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Terra Tara Project Number 20.700
<br />ir,Elk Riva Public SEfety BuiI ding Exports on
<br />Ci ty of Elk Riva
<br />CONTINUATION SHEET AIA DOCUMENT G703
<br />AtA Document G702, AP PUCATtON AND CERTT CATION FOR PAYMENT, containing APPLICATION N0: 5
<br />Contractor's signed certification is attached. APPLICATION DATE: 2/28/21
<br />In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 2/28/21
<br />A
<br />A
<br />B
<br />C
<br />CA
<br />C.2
<br />C.3
<br />D E
<br />E
<br />6
<br />H
<br />t
<br />SUBCONTRACTOR
<br />ITEM
<br />BiD
<br />DESCRIPTION OF WORK
<br />SCHEDULED
<br />CHANGE
<br />BUDGET
<br />REVISED
<br />WORK COMPLETED
<br />MATERIALS
<br />TOTAL
<br />%
<br />BALANCE
<br />RETAtNAGE
<br />VENDOR
<br />NO.
<br />PACK
<br />VALUE
<br />ORDERS
<br />REVISION/
<br />SCHEDULED
<br />FROM PREVIOUS
<br />THIS PERIOD
<br />PRESENTLY
<br />COMPLETED
<br />(G+C)
<br />TO FtNtSH
<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+F)
<br />Ben's Structural Fab
<br />05-5121
<br />5A
<br />Steel Supplier -Deck
<br />$ 23,732.50
<br />$ -
<br />$ -
<br />$ 23,732.50
<br />$ 23,732.50
<br />$ 23,732.50
<br />111ZO,
<br />$ -
<br />$ 1,186.63
<br />Ben's Structual Fab
<br />05-5120
<br />5A
<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 />Ben's Structural Fab
<br />OS-5120
<br />5A
<br />CON7 RFlN21
<br />$ -
<br />$ -
<br />$ 1,034.74
<br />$ 1,034.74
<br />$ -
<br />$ 1,034.74
<br />$ 1,034.74
<br />100.00%
<br />$ -
<br />$ 51.74
<br />Ben's Structural Fab
<br />05-5120
<br />5A
<br />CON2 PRNOB
<br />$ -
<br />$ -
<br />$ (2,85&GO)
<br />$ (2,85&GO)
<br />$ -
<br />$ -
<br />0.00%
<br />$ (2,858.00)
<br />$ -
<br />Patriot Erectors
<br />OS-5121
<br />5B
<br />PO- Structural Steel
<br />Labor
<br />$ 8,362.00
<br />$ -
<br />$ -
<br />$ 8,362.00
<br />$ -
<br />$ 8,362.00
<br />$ 8,362.00
<br />100.00%
<br />$ -
<br />$ 418.10
<br />Patriot Erectors
<br />0S-5121
<br />5B
<br />PO -Steel Joist
<br />Labor
<br />$ 6,500.00
<br />$ -
<br />$ -
<br />$ 6,500.00
<br />$ -
<br />$ 6,500.00
<br />$ 6,500.00
<br />100.00%
<br />$ -
<br />$ 325.00
<br />Patriot Erectors
<br />0S-5121
<br />5B
<br />PO - Steel Roof Deck
<br />Labor
<br />$ 7,500.00
<br />$ -
<br />$ -
<br />$ 7,500.00
<br />$ -
<br />$ 7,500.00
<br />$ 7,500.00
<br />100.00%
<br />$ -
<br />$ 375.00
<br />Patriot Erectors
<br />OS-5121
<br />5B
<br />PO -Metal Fab
<br />Labor
<br />$ 4,500.00
<br />$ -
<br />$ -
<br />$ 4,500.00
<br />$ -
<br />$ 2,000.00
<br />$ 2,000.00
<br />44.44%
<br />$ 2,500.00
<br />$ 100.00
<br />Patriot Erectors
<br />05-5121
<br />5B
<br />ED - Structural Steel
<br />Labor
<br />$ 2,780.00
<br />$ -
<br />$ -
<br />$ 2,780.00
<br />$ 500.00
<br />$ 500.00
<br />17.99%
