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CONTINUATION SHEET AIA DOCUMENT G703 (Ina(IuetlOns On WWrIle SiLIC) 3 3 <br />)IF I -AU Its <br />AIA DOCUI1lent 07021 APPLICATION AND CERTIFICATE FOR PAYMENT, APPLICATION NO.: 01/23/2020 <br />cancelling Cotln:ietor's signed Certification. is nuachecl, PROJECT: 23A-HVAC Systems APPLICATION DATE: <br />In tabulations below, amounts are shined to the nenres'i dollar. Elk River Multi -Purpose Facility and Lion John OlWnO20 <br />Use COlgmN n I ran CDrne15 where vt¢la Ule Ix[al rangeroay <br />for Ilse I[cs mapply <br />Weicht Park PERIOD TO: ARCHITECT'S PAQIECT NO.: <br />A <br />D <br />C <br />D <br />E <br />P <br />0 <br />bl <br />WORT( COMPI_S1'gD <br />hi Sl'EI11AL5 <br />TOTAL <br />ITEM <br />NO. <br />DESCRIPTION OP WORK <br />,SCHEDLI LED <br />PRIt3EN I L,Y <br />COMPLETED <br />PND 5'I'OII F.D <br />'A. <br />Un LnNCE <br />I'O <br />III: FAINA(Il'. <br />PROM PREVIOUS <br />VALIIE <br />APPLICATION <br />THIS PERIOD <br />d)'ORED <br />(NOT IN <br />TO DATE <br />lO > C) <br />FINISPI <br />(IF VARIABLE) <br />RATE) <br />(D + E) <br />D OR 0 <br />(1)+I:+iry <br />(C - Oil <br />28 <br />230100 Paackaged AC Units -labor <br />$6,000.o <br />29 <br />238100 Packaged AC Units-mat'I <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 />39 <br />238419 Desiccant Dehumitl Units- <br />$40,000.00 <br />$5,000.00 <br />$0.00 <br />$0.00 <br />$5,000.00 <br />13% <br />$38,000.00 <br />$250.00 <br />bor <br />at <br />23a419 Desiccant Dehumitl Units- <br />$300,000.00 <br />$0.00 <br />$0.00 <br />$270,000DO '✓- <br />$270,000DO <br />90% <br />$30,000.00 <br />$13,500.00 <br />at'I <br />32 <br />232100 Hydronic Piping <br />$80,000AO <br />$17,447.00 <br />$5,000.00 <br />$0.00 <br />$22,447.00 <br />28% <br />$57,553.00 <br />$1,122.35 <br />33 <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 />obilization-labor <br />$1,000.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$DDO <br />0% <br />$1,000.00 <br />$0.00 <br />35 <br />obilization-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 />39 <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 />ucbwork-mafl <br />$500.00 <br />$0.00 <br />$O.00 <br />$0.00 <br />$0.00 <br />0% <br />$500.00 <br />$0.00 <br />38 <br />rillesJRegistem-labor <br />$500.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />0% <br />S500.00 <br />$0:00 <br />39 <br />niles)Regislers-mall <br />$200.06 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />0% <br />$200.00 <br />$0.00 <br />40 <br />ens -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 <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 <br />ermit <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 <br />hange Order 1 <br />$7.692.93 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />0% <br />$7.692.93 <br />$O.De <br />44 <br />hange Order <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 <br />$49.967.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />0% <br />$49,987.00 <br />$0.00 <br />46 <br />hange Order <br />$7.784.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />0% <br />$7.764.00 <br />$0.00 <br />47 <br />hange Order <br />$4.485.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />0% <br />$4,485.00 <br />$0.00 <br />ill ­J11 <br />536904.011 <br />8342,000.00 <br />LZZ±;% <br />�$41 <br />..�. AIA DOCUMENT Gras rnNPINIIATInN al-ll:r.1' Finn r•.vo . ..... enm..0 <br />- ...m a._.._ <br />r WARNING; Unlicense <br />D. AVENUE, N..... - s him rlwle OPAILI'111 IK.l'fi, 11.15 NLIV 1DIIK <br />.W, \VA5111NOtt)ND.C.10a11&('J9_' d photocopying vlolaelse V.S, copyright laws and will subl.ct the violator to legal pmaecuaon• G703.1992 <br />CAUTION: You should use an arlglnal AIA document which has lhle caution printed In red, An original assures Thal changes will not be obscured as may occur when documents Re reproduced. <br />