Laserfiche WebLink
AIA Type Document <br />Application and Certification for Payment <br />Page 3 of 3 <br />TO (OWNER): City of Elk River <br />PROJECT. Elk River Ice Arena & Lions Pk <br />APPLICATION NO: 5 <br />DISTRIBUTION <br />13065 Orono Parkway NW <br />1000 School Street NW <br />TO: <br />Elk River, MN 55330 <br />Elk River, MN 55330 <br />PERIOD TO: 12131/201 <br />9 <br />_ <br />OWNER <br />_ <br />CONSTRUCTION <br />MANAGER <br />FROM (CONTRACTOR): Crosstown Masonry, Incorporated <br />ARCHITECT'S <br />_ARCHITECT <br />1322 159th Ave NE <br />PROJECT NO: <br />-CONTRACTOR <br />Ham Lake, MN 55304 <br />VIA CONSTRUCTION MANAGER: RJM Construction <br />CONTRACT FOR: Concrete & Masonry <br />VIA ARCHITECT: <br />CONTRACT DATE: <br />SCHEDULE <br />PREVIOUS COMPLETED STORED <br />COMPLETED <br />ITEM <br />-- <br />DESCRIPTION <br />- -- - - - <br />VALUE <br />- <br />APPLICATIONS THIS PERIOD MATERIAL <br />-- - - <br />STORED <br />- - <br />o <br />-0- <br />BALANCE <br />RETAINAGE <br />- ---- <br />21 <br />Stoops Material <br />2,000.00 <br />0.00 0.00 <br />0.00 <br />0.00 <br />0.00 <br />2,000.00 <br />0.00 <br />22 <br />Stone at Fireplace Labor <br />8,000.00 <br />0.00 0.00 <br />0.00 <br />0.00 <br />0.00 <br />8,000.00 <br />0.00 <br />23 <br />Stone at Fireplace Material <br />2,000.00 <br />0.00 0.00 <br />0.00 <br />0.00 <br />0.00 <br />2,000.00 <br />0.00 <br />24 <br />Concrete Allowance <br />50,000.00 <br />7,145.00 0.00 <br />0.00 <br />7,145.00 <br />14.29 <br />42,855.00 <br />357.25 <br />25 <br />Masonry Allowance <br />40,000.00 <br />0.00 0.00 <br />0.00 <br />0.00 <br />0.00 <br />40,000.00 <br />0.00 <br />26 <br />Field House Labor <br />70,000.00 <br />0.00 0.00 <br />0.00 <br />0.00 <br />0.00 <br />70,000.00 <br />0.00 <br />27 <br />Field House Material <br />18,000.00 <br />0.00 0.00 <br />0.00 <br />0.00 <br />0.00 <br />18,000.00 <br />0.00 <br />28 <br />Bond <br />43,500.00 <br />43,500.00 0.00 <br />0.00 <br />43,500.00 <br />100.00 <br />0.00 <br />2,175.00 <br />29 <br />Change Order#1 <br />697.00 <br />697.00 0.00 <br />0.00 <br />697.00 <br />100.00 <br />0.00 <br />34.85 <br />30 <br />Change Order#2 <br />33,996.00 <br />24,000.00 0.00 <br />0.00 <br />24,000.00 <br />70.60 <br />9,996.00 <br />1,200.00 <br />31 <br />Change Order #3 <br />-3,778.00 <br />-3,778.00 0.00 <br />0.00 <br />-3,778.00 <br />100.00 <br />0.00 <br />-188.90 <br />REPORT TOTALS <br />$2,965,915.00 <br />$1,149,564.00 $300,000.00 <br />$0.00 <br />$1,449,564.00 <br />48.87 <br />$1,516,351.00 <br />$72,478.20 <br />