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DocuSign Envelope ID: B21CAEBD-7600-4BB5-BB91-7BFCFA6AOB90
<br />CONTINUATION SHEET
<br />Page 2 of 3
<br />Application and Certification for Payment, containing
<br />Contractor's signed certification is attached.
<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 />Invoice # : 9520003315
<br />Contract : 19520-0033 Elk River Multi -Purpose Facility and Lion John Weicht Park
<br />Application No.: 15
<br />Application Date : 09130120
<br />To: 09130120
<br />Architect's Project No.:
<br />A
<br />B
<br />C
<br />D E
<br />F
<br />G
<br />H
<br />I
<br />Item
<br />Description of Work
<br />Scheduled
<br />Work Com
<br />Ieted
<br />Materials
<br />Total
<br />%
<br />Balance
<br />Retainage
<br />From Previous
<br />This Period
<br />No.
<br />Value
<br />Presently
<br />Completed
<br />(G 1 C)
<br />To Finish
<br />Application
<br />In Place
<br />Stored
<br />and Stored
<br />(C-G)
<br />(D+E)
<br />To Date
<br />Not in D or E
<br />D+E+F
<br />1
<br />Elk River Multi -Purpose Facility and
<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 />Lion John Weicht Park
<br />1A
<br />Final Cleaning
<br />81,315.00
<br />81,027.00
<br />288.00
<br />0.00
<br />81,315.00
<br />100.00%
<br />0.00
<br />4,065.75
<br />1 B
<br />Survey
<br />25,568.00
<br />25,568.00
<br />0.00
<br />0.00
<br />25,568.00
<br />100.00%
<br />0.00
<br />1,278.40
<br />2A
<br />Building Demolition
<br />166,199.51
<br />166,199.51
<br />0.00
<br />0.00
<br />166,199.51
<br />100.00%
<br />0.00
<br />8,309.98
<br />213
<br />Selective Demolition
<br />236,477.21
<br />231,415.21
<br />5,062.00
<br />0.00
<br />236,477.21
<br />100.00%
<br />0.00
<br />11,823.86
<br />3C
<br />Concrete Floor Finishes
<br />135,699.62
<br />135,699.62
<br />0.00
<br />0.00
<br />135,699.62
<br />100.00%
<br />0.00
<br />6,784.98
<br />4A
<br />Masonry Systems
<br />2,982,936.83
<br />2,982,936.83
<br />0.00
<br />0.00
<br />2,982,936.83
<br />100.00%
<br />0.00
<br />149,146.84
<br />5A
<br />Structural Material
<br />1,380,909.01
<br />1,361,847.77
<br />0.00
<br />0.00
<br />1,361,847.77
<br />98.62%
<br />19,061.24
<br />68,092.39
<br />513
<br />Structural Labor
<br />457,489.00
<br />457,223.00
<br />266.00
<br />0.00
<br />457,489.00
<br />100.00%
<br />0.00
<br />22,874.45
<br />6A
<br />Carpentry
<br />1,654,857.23
<br />1,633,220.44
<br />21,546.59
<br />0.00
<br />1,654,767.03
<br />99.99%
<br />90.20
<br />82,738.35
<br />7A
<br />Waterproofing &WB
<br />40,342.00
<br />40,342.00
<br />0.00
<br />0.00
<br />40,342.00
<br />100.00%
<br />0.00
<br />2,017.11
<br />713
<br />Roofing Systems
<br />1,067,619.73
<br />1,064,679.73
<br />2,940.00
<br />0.00
<br />1,067,619.73
<br />100.00%
<br />0.00
<br />53,380.99
<br />7C
<br />Metal Wall Panel
<br />186,172.61
<br />186,172.61
<br />0.00
<br />0.00
<br />186,172.61
