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Terra Tara Project Number 20.705
<br />ffENa O k River F re Station#3
<br />iGON5TRIJG City of Elk River
<br />CONTINUATION SHEET AIA DOCUMENTG703
<br />AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 9
<br />Contractor's signed certification is attached. APPLICATION DATE: 10/31/21
<br />In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 10/31/21
<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 />WORK COMPLETED
<br />MATERIALS
<br />TOTAL
<br />%
<br />BALANCE
<br />RETAINAGE
<br />VENDOR
<br />NO.
<br />PACK
<br />VALUE
<br />ORDERS
<br />REVISION/
<br />SCHEDULED
<br />PRESENTLY
<br />COMPLETED
<br />(G+C)
<br />TO FINISH
<br />(IF VARIABLE
<br />FROM PREVIOUS
<br />THIS PERIOD
<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 />$ 64,103.00
<br />$ 2,044.00
<br />$ 66,147.00
<br />86.62%
<br />$ 10,221.00
<br />$ 3,307.35
<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 />$ (18,585.82)
<br />$ 705,475.18
<br />$ 301,355.81
<br />$ 49,327.72
<br />$ 350,683.53
<br />49.71%
<br />$ 354,791.65
<br />$ 17,534.18
<br />CM Contingency
<br />01-0130
<br />CM Contingency
<br />$ 233,000.00
<br />$ (98,600.07)
<br />$ 134,399.93
<br />$ -
<br />$ -
<br />$ -
<br />0.00%
<br />$ 134,399.93
<br />$ -
<br />CM Fee
<br />01-0150
<br />CM Fee
<br />$ 101,734.00
<br />$ 101,734.00
<br />$ 39,294.61
<br />$ 10,063.00
<br />$ 49,357.61
<br />48.52%
<br />$ 52,376.39
<br />$ 2,467.88
<br />Thomsen Construction Services
<br />03-3300
<br />3A
<br />Footings/Pads
<br />$ 22,000.00
<br />$ -
<br />$ -
<br />$ 22,000.00
<br />$ 22,000.00
<br />$ 22,000.00
<br />100.00%
<br />$ -
<br />$ 1,100.00
<br />Thomsen Construction Services
<br />03-3300
<br />3A
<br />Footings Labor
<br />$ 32,000.00
<br />$ -
<br />$ -
<br />$ 32,000.00
<br />$ 32,000.00
<br />$ 32,000.00
<br />100.00%
<br />$ -
<br />$ 1,600.00
<br />Thomsen Construction Services
<br />03-3300
<br />3A
<br />Walls Material
<br />$ 14,000.00
<br />$ -
<br />$ -
<br />$ 14,000.00
<br />$ 14,000.00
<br />$ 14,000.00
<br />100.00%
<br />$ -
<br />$ 700.00
<br />Thomsen Construction Services
<br />03-3300
<br />3A
<br />Walls Labor
<br />$ 60,000.00
<br />$ -
<br />$ -
<br />$ 60,000.00
<br />$ 60,000.00
<br />$ 60,000.00
<br />100.00%
<br />$ -
<br />$ 3,000.00
<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 />$ 11,500.00
<br />$ 22,500.00
<br />$ 34,000.00
<br />46.58%
<br />$ 39,000.00
<br />$ 1,700.00
<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 />$ 22,500.00
<br />$ 45,000.00
<br />$ 67,500.00
<br />59.79%
<br />$ 45,400.00
<br />$ 3,375.00
<br />Thomsen Construction Services
<br />03-3300
<br />3A
<br />Reinforcing Material
<br />$ 35,000.00
<br />$ -
<br />$ -
<br />$ 35,000.00
<br />$ 35,000.00
<br />$ 35,000.00
<br />100.00%
<br />$ -
<br />$ 1,750.00
<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 />$ 2,500.00
<br />$ 2,500.00
<br />100.00%
<br />$ -
<br />$ 125.00
<br />Thomsen Construction Services
<br />03-3300
<br />3A
<br />CO#2 B/C to Dryden
<br />$ -
<br />$ -
<br />$ 500.00
<br />$ 500.00
<br />$ 500.00
<br />$ 500.00
<br />100.00%
<br />$ -
<br />$ 25.00
<br />Thomsen Construction Services
<br />03-3300
<br />3A
<br />CO#3 RFI#33 Stepped footings for 8'' Storm
<br />$ -
<br />$ -
<br />$ 600.00
<br />$ 600.00
<br />$ 600.00
<br />$ 600.00
<br />100.00%
<br />$ -
<br />$ 30.00
<br />Thomsen Construction Services
<br />03-3300
<br />3A
<br />CO#4 RFI#37 Extended Foundation @ 188
<br />$ -
<br />$ -
<br />$ 550.00
<br />$ 550.00
<br />$ 550.00
<br />$ 550.00
<br />100.00%
<br />$
<br />$ 27.50
<br />Thomsen Construction Services
<br />03-3300
<br />3A
<br />CO#5 Footings along GL-8
<br />$ -
<br />$ -
<br />$ 2,480.00
<br />$ 2,480.00
<br />$ 2,480.00
<br />$ 2,480.00
<br />100.00%
<br />$ -
<br />$ 124.00
<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 />Concrete Treatments
<br />03-3350
<br />3B & 9E
<br />CO#1 ASI#8R Changed Polished Flooring
