $ 9,667.77 $ - $ - $ 9,667.77 $ 9,667.77 $ 9,667.77 100.00% $ - $ 463.39 Dryden Excavating 31-1000 33A Sanitary Piping Material $ 91622.35 $ - $ - $ 9,622.35 $ 9,622.35 $ 9,622.35 100.00% $ - $ 461.12 Dryden Excavating 31-1000 33A Sanitary Manholes Labor $ 1,808.00 $ - $ - $ 1,808.00 $ 1,808.00 $ 1,808.00 100.00% $ - $ 90.40 Dryden Excavating 31-1000 33A Sanitary Manholes Material $ 9,425.00 $ - $ - $ 9,425.00 $ 9,425.00 $ 9,425.00 100.00% $ - $ 471.25 Dryden Excavating 31-1000 33A Manhole Castings Labor $ 691.20 $ - $ - $ 691.20 $ 691.20 $ 691.20 100.00% $ - $ 34.56 Dryden Excavating 31-1000 33A Manhole Castings Material $ 1,140.00 $ - $ - $ 1,140.00 $ 1,140.00 $ 1,140.00 100.00% $ - $ 57.00 Dryden Excavating 31-1000 33A Storm - PVC Piping Labor $ 8,024.15 $ - $ - $ 8,024.15 $ 8,024.15 $ 8,024.15 100.00% $ - $ 401.21 Dryden Excavating 31-1000 33A Storm - PVC Piping Material $ 10,992.34 $ - $ - $ 10,992.34 $ 10,992.34 $ 10,992.34 100.00% $ - $ 549.62 Dryden Excavating 31-1000 33A Storm -Concrete Piping/Manholes Labor $ 10,155.38 $ - $ - $ 10,155.38 $ 10,155.38 $ 10,155.38 100.00% $ - $ 507.77 Dryden Excavating 31-1000 33A Storm -Concrete Piping/Manholes Material $ 27,063.60 $ - $ - $ 27,063.60 $ 27,063.60 $ 27,063.60 100.00% $ - $ 1,353.18 Dryden Excavating 31-1000 33A Storm - Castings/Grates Labor $ 3,152.40 $ - $ - $ 3,152.40 $ 3,152.40 $ 3,152.40 100.00% $ - $ 157.62 Dryden Excavating 31-1000 33A Storm - Castings/Grates Material $ 52,068.00 $ - $ - $ 52,068.00 $ 52,068.00 $ 52,068.00 100.00% $ - $ 2,603.40 Dryden Excavating 31-1000 33A CO#1 Additional Construction Entrances $ - $ - $ 4,246.61 $ 4,246.61 $ 4,246.61 $ 4,246.61 100.00% $ - $ 212.33 Dryden Excavating 31-1000 33A CO#2 PR#7 Water Service $ - $ - $ (1,517.19) $ (1,517.19) $ (1,517.19) $ (1,517.19) 100.00% $ - $ (75.86) Dryden Excavating 31-1000 33A CO#3 PR#4 Stepped Footings $ - $ - $ 1,584.00 $ 1,584.00 $ 1,584.00 $ 1,584.00 100.00% $ - $ 79.20 Dryden Excavating 31-1000 33A CO#4 ASI#2 $ - $ - $ 6,096.75 $ 6,096.75 $ 6,096.75 $ 6,096.75 100.00% $ - $ 304.64 Dryden Excavating 31-1000 33A CO#5 B/C Thomsen $ - $ - $ (500.00) $ (500.00) $ (500.00) $ (500.00) 100.00% $ - $ (25.00) Dryden Excavating 31-1000 33A CO#6 Overexcavate Footing Trenches for Rock $ - $ - $ 21373.26 $ 2,373.26 $ 2,373.26 $ 2,373.26 100.00% $ - $ 116.66 Dryden Excavating 31-1000 33A CO#7 Furnish and Install 3'' Rock for Pump Truck $ - $ - $ 5,409.16 $ 5,409.16 $ 5,409.16 $ 5,409.16 100.00% $ - $ 270.46 Dryden Excavating 31-1000 33A CO#B Install Temp Drain Pipe $ - $ - $ 5,894.96 $ 5,894.96 $ 5,894.96 $ 5,894.96 100.00% $ - $ 294.75 Dryden Excavating 31-1000 33A CO#9 C-900 Municipal Water Piping $ - $ - $ 276.65 $ 276.65 $ 276.65 $ 276.65 100.00% $ - $ 13.93 Dryden Excavating 31-1000 33A CO#10 Damaged Transformer- repaired by ERMU $ - $ - $ (3,273.92) $ (3,273.92) $ (3,273.92) $ (3,273.92) 100.00% $ - $ (163.70) Dryden Excavating 31-1000 33A CO#11 Revised Finished Grade at Trash Enclosure $ - $ - $ 