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<br />Elk River Public ity Building oof
<br />OONBTNt10Tlt Elk Rive
<br />CONTINUATION SHEET AIA DOCUMENT G703
<br />AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 3
<br />Contractor's signed certification is attached. APPLICATION DATE: 12/31/20
<br />In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 12/31/20
<br />A
<br />A.1
<br />B
<br />C
<br />CA
<br />C.2
<br />C.3
<br />D E
<br />F
<br />G
<br />H
<br />I
<br />SUBCONTRACTOR
<br />ITEM
<br />BID
<br />DESCRIPTION OF WORK
<br />SCHEDULED
<br />CHANGE
<br />BUDGET
<br />REVISED
<br />WORKCOMPLETED
<br />MATERIALS
<br />TOTAL
<br />%
<br />BALANCE
<br />RETAINAGE
<br />FROMPREVIOUS
<br />THISPERIOD
<br />VENDOR
<br />NO.
<br />PACK
<br />VALUE
<br />ORDERS
<br />REVISION/
<br />SCHEDULED
<br />PRESENTLY
<br />COMPLETED
<br />(G+C)
<br />TO FINISH
<br />EMPLOYEE
<br />NO.
<br />CONTINGENCY
<br />VALUE
<br />APPLICATION
<br />STORED
<br />AND STORED
<br />(C-G)
<br />COST
<br />TRANSFER
<br />(D+E)
<br />(NOTIN
<br />TO DATE
<br />CODE
<br />D OR E)
<br />' D+E+FI
<br />Ben's Structural Fab
<br />05-5120
<br />SA
<br />Steel Supplier -Joist
<br />$ 53,937.50
<br />$ -
<br />$ -
<br />$ 53,937.50
<br />$
<br />$ -
<br />0.00%
<br />$ 53,937.50
<br />$
<br />Ben's Structural Fab
<br />05-5120
<br />5A
<br />Steel Supplier -Deck
<br />$ 23,732.50
<br />$ -
<br />$ -
<br />$ 23,732.50
<br />$
<br />$ -
<br />0.00%
<br />$ 23,732.50
<br />$
<br />Ben's Structural Fab
<br />05-5120
<br />SA
<br />Steel Supplier -Metal Fabrication
<br />$ 26,118.12
<br />$ -
<br />$ -
<br />$ 26,118.12
<br />$
<br />$ -
<br />0.00%
<br />$ 26,118.12
<br />$ -
<br />Patriot Erectors
<br />05-5121
<br />5B
<br />PD- Structural Steel
<br />Labor
<br />$ 8,362.00
<br />$ -
<br />$ -
<br />$ 8,362.00
<br />$
<br />$ -
<br />0.00%
<br />$ 8,352.00
<br />5
<br />Patriot Erectors
<br />05-5121
<br />5B
<br />PD - Steel Joist
<br />Labor
<br />$ 5,500.00
<br />$ -
<br />$ -
<br />$ 6,500.00
<br />$
<br />$ -
<br />0.00%
<br />$ 6,500.00
<br />$
<br />Patriot Erectors
<br />05-5121
<br />5B
<br />PD - Steel Roof Deck
<br />Labor
<br />$ 7,500.00
<br />$ -
<br />$ -
<br />$ 7,500.00
<br />$
<br />$ -
<br />0.00%
<br />$ 7,500.00
<br />$
<br />Patriot Erectors
<br />05-5121
<br />5B
<br />PD-Metal Fab
<br />Labor
<br />$ 4,500.00
<br />$ -
<br />$ -
<br />$ 4,500.00
<br />$
<br />$ -
<br />0.00%
<br />$ 4,500.00
<br />$
<br />Patriot Erectors
<br />05-5121
<br />5B
<br />PD - Metal Stairs
<br />Labor
<br />$ -
<br />$ -
<br />$ -
<br />$ -
<br />$
<br />$ -
<br />#DIV/01
<br />$ -
<br />$
<br />Patriot Erectors
<br />05-5121
<br />SB
<br />PD- Pipe&Tube Railings
<br />Labor
<br />$ -
<br />$ -
<br />$ -
<br />$ -
<br />$
<br />$ -
<br />#DIV/01
<br />$
<br />$
<br />Patriot Erectors
<br />05.5121
<br />5B
<br />FD- Structural Steel
<br />Labor
<br />$ 2,780.00
<br />$ -