<br />$ 2,280.00
<br />$ 25.00
<br />Patriot Erectors
<br />05-5121
<br />5B
<br />ED-Steel Joist
<br />Labor
<br />$ 2,000.00
<br />$ -
<br />$ -
<br />$ 2,000.00
<br />$ 2,000.00
<br />$ 2,000.00
<br />100.00%
<br />$ -
<br />$ 100.00
<br />Patriot Erectors
<br />05-5121
<br />5B
<br />ED - Steel Roof Deck
<br />Labor
<br />$ 4,000.00
<br />$ -
<br />$ -
<br />$ 4,000.00
<br />$ 4,000.00
<br />$ 4,000.00
<br />10OZO,
<br />$ -
<br />$ 200.00
<br />Patriot Erectors
<br />05-5121
<br />5B
<br />ED -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 />PatriotEm-'s
<br />05-5121
<br />5B
<br />ED -Metal Stairs
<br />tabor
<br />$ 1,600.00
<br />$ -
<br />$ -
<br />$ 1,600.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 1,600.00
<br />$ -
<br />PatriotErectors
<br />05-5121
<br />5B
<br />ED-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 />PatriotEm-'s
<br />05-5121
<br />5B
<br />Bond
<br />$ 65&GG
<br />$ -
<br />$ -
<br />$ 65&GG
<br />$ 65&GG
<br />$ 65&GG
<br />100.00%
<br />$ -
<br />$ 3290
<br />Patriot Erectors
<br />05-5121
<br />5B
<br />CON7 PRN08
<br />$ -
<br />$ -
<br />$ 619.14
<br />$ 619.14
<br />$ -
<br />$ -
<br />0.00%
<br />$ 619.14
<br />$
<br />PatriotEm-'s
<br />05-5121
<br />5B
<br />Joist Pockets
<br />$ -
<br />$ -
<br />$ 482.76
<br />$ 482.76
<br />$ -
<br />$ -
<br />0.00%
<br />$ 482.76
<br />$ -
<br />Century Cons-rtion
<br />06-6100
<br />6A
<br />Area A ED Addition Envelop
<br />$ 11,000.00
<br />$ -
<br />$ -
<br />$ 11,000.00
<br />$ 8,030.00
<br />$ 8,030.00
<br />73.00%
<br />$ 2,970.00
<br />$ 401.50
<br />Century Constmrtion
<br />06-6100
<br />6A
<br />Area A ED Addition lntedor
<br />$ 10,200.00
<br />$ -
<br />$ -
<br />$ 10,200.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 10,200.00
<br />$ -
<br />Century Const-ion
<br />06-6100
<br />6A
<br />Area A ED Renovation
<br />$ 17,000.00
<br />$ -
<br />$ -
<br />$ 17,000.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 17,000.00
<br />$ -
<br />Century Const-ion
<br />06-6100
<br />6A
<br />Area C PO Addition Envelope
<br />$ 18,000.00
<br />$ -
<br />$ -
<br />$ 18,000.00
<br />$ 2,520.00
<br />$ 2,520.00
<br />14ZG%
<br />$ 15,480ZO
<br />$ 126.00
<br />Cr_ ry Constriction
<br />06-6100
<br />6A
<br />Area C PO Addition Interior
<br />$ 3,000.00
<br />$ -
<br />$ -
<br />$ 3,000.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 3,000.00
<br />$ -
<br />Cr_ryConst-ion
<br />06-6100
<br />6A
<br />Area C PO Renovation
<br />$ 10,300.00
<br />$ -
<br />$ -
<br />$ 10,300.00
<br />$ -
<br />$ -
<br />0.000
<br />$ 10,300.00
<br />$ -
<br />Century Cons[n�c[ion
<br />06-6100
<br />6A
<br />Area B PD Phase 1
<br />$ 15,000.00
<br />$ -
<br />$ -
<br />$ 15,000.00
<br />$ 5,025.00
<br />$ 5,025.00
