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CONTINUATION SHEET AIA DOCUMENT G703 (111Si1'Llt1lW1$ 011 lcvcl'+e SILK)
<br />AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYM2NT, AI)PLiCATION NO,; 4
<br />Ct 000ning Concr:lctar's sighed Curtiflcllrlon, is' -mmelicd. PROJECT., 23A-HVAC'Systems AllPLICATION IDNFE; 12/18/2019
<br />In t}lbulatloas below, on)ounoi are Stitetd to the nc*m%:SS clall;ll'. Elk River Multi -Purpose Facility and Lion Jahn 1'EltIOD '1`03 12/3112019
<br />Use C04111111 1 nn Col7t1-acts whet-C v;tr,Iuhlc ret,lln:tge fol' Illlc 1(e1111 jwly :q), lPeichtPark AACI-WCECT'S I'W{ IrC1' NO.;
<br />rs
<br />t:
<br />DWORIC
<br />tA
<br />CONPLVV12D
<br />TOTAL
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<br />OESCRIPTION OV' WCIiK
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<br />VALt}l
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<br />Si'C}It�17
<br />i {7M1'i.fiTLl7
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<br />1,
<br />I'f7
<br />{Ir G'nitlAfSl,ii}
<br />l0.
<br />API'L]Cn'r'10N
<br />'THIS VERIOD
<br />(NOT IN
<br />TO C)AI'E}
<br />t� A [:)
<br />lf�lillrl
<br />1tATE)
<br />(D + 1:)
<br />t� r.7R t.}
<br />+I:T
<br />26
<br />38100 Paackaged AC Units -labor
<br />$6,000.00
<br />$0.00
<br />$1,000.00
<br />$0.00
<br />$1.000.00
<br />1 17°%
<br />$5,000.00
<br />$50,00
<br />29
<br />38100 Packaged AG Units- rnat'l
<br />$25.000.00
<br />$0.00
<br />$0,00
<br />$0.00
<br />$0.00
<br />0°%
<br />$25,000.00
<br />$0.00
<br />30
<br />38419 Desiccant Dehumid Units-
<br />$40,000.00
<br />$0.00
<br />$5,000.00
<br />$0.00
<br />$5,000.00
<br />13%
<br />$35,000,00
<br />$250.00
<br />I
<br />ibor
<br />31
<br />38419 Desiccant Dehumid Units-
<br />$300,000.00
<br />$0.00
<br />$0.00
<br />$0.00
<br />$0.00
<br />0%
<br />$300,000.00
<br />MOO
<br />at'I
<br />32 2321100
<br />Hydronic Piping
<br />$80,000A0
<br />$17,447-00
<br />$0.00
<br />$0.00
<br />$17,447.00
<br />22%
<br />362,553.00
<br />$872.35
<br />33 t
<br />IONS PARK
<br />$0.00
<br />$0,00
<br />$0.00
<br />$0.00
<br />$0.00
<br />$0,00
<br />$0.00
<br />34
<br />obilizatiDn-labor
<br />$1,OQQ.00
<br />$0.00
<br />$0.00
<br />$0,00
<br />$0.00
<br />0°%
<br />$1,000.00
<br />$0.00
<br />36
<br />obilizatlon-mat'I
<br />$500.00
<br />$0.00
<br />$0.00
<br />$0.00
<br />$0,00
<br />0°%
<br />$500.00
<br />$0.00
<br />36
<br />uctwork-labor
<br />$2,500.00
<br />$0,00
<br />$0.00
<br />$0.00
<br />$0.00
<br />0°%
<br />$2,500.00
<br />$0.00
<br />37
<br />uctwork-mat'I
<br />$500.00
<br />$0.00
<br />$0,00
<br />$0.00
<br />$OAO
<br />0°%
<br />$500.00
<br />$0.00
<br />36Grilles/Registers-labor
<br />$500,00.
<br />$0.00
<br />$0.00
<br />$0.00
<br />$0.00
<br />0%
<br />$500.0Q
<br />$0.00
<br />39
<br />rules/Registers-mat'I
<br />$200.00
<br />$0.00
<br />$0.00
<br />$0.00
<br />$0.00
<br />0%
<br />$200.00
<br />$0.00
<br />40 F
<br />ans-labor
<br />$1,000.00
<br />$0,00
<br />$0.00
<br />$0.00
<br />$0.00
<br />0°%
<br />$1,000.00
<br />$0,00
<br />41 F
<br />ans-mat'I
<br />$1,000.00
<br />$0.00
<br />$0.00
<br />$0.00
<br />$0.00
<br />0%
<br />$1,000.00
<br />$0.00
<br />42 Permit
<br />$20,000.00
<br />$20,000.00
<br />$0.00
<br />$0.00
<br />$20,000.00
<br />100°%
<br />$0,00
<br />$1,000.00
<br />43 Change
<br />Order 1
<br />$7,692.93
<br />$0.00
<br />$0.00
<br />$0,00
<br />$0,00
<br />0°%
<br />$7,692.93
<br />$0.00
<br />44 Ghange
<br />Order 2
<br />$2,751.00
<br />$0.00
<br />$0.00
<br />$0.00
<br />$0.00
<br />0°%
<br />$2,751.00
<br />$0.00
<br />45
<br />hange Order 3
<br />$49,9137.00
<br />$0,00
<br />$0.00
<br />$0.00
<br />$0.00
<br />0°%
<br />$49,987-00
<br />$0.00
<br />Ata
<br />$82,736,00
<br />5%a
<br />$1,753,694.93
<br />$4.136.80
<br />�,,, - i1"_ i,�i , li lv - Au"" • 1ry99. 11U AMERICAN INNIT1111T U1+ ARCHITICTN. 17.15 NLIV YCY N
<br />yAVV..NLIC, NW, WAtiliINGTQN, D,C, 00OG-4273 I WAANING; Unil,"e'd pholocopying vlolalas U.S. copyright laws and will sublecl the vinlaSor to leg el proyecvllon.
<br />G703-1992
<br />CAUTN3N; You should use an ❑rlgin3l AIA docurrlenl which has this causkan printed In red, An original assures lhTl changes wJ11 not be ooscured as may occur when documents are reproduced.
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