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rONTINUATION SHEET AIA DOCUMENT G703 (InstRICNU05 Ul11 KNU SILle) mili 21,y 3huI as
<br />tIA Document G7U2, APPLICATION AND CERTIFICATE FOR PAYMENT, APPLICATION NO:
<br />on'llnln9 Conmictor's signed Certification, Is attached. PROJECT: 23A-HVACSys[ems 01/23/2020
<br />8 nl'PLICn'fION Dn'I'E:
<br />n tabulations below, amounts arc stated to the nem'ru [IOIIa Y. Elk River Multi -Purpose Facility and Lion John 01/3112020
<br />Weicht Park PER 'I'O:
<br />Jae C01401l I OnConuvees where v:¢IaUle ietalnage for line Items may apply. n1ECh11'I'CCT'S PROJECT NO.:
<br />A
<br />- 0
<br />C
<br />D E
<br />F
<br />0
<br />I
<br />WORK COMPL9'I'ED
<br />MATERIALS
<br />TOTAL
<br />ITEM
<br />NO.
<br />DESCRIPTION OP WOlil(
<br />SCHEDULED D
<br />PSTORED.Y
<br />COMPLETLD
<br />AND SIY)RF.D
<br />'x•
<br />BALANCE
<br />NCE
<br />1'O
<br />IN17AINACHE
<br />FROM PREVIOUS
<br />VALUE
<br />APPLICATION
<br />'1'PII$ PERIOD
<br />STORED
<br />INO'I' IN
<br />'f0 DATE
<br />IG a ti)
<br />PINIfi PI
<br />(IF VARAIII.M
<br />Ras)
<br />ID * PJ
<br />ODRE
<br />(Ui Er PJ
<br />EC-OI
<br />1
<br />,ICE ARENA
<br />2
<br />Mobilization -labor
<br />$5,000.00
<br />$1,000.00
<br />$0.00
<br />$0.00
<br />$1,000.00
<br />20
<br />S4,000.00
<br />$50.00
<br />3
<br />Mobilization -mall
<br />$2,500.00
<br />$0.00
<br />$1,500.00
<br />$0.00
<br />$1,500.00
<br />60°
<br />$1,000.00
<br />$75.00
<br />4
<br />HVAC Demo -labor
<br />$15,000.00
<br />$0.00
<br />$2,500.00
<br />$0.00
<br />$2,500.00
<br />17°
<br />$12,500.00
<br />$125.00
<br />5
<br />HVAC Demo-mal'I
<br />$5,000.00
<br />$0.00
<br />$1,000.00
<br />$0.00
<br />$1,000,00
<br />20Y
<br />$4,000.00
<br />$50.00
<br />6
<br />230593 Test and Balance
<br />$22,000.00
<br />$0.00
<br />$0.00
<br />$0.00
<br />Woo
<br />0
<br />$22,000.00
<br />$0.00
<br />7
<br />230700 Insulation
<br />$32,000.00
<br />$0.00
<br />$0.00
<br />$0.00
<br />$0.00
<br />0°
<br />$32.000.00
<br />$0.00
<br />a
<br />232300 Refrigeration Piping
<br />$55,000.00
<br />$0.00
<br />$0.00
<br />$0.00
<br />$0.00
<br />0
<br />$55,000.00
<br />$0.00
<br />9
<br />250900 Controls
<br />$230,000.00
<br />$27,789.00
<br />$31,754.00
<br />$0.00
<br />$59,543.00
<br />26
<br />$170,467.00
<br />$2,977.15
<br />to
<br />233000 Ductwork -labor
<br />$75,000.00
<br />$4,500.00
<br />$10.500.00
<br />$0.00
<br />$15,000.00
<br />20
<br />$60.000.00
<br />$750.00
<br />11
<br />233000 Ductwork -marl
<br />$23,300.00
<br />$1,000.00
<br />$4,825.00
<br />$0.00
<br />$5,825.00
<br />25
<br />$17,475.00
<br />$291.25
<br />12
<br />233000 Misc Round -labor
<br />$8,000.00
<br />$0.00
<br />$0.00
<br />$0.00
<br />$0.00
<br />0
<br />$8.000.00
