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AIA Type Document
<br />Application and Certification for Payment Page 3 of 3
<br />TO (OWNER): City of Elk River PROJECT. Elk River Ice Arena & Lions Pk APPLICATION NO: 7 DISTRIBUTION
<br />13065 Orono Parkway NW 1000 School Street NW TO:
<br />Elk River, MN 55330 Elk River, MN 55330 PERIOD TO: 2/29/2020 _ OWNER
<br />_ ARCHITECT
<br />.CONTRACTOR
<br />FROM (CONTRACTOR): Crosstown Masonry, Incorporated VIA (ARCHITECT): ARCHITECT'S
<br />1322 159th Ave NE PROJECT NO:
<br />Ham Lake, MN 55304
<br />CONTRACT FOR: Concrete &Masonry CONTRACT DATE:
<br />ITEM
<br />DESCRIPTION
<br />21
<br />Stoops Material
<br />22
<br />Stone at Fireplace Labor
<br />23
<br />Stone at Fireplace Material
<br />24
<br />Concrete Allowance
<br />25
<br />Masonry Allowance
<br />26
<br />Field House Labor
<br />27
<br />Field House Material
<br />28
<br />Bond
<br />29
<br />Change Order #1
<br />30
<br />Change Order #2
<br />31
<br />Change Order #3
<br />32
<br />Change Order #4
<br />33
<br />Change Order #5
<br />34
<br />Change Order #6
<br />35
<br />Change Order #7
<br />REPORT TOTALS
<br />SCHEDULE
<br />PREVIOUS
<br />VALUE
<br />APPLICATIONS
<br />21000,00
<br />0.00
<br />81000.00
<br />0,00
<br />21000,00
<br />0,00
<br />50,000.0O
<br />71145,00
<br />403000.00
<br />0.00
<br />70,000.00
<br />0.00
<br />18,000,00
<br />0.00
<br />431500.00
<br />437500.00
<br />697,00
<br />697.00
<br />331996.00
<br />243000.00
<br />-31778.00
<br />-31778.00
<br />689.00
<br />0,00
<br />-152209.00
<br />-153209.00
<br />13,969.00
<br />0,00
<br />-8,500.00
<br />0.00
<br />COMPLETED
<br />STORED
<br />THIS PERIOD
<br />MATERIAL
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0,00
<br />171484,00
<br />0.00
<br />51229.00
<br />0,00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0,00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />689.00
<br />0.00
<br />0.00
<br />0.00
<br />13,969.00
<br />0.00
<br />-81500.00
<br />0.00
<br />$2,956,864.00 $2,071,355.00 $453,871.00
<br />COMPLETED
<br />STORED
<br />o
<br />0.00
<br />0,00
<br />0.00
<br />0.00
<br />0.00
<br />0,00
<br />24,629.00
<br />49.26
<br />57229.00
<br />13.07
<br />0.00
<br />0,00
<br />0.00
<br />0.00
<br />43,500.00
<br />100,00
<br />697.00
<br />100.00
<br />24,000.00
<br />70.60
<br />-31778.00
<br />100,00
<br />689.00
<br />100.00
<br />15,209.00
<br />100.00
<br />13, 969.00
<br />100.00
<br />-81500.00
<br />100.00
<br />f�T
<br />2,000.00
<br />8,000.00
<br />2,000.00
<br />25,371.00
<br />34,771.00
<br />70, 000.00
<br />18, 000.00
<br />0.00
<br />0.00
<br />9, 996.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />1,231.45
<br />261.45
<br />0.00
<br />0.00
<br />2,175.00
<br />34.85
<br />1, 200.00
<br />-188.90
<br />34.45
<br />-760.45
<br />698.45
<br />-425.00
<br />$0.00 $2,525,226.00 85.40 $431,638.00 $126,261.30
<br />
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