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Terra Terra Project Number2U7U5
<br />Elk R
<br />Elk River Fire Station to
<br />CONSTRUCTION City of Elk River
<br />CONTINUATION SHEET AIA DOCUMENT G703
<br />AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 4
<br />Contractor's signed certification is attached. APPLICATION DATE: 5/31/21
<br />In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 5/31/21
<br />Use Column I on Contracts where variable retainage for line items may apply.
<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 />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 FINISH
<br />(IF VARIABLE
<br />EMPLOYEE
<br />NO.
<br />CONTINGENCY
<br />VALUE
<br />APPLICATION
<br />STORED
<br />AND STORED
<br />(C -G)
<br />RATE)
<br />COST
<br />TRANSFER
<br />(D+E)
<br />(NOT IN
<br />TO DATE
<br />CODE
<br />D OR E)
<br />(D+E+F)
<br />Preconstruction
<br />01-0002
<br />Preconstruction
<br />$ 10,000.00
<br />$ 10,000.00
<br />$ 10,000.00
<br />$ -
<br />$ 10,000.00
<br />100.00%
<br />$ -
<br />$ 500.00
<br />Bonds & Insurance
<br />01-0100
<br />Bonds & Insurance
<br />$ 76,368.00
<br />$ 76,368.00
<br />$ 55,927.00
<br />$ 2,044.00
<br />$ 57,971.00
<br />75.91%
<br />$ 18,397.00
<br />$ 2,898.55
<br />Permit
<br />01-0110
<br />Permit
<br />$ 400.00
<br />$ 1,033.46
<br />$ 1,433.46
<br />$ 1,433.46
<br />$ -
<br />$ 1,433.46
<br />100.00%
<br />$ -
<br />$ 71.67
<br />CM General Requirements
<br />01-0120
<br />CM General Requirements
<br />$ 724,061.00
<br />$ -
<br />$ (4,246.61)
<br />$ 719,814.39
<br />$ 60,676.65
<br />$ 43,507.93
<br />$ 104,184.58
<br />14A7%
<br />$ 615,629.81
<br />$ 5,209.23
<br />CM Contingency
<br />01-0130
<br />CM Contingency
<br />$ 233,000.00
<br />$ (55,266.97)
<br />$ 177,733.03
<br />$ -
<br />$ -
<br />$ -
<br />0.00%
<br />$ 177,733.03
<br />$ -
<br />CM Fee
<br />01-0150
<br />CM Fee
<br />$ 101,734.00
<br />$ 101,734.00
<br />$ 5,840.61
<br />$ 1,825.00
<br />$ 7,665.61
<br />7.53%
<br />$ 94,068.39
<br />$ 363.26
<br />Thomsen Construction Services
<br />03-3300
<br />3A
<br />Footings/Pads
<br />$ 22,000.00
<br />$ -
<br />$ -
<br />$ 22,000.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 22,000.00
<br />$ -
<br />Thomsen Construction Services
<br />03-3300
<br />3A
<br />Footings Labor
<br />$ 32,000.00
<br />$ -
<br />$ -
<br />$ 32,000.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 32,000.00
<br />$ -
<br />Thomsen Construction Services
<br />03-3300
<br />3A
<br />Walls Material
<br />$ 14,000.00
<br />$ -
<br />$ -
<br />$ 14,000.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 14,000.00
<br />$ -
<br />Thomsen Construction Services
<br />03-3300
<br />3A
<br />Walls Labor
<br />$ 60,000.00
<br />$ -
<br />$ -
<br />$ 60,000.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 60,000.00
<br />$ -
<br />Thomsen Construction Services
<br />03-3300
<br />3A
<br />Slab on Grade Material
<br />$ 73,000.00
<br />$ -
<br />$ -
<br />$ 73,000.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 73,000.00
<br />$ -
<br />Thomsen Construction Services
<br />03-3300
<br />3A
<br />Slab on Grade Labor
<br />$ 112,900.00
<br />$ -
<br />$ -
<br />$ 112,900.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 112,900.00
<br />$ -
<br />Thomsen Construction Services
<br />03-3300
<br />3A
<br />Reinforcing Material
<br />$ 35,000.00
<br />$ -
<br />$ -
<br />$ 35,000.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 35,000.00
<br />$ -
<br />Thomsen Construction Services
<br />03-3300
<br />3A
<br />CO#1 PR#4 Stepped Footings
<br />$ -
<br />$ -
<br />$ 2,500.00
<br />$ 2,500.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 2,500.00
<br />$ -
<br />Concrete Treatments
<br />03-3350
<br />3B & 9E
<br />Polished Concrete and Resinous Flooring
<br />$ 73,189.00
<br />$ -
<br />$ -
<br />$ 73,189.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 73,189.00
<br />$ -
<br />Ultra Concrete
<br />03-3390
<br />32D
<br />Bond
<br />$ 2,400.00
<br />$ -
<br />$ -
<br />$ 2,400.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 2,400.00
<br />$
<br />Ultra Concrete
<br />03-3390
<br />32D
<br />Curb
<br />$ 37,000.00
<br />$ -
