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DocuSign Envelope ID: B21CAEBD-7600-4BB5-BB91-7BFCFA6AOB90
<br />CONTINUATION SHEET
<br />APPLICATION AND CERTIFICATION FOR PAYMENT,
<br />APPLICATION NO.:
<br />6
<br />containing Contractor's signed Certification is attached.
<br />APPLICATION DATE:
<br />09/18/20
<br />In tabulations below, amounts are stated to the nearest dollar.
<br />PERIOD
<br />TO:
<br />09/30/20
<br />Minnesota Utilities & Excavating, LLC
<br />PROJECT NO.:
<br />19520-0033
<br />A B
<br />C
<br />D
<br />E F
<br />G
<br />H
<br />I
<br />WORK COMPLETED MATERIALS
<br />TOTAL
<br />ITEM DESCRIPTION OF WORK
<br />SCHEDULED
<br />FROM PREVIOUS
<br />PRESENTLY
<br />COMPLETED
<br />%
<br />BALANCE TO
<br />RETAINAGE (IF
<br />NUM
<br />VALUE
<br />APPLICATION (D
<br />THIS PERIOD STORED (NOT IN
<br />AND STORED TO
<br />(G + C)
<br />FINISH (C - G)
<br />VARIABLE RATE)
<br />+ E)
<br />D OR E)
<br />DATE
<br />1 Earthwork
<br />$572,787.00
<br />$572,787.00
<br />$572,787.00
<br />100.00%
<br />$28,639.35
<br />1 Multipurpose Earthwork (CO
<br />$43,459.00
<br />$43,459.00
<br />$43,459.00
<br />100.00%
<br />#1)
<br />1 Multipurpose Earthwork (CO
<br />$26,672.30
<br />$26,672.30
<br />$26,672.30
<br />100.00%
<br />#2)
<br />1 Multipurpose Earthwork (CO
<br />$3,157.00
<br />$3,157.00
<br />$3,157.00
<br />100.00%
<br />#4)
<br />1 Multipurpose Earthwork (CO
<br />$11,096.00
<br />$11,096.00
<br />$11,096.00
<br />100.00%
<br />#5)
<br />1 Multipurpose Earthwork (CO
<br />($1,338.00)
<br />($1,338.00)
<br />($1,338.00)
<br />100.00%
<br />#6)
<br />2 Geogrid (CO #3)
<br />$3,570.00
<br />$3,570.00
<br />$3,570.00
<br />100.00%
<br />1 Multipurpose Earthwork (CO
<br />$2,338.00
<br />$2,338.00
<br />$2,338.00
<br />100.00%
<br />#7)
<br />1 Multipurpose Earthwork (CO
<br />$26,310.00
<br />$26,310.00
<br />$26,310.00
<br />100.00%
<br />#8)
<br />1 Multipurpose Earthwork (CO
<br />$4,234.00
<br />$4,234.00
<br />$4,234.00
<br />100.00%
<br />-
<br />#8)
<br />1 Multipurpose Earthwork (CO
<br />$3,647.00
<br />$3,647.00
<br />$3,647.00
<br />100.00%
<br />$182.35
<br />#9)
<br />1 Multipurpose Earthwork (CO
<br />($2,674.00)
<br />($2,674.00)
<br />($2,674.00)
<br />100.00%
<br />($133.70)
<br />#10)
<br />1 Multipurpose Earthwork (CO
<br />($933.00)
<br />($933.00)
<br />($933.00)
<br />100.00%
<br />($46.65)
<br />#11)
<br />1 Multipurpose Earthwork (CO
<br />$16,156.00
<br />$16,156.00
<br />$16,156.00
<br />100.00%
<br />$807.80
<br />#12)
<br />1 Multipurpose Earthwork (CO
<br />$3,800.00
<br />$3,800.00
<br />$3,800.00
<br />100.00%
<br />$190.00
<br />#13)
<br />1 Multipurpose Earthwork (CO
<br />$2,376.00
<br />$2,376.00
<br />$2,376.00
<br />100.00%
<br />$118.80
<br />#14)
<br />1 Multipurpose Earthwork (CO
<br />$297.00
<br />$297.00
<br />$297.00
<br />100.00%
<br />$14.85
<br />#15)
<br />PAYMENT TOTALS
<br />$714,954.30
<br />$708,481.30
<br />$6,473.00
<br />$714,954.30 1
<br />100.00%
<br />$29,772.80
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