962.50 $ 962.50 $ 962.50 $ 962.50 100.00% $ - $ 46.13 Dryden Excavating 31-1000 33A CO#12 Crushed Concrete Entrance $ - $ - $ 3,935.75 $ 3,935.75 $ 3,935.75 $ 3,935.75 100.00% $ - $ 196.79 Dryden Excavating 31-1000 33A CO#13 Apparatus Bay Muck Out $ - $ - $ 2,103.84 $ 2,103.84 $ 2,103.84 $ 2,103.84 100.00% $ - $ 105.19 Dryden Excavating 31-1000 33A CO#14 Soil Correction South Parking Lot $ - $ - $ 61917.00 $ 6,917.00 $ 6,917.00 $ 6,917.00 100.00% $ - $ 345.65 Dryden Excavating 31-1000 33A CO#15 Training Tower Manhole $ - $ - $ 3,878.25 $ 3,678.25 $ 3,678.25 $ 3,878.25 100.009 $ - $ 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 Page 10 / 11 m TarERoiv NumberStatic 05 Terra 0 k River on #3 CONSTRUCTION Cit of Elk River MI City f E, k CONTINUATION SHEET AIA DOCUMENTG703 AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 24 FINAL Contractor's signed certification is attached. APPLICATION DATE: 12/31/22 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 12/31/22 Use Column I on Contracts where variable retainage for line items may apply. A A.1 B C CA C.2 C.3 D E F G H I SUBCONTRACTOR ITEM BID DESCRIPTION OF WORK SCHEDULED CHANGE BUDGET REVISED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE VENDOR NO. PACK VALUE ORDERS REVISION/ SCHEDULED PRESENTLY COMPLETED (G+C) TO FINISH (IF VARIABLE FROM PREVIOUS THIS PERIOD EMPLOYEE NO. CONTINGENCY VALUE APPLICATION STORED AND STORED (C -G) RATE) COST TRANSFER (D+E) (NOT IN TO DATE CODE D OR E) (D+E+F) Dryden Excavating 31-1000 33A CO Cleveland Ave Existing CBGrate $ - $ 814.69 $ - $ 814.69 $ 814.69 $ 814.69 100.00% $ - $ 40.73 Omann Brothers 32-1216 32C Gravel Base $ 16,920.00 $ - $ - $ 16,920.00 $ 16,920.00 $ 16,920.00 100.00% $ - $ 846.00 Omann Brothers 32-1216 32C Bit Base Course $ 25,370.00 $ - $ - $ 25,370.00 $ 25,370.00 $ 25,370.00 100.00% $ - $ 1,268.50 Omann Brothers 32-1216 32C Bit Wear Course $ 27,700.00 $ - $ - $ 27,700.00 $ 27,700.00 $ 27,700.00 100.00% $ - $ 1,385.00 Omann Brothers 32-1216 32C Striping $ 500.00 $ - $ - $ 500.00 $ 500.00 $ 500.00 100.00% $ - $ 25.00 Omann Brothers 32-1216 32C CO#1 PR#7 Water Service $ - $ - $ (850.00) $ (850.00) $ (850.00) $ (850.00) 100.00% $ - $ (42.50) Omann Brothers 32-1216 32C CO#2 Agg Base at intersection of 191st and Edision $ - $ - $ (845.28) $ (845.28) $ (845.28) $ (845.28) 100.00% $ - $ (42.26) Omann Brothers 32-1216 32C CO#3 Replacing Asphalt w/ Concrete at North Side of Site $ - $ - $ (5,400.00) $ (5,400.00) $ (5,400.00) $ (5,400.00) 100.00% $ - $ (270.00) Omann Brothers 32-1216 32C CO Escalation $ - $ - $ 3,588.30 $ 3,588.30 $ 3,588.30 $ 3,588.30 100.00% $ - $ 179.42 Omann Brothers 32-1216 32C CO Patch Trail $ - $ - $ 5,000.00 $ 5,000.00 $ 5,000.00 $ 5,000.00 100.00% $ - $ 250.00 Peterson Companies 32-4000 32A Fencing $ 4,485.00 $ - $ 1,113.00 $ 5,598.00 $ 5,598.00 $ 5,598.00 100.00% $ - $ 279.90 Autumn Ridge 32-3291 32B Landscaping $ 68,500.00 $ - $ - $ 68,500.00 $ 68,500.00 $ 68,500.00 100.00% $ - $ 3,425.00 Autumn