<br />$ -
<br />$ -
<br />$ (3,839.00)
<br />$ (3,839.00)
<br />$ -
<br />$ -
<br />0.00%
<br />$ (3,839.00)
<br />$ -
<br />Ultra Concrete
<br />03-3390
<br />32D
<br />Bond
<br />$ 2,400.00
<br />$ -
<br />$ -
<br />$ 2,400.00
<br />$ 2,400.00
<br />$ 2,400.00
<br />100.00%
<br />$ -
<br />$ 120.00
<br />Ultra Concrete
<br />03-3390
<br />32D
<br />Curb
<br />$ 37,000.00
<br />$ -
<br />$ -
<br />$ 37,000.00
<br />$ 3,000.00
<br />$ 3,000.00
<br />8.11%
<br />$ 34,000.00
<br />$ 150.00
<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 -Bond
<br />$ 15,000.00
<br />$ -
<br />$ -
<br />$ 15,000.00
<br />$ 15,000.00
<br />$ 15,000.00
<br />100.00%
<br />$ -
<br />$ 750.00
<br />Camco Construction
<br />04-4200
<br />4A
<br />Masonry-Rebar
<br />$ 40,000.00
<br />$ -
<br />$ -
<br />$ 40,000.00
<br />$ 40,000.00
<br />$ 40,000.00
<br />100.00%
<br />$ -
<br />$ 2,000.00
<br />Camco Construction
<br />04-4200
<br />4A
<br />Masonry-Misc Masonry Materials
<br />$ 115,000.00
<br />$ -
<br />$ -
<br />$ 115,000.00
<br />$ 109,250.00
<br />$ 5,750.00
<br />$ 115,000.00
<br />100.00%
<br />$ -
<br />$ 5,750.00
<br />Camco Construction
<br />04-4200
<br />4A
<br />Masonry -Insulation
<br />$ 20,000.00
<br />$ -
<br />$ -
<br />$ 20,000.00
<br />$ 20,000.00
<br />$ 20,000.00
<br />100.00%
<br />$ -
<br />$ 1,000.00
<br />Camco Construction
<br />04-4200
<br />4A
<br />Masonry -Grout Material
<br />$ 42,000.00
<br />$ -
<br />$ -
<br />$ 42,000.00
<br />$ 42,000.00
<br />$ 42,000.00
<br />100.00%
<br />$ -
<br />$ 2,100.00
<br />Camco Construction
<br />04-4200
<br />4A
<br />Masonry -Grout Labor
<br />$ 50,000.00
<br />$ -
<br />$ -
<br />$ 50,000.00
<br />$ 50,000.00
<br />$ 50,000.00
<br />100.00%
<br />$ -
<br />$ 2,500.00
<br />Camco Construction
<br />04-4200
<br />4A
<br />Masonry -Stone Material
<br />$ 60,000.00
<br />$ -
<br />$ -
<br />$ 60,000.00
<br />$ 15,000.00
<br />$ 45,000.00
<br />$ 60,000.00
<br />100.00%
<br />$ -
<br />$ 3,000.00
<br />Camco Construction
<br />04-4200
<br />4A
<br />Masonry -Stone Labor
<br />$ 42,000.00
<br />$ -
<br />$ -
<br />$ 42,000.00
<br />$ 2,100.00
<br />$ 18,900.00
<br />$ 21,000.00
<br />50.00%
<br />$ 21,000.00
<br />$ 1,050.00
<br />Camco Construction
<br />04-4200
<br />4A
<br />Mason ry-Facebrick Material
<br />$ 75,000.00
<br />$ -
<br />$ -
<br />$ 75,000.00
<br />$ 26,250.00
<br />$ 30,000.00
<br />$ 56,250.00
<br />75.00%
<br />$ 18,750.00
<br />$ 2,812.50
<br />Camco Construction
<br />04-4200
<br />4A
<br />Mason ry-Facebrick Labor
<br />$ 230,000.00
<br />$ -
<br />$ -
<br />$ 230,000.00
<br />$ 34,500.00
<br />$ 46,000.00
<br />$ 80,500.00
<br />35.00%
<br />$ 149,500.00
<br />$ 4,025.00
<br />Camco Construction
<br />04-4200
<br />4A
<br />Masonry -Precast Material
<br />$ 35,000.00
<br />$ -
<br />$ -
<br />$ 35,000.00
<br />$ -
<br />$ 35,000.00
<br />$ 35,000.00
<br />100.00%
<br />$ -
<br />$ 1,750.00
<br />Camco Construction
<br />04-4200
<br />4A
<br />Masonry -Precast Labor
<br />$ 40,000.00
<br />$ -
<br />$ -
<br />$ 40,000.00
<br />$ -
<br />$ 20,000.00
<br />$ 20,000.00
<br />50.00%
<br />$ 20,000.00
<br />$ 1,000.00
<br />Camco Construction
<br />04-4200
<br />4A
<br />Masonry-CMU Material
<br />$ 100,000.00
<br />$ -
<br />$ -
<br />$ 100,000.00
<br />$ 100,000.00
<br />$ 100,000.00
<br />100.00%
<br />$ -
<br />$ 5000.00
<br />Camco Construction
<br />04-4200
<br />4A
<br />Masonry-CMU Labor
<br />$ 251,000.00
<br />$
<br />$ -
<br />$ 251,000.00
<br />$ 251,000.00
<br />$ 251,000.00
<br />100.00%
<br />$ -
<br />$ 12:550.00
<br />Camco Construction
<br />04-4200
<br />4A
<br />CO#1 ASI#5 Added 4'' Block
<br />$ -
<br />$ -
<br />$ 7,661.00
<br />$ 7,661.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 7,661.00
<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 />$ 75,000.00
<br />$ 75,000.00
<br />100.00%
<br />$ -
<br />$ 3,750.00
<br />Pagel/8
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