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- Elk River PublcS3� BuddU. 20
<br />TerraTam
<br />CONSTRUCTION � 9 D�8011
<br />G5h Of Elk Ri
<br />CONTINUATION SHEET AIADOCUMENT G703
<br />AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 4
<br />Contractor's signed certification is attached. APPLICATION DATE: 1/1/21
<br />In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 1/31/21
<br />A
<br />A.1
<br />B
<br />C
<br />CA
<br />C.2
<br />C.3
<br />D
<br />E
<br />F
<br />G
<br />H
<br />I
<br />SUBCONTRACTOR
<br />DESCRIPTION OF WORK
<br />SCHEDULED
<br />CHANGE
<br />BUDGET
<br />REVISED
<br />WORKCOMPLETED
<br />MATERIALS
<br />TOTAL
<br />%
<br />BALANCE
<br />RETAINAGE
<br />VENDOR
<br />VALUE
<br />ORDERS
<br />REVISION/
<br />SCHEDULED
<br />PRESENTLY
<br />COMPLETED
<br />(G: C)
<br />TO FINISH
<br />FROM PREVIOUS
<br />THIS PERIOD
<br />EMPLOYEE
<br />JNO.PACK
<br />CONTINGENCY
<br />VALUE
<br />APPLICATION
<br />STORED
<br />AND STORED
<br />(C-G)
<br />TRANSFER
<br />(D+E)
<br />(NOTIN
<br />TO DATE
<br />D OR E)
<br />(D+E+F)
<br />Precise Heating
<br />15-1500
<br />22A
<br />ADD Alt#3 RTU Replacement
<br />Material
<br />$ 100,200.00
<br />$
<br />$ -
<br />$ 100,200.D0
<br />$ -
<br />$
<br />0.00%
<br />$ 1DO,200.00
<br />$ -
<br />Precise Heating
<br />15-1500
<br />22A
<br />00#1 RFI#19 Response
<br />$ -
<br />$ -
<br />$ (5,017.00)
<br />$ (5,017.00)
<br />$ -
<br />$
<br />0.00%
<br />$ (5,017.00)
<br />$ -
<br />Precise Heating
<br />15-1500
<br />22A
<br />CO#2 PR#2R Roof Drains
<br />$
<br />$ -
<br />$ 19,557.00
<br />$ 19,557.00
<br />$ -
<br />$
<br />0.00%
<br />$ 19,557.00
<br />$ -
<br />Summit Fire
<br />15-1533
<br />21A
<br />Police Labor
<br />$ 22,500.00
<br />$ -
<br />$ -
<br />$ 22500.00
<br />$ -
<br />$ 2,250.00
<br />$ 2,250.00
<br />10.00%
<br />$ 20,250.00
<br />$ 112.50
<br />Summit Fire
<br />15-1533
<br />21A
<br />Police Material
<br />$ 12,100.00
<br />$ -
<br />$ -
<br />$ 12,100.00
<br />$ -
<br />$ 1,210.00
<br />9 1,210.00
<br />10.00%
<br />$ 10,890.00
<br />$ 60.50
<br />Summit Fire
<br />15-1533
<br />21A
<br />Fire Labor
<br />$ 11,500.00
<br />$ -
<br />$ -
<br />$ 11,500.00
<br />$ 11,500.00
<br />$ 11,500.00
<br />100.00%
<br />$ -
<br />$ 575.00
<br />Summit Fire
<br />15-1533
<br />21A
<br />Fire Material
<br />$ 6,200.00
<br />$ -
<br />$ -
<br />$ 6,200.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 6,200.00
<br />$ -
<br />Klein Electric
<br />16-1600
<br />26A
<br />Mobilization
<br />$ 17,328.00
<br />$
<br />$ -
<br />$ 17,328.00
<br />$ 1,733.00
<br />$ 15,595.00
<br />$ 17,328.00
<br />100.DO%
<br />$ -
<br />$ 866.40
<br />,in Electric
<br />16-1500
<br />26A
<br />Per nit/Bond
<br />$ 4,500.00
<br />$
<br />$ -
<br />$ 4,500.00
<br />$ 4,500.00
<br />$ 4,500.00
<br />1DO.0D%
<br />$ -
<br />$ 225.00
<br />Klein Electric
<br />16-1600
<br />26A
<br />Exterior Temp Services/ Job Trailer Temp Power
<br />$ 1500.00
<br />$
<br />$ -
<br />$ 1,500.00
<br />$ 1,500.00
<br />$ 2,500.00
<br />100.00%
<br />$ -
<br />$ 75.00
<br />Klein Electric
<br />16-1600
<br />26A
<br />Switchgear/Panels/Border States Electric
<br />$ 4,737.00
<br />$
<br />$ -
<br />$ 4,737.00
<br />$ -
<br />$ 802.00
<br />$ 902.00
<br />16.93%
<br />$ 3,935.00
<br />$ 40.10
<br />Klein Electric
<br />16-1600
<br />26A
<br />Ught fixtures/Controls/Werener Electric Co.
