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Terra Project Number 20.700 Te rra B k River Pudic Safety BuiIdi ng Expansion � � CONST Rn C TICN City of FJk River CONTINUATION SHEET AIA DOCUMENT G703 AIA Docu me nt G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 7 Contractor's signed certification is attached. APPLICATION DATE: 4/30/21 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 4/30/21 A A.1 B C CA C.2 C.3 D E F G H I SUBCONTRACTOR ITEM BID DESCRIPTION OF WORK SCHEDULED CHANGE BUDGET REVISED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE VENDOR NO. PACK VALUE ORDERS REVISION/ SCHEDULED FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G+C) TO FINISH EMPLOYEE NO. CONTINGENCY VALUE APPLICATION STORED AND STORED (C -G) COST TRANSFER (D+E) (NOT IN TO DATE CODE D OR E) (D+E+F) Preconstruction 01-0002 Preconstruction $ 10,000.00 $ 10,000.00 $ 10,000.00 $ - $ 10,000.00 100.00% $ - $ 500.00 Bonds 01-0110 Bonds & Insurance $ 79,528.00 $ 79,528.00 $ 71,831.00 $ 4,789.00 $ 76,620.00 96.34% $ 2,908.00 $ 3,831.00 Permits 01-0120 Building Permit/SAC/WAC/SWPPP $ 127,156.00 $ 127,156.00 $ 400.00 $ - $ 400.00 0.31% $ 126,756.00 $ 20.00 CM General Requirements CM General Requirements $ 789,795.50 $ 10,159.50 $ 799,955.00 $ 388,269.35 $ 88,615.28 $ 476,894.63 59.61% $ 323,070.37 $ 23,844.23 CM Contingency 01-0150 CM Contingency $ 238,379.00 $ (134,354.67) $ 104,024.33 $ - $ - $ - 0.00% $ 104,024.33 $ - CM Fee CM Fee $ 92,372.00 $ 92,372.00 $ 43,798.66 $ 11,050.00 $ 54,848.66 59.38% $ 37,523.34 $ 2,742.43 Envirobate 02-2070 2A Selective Demolition $ 132,619.00 $ - $ 132,619.00 $ 105,826.16 $ 105,826.16 79.80% $ 26,792.84 $ 5,291.31 Envirobate 02-2070 2A 00#1 PR#2R Add demo $ - $ 2,856.00 $ 2,856.00 $ 2,856.00 $ 2,856.00 100.00"/ $ - $ 142.80 Envirobate 02-2070 2A 00#2 RFI#5 $ - $ 910.00 $ 910.00 $ 910.00 $ 910.00 100.00% $ - $ 45.50 Envirobate 02-2070 2A 00#3 RFI#17 $ - $ 1,164.00 $ 1,164.00 $ 1,164.00 $ 1,164.00 100.00% $ - $ 58.20 Envirobate 02-2070 2A 00#4 RFI#21 $ - $ (1,212.00) $ (1,212.00) $ (1,212.00) $ (1,212.00) 100.00"/ $ - $ (60.60) Envirobate 02-2070 2A 00#5 RFI#36 $ - $ 1,919.00 $ 1,919.00 $ - $ - 0.00% $ 1,919.00 $ - Envirobate 02-2070 2A 00#6 RFI#78 Added Brick Demo $ - $ 8,677.00 $ 8,677.00 $ - $ - 0.00% $ 8,677.00 $ - Envirobate 02-2070 2A 00#7 Back Charge (Fix Damaged Air and Storm Sewer) $ - $ (297.26) $ (297.26) $ - $ - 0.00% $ (297.26) $ - Envirobate 02-2070 2A 00#8 Added Demo at Brick Ledge $ - $ 182.00 $ 182.00 $ - $ - 0.00% $ 182.00 $ - Ebert 03-3300 3A General Conditions $ 22,866.00 $ - $ - $ 22,866.00 $ 16,690.81 $ 2,232.00 $ 18,922.81 82.76% $ 3,943.19 $ 946.14 Ebert 03-3300 3A Bonds & Insurance $ 6,200.00 $ - $ - $ 6,200.00 $ 6,200.00 $ 6,200.00 100.00% $ - $ 310.00 Ebert 03-3300 3A Rebar & Accessories Material $ 50,400.00 $ - $ - $ 50,400.00 $ 50,400.00 $ 50,400.00 100.00% $ - $ 2,520.00 Ebert 03-3300 3A Area