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CONTINUATION SHEET Page 3 of 3
<br />Application and Certification for Payment, containing Application No.: 19
<br />Contractor's signed certification is attached. Application Date: 111300
<br />In tabulations below, amounts are stated to the nearest dollar, To: 11/30120
<br />Use Column I on Contracts where variable retainage for line items may apply. Architect's Project No.:
<br />Invoice 0: 9520003319 Contract: 19520-0033 Elk River Multi -Purpose Facility and Lion John Welcht Fork
<br />A
<br />8
<br />C
<br />0
<br />E
<br />F
<br />0
<br />--,L-H
<br />Item
<br />Description of Work
<br />Scheduled
<br />Work Completed
<br />Materials
<br />Total
<br />%
<br />Balance
<br />Retainage
<br />No.
<br />Value
<br />From Previous
<br />This Period
<br />Presently
<br />Completed
<br />(G I 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 />E+F)
<br />31B
<br />Lions Earthwork
<br />508,490.67;'
<br />508,490.67
<br />0.00 i
<br />0.00 j
<br />508,490.67
<br />100000/,
<br />0.00
<br />0.00
<br />32A
<br />Asphalt Paving
<br />294,509.00
<br />294,509.001
<br />0.00
<br />0.00 1
<br />294,509.00
<br />10000Z
<br />�
<br />0.00
<br />0.00
<br />328
<br />Concrete/Sidewalk/Curb/Gutter
<br />389142.503
<br />389,142.50
<br />0.001
<br />0.00 i
<br />389,142.501
<br />100.00% i
<br />0.00
<br />0.00
<br />32C
<br />Multipurpose Landscaping
<br />27:00000
<br />27,000.00.
<br />0.00'
<br />mol
<br />27,000.001
<br />100.00%
<br />0.00
<br />0.00
<br />32D
<br />Lions Landscaping
<br />96,460.00
<br />96,460.00
<br />0.00
<br />0.001
<br />96,460.001
<br />100.00%1
<br />0.00 i
<br />0.00
<br />32E
<br />Chain Link Fence
<br />150,325.79 1
<br />150,325.79
<br />0.00
<br />0.001
<br />150,325.79
<br />100.00%
<br />0.00
<br />0.00
<br />33A
<br />Utilities
<br />635,496.55
<br />635,496.55-
<br />0.00
<br />0.001
<br />635,496.55 =
<br />100.00%
<br />0.00'
<br />0100
<br />3B.1
<br />Precast Concrete
<br />1, 182,922.00
<br />1,182,922.00'-
<br />0.00
<br />0.001
<br />1,182,922.00
<br />100,00%
<br />0.00
<br />0.00
<br />313.2
<br />Precast Concrete
<br />930,000.00
<br />930,000.001
<br />0.00
<br />0.00�
<br />930,000.00
<br />100.00%
<br />0.00
<br />0.00
<br />3B.3
<br />Precast Raker/Plank/Stadia
<br />1,048,025.00
<br />1,048,025.001
<br />0.00
<br />0.00
<br />11,048,025.00
<br />100.00%1
<br />am
<br />0.00
<br />01-00
<br />General Conditions/Requirements
<br />1,263,722.63
<br />1,263 393 84
<br />0.00
<br />0.00
<br />1,263,393.84
<br />99.97%'
<br />328.79
<br />0.00
<br />90-50
<br />General Liability Insurance
<br />268,451.521
<br />268,451.52 i
<br />0.00
<br />0.00 =
<br />268,451.52
<br />100.00% i
<br />0.00 1
<br />0.00 E
<br />90-60
<br />Construction Contingency
<br />73,654.871
<br />0.00 i
<br />0.00 a
<br />0.00
<br />0.00 =
<br />0.00%,
<br />73,654.87'
<br />0.00
<br />90-80
<br />Builders Risk Insurance
<br />65,184.58
<br />65,184.561
<br />0.00
<br />0.001
<br />65,184.5 8,
<br />100.00%
<br />0.001
<br />0.00
<br />1 99-99
<br />Contractors Fee
<br />489,303.96
<br />489,303.961
<br />0.00
<br />0.001
<br />489303.96
<br />100.00%1
<br />0.001
<br />0.00 1
<br />Grand Totals
<br />126,501,607A0
<br />26,427,623.74
<br />0.00
<br />0.00 26,427,623.74
<br />99.72%
<br />73,953.66
<br />0.00
<br />
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