<br />$ -
<br />$ 2,780.00
<br />$
<br />$ -
<br />0.00%
<br />$ 2,780.00
<br />$
<br />Patriot Erectors
<br />05-5121
<br />5B
<br />FD - Steel Joist
<br />Labor
<br />$ 2,000.00
<br />$
<br />$ -
<br />$ 2,000.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 2,000.00
<br />$
<br />Patriot Erectors
<br />05-5121
<br />5B
<br />FD-Steel Roof Deck
<br />Labor
<br />$ 4,000.00
<br />$ -
<br />$ -
<br />$ 4,000.00
<br />$
<br />$ -
<br />0.00%
<br />$ 4,000.00
<br />$ -
<br />PatriotErectors
<br />05-5121
<br />5B
<br />FD-Metal Fab
<br />Labor
<br />$ 1,750.00
<br />$ -
<br />$ -
<br />$ 1,750.00
<br />$
<br />$ -
<br />0.00%
<br />$ 1,750.00
<br />$
<br />Patriot Erectors
<br />05-5121
<br />5B
<br />FD-Metal Stairs
<br />Labor
<br />$ 1,600.00
<br />$
<br />$ -
<br />$ 1,600.00
<br />$
<br />$
<br />0.00%
<br />$ 11600.00
<br />$
<br />Patriot Erector;
<br />05.5121
<br />5B
<br />FD- Pipe&Tube Railings
<br />Labor
<br />$ 1,500.00
<br />$ -
<br />$ -
<br />$ 1,500.00
<br />$
<br />$
<br />0.00%
<br />$ 1,500.00
<br />$
<br />Patriot Erectors
<br />05-5121
<br />5B
<br />Bond
<br />$ 558.00
<br />S -
<br />$ -
<br />$ 658.00
<br />$
<br />$ -
<br />0.00%
<br />$ 658.00
<br />$
<br />Century Construction
<br />06-6100
<br />6A
<br />Area A FD Addition Envelop
<br />$ 11,000.00
<br />$
<br />$ -
<br />$ 11,000.00
<br />$ 3,000.00
<br />$ 2,500.00
<br />$ 5,500.00
<br />50.00%
<br />$ 5,500.00
<br />$ 275.00
<br />Century Construction
<br />06-6100
<br />6A
<br />Area A FD Addition Interior
<br />$ 10,200.00
<br />S -
<br />$ -
<br />$ 10,200.00
<br />$
<br />$ -
<br />0.00%
<br />$ 10,200.00
<br />$ -
<br />Century Construction
<br />06-6100
<br />6A
<br />Area A FD Renovation
<br />$ 17,000.00
<br />$ -
<br />$ -
<br />$ 17,000.00
<br />$
<br />$
<br />D.00%
<br />$ 17,000.00
<br />$
<br />Century Construction
<br />06-6100
<br />6A
<br />Area C PD Addition Envelope
<br />$ 18,000.00
<br />$
<br />$ -
<br />$ 18,000.00
<br />$
<br />$ -
<br />0.00%
<br />$ 18,000.00
<br />$ -
<br />Century Construction
<br />06-6100
<br />6A
<br />Area C PD Addition Interior
<br />$ 3,000.00
<br />$
<br />$ -
<br />$ 3,000.00
<br />$
<br />$ -
<br />0.00%
<br />$ 3,000.00
<br />$ -
<br />Century Construction
<br />06-6100
<br />6A
<br />Area C PD Renovation
<br />$ 10,300.00
<br />$ -
<br />$ -
<br />$ 10,300.00
<br />$
<br />$ -
<br />0.00%
<br />$ 10,300.00
<br />$ -
<br />Century Construction
<br />06-6100
<br />6A
<br />Area B PD Phase 1
<br />$ 15,000.00
<br />$
<br />$ -
<br />$ 15,000.00
<br />$
<br />$
<br />D.00%
<br />$ 15,000.00
<br />$ -
<br />Century Construction
<br />06-6100
<br />6A
<br />Area B PD Phase 2
<br />$ 14,000.00
<br />$ -
<br />$ -
<br />$ 14,000.00
<br />$
<br />$ -
<br />0.00%
<br />$ 14,000.00
<br />$
<br />Century Construction
<br />06-6100
<br />6A
<br />Alternate #1-U. Area B
<br />$ 2,000.00
<br />$
<br />$ -
<br />$ 2,000.00