Ridge 32-3291 32B CO#1 Smartlink Irrigation Controller $ - $ - $ 1,132.00 $ 1,132.00 $ 1,132.00 $ 1,132.00 100.00% $ - $ 56.60 Century Fence CO#1 Replacement of Damaged Fence from Camco $ - $ - $ 1,977.19 $ 1,977.19 $ 1,977.19 $ 1,977.19 100.00% $ - $ 98.86 GRANDTOTALS $ 6,898,246.00 1 $ 32,960.51 $ (0.00) $ 6,93 1,2 06.51 $ 6,931,206.51 $ - $ - $ 6,931,206.51 100.00% $ 0.00 $ 346,560.33 Previous Netentlon Nelease �333,4�4.43 Retention Release Request This Pay App $ 13,105.90 Page 11/11 To: Terra General Contractors, LLC 21025 Commerce Blvd., Ste 1000 Rogers, MN 55374 Phone 763-463-0220 City of Elk River 13065 Orono Parkway Elk River, IVIN 55330 Retainage Retainage Invoice Invoice Date Customer ID Invoice ID 12-31-2022 11 -CIT01 3 20-705-20221232 Due Date Draw ID Job Number 01-30-2023 24 Ret 20-705 Job Location: Elk River Fire Station #3 Elk River, IVIN 55330 13,105.90 Retainage Billed $13,105.90 $13,105.90 -' Document G701 "' - 2017 Change Order PROJECT: (Name and address) 20-705 Elk River Fire Station #3 OWNER: (Name and address) City of Elk River 13065 Orono Parkway NW Elk River, MN 55330 CONTRACT INFORMATION: Contract For: General Construction Date: October 19, 2020 ARCHITECT: (Name and address) BKV Group 222 N 2nd St, #101 MInneapolis, MN 55401 CHANGE ORDER INFORMATION: Change Order Number: 20-705-002 Date: January 3, 2023 CONTRACTOR: (Name and address) Terra General Contractors 21025 Commerce Blvd Ste 1000 Rogers MN 55374 THE CONTRACT IS CHANGED AS FOLLOWS: (Insert a detailed description of the change and, if applicable, attach or reference specific exhibits. Also include agreed upon adjustments attributable to executed Construction Change Directives) Description: Change order to reconcile the changes to the project per the attached change log dated 12/29/2022. Includes the following revisions to the GMP: COR #125R: ($1,068.00) COR #127: ($2,238.19) Contingency revision balance = $0.00 The original Guaranteed Maximum Price was $ 6,898,246.00 The net change by previously authorized Change Orders $ 36,266.70 The Guaranteed Maximum Price prior to this Change Order was $ 6,934,512.70 The Guaranteed Maximum Price will be decreased by this Change Order in the amount of $ 3,306.19 The new Guaranteed Maximum Price including this Change Order will be $ 6,931,206.51 The Contract Time will be increased by Zero (0) days. The new date of Substantial Completion will be NOTE: This Change Order does not include adjustments to the Contract Sum or Guaranteed Maximum Price, or the Contract Time, that have been authorized by Construction Change Directive until the cost and time have been agreed upon by both the Owner and Contractor, in which case a Change Order is executed to supersede the Construction Change Directive. NOT VALID UNTIL SIGNED BY THE ARCHITECT, CONTRACTOR AND OWNER. BKV Group ARCHITECT (Firm name) 1&141 - SIGNATURE Michael Healy, AIA PRINTED NAME AND TITLE 01 /04/2023 DATE Terra General Contractors CONTRA OR (Firm name) SIG VAfU �' /�.!