<br />$ 109,114.00
<br />$
<br />$ -
<br />$ 109,114,00
<br />$ -
<br />$ 8,339.00
<br />$ 8,339.00
<br />7.64%
<br />$ 100,775.00
<br />$ 416.95
<br />Klein Electric
<br />16-1600
<br />26A
<br />Div 26/Fire Alarm/Twenty45even
<br />$ 22,667.00
<br />$
<br />$ -
<br />$ 22,667.00
<br />$ -
<br />$ 3,560.00
<br />$ 3,560.00
<br />15.71%
<br />$ 19,107.00
<br />$ 178.DO
<br />Klein Electric
<br />1&1600
<br />26A
<br />FD- Demolition
<br />$ 2,197.00
<br />$
<br />$
<br />$ 2,197.00
<br />$ 439.DO
<br />$ 439.00
<br />19.98%
<br />$ 1,758.00
<br />$ 21.95
<br />Klein Electric
<br />16-1600
<br />26A
<br />FD-Temporary Power/Lights
<br />$ 1,146.00
<br />$
<br />$
<br />$ 1,146.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 1,146.00
<br />$
<br />Klein Electric
<br />16-1600
<br />26A
<br />FD- Site Underground
<br />Material
<br />$ 1,060.00
<br />S
<br />$
<br />$ 1,060.DO
<br />$ -
<br />$ -
<br />0.00%
<br />$ 1,060.00
<br />S
<br />Klein Electric
<br />16-1600
<br />26A
<br />FD- Site Underground
<br />labor
<br />$ 2,980.00
<br />$
<br />$
<br />$ 2,980.00
<br />$ -
<br />$ -
<br />O.DO%
<br />$ 2,980.00
<br />$
<br />Klein Electric
<br />16-16DO
<br />26A
<br />FD-Site Pole Base
<br />Material
<br />$ 922.00
<br />$ -
<br />$ -
<br />$ 922.00
<br />$ -
<br />$ -
<br />O.DO%
<br />$ 922.00
<br />$
<br />Klein Electric
<br />16-1600
<br />26A
<br />FD-Site Pole Base
<br />labor
<br />$ 817.00
<br />$
<br />$
<br />$ 817.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 817.00
<br />$
<br />Klein Electric
<br />16-1600
<br />26A
<br />FD -Site Set Parking Lot Poles
<br />$ 473.00
<br />$
<br />$
<br />$ 473.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 473.00
<br />$
<br />Klein Electric
<br />16-1600
<br />26A
<br />FD- Switchgear/Panels Install
<br />Material
<br />$ 1,127.00
<br />$ -
<br />$
<br />$ 1,127.00
<br />$ -
<br />$ -
<br />0.00%$
<br />1,127.00
<br />$
<br />Klein Electric
<br />16-1500
<br />26A
<br />FD- Switchgear/Panels Install
<br />Labor
<br />$ 1,896.00
<br />$ -
<br />$
<br />$ 1,886.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 11886.00
<br />$
<br />IOein Electric
<br />16-1600
<br />26A
<br />FD - Light Fixture Install
<br />Material
<br />$ 4,298.00
<br />$
<br />$
<br />$ 4,298.00
<br />$ -
<br />$ 215.00
<br />$ 215.00
<br />5.00%
<br />$ 4,083.00
<br />$ 10.75
<br />Klein Electric
<br />16.1600
<br />26A
<br />FD - Light Fixture Install
<br />Labor
<br />$ 13,351.00
<br />$
<br />$
<br />$ 13,351.00
<br />$
<br />$ 668.00
<br />$ 668.00
<br />5.0-
<br />$ 12,683.00
<br />$ 33.40
<br />Klein Electric
<br />16-1600
<br />26A
<br />FD- Light Fixture Controll Install
<br />Material
<br />$ 1,012.00
<br />$
<br />$
<br />$ 1,012.00
<br />$ -
<br />$
<br />0.00%
<br />$ 1,012.00
<br />$ -
<br />Klein Electric
<br />16-1600
<br />26A
<br />FD- Light Fixture Controll Install
<br />labor
<br />$ 2,875.00
<br />$
<br />$
<br />$ 2,875.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 2,875.00
<br />$
<br />Klein Electric
<br />16-1600
<br />26A
<br />FD- Precast Rough-in's
<br />Material
<br />$ 1,350.00
<br />$
<br />$
<br />$ 1,350.00
<br />$
<br />$ 68.00
<br />$ 68.00
<br />5.04%
<br />$ 1,282.00
<br />$ 3.40
<br />Klein Electric
<br />16-1600
<br />26A
<br />FD- Precast Rough-in's
<br />Labor
<br />S 4,107.00
<br />$
<br />$
<br />$ 4,107.00
<br />$ -
<br />$ 205.00
<br />$ 205.00
<br />4.99%
<br />$ 3,902.00
<br />$ 10.25
<br />Klein Electric
<br />16-1600
<br />26A
<br />FD- Power/Devices/Receptcales
<br />Material
