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CONTINUATION SHEET
<br />Page 3 of 3
<br />Application and Certification for Payment, containing
<br />Application No.:
<br />14
<br />Contractors signed certification is attached.
<br />Application Date:
<br />08131120
<br />In tabulations below, amounts are stated to the nearest dollar.
<br />Use Column I on Contracts where variable retainage for line items may apply.
<br />To:
<br />08131 J20
<br />Architect's Project No.:
<br />Invoice I# : 9=003314 Contact: 19520-0033 Elk River MultimPurpose Facility and Lion John Wefcht Park
<br />A B C
<br />D E
<br />F
<br />G
<br />H I
<br />Item Description of Work Scheduled
<br />Work Completed
<br />Materials
<br />Total
<br />%
<br />Balance Retainage
<br />No. Value
<br />From Previous This Period
<br />Presently
<br />Completed
<br />(G ► C)
<br />To Finish
<br />Application In Place
<br />Stored
<br />and Stored
<br />(C-G)
<br />(D+E)
<br />To Date
<br />32A
<br />32B
<br />32C
<br />32D
<br />32E
<br />33A
<br />0100
<br />3B.1
<br />3B.2
<br />3B.3
<br />01-00
<br />90-50
<br />9D-00
<br />90-70
<br />90-80
<br />99-99
<br />Asphalt Paving
<br />Concrete/Sidewalk/Curb/Gutter
<br />Multipurpose Landscaping
<br />Lions Landscaping
<br />Chain Link Fence
<br />Utilities
<br />Internal Fund Transfer - Covid 19 &
<br />GCs
<br />Precast Concrete
<br />Precast Concrete
<br />Precast Raker/Plank/Stadia
<br />General Conditions/Requirements
<br />General Liability Insurance
<br />Construction Contingency
<br />Value Engineering
<br />Builders Risk Insurance
<br />Contractors Fee
<br />Grand Totals
<br />in0or
<br />510,815.67
<br />510,815.67
<br />0.00
<br />0.00
<br />293,489.00
<br />293,489.00
<br />0.00
<br />0.00
<br />383,446.94
<br />381,555.19
<br />1,891.75
<br />0.00
<br />27,000.00
<br />27,000.00
<br />0.00
<br />0.00
<br />94,480.00
<br />94,480.00
<br />0.00
<br />0.00
<br />150,325.79
<br />150,325.79
<br />0.00
<br />0.00
<br />635,496.55
<br />635,496.55
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />1,182,922.00
<br />1,182,922.00
<br />0.00
<br />0.00
<br />930,000.00
<br />930,000.00
<br />0.00
<br />0.00
<br />1,048,025.00
<br />1,048,025.00
<br />0.00
<br />0.00
<br />1,255,785.33
<br />1,158,417.48
<br />69,848.72
<br />0.00
<br />268,451.52
<br />268,451.52
<br />0.00
<br />0.00
<br />82.397.26
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />65,184.58
<br />65,184.58
<br />0.00
<br />0.00
<br />489,303.96
<br />464,838.76
<br />19,572.16
<br />0.00
<br />261501,607.40
<br />610,815.67
<br />100.00%
<br />0.00
<br />25,540.79
<br />293,489.00
<br />100.00%
<br />0.00
<br />14,674.45
<br />383,446.94
<br />100.00%
<br />0.00
<br />19,172.35
<br />27,000.00
<br />100.00%
<br />0.00
<br />1,350.00
<br />94,480.00
<br />100.00%
<br />0.00
<br />4,724.00
<br />150,325.79
<br />100.00%
<br />0.00
<br />7,516.30
<br />635,496.56
<br />100.00%
<br />0.00
<br />31,774.83
<br />0.00
<br />0.00%
<br />0.001
<br />0.00
<br />1,182,922.00
<br />100.00%
<br />0.00
<br />59,146.10
<br />930,000.00
<br />100.00%
<br />0.00
<br />46,500.00
<br />1,046,025.00
<br />100.00%
<br />0.00
<br />52,401.25
<br />1,228,266.20
<br />97.81% 1
<br />27,519.13
<br />0.00
<br />268,451.52
<br />100.00%
<br />0.00
<br />0.00
<br />0.00
<br />0.00%
<br />82.397.261
<br />0.00
<br />0.00
<br />0.00%
<br />0.00
<br />0.00
<br />65,104.58
<br />100.00%
<br />0.00
<br />0.00
<br />484,410.92
<br />99.00%
<br />4,893.04
<br />24,220.53
<br />25,814A34.02 511,280.82 0.00 126,325,714.84 1 99.34% 175,892.56 1,238,190.72
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