� / tcsGcn 01,4" ) 1 V F� PRINTED NAME AND TITLE Il?/Z,0Z3 IT-A0 Citv of Elk River OWNER (Firm name) SIGNATURE Brandon Wisner, Engineering PM PRINTED NAME AND TITLE 1-5-2023 DATE AIA Document G701- — 2017. Copyright @ 1979, 1987, 2000 , 2001 and 2017 by The American Institute of Architects. All rights reserved. The "American Institute of Architects," "AIA," the AIA Logo, and "AIA Contract Documents" are registered trademarks and may not be used without permission. This document was produced by AIA software at 11:04:24 CT on 01/03/2023 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: (369ADA33) nTerra UCTION 21025 Commerce Blvd, Suite 1000 Rogers, MN 55374 763.463.0220 Date: 12/29/2022 Project: Elk River Fire Station #3 Change Order Log k- PR PR NO. N/A RFI RFI NO. 1 I CDR DATE CDR NO. TBD 1 CHANGE LOG CHANGE STATUS SUB STATUS DESCRIPTION OF CHANGE COR STATUS CHARGE TO OPEN CDR APPROVED CDR's CONTINGENCY AMOUNT CO AMOUNT AIA CO NO. COSENTTOSUB RFI#1 Void 1 N/A 1 N/A 4/6/2021 2R PR#01 Clerestory Head Detail Contingency $11,782.35 1 yes 4 N/A 3/29/2021 3 PR#04 Stepped Footings Contingency $4,084.00 1 yes 7 N/A 4/5/2021 4 PR#07Water service Contingency ($3,362.12) 1 yes 6 N/A 4/6/2021 5 PR#06 Generator and Transformer Contingency ($19,350.00) 1 yes 5 N/A 1 4/7/2021 6 1PR#05 Salvaged Steel Bollards Contingency ($1,232.00) 1 yes N/A N/A 4/8/2021 7 Additional Construction Entrances Void N/A 1 N/A 2 N/A 4/9/2021 8 PR#2 Overhead Doors and Circuiting Contingency ($36,149.00) 1 yes 3R N/A 4/23/2021 9 PR#03R Duct and Ceiling Revisions Contingency $3,862.00 1 yes N/A N/A 4/28/2021 10 Increased joist loads for RTU Contingency $1,305.28 1 yes N/A N/A 5/6/2021 N/A ERMU Permits Contingency $1,033.46 1 N/A N/A N/A 5/10/2021 11 ASI-2 Civil Structure Elevation Contingency $6,096.75 1 yes 10 N/A 5/24/2021 12 PR#10- Condensate Void N/A 1 N/A N/A 19 5/24/2021 13 ASH and RFI-19 Contingency ($2,625.00) 1 yes N/A N/A 5/24/2021 14 Door Hardware Revisions Contingency $2,152.97 1 yes 9 N/A 6/1/2021 15 PR#9 Owner Review Items Void N/A 1 N/A 8 N/A 6/2/2021 16 PR#8 Expansion Tank Contingency $2,504.00 1 yes N/A 21 6/3/2021 17 1 RFI#21 Galvanized Angle at Brick Veneer Void N/A 1 N/A N/A 33 6/11/2021 18 RFI#33 Added Footings Steps for Storm Sewer Piping Contingency $600.00 1 yes N/A 37 6/11/2021 19 RFI#37 Extended Foundation Wall at Masonry Pilasters Contingency $550.00 1 yes N/A N/A 6/22/2021 20 Footing steps for domestic water and stoop along GL-8 Contingency $2,480.00 1 yes 10R N/A 6/25/2021 21 PR#10R-Storm Shelter Door Hardware Contingency $1,875.00 1 yes N/A N/A 6/28/2021 22R ASI-4R Training Tower Lighting Controls Contingency $8,136.00 1 yes 12 N/A 6/30/2021 23 PR#12- Overhead Sectional Dors Contingency ($36,410.00) 1 yes N/A 21 8/5/2021 24R ASI-5 Contingency $13,411.00 1 yes 9R N/A 7/15/2021 25 PR#9R- Overhead Truck Fill Contingency $32,991.00 1 yes N/A 54 7/27/2021 26 RFI#54- Head Detail at 202CX and 302CX Contingency $1,406.22 1 yes N/A 46 