<br />$ 9,485.00
<br />$ -
<br />$
<br />$ 9,485.00
<br />$
<br />$ 474.00
<br />$ 474.00
<br />5.00%
<br />$ 9,011.00
<br />$ 23.70
<br />Klein Electric
<br />16-1600
<br />26A
<br />FD- Power/Devices/Receptcales
<br />labor
<br />$ 16,038.00
<br />$
<br />$
<br />$ 16,038.00
<br />S
<br />$ 802.00
<br />$ 802.00
<br />5.00%
<br />$ 15,236.00
<br />$ 40.10
<br />Klein Electric
<br />Klein Electric
<br />16-1600
<br />16-1600
<br />26A
<br />26A
<br />FD - Unit Heaters
<br />FD-Unit Heaters
<br />Material
<br />Labor
<br />$ 429.00
<br />$ 1,256.00
<br />$
<br />$
<br />$ -
<br />$
<br />$ 429.00
<br />$ 1,256.00 '$
<br />S -
<br />$
<br />$
<br />0.00%
<br />0.00%
<br />$ 429.00
<br />$ 1,256.00
<br />$
<br />$
<br />Klein Electric
<br />16-1600
<br />26A
<br />FD- Exhaust Fans
<br />Material
<br />$ 463.00
<br />S
<br />$
<br />$ 463.00
<br />$
<br />$ -
<br />0.00%
<br />$ 463.00
<br />$ -
<br />Klein Electric
<br />16-1600
<br />26A
<br />FD - Exhaust Fans
<br />Labor
<br />$ 950.00
<br />S -
<br />$ -
<br />$ 950.00
<br />$
<br />$ -
<br />0.00%
<br />$ 950.00
<br />$ -
<br />OeinElectric
<br />16-1600
<br />26A
<br />FD-VAV's
<br />Material
<br />$ 291.00
<br />$
<br />$
<br />$ 291.00
<br />$
<br />$ -
<br />0.00%
<br />$ 291.00
<br />$ -
<br />(lemElectric
<br />16-1600
<br />26A
<br />FD -VAV's
<br />Labor
<br />$ 816.00
<br />$
<br />$ -
<br />$ 816.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 816.00
<br />$
<br />Clem Electric
<br />16.1600
<br />26A
<br />FD- Boilers
<br />Material
<br />$ 196.00
<br />$ -
<br />$ -
<br />$ 196.D0
<br />$ -
<br />$ -
<br />0.00%
<br />$ 196.00
<br />$ -
<br />(leinElectric
<br />16.1600
<br />26A
<br />FD- Boilers
<br />Labor
<br />$ 339.00
<br />$
<br />$
<br />S 339.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 339.00
<br />$ -
<br />(leinElectric
<br />16-1600
<br />26A
<br />FD-Pumps
<br />Material
<br />$ 754.00
<br />$ -
<br />$ -
<br />$ 754.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 754.00
<br />$ -
<br />CleinElectric
<br />16-16DO
<br />26A
<br />FD-Pumps
<br />Labor
<br />$ 2,096.00
<br />$ -
<br />$ -
<br />$ 2,095.00
<br />$ -
<br />$ -
<br />0.D0%
<br />$ 2,096.00
<br />$ -
<br />CleinElectric
<br />16-1600
<br />26A
<br />FD-MAU
<br />Material
<br />$ 219.00
<br />$
<br />$ -
<br />$ 219.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 219.00
<br />$ -
<br />(leinElectric
<br />16-1600
<br />26A
<br />FD -MAU
<br />labor
<br />$ 797.00
<br />$
<br />$
<br />$ 797.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 797.00
<br />$
<br />(Ieln Electric
<br />16-1600
<br />26A
<br />FD-CU
<br />Material
<br />$ 764,00
<br />$ -
<br />S -
<br />$ 764.00
<br />$ -
<br />$ -
<br />0.00%'
<br />$ 764.00
<br />$
<br />Cleln Electric
<br />16-1600
<br />26A
<br />FD-CU
<br />Labor
<br />$ 1,074.00
<br />$
<br />$
<br />$ 1,074.00
<br />$ -
<br />$ -
<br />0.0D%
<br />$ 1,074.00
<br />$
<br />;lain Electric
<br />16-1600
<br />26A
<br />FD-AHU
<br />Material
<br />$ 174.00
<br />$ -
<br />$ -
<br />$ 174.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 174.00
<br />$
<br />(lein Electric
<br />16-1600
<br />26A
<br />FD-AHU
<br />Labor
<br />$ 618.00
<br />$ -
<br />$ -
<br />$ 618.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 618.00
<br />$
<br />1em Electric
<br />16-1600
<br />26A
<br />FD-Steam Generator
<br />Material
<br />$ 669.00
<br />$
<br />$ -
<br />$ 669.00
<br />$ -
<br />$ -
<br />O.DD%
<br />$ 669.00
<br />$
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