<br />$
<br />$ -
<br />D.00%
<br />$ 2,000.00
<br />$ -
<br />Century Construction
<br />06.6100
<br />6A
<br />Performance and Payment Bond
<br />$ 4,500.00
<br />$ -
<br />$ -
<br />$ 4,500.00
<br />$ 4,500.00
<br />$ 4,500.00
<br />100.00%
<br />$ -
<br />$ 225.00
<br />CenturyConstruction
<br />06-6100
<br />6A
<br />Allowance
<br />$ 10,000.00
<br />$ -
<br />$ -
<br />$ 10,000.00
<br />$
<br />$ -
<br />0.00%
<br />$ 10,000.00
<br />$ -
<br />Century Construction
<br />06-6100
<br />6A
<br />Area A Materials
<br />$ 12,500.00
<br />$ -
<br />$ -
<br />$ 12,500.00
<br />$ 3,000.00
<br />$ 2,000.00
<br />$ 5,000.00
<br />40.00%
<br />$ 7,500.00
<br />$ 250.00
<br />Century Construction
<br />06-6100
<br />6A
<br />Area B Materials
<br />$ 14,000.00
<br />$
<br />$ -
<br />$ 14,000.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 14,000.00
<br />$ -
<br />Century Construction
<br />06-6100
<br />6A
<br />Area C Materials
<br />$ 12,500.00
<br />$ -
<br />$ -
<br />$ 12,500.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 12,500.00
<br />$ -
<br />Ron's Cabinets
<br />06-6200
<br />5B
<br />Casework
<br />$ 83,750.00
<br />$
<br />$ -
<br />$ 83,750.00
<br />$ -
<br />$
<br />0.00%
<br />$ 83,750.00
<br />$ -
<br />Structural Applicators
<br />07-7210
<br />7C
<br />Fluid Applied Air Barriers
<br />$ 14,696.00
<br />$
<br />$ -
<br />$ 14,696.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 14,696.00
<br />$ -
<br />John A Dalsin
<br />07-7510
<br />7A
<br />Roofng
<br />$ 236,246.00
<br />$ -
<br />$
<br />$ 236,246.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 236,246.00
<br />$ -
<br />Lake Area Roofing
<br />07-7412
<br />78
<br />Metal Wall Panels
<br />$ 17,881.00
<br />$ -
<br />$ -
<br />$ 17,881.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 17,881.00
<br />$ -
<br />Waumadee Creek
<br />07-7900
<br />7D
<br />Sealants
<br />$ 39,684.00
<br />$ -
<br />$ -
<br />$ 39,684.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 39,684.00
<br />$ -
<br />Mid -Central Door
<br />08-8200
<br />8A
<br />Hardware Material
<br />$ 36,623.00
<br />$
<br />$ -
<br />$ 36,623.00
<br />$ -
<br />$
<br />0.00%
<br />$ 36,623.00
<br />$ -
<br />Mid -Central Door
<br />CM200
<br />BA
<br />HM Door Material
<br />$ 11,098.00
<br />$ -
<br />$ -
<br />$ 11,098.00
<br />$ -
<br />$
<br />0.00%
<br />$ 11,098.00
<br />$ -
<br />Mid-Centmi Door
<br />08-8200
<br />SA
<br />HM Frame Material
<br />$ 22,122.00
<br />$ -
<br />$ -
<br />$ 22,122.00
<br />$ -
<br />$ 11,697.32
<br />$ 11,697.32
<br />52.88%
<br />$ 10,'24.68
<br />$ 584.87
<br />Mid -Central Door
<br />08-8200
<br />8A
<br />Specialty Material
<br />$ 3,541.00
<br />$ -
<br />$ -
<br />$ 3,541.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 3,541.00
<br />$ -
<br />Page 216 SPC East Tower - Terra Pay App
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