<br />100.00%
<br />0.00
<br />9,308.63
<br />8A
<br />Aluminum Entrances/Storefronts
<br />642,926.46
<br />642,926.46
<br />0.00
<br />0.00
<br />642,926.46
<br />100.00%
<br />0.00
<br />32,146.32
<br />813
<br />Overhead Coiling and Sectional
<br />53,610.00
<br />53,610.00
<br />0.00
<br />0.00
<br />53,610.00
<br />100.00%
<br />0.00
<br />2,680.50
<br />Doors
<br />9A
<br />Gypsum Board
<br />349,769.37
<br />349,769.37
<br />0.00
<br />0.00
<br />349,769.37
<br />100.00%
<br />0.00
<br />17,488.47
<br />913
<br />Tiling
<br />175,149.90
<br />175,149.90
<br />0.00
<br />0.00
<br />175,149.90
<br />100.00%
<br />0.00
<br />8,757.50
<br />9C
<br />Acoustical Ceilings
<br />147,905.95
<br />147,905.95
<br />0.00
<br />0.00
<br />147,905.95
<br />100.00%
<br />0.00
<br />7,395.30
<br />9D
<br />Flooring
<br />132,262.50
<br />132,262.50
<br />0.00
<br />0.00
<br />132,262.50
<br />100.00%
<br />0.00
<br />6,613.13
<br />9E
<br />Painting
<br />438,719.00
<br />438,719.00
<br />0.00
<br />0.00
<br />438,719.00
<br />100.00%
<br />0.00
<br />21,935.95
<br />10A
<br />Signage
<br />12,161.18
<br />10,807.14
<br />0.00
<br />0.00
<br />10,807.14
<br />88.87%
<br />1,354.04
<br />540.36
<br />11A
<br />Athletic Equipment
<br />175,176.84
<br />175,176.84
<br />0.00
<br />0.00
<br />175,176.84
<br />100.00%
<br />0.00
<br />8,758.86
<br />11 B
<br />Concessions
<br />101,991.83
<br />101,739.83
<br />252.00
<br />0.00
<br />101,991.83
<br />100.00%
<br />0.00
<br />5,099.60
<br />12A
<br />Roller Shades
<br />28,659.10
<br />28,659.10
<br />0.00
<br />0.00
<br />28,659.10
<br />100.00%
<br />0.00
<br />1,432.96
<br />13B
<br />Ice Rink Systems
<br />2,162,742.00
<br />2,162,742.00
<br />0.00
<br />0.00
<br />2,162,742.00
<br />100.00%
<br />0.00
<br />108,137.10
<br />13C
<br />Leg Truss System
<br />125,797.00
<br />125,797.00
<br />0.00
<br />0.00
<br />125,797.00
<br />100.00%
<br />0.00
<br />6,289.85
<br />14A
<br />Elevators
<br />71,700.00
<br />71,700.00
<br />0.00
<br />0.00
<br />71,700.00
<br />100.00%
<br />0.00
<br />3,585.00
<br />21A
<br />Fire Protection
<br />282,544.00
<br />282,144.00
<br />0.00
<br />0.00
<br />282,144.00
<br />99.86%
<br />400.00
<br />14,107.22
<br />22A
<br />Plumbing Systems
<br />1,323,097.00
<br />1,316,101.00
<br />6,996.00
<br />0.00
<br />1,323,097.00
<br />100.00%
<br />0.00
<br />66,154.85
<br />23A
<br />HVAC
<br />1,875,065.33
<br />1,875,065.33
<br />0.00
<br />0.00
<br />1,875,065.33
<br />100.00%
<br />0.00
<br />93,753.27
<br />26A
<br />Electrical Systems
<br />1,874,010.43
<br />1,861,882.23
<br />12,128.20
<br />0.00
<br />1,874,010.43
<br />100.00%
<br />0.00
<br />93,700.52
<br />31A
<br />Multipurpose Earthwork
<br />711,384.30
<br />704,911.30
<br />6,473.00
<br />0.00
<br />711,384.30
<br />100.00%
<br />0.00
<br />35,569.22
<br />
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