7/27/2021 27 RFI#46- Training Tower Trench Drain Architectual Detail Contingency $415.34 1 yes N/A N/A 7/30/2021 28R C-900 Municipal Water Piping Contingency $278.65 1 yes N/A N/A 8/3/2021 29 Eye Wash Station Contingency ($949.00) 1 yes N/A 69 8/27/2021 30 RFI#69 Apparatus Bay OH Door Jamb Angle Contingency ($3,098.93) 1 yes N/A N/A 9/7/2021 31 LT GA 3x3 Cavity Closure Angle Installation Contingency $1,272.00 1 yes N/A N/A 9/15/2021 32R ASI-8R-Roof Transitions Contingency $4,684.52 1 yes N/A 78 9/14/2021 33 RFI#78-Extended Wall Track Contingency $637.00 1 yes 15 N/A 9/15/2021 34 PR#15- Flagpoles. Revised (2) flagpoles to be 25' Contingency ($277.00) 1 yes 14 N/A 9/16/2021 35 PR#14- Parapet Roofing Membrane Contingency ($1,650.00) 1 yes N/A 92 9/21/2021 36 RFI#92- Slab Edge Detail at Mezzanine Opening Contingency $230.00 1 yes N/A 73 9/21/2021 37 RFI#73- Loose Lintels at Training Tower Contingency $512.65 1 yes 16 N/A 9/27/2021 38R PR#16- Operable Partition Contingency $4,179.44 1 yes N/A 94 9/28/2021 39 RFI#94 Slab on Grade Elevation Clarification at Trash Enclosure Contingency $962.50 1 yes N/A N/A 10/4/2021 40 ASI#9-Dayroom Contingency $858.00 1 yes N/A N/A 10/5/2021 41 Aggregate Base at 191st intersection Contingency ($845.28) 1 yes 17 N/A 10/11/2021 42 PR#17- SCBA Compressor Contingency $3,144.00 1 yes N/A N/A 10/13/2021 43 3" Crushed Rock at West Side of Site Contingency $3,935.75 1 yes N/A N/A 10/13/2021 44 Apparatus Bay Muck Out Contingency $2,103.84 1 yes N/A N/A 10/15/2021 45 Concrete at North Side of Site Contingency $6,193.62 1 yes N/A 96 10/19/2021 46 RFI#96 Contingency $1,655.00 1 yes N/A N/A 10/20/2021 47 Soil Corrections Contingency $6,917.00 1 yes N/A 103 10/26/2021 48 RFI#103-Angles Above W1 Windows Contingency $1,486.67 1 yes N/A 110 11/24/2021 49R Wood Blocking per RFI#110 Contingency $334.35 1 yes N/A 100 11/11/2021 50 RFI#100 Roof to Wall Transition at App Bay Contingency $5,300.64 1 yes N/A 111 11/11/2021 51 RFI#111- Dryer Vent Piping Through Roof Void N/A 1 N/A rN/A 117 11/17/2021 52 RFI#117, Added J-Box for Stools at Bathrooms 131 and 133 Contingency $983.00 1 yes N/A 118 12/3/2021 53R RFI#118- Automatic Push Pad Installation Contingency $437.00 1 yes Construction Change Order Log 10232018 Page 1 of 3 PR PR NO. 13 RFI RFI NO. N/A CDR DATE CDR NO. 11/23/2021 54 DESCRIPTION OF CHANGE PR#13- Steam Generator CHANGE STATUS CDR STATUS CC ARGE TO OPEN CDR APPROVED COR'S: AIA CO NO. ONTINGENCY AMOUNT CO AMOUNT Contingency $8,342.00 1 SUB STATUS GO SENT TO SUB yes N/A N/A 12/1/2021 55 Horizon Overtime performed on 11/6 Contingency $2,682.00 1 yes N/A N/A 12/2/2021 56 Operable Partition Material Contingency $2,135.02 1 yes N/A 126 12/7/2021 57 Revised Fixturefor KS-1 Sink per RFI#126 Void N/A 1 N/A N/A N/A 12/9/2021 58 Training Tower Manhole Contingency $3,878.25 1 yes 18 N/A 12/20/2021 59 PR#18-Trash Units Contingency $3,463.40 1 yes 19 N/A 12/28/2021 60 PR#19- Wellness Room Floor Contingency $5,150.00 1 yes N/A 