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TerraProjecta Numb2U7U5 <br />METerra Elk iva Fire Station to <br />CONSTRUCTION <br />City of Elk River <br />CONTINUATION SHEET AIA DOCUMENT G703 <br />AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 5 <br />Contractor's signed certification is attached. APPLICATION DATE: 6/30/21 <br />In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 6/30/21 <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 />Dryden Excavating <br />31-1000 <br />33A <br />CO#3 PR#4 Stepped Footings <br />$ - <br />$ - <br />$ 1,584.00 <br />$ 1,584.00 <br />$ - <br />$ 1,584.00 <br />$ 1,584.00 <br />100.00% <br />$ - <br />$ 79.20 <br />Dryden Excavating <br />31-1000 <br />33A <br />CO#4 ASI#2 <br />$ - <br />$ - <br />$ 6,096.75 <br />$ 6,096.75 <br />$ - <br />$ 6,096.75 <br />$ 6,096.75 <br />100.00% <br />$ - <br />$ 304.64 <br />Dryden Excavating <br />31-1000 <br />33A <br />CO#5 B/C Thomsen <br />$ - <br />$ - <br />$ (500.00) <br />$ (500.00) <br />$ - <br />$ (500.00) <br />$ (500.00) <br />100.00% <br />$ - <br />$ (25.00) <br />Dryden Excavating <br />31-1000 <br />33A <br />CO#6 Overexcavate Footing Trenches for Rock <br />$ - <br />$ - <br />$ 2,373.26 <br />$ 2,373.26 <br />$ - <br />$ 2,373.26 <br />$ 2,373.26 <br />100.00% <br />$ - <br />$ 116.66 <br />Dryden Excavating <br />31-1000 <br />33A <br />CO#7 Furnish and Install 3" Rock for Pump Truck <br />$ - <br />$ - <br />$ 5,409.16 <br />$ 5,409.16 <br />$ - <br />$ 5,409.16 <br />$ 5,409.16 <br />100.00% <br />$ - <br />$ 270.46 <br />Dryden Excavating <br />31-1000 <br />33A <br />CO#B Install Temp Drain Pipe <br />$ - <br />$ - <br />$ 5,894.96 <br />$ 5,894.96 <br />$ - <br />$ 5,894.96 <br />$ 5,894.96 <br />100.00% <br />$ - <br />$ 294.75 <br />Omann Brothers <br />32-1216 <br />32C <br />Gravel Base <br />$ 16,920.00 <br />$ - <br />$ - <br />$ 16,920.00 <br />$ - <br />$ - <br />0.00% <br />$ 16,920.00 <br />$ - <br />Omann Brothers <br />32-1216 <br />32C <br />Bit Base Course <br />$ 25,370.00 <br />$ - <br />$ - <br />$ 25,370.00 <br />$ - <br />$ - <br />0.00% <br />$ 25,370.00 <br />$ - <br />Omann Brothers <br />32-1216 <br />32C <br />Bit Wear Course <br />$ 27,700.00 <br />$ <br />$ - <br />$ 27,700.00 <br />$ - <br />$ - <br />0.00% <br />$ 27,700.00 <br />$ - <br />Omann Brothers <br />32-1216 <br />32C <br />Striping <br />$ 500.00 <br />$ - <br />$ - <br />$ 500.00 <br />$ - <br />$ - <br />0.00% <br />$ 500.00 <br />$ - <br />Omann Brothers <br />32-1216 <br />32C <br />CO#1 PR#7 Water Service <br />$ - <br />$ - <br />$ (850.00) <br />$ (850.00) <br />$ - <br />$ - <br />0.00% <br />$ (850.00) <br />$ - <br />Peterson Companies <br />32-4000 <br />32A <br />Fencing <br />$ 4,485.00 <br />$ - <br />$ - <br />$ 4,485.00 <br />$ - <br />$ - <br />0.00% <br />$ 4,485.00 <br />$ - <br />Autumn Ridge <br />32-3291 <br />32B <br />Landscaping <br />$ 68,500.00 <br />$ - <br />$ - <br />$ 68,500.00 <br />$ - <br />$ - <br />0.00% <br />$ 68,500.00 <br />$ - <br />GRAND TOTALS $ 6,898,246.00 $ - $ (0.00) $ 6,898,246.00 $ 519,757.27 $ 533,545.45 $ - $ 1,053,302.72 15.27% $ 5,844,943.28 $ 52,665.14 <br />Page 7/7 <br />