<br />33.50%
<br />$ 9,975.00
<br />$ 251.25
<br />Century Const-ion
<br />06-6100
<br />6A
<br />Area B PO Phase 2
<br />$ 14,000.00
<br />$ -
<br />$ -
<br />$ 14,000.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 14,000.00
<br />$ -
<br />CenturyConst-ion
<br />06-6100
<br />6A
<br />Alternatr#1 LLA-B
<br />$ 2,000.00
<br />$ -
<br />$ -
<br />$ 2,000.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 2,000.00
<br />$ -
<br />Century Const-ion
<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 />Cr_ ry Const-ion
<br />06-6100
<br />6A
<br />Allowance
<br />$ 10,000.00
<br />$ -
<br />$ -
<br />$ 10,000.00
<br />$ -
<br />$ 89&GG
<br />$ 89&GG
<br />898%
<br />$ 9,102.00
<br />$ 4490
<br />Century Const-ion
<br />06-6100
<br />6A
<br />Area A Materials
<br />$ 12,500.00
<br />$ -
<br />$ -
<br />$ 12,500.00
<br />$ 5,000.00
<br />$ 5,000.00
<br />40Z0%
<br />$ 7,500.00
<br />$ 250.00
<br />Century Const-ion
<br />06-6100
<br />6A
<br />Area B Materials
<br />$ 14,000.00
<br />$ -
<br />$ -
<br />$ 14,000.00
<br />$ 2,100.00
<br />$ 2,100.00
<br />15.00%
<br />$ 11,900.00
<br />$ 105.00
<br />Century Const-ion
<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 />CenturyConst-ion
<br />06-6100
<br />6A
<br />CON7 AS1#1 Toilet Partition
<br />$ -
<br />$ -
<br />$ 1,816.28
<br />$ 1,816.28
<br />$ -
<br />$ -
<br />0.00%
<br />$ 1,816.28
<br />$ -
<br />Century Const-ion
<br />06-6100
<br />6A
<br />CON2 Used Allowance ($9,102 lrft)
<br />$ -
<br />$ -
<br />$ -
<br />$ -
<br />$ -
<br />$ -
<br />NDN/01-
<br />Century Const-ion
<br />06-6100
<br />6A
<br />CON3 PO Upper Level Shades
<br />$ -
<br />$ -
<br />$ 10,970.30
<br />$ 10,970.30
<br />$ -
<br />$ -
<br />Gm%
<br />$ 10,970.30
<br />$ -
<br />CenturyConst-ion
<br />06-6100
<br />6A
<br />CON4 Eliminate WG-1
<br />$ -
<br />$ -
<br />$ (8,507.11)
<br />$ (8,507.11)
<br />$ -
<br />$ -
<br />0.00%
<br />$ (8,507.11)
<br />$ -
<br />Century Const-ion
<br />06-6100
<br />6A
<br />CON5 ASI 1
<br />$ -
<br />$ -
<br />$ 203.50
<br />$ 203.50
<br />$ -
<br />$ -
<br />0.00%
<br />$ 203.50
<br />$ -
<br />Ror's Cabinets
<br />06-6200
<br />6B
<br />Casework
<br />$ 83,750.00
<br />$ -
<br />$ (14,041.00)
<br />$ 69,709.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 69,709C0
<br />$ -
<br />Fon'sCabinets
<br />06-6200
<br />6B
<br />CON7 ASI 2R
<br />$ -
<br />$ -
<br />$ (609B6)
<br />$ (609B6)
<br />$ -
<br />$ -
<br />0.00%
<br />$ (609B6)
<br />$ -
<br />Structural Applicators
<br />07-7210
<br />7C
<br />Fluid Applied Air Barriers-Poli-M
<br />$ 300.00
<br />$ -
<br />$ -
<br />$ 300.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 300.00
<br />$ -
<br />StnucturalApplicators
<br />07-7210
<br />7C
<br />Fluid Applied Air Barriers-Poli-L