143 12/29/2021 61 RFI#143- CPT-2 LokDots Contingency $215.00 1 yes N/A 150 1/3/2022 62 Lowering Non -Structural CMU Walls at Mezz Contingency $691.00 1 yes N/A N/A 1/5/2022 63 ASI#10- Interior Finishes Contingency ($327.00) 1 yes N/A N/A 1/6/2022 64 ASI#11-Wellness Room Lighting Controls Void N/A 1 N/A N/A 154 1/10/2022 65 RFI#154 Tile Backer Board at Wellness Room Contingency $5,688.00 1 yes N/A N/A 1/10/2022 66 Skim Coating and Laminating CMU Contingency $10,300.00 1 yes N/A 159 1/19/2022 67 RFI#159 Training Tower Manhole Welding Contingency $424.00 1 yes N/A 156 1/20/2022 68 RFI#156- App Bay Fan and Duct Work Conflict Contingency $3,513.29 1 yes ASI#11 N/A 1/20/2022 69 ASI#11 Wellness Room Lighting Controls Contingency $1,319.00 1 yes N/A 160 1/26/2022 70R App Bay Lights Contingency $3,395.00 1 yes N/A 146 1/26/2022 71 JPVC Pipe Insulation Contingency $723.00 1 yes N/A 167 1/26/2022 72 Air Drop Duct Relocation Contingency $5,688.00 1 yes N/A N/A 2/3/2022 73R OPTION-1,Hilti 572 Spray and Paint at TOW per 4+9/A660- Contingency $4,613.00 1 yes N/A 140/2 217/2022 74 Weldable Raqppelling Anchors Contingency $2,355.82 1 yes 21 171 2/7/2022 75 PR#21- RFI#171 Contingency $1,120.00 1 yes N/A 163 2/9/2022 76R RFI#163- StairTower4th Floor Roofing Membrane Contingency $4,578.00 1 yes N/A 173 2/9/2022 77 Contingency $395.00 1 yes 20 N/A 2/10/2022 78 Architectual, Interior, and Technology Revisions per PR#20 Contingency ($1,679.00) 1 yes 22 N/A 2/11/2022 79 PR#22- Added 3 way control valve for In -floor heat Contingency $709.00 1 yes N/A 183 2/22/2022 80 Revised Surface Mounted Exhaust Air Registers Contingency $2,503.00 1 yes N/A N/A 2/25/2022 81 Revised Interior Signage List Contingency ($572.82) 1 yes N/A 181 2/28/2022 82 RFI#181- SF 140X Head Detail Contingency $312.00 1 1 yes N/A 139 2/28/2022 83 Duct Protection Cages Contingency ($470.00) 1 yes N/A 187 3/1/2022 84 Added GFCI recptacles within Laundry Areas Contingency $1,503.00 1 yes N/A N/A 3/4/2022 85 Apparatus Bay Moisture Mitigation Contingency $6,565.00 1 yes N/A N/A 3/11/2022 86 Wellness Room 135 Bench Void N/A 1 N/A N/A 203 4/6/2022 87 RFI#203 G1 Training Tower Light Fixture Contingency $1,427.00 1 yes N/A N/A 4/8/2022 88 Irrigation Controller Contingency $1,132.00 1 yes N/A 194 4/12/2022 89 2/1 Granular Fill at App Bay Aprons Void N/A 1 N/A N/A 210 4/12/2022 90 App Bat Sectional Door Control Station Contingency $2,790.00 1 yes N/A N/A 5/6/2022 91R Flammable Wsate Vent Piping Relocation Contingency $3,169.00 1 yes 23 N/A 4/25/2022 92R Trash Enclosure Gate Contingency $3,754.55 1 yes N/A 212 4/25/2022 93 Electronically Operated Valve for Natural Gas Piping Void N/A 1 N/A 25 N/A 4/26/2022 94 Decontamination Vestibule Flooring Contingency $2,851.00 1 yes 24 N/A 4/26/2022 95 Training Tower Lintel Contingency $833.64 1 yes N/A N/A 4/28/2022 96 Aggregate Base for Concrete Along North App Bay Contingency $2,455.20 1 yes N/A N/A 5/4/2022 97 Dryden Excavating Escalation Contingency $3,000.00 1 yes N/A N/A 5/4/2022 98 Asphalt Paving Escalation Contingency $3,588.30 1 yes N/A 218 5/11/2022 99 Cleveland Ave Existing CB Grate S814.69 1 yes N/A N/A 5/12/2022 100 In -Wall Backing for range Hood Vent Contingency $1,066.25 1 yes N/A 199 5/23/2022 101 jAdditional Wind Bracing at App Bay Joist Contingency $424.00 1 yes N/A N/A 5/27/2022 102 CMU for Grill Station Contingency $0.00 1 yes N/A N/A 5/27/2022 103 Credit for Colored Concrete Contingency ($541.20) 1 yes N/A 221 5/31/2022 104 Exterior Trench Drain Concrete Pour S1.776.21 1 yes N/A 225 6/1/2022 105 RPZ for Irrigation Feed Contingency $947.00 1 yes N/A N/A 6/2/2022 106 IP Dialer for FA Monitoring Contingency $578.00 1 yes N/A 224 6/7/2022 107 Concrete Paving to Trench Drain Tie -In Contingency $1,779.23 1 yes 27 226 6/20/2022 108 PR#27- Training Tower Lighting S3,663.00 1 yes N/A 229 6/23/2022 109 Swing Gate for Decorative Metal Fencing Contingency $1,113.00 1 yes 26 N/A 9/21/2022 11OR PR#26- Exterior Signage Elevation Contingency $11,190.85 1 yes N/A N/A 7/18/2022 111 Pergola Substitution Contingency ($11,023.27) 1 yes N/A N/A 8/3/2022 112 Alternative Operable Partition Contingency $9,544.91 1 yes 28 N/A 8/3/2022 113 PR#28 Epoxy Guidelines Void 1 N/A N/A 233 8/8/2022 114 Lights at Pergola Contingency ($402.00) 1 yes N/A 8/19/2022 115 Omitting WC-1 in Dayroom Contingency ($1,475.00) 1 yes N/A 9/2/2022 116 Polished Concrete Covering/Protection Void 1 N/A rA N/A 9/28/2022 117 Transfer ERPS Contingency Balance to ERFS#3 Contingency ($3001280) $30,012.80 1 N/A N/A 9/28/2022 118 Exterior C-Top Contingency $2,858.69 1 yes Construction Change Order Log 10232018 Page 2 of 3 PR: FIR NO. N/A .RErr RF1 NO. N/A COR DATE 9/28/2022 CDR NO. 119 CHANGE LOG DESCRIPrION OF CHANGE ExteriorG-Grill CDR STATUS Contingency CHANGE STATUS CHIA ETD OPEN CDR APPROVED COR'S CONTINGENCY AMOUNT CO AMOUNT AIA CO NO. $2,100.00 1 SUBSTATUS CO SENT TO SUB yes N/A N/A 9/28/2022 120 Additional Costs for Exterior Pressure Washing/Cleanup Contingency $3,924.98 1 yes N/A N/A 9/28/2022 121 Paint Interior Trench Drain Grates Contingency $2,722.16 1 yes N/A N/A 9/28/2022 122 Asphalt patch at trail Contingency $5,000.00 1 yes N/A N/A 9/28/2022 123 New Horn Strobe - relocate away from steam room Contingency $509.25 1 yes N/A N/A 10/6/2022 124 Patch Stone Veneer to match Contingency $1,968.00 1 yes N/A N/A 12/7/2022 125R Polished Concrete Repairs Credit ($1,068.00) 2 yes N/A N/A 12/29/2022 126 General Conditions associated with Phasing Change Contingency $2,238.19 2 N/A N/A N/A 12/29/2022 127 Contingency Reconciliation -Credit Remaining Contingency Contingency $2,238.19 ($2,238.19) 2 N/A SUBTOTAL: $145.803.75 $0.00 $32,960.51 GUARANTEED MAXIMUM PRICE (GMP) CONTRACT: CURRENT CONTRACT VALUE: (Original Contract+ Change Orders) PROJECTED CONTRACT VALUE: (Current Contract + Pending COR's) CONTINGENCY REMAINING: ($145,803.75 - Pending COR's) ,246.00 ,206.51 ,206.51 Construction Change Order Log 10232018 Page 3 of 3