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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 />Tim's Construction Group
<br />09-9300
<br />9B
<br />Labor
<br />$ 23,450.00
<br />$ -
<br />$ -
<br />$ 23,450.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 23,450.00
<br />$ -
<br />Tim's Construction Group
<br />09-9300
<br />9B
<br />Tile Material
<br />$ 26,365.00
<br />$ -
<br />$ -
<br />$ 26,365.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 26,365.00
<br />$ -
<br />Sonus Interiors
<br />09-9510
<br />9C
<br />ACT-1 Material
<br />$ 9,850.00
<br />$ -
<br />$ -
<br />$ 9,850.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 9,850.00
<br />$ -
<br />Sonus Interiors
<br />09-9510
<br />9C
<br />ACT-1 Labor
<br />$ 6,936.00
<br />$ -
<br />$ -
<br />$ 6,936.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 6,936.00
<br />$ -
<br />Sonus Interiors
<br />09-9510
<br />9C
<br />ACP Material
<br />$ 61,659.00
<br />$ -
<br />$ -
<br />$ 61,659.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 61,659.00
<br />$ -
<br />Sonus Interiors
<br />09-9510
<br />9C
<br />ACP Labor
<br />$ 9,674.00
<br />$ -
<br />$ -
<br />$ 9,674.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 9,674.00
<br />$ -
<br />Sonus Interiors
<br />09-9510
<br />9C
<br />Bond
<br />$ 1,231.00
<br />$ -
<br />$ -
<br />$ 1,231.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 1,231.00
<br />$ -
<br />Sonus Interiors
<br />09-9510
<br />9C
<br />CO#1 PR#3R
<br />$ -
<br />$ -
<br />$ 1,130.00
<br />$ 1,130.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 1,130.00
<br />$ -
<br />Sonus Interiors
<br />09-9510
<br />9C
<br />CO#2 RFI#78 Extended Wall Track
<br />$ -
<br />$ -
<br />$ 637.00
<br />$ 637.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 637.00
<br />$ -
<br />Sonus Interiors
<br />09-9510
<br />9C
<br />CO#3 ASI#9 Removed ACT in Room 124
<br />$ -
<br />$ -
<br />$ (257.00)
<br />$ (257.00)
<br />$ -
<br />$ -
<br />0.00%
<br />$ (257.00)
<br />$ -
<br />Centennial Flooring
<br />09-9680
<br />9D
<br />Carpet & Resilient Flooring -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 />Centennial Flooring
<br />09-9680
<br />9D
<br />Carpet & Resilient Flooring -Labor
<br />$ 5,500.00
<br />$ -
<br />$ -
<br />$ 5,500.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 5,500.00
<br />$ -
<br />Steinbrecher Painting
<br />09-9910
<br />9F
<br />Painting& Wallcovering
<br />$ 76,200.00
<br />$ -
<br />$ -
<br />$ 76,200.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 76,200.00
<br />$ -
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />Mechanical -Fabricated Ductwork
<br />$ 16,475.00
<br />$ -
<br />$ -
<br />$ 16,475.00
<br />$ -
<br />$ 4,942.50
<br />$ 4,942.50
<br />30.00%
<br />$ 11,532.50
<br />$ 247.13
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />Mechanical -Duct Field Material
<br />$ 19,439.00
<br />$ -
<br />$ -
<br />$ 19,439.00
<br />$ -
<br />$ 1,943.90
<br />$ 1,943.90
<br />10.00%
<br />$ 17,495.10
<br />$ 97.20
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />Mechanical -Plumbing Material
<br />$ 71,868.00
<br />$ -
<br />$ -
<br />$ 71,868.00
<br />$ 17,967.00
<br />$ 12,217.56
<br />$ 30,184.56
<br />42.00%
<br />$ 41,683.44
<br />$ 1,509.23
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />Mechanical -Piping Material
<br />$ 40,271.00
<br />$ -
<br />$ -
<br />$ 40,271.00
<br />$ -
<br />$ 4,027.10