<br />$0.00
<br />is
<br />233000 Misc Round-mal'I
<br />$4,500.00,
<br />$0.00
<br />$0.00
<br />$0.00
<br />$0.00
<br />0°/
<br />$4,500.00
<br />$0.00
<br />14
<br />233DOO Spiral Pipe -labor
<br />$84,500.00
<br />$0.00
<br />$29,575.00
<br />$0.00
<br />$29,575.00
<br />359
<br />$54,925.00
<br />$1,478.75
<br />15
<br />2WD00 Spiral Pipe-mat'I
<br />$45,000.00
<br />$0.D0
<br />$U,500.00
<br />$0.00
<br />$22,500.00
<br />50°
<br />$22,500.00
<br />$1,125.00
<br />16
<br />233000 Fabric Duet -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 />17
<br />233000 Fabric Duct-rl
<br />$4,000.00
<br />$0.00
<br />$4,000.00
<br />$0.00
<br />too
<br />$0.00
<br />$200.00
<br />to
<br />233423 Fans/Hoods-labor
<br />$10,000.00
<br />$0.00
<br />12,000.00
<br />$0.00
<br />:4,000.00
<br />$2,000.00
<br />20
<br />$8,000.00
<br />$100.00
<br />is
<br />233423 Fans/Hootls-rarl
<br />$22,000.00
<br />$0.00
<br />$19,800.00
<br />$0.00
<br />$19,800.00
<br />90
<br />$2,200.00
<br />$990.00
<br />20
<br />233616 VAV Boxes -labor
<br />$8,000.00
<br />$0.00
<br />$0.00
<br />$0.00
<br />$0.00
<br />0
<br />$8,000.00
<br />$0.00
<br />21
<br />233616 VAV Boxes-mat'I
<br />$24,000.00
<br />$0.00
<br />$0.00
<br />$0.00
<br />$0.00
<br />0
<br />$24,000.00
<br />$0.00
<br />22
<br />233713 GidleslRegistels-labor
<br />$17,000.00
<br />$0.00
<br />$0.00
<br />$0.00
<br />$0.00
<br />0
<br />$17,000.00
<br />$0.00
<br />23
<br />233713 Grilles/Registers-mat'I
<br />$30,000.10
<br />$0.00
<br />$0.00
<br />$0.00
<br />$0.00
<br />0
<br />.$30.000.00
<br />$0.00
<br />24
<br />236213 ACCU-labor
<br />$4,000.00
<br />$0.0
<br />$0.00
<br />$0.00
<br />$0.00
<br />0
<br />$4,000.00
<br />$0.00
<br />25
<br />235213 ACCU-mal'I
<br />$80,000.00
<br />$0.00
<br />$0.00
<br />$72,000.00
<br />$72.000.0
<br />goo
<br />$8,000.00
<br />$3,600.00
<br />26
<br />237400 Rooftop Units -labor
<br />$44,000.00
<br />g445,
<br />$5,000.0
<br />$0.00
<br />$0.00
<br />$5,000.0
<br />11
<br />$39,000.00
<br />$250.00
<br />2]
<br />237400 Rooftop Units -mat'
<br />530904A
<br />$72,000.00
<br />$642, 193.00
<br />49
<br />$655,BW.00
<br />$32,109.fi5
<br />ODOUMFM 0701 • OL1N1'IRI6VION 11EE1PDR Gila• 19!'2 EDITION • ALt°' ®1992 • 'FHE AMERICAN IN1I'11'UTE Oil AIQ117TICIS, L79 NEW 1'OIIN
<br />AVENUE.N.W„ 05HINOTON, D.C, 200110b'L'/3•WARNING: Unlicensed vlolatae U.S.
<br />�AIA
<br />photocopying copyright laws and will subject the violater tolegal pro secullen• G703.1992
<br />•
<br />)AUTIOW You an ould use an arlgl nal AIA documeni which has this call l on printed In red, An original assures in at changes w111 not be obscured as may occur when doeu men is are repro d uc ad,
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