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CONTINUATION SHEET
<br />Page 3of3
<br />Application and Certification for Payment, containing
<br />Application No.:
<br />17
<br />Contractor's signed certification is attached.
<br />In tabulations below, amounts are stated to the nearest dollar.
<br />Application
<br />Date :
<br />10/31/20
<br />Use Column I on Contracts where variable retainage for line items may apply.
<br />To:
<br />10/31/20
<br />Architect's Project No.:
<br />Invoice # : 9520003317 Contract: 19520-0033 Elk River Multi -Purpose Facility and Lion John Weicht
<br />Park
<br />A
<br />B
<br />C_
<br />D
<br />E
<br />F
<br />G
<br />H
<br />€
<br />Item
<br />Description of Work
<br />Scheduled I.
<br />Work Completed
<br />Materials
<br />Total
<br />%
<br />Balance
<br />Retainage
<br />No.
<br />Value
<br />From Previous I
<br />This Period
<br />Presently
<br />Completed
<br />(G / 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 />31 B
<br />Lions Earthwork
<br />508,490.671
<br />510,815.67
<br />-2,325.00
<br />0.00 .
<br />508,490 67
<br />100.00%
<br />0.00' _
<br />12,654.14
<br />32A
<br />Asphalt Paving
<br />294,509.00'
<br />293,489 00'
<br />1,020.00
<br />0.00,
<br />294,509.00
<br />100.00%
<br />0.00 -
<br />7,388.22
<br />32B
<br />Concrete/Sidewalk/Curb/Gutter
<br />389,142.50
<br />384,713.41'
<br />4,429.09
<br />0.00.
<br />389,142.50 .
<br />100.00% .
<br />0.00
<br />9,839.28
<br />32C
<br />Multipurpose Landscaping
<br />27,000.00
<br />27,000.00
<br />0.00 "
<br />0.00 .
<br />27,000.00 .
<br />100.00%
<br />0.00
<br />675.00
<br />32D
<br />Lions Landscaping
<br />94,480.00
<br />94,480.001
<br />0.00 10.00
<br />1
<br />94,480.00
<br />100.00%
<br />0.00
<br />2,362 00
<br />32E
<br />Chain Link Fence
<br />150,325.79
<br />150,325 79-
<br />0.00
<br />0.00
<br />150,325.79
<br />100.00%
<br />0.00'
<br />3,758.15
<br />33A
<br />Utilities
<br />635,496.55.
<br />635,496.55
<br />0.00
<br />0.001
<br />635,496 55 1
<br />100.00%
<br />0.00'.
<br />15,887 41
<br />3B.1
<br />Precast Concrete
<br />1,182,922.00 ,
<br />1,182,922.00'
<br />0.00
<br />0.00
<br />1,182,922.00
<br />100.00%
<br />0.00
<br />29,573.05
<br />313.2
<br />Precast Concrete
<br />930,000.00 ,
<br />930,000.00.
<br />0.00
<br />0.00
<br />930,000.00
<br />100.00% i
<br />0.00
<br />23,250.00
<br />3B.3
<br />Precast Raker/Plank/Stadia
<br />1,048,02500
<br />1,048,025.00
<br />0.00
<br />0.00
<br />1,048,025.00
<br />100.00%
<br />0.00
<br />26,200.62
<br />01-00
<br />General Conditions/Requirements
<br />1,262,663 36
<br />1,247,337.68
<br />12,969.24 10.00
<br />1,260,306.92
<br />99.81%
<br />2,356.44
<br />0.00
<br />90-50
<br />General Liability Insurance
<br />268,451 52
<br />268,451.52
<br />0.00
<br />0.00
<br />268,451.52 '
<br />100.00%
<br />0.00
<br />0.00
<br />90-60
<br />Construction Contingency
<br />81,592.73.0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00%
<br />81,592.73
<br />0.00
<br />90-80
<br />Builders Risk Insurance
<br />65,184.58
<br />65,184 58
<br />0.00 .
<br />0.00
<br />65,184.58
<br />100.00%
<br />0.00
<br />0.00 i
<br />99-99
<br />Contractors Fee
<br />489,303 96 .
<br />I
<br />486,857 44
<br />2,446.52 .
<br />0.00
<br />489,303.96
<br />100.00% 1
<br />0.00
<br />i
<br />i
<br />12,293.76
<br />�
<br />i
<br />Grand Totals
<br />126,501,607.40
<br />26,404,451.10
<br />13,207.13
<br />0.00
<br />26,417,658.23
<br />99.68%
<br />83,949.17
<br />620,598.87
<br />
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