<br />$ -
<br />$ 37,000.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 37,000.00
<br />$ -
<br />Ultra Concrete
<br />03-3390
<br />32D
<br />Bollards/Flag Pole Footings
<br />$ 9,800.00
<br />$ -
<br />$ -
<br />$ 9,800.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 9,800.00
<br />$
<br />Ultra Concrete
<br />03-3390
<br />32D
<br />Sidewalks/Paving
<br />$ 170,800.00
<br />$ -
<br />$ -
<br />$ 170,800.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 170,800.00
<br />$ -
<br />Ultra Concrete
<br />03-3390
<br />32D
<br />CO#1 PR#7 Water Service
<br />$ -
<br />$ -
<br />$ (994.93)
<br />$ (994.93)
<br />$ -
<br />$ -
<br />0.00%
<br />$ (994.93)
<br />$ -
<br />Camco Construction
<br />04-4200
<br />4A
<br />Masonry
<br />$ 1,115,000.00
<br />$ -
<br />$ -
<br />$ 1,115,000.00
<br />$ -
<br />$ -
<br />0.00%
<br />$1,115,000.00
<br />$ -
<br />Distinctive Iron
<br />05-5120
<br />5A
<br />Structural Steel Material-Startup/Shop Drawings
<br />$ 38,200.00
<br />$ -
<br />$ -
<br />$ 38,200.00
<br />$ 38,200.00
<br />$ 38,200.00
<br />100.00%
<br />$ -
<br />$ 1,910.00
<br />Distinctive Iron
<br />05-5120
<br />5A
<br />Structural Steel Material
<br />$ 75,000.00
<br />$ -
<br />$ -
<br />$ 75,000.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 75,000.00
<br />$ -
<br />Distinctive Iron
<br />05-5120
<br />5A
<br />Structural Steel Material
<br />$ 115,553.75
<br />$ -
<br />$ 87,196.25
<br />$ 202,750.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 202,750.00
<br />$ -
<br />Distinctive Iron
<br />05-5120
<br />5A
<br />Structural Steel Material
<br />$ 67,006.25
<br />$ -
<br />$ -
<br />$ 67,006.25
<br />$ -
<br />$ -
<br />0.00%
<br />$ 67,006.25
<br />$ -
<br />Distinctive Iron
<br />05-5120
<br />5A
<br />CO#1 Salvaged Steel Bollards
<br />$ -
<br />$ -
<br />$ (1,232.00)
<br />$ (1,232.00)
<br />$ -
<br />$ -
<br />0.00%
<br />$ (1,232.00)
<br />$ -
<br />Distinctive Iron
<br />05-5120
<br />5A
<br />CO#2 Increased RTU Loads
<br />$ -
<br />$ -
<br />$ 1,305.28
<br />$ 1,305.28
<br />$ -
<br />$ -
<br />0.00%
<br />$ 1,305.28
<br />$ -
<br />Patriot Erectors
<br />05-5121
<br />5B
<br />Structural Steel Erection
<br />$ 58,000.00
<br />$ -
<br />$ -
<br />$ 58,000.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 58,000.00
<br />$ -
<br />Patriot Erectors
<br />05-5121
<br />5B
<br />Joists & Decking
<br />$ 29,575.00
<br />$ -
<br />$ -
<br />$ 29,575.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 29,575.00
<br />$ -
<br />Patriot Erectors
<br />05-5121
<br />5B
<br />Metal Fabrications
<br />$ 26,175.00
<br />$ -
<br />$ -
<br />$ 26,175.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 26,175.00
<br />$ -
<br />Patriot Erectors
<br />05-5121
<br />5B
<br />Bond
<br />$ 4,000.00
<br />$ -
<br />$ -
<br />$ 4,000.00
<br />$ 4,000.00
<br />$ 4,000.00
<br />100.00%
<br />$ -
<br />$ 200.00
<br />Patriot Erectors
<br />05-5121
<br />5B
<br />CO#1 PR#2R Clerestory Head Detail
<br />$ -
<br />$ -
<br />$ 6,784.00
<br />$ 6,784.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 6,784.00
<br />$ -
<br />Century Construction
<br />06-6100
<br />6A
<br />Performance & Payment Bond
<br />$ 6,400.00
<br />$ -
<br />$ -
<br />$ 6,400.00
<br />$ 6,400.00
<br />$ 6,400.00
<br />100.00%
<br />$ -
<br />$ 320.00
<br />Century Construction
<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 />Mobilization
<br />$ 3,100.00
<br />$ -
<br />$ -
<br />$ 3,100.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 3,100.00
<br />$ -
<br />Century Construction
<br />06-6100
<br />6A
<br />Materials
<br />$ 97,000.00
<br />$ -
<br />$ -
<br />$ 97,000.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 97,000.00
<br />$ -
<br />Century Construction
<br />06-6100
<br />6A
<br />Material Blocking
<br />$ 12,000.00
<br />$ -
<br />$ -
<br />$ 12,000.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 12,000.00
<br />$ -
<br />Century Construction
<br />06-6100
<br />6A
<br />Install Roof Blocking
<br />$ 43,000.00
<br />$ -
<br />$ -
<br />$ 43,000.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 43,000.00
<br />$ -
<br />Pagel / 6
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