<br />$ 450.00
<br />$ -
<br />$ -
<br />$ 450.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 450.00
<br />$ -
<br />StnucturalApplicators
<br />07-7210
<br />7C
<br />Fluid Applied Air Barriers-FireM
<br />$ 5,65TOG
<br />$ -
<br />$ -
<br />$ 5,65TOG
<br />$ -
<br />$ 5,65TOG
<br />$ 5,65TOG
<br />100.00%
<br />$ -
<br />$ 282B5
<br />Structural Applicators
<br />07-7210
<br />7C
<br />Fluid Applied Air Barriers-FireL
<br />$ 8,289.00
<br />$ -
<br />$ -
<br />$ 8,289.00
<br />$ -
<br />$ 8,289.00
<br />$ 8,289.00
<br />100.00%
<br />$ -
<br />$ 414A5
<br />Structural Applicators
<br />07-7210
<br />7C
<br />CON1 Remove Air Barrier at FES from Scope
<br />$ -
<br />$ -
<br />$ (2,533.30)
<br />$ (2,533.30)
<br />$ -
<br />$ (2,533.00)
<br />$ (2,533.00)
<br />9999%
<br />$ (0.30)
<br />$ (126.65)
<br />ru Stctural Applicators
<br />07-7210
<br />7C
<br />CON2 RFlN59
<br />$ -
<br />$ -
<br />$ (889.74)
<br />$ (889.74)
<br />$ -
<br />$ (889.74)
<br />$ (889.74)
<br />100.00%
<br />$ -
<br />$ (44A9)
<br />John A Dalsin
<br />07-7510
<br />7A
<br />Roofing-RoofingM
<br />$ 128,971.00
<br />$ -
<br />$ -
<br />$ 128,971.00
<br />$ -
<br />$ 28,400.00
<br />$ 28,400.00
<br />22.02%
<br />$ 100,571.00
<br />$ 1,420ZO
<br />John A Dalsin
<br />07-7510
<br />7A
<br />Roofing-RoofingL
<br />$ 86,804.00
<br />$ -
<br />$ -
<br />$ 86,804.00
<br />$ -
<br />$ 21,700.00
<br />$ 21,700.00
<br />25.00%
<br />$ 65,104.00
<br />$ 1,085.00
<br />John A Dalsin
<br />07-7510
<br />7A
<br />Roofing -Sheet Metal M
<br />$ 3,983.00
<br />$ -
<br />$ -
<br />$ 3,983.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 3,983C0
<br />$ -
<br />John A Dalsin
<br />07-7510
<br />7A
<br />Roofing -Sheet Metal L
<br />$ 11,84&GG
<br />$ -
<br />$ -
<br />$ 11,84&GG
<br />$ -
<br />$ -
<br />$ -
<br />0.00%
<br />$ 11,848.00
<br />$ -
<br />JohnADalsin
<br />07-7510
<br />7A
<br />Roofing-MODC
<br />$ 4,640.00
<br />$ -
<br />$ -
<br />$ 4,640.00
<br />$ -
<br />$ 1,700.00
<br />$ 1,700.00
<br />36.64%
<br />$ 2,940.00
<br />$ 85.00
<br />John A Dalsin
<br />07-7510
<br />7A
<br />CON7 RFlN59
<br />$ -
<br />$ -
<br />$ 771.00
<br />$ 771.00
<br />$ -
<br />$ 771.00
<br />$ 771.00
<br />100.00%
<br />$ -
<br />$ 38.55
<br />Lake Area Roofing
<br />07-7412
<br />7B
<br />Metal Wall Panels
<br />$ 17,881.00
<br />$ -
<br />$ -
<br />$ 17,881.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 17,881C0
<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 />$ 39,684C0
<br />$ -
<br />WaumadeeCreek
<br />07-7900
<br />7D
<br />CO#1 PRN2R Caulk Patching
<br />$ -
<br />$ -
<br />$ 190ZO
<br />$ 190ZO
<br />$ -
<br />$ -
<br />0.00%
<br />$ 190.00
<br />$ -
<br />Pale2 6 SPC'East T--T-P, APP
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