A Found Labor $ 35,550.00 $ - $ - $ 35,550.00 $ 31,614.00 $ 31,614.00 88.93% $ 3,936.00 $ 1,580.70 Ebert 03-3300 3A Area A Found Material $ 31,521.00 $ - $ - $ 31,521.00 $ 28,033.00 $ 28,033.00 88.93% $ 3,488.00 $ 1,401.65 Ebert 03-3300 3A Area ASOG Labor $ 27,900.00 $ - $ - $ 27,900.00 $ 19,390.50 $ 19,390.50 69.50% $ 8,509.50 $ 969.53 Ebert 03-3300 3A Area A SOG Material $ 40,577.00 $ - $ - $ 40,577.00 $ 30,077.00 $ 30,077.00 74.12% $ 10,500.00 $ 1,503.85 Ebert 03-3300 3A Area A Top Slabs Labor $ 4,800.00 $ - $ - $ 4,800.00 $ - $ - 0.00% $ 4,800.00 $ - Ebert 03-3300 3A Area ATop Slabs Material $ 3,814.00 $ - $ - $ 3,814.00 $ 1,113.00 $ 1,113.00 29.18% $ 2,701.00 $ 55.65 Ebert 03-3300 3A Area C Found Labor $ 33,900.00 $ - $ - $ 33,900.00 $ 33,900.00 $ 33,900.00 100.00% $ - $ 1,695.00 Ebert 03-3300 3A Area C Found Material $ 26,241.00 $ - $ - $ 26,241.00 $ 26,241.00 $ 26,241.00 100.000/. $ - $ 1,312.05 Ebert 03-3300 3A Area C SOG Labor $ 41,400.00 $ - $ - $ 41,400.00 $ 16,320.00 $ 25,080.00 $ 41,400.00 100.00% $ - $ 2,070.00 Ebert 03-3300 3A Area C SOG Material $ 71,919.00 $ - $ - $ 71,919.00 $ 46,348.15 $ 25,570.85 $ 71,919.00 100.00"/ $ - $ 3,595.95 Ebert 03-3300 3A Exterior Concrete Labor $ 8,700.00 $ - $ - $ 8,700.00 $ - $ 4,050.00 $ 4,050.00 46.55% $ 4,650.00 $ 202.50 Ebert 03-3300 3A Exterior Concrete Material $ 7,412.00 $ - $ - $ 7,412.00 $ - $ 3,960.00 $ 3,960.00 53.43% $ 3,452.00 $ 198.00 Ebert 03-3300 32D General Conditions $ 5,200.00 $ - $ - $ 5,200.00 $ 1,855.20 $ 960.00 $ 2,815.20 54.14% $ 2,384.80 $ 140.76 Ebert 03-3300 32D Bond & Insurance $ 1,181.00 $ - $ - $ 1,181.00 $ 1,181.00 $ 1,181.00 100.00"/ $ - $ 59.05 Ebert 03-3300 32D Rebar & Accessories $ 2,885.00 $ - $ - $ 2,885.00 $ 2,885.00 $ 2,885.00 100.000/6 $ - $ 144.25 Ebert 03-3300 32D Curb &Gutter $ 38,784.00 $ - $ - $ 38,784.00 $ - $ - 0.00% $ 38,784.00 $ - Ebert 03-3300 32D Site Concrete Labor $ 13,100.00 $ - $ - $ 13,100.00 $ - $ - 0.00% $ 13,100.00 $ - Ebert 03-3300 32D Site Concrete Material $ 10,219.00 $ - $ - $ 10,219.00 $ - $ - 0.00% $ 10,219.00 $ - Ebert 03-3300 32D Existing Walk Rep Labor $ 4,800.00 $ - $ - $ 4,800.00 $ - $ - 0.00% $ 4,800.00 $ - Ebert 03-3300 32D Existing Walk Rep Material $ 2,531.00 $ - $ - $ 2,531.00 $ - $ - 0.00% $ 2,531.00 $ - Ebert 03-3300 32D 00#1 Eliminate Insulation at foundation $ - $ - $ (1,143.06) $ (1,143.06) $ (1,143.06) $ (1,143.06) 100.00% $ - $ (57.15) Ebert 03-3300 32D 00#2 PR#2RThickened Footing $ - $ - $ 2,037.71 $ 2,037.71 $ 2,037.71 $ 2,037.71 100.00% $ - $ 101.89 Ebert 03-3300 32D 00#3 RFI#21 $ - $ - $ 2,240.08 $ 2,240.08 $ 2,240.08 $ 2,240.08 100.00% $ - $ 112.00 Ebert 03-3300 32D 00#4 PR#03 $ - $ - $ 20.09 $ 20.09 $ 20.09 $ 20.09 100.00% $ - $ 1.00 Ebert 03-3300 32D 00#5 ASI 1 $ - $ - $ 3,585.12 $ 3,585.12 $ - $ - 0.00% $ 3,585.12 $ - Ebert 03-3300 32D 00#6-PR#14 $ - $ - $ (50.38) $ (50.38) $ (50.38) $ (50.38)1 100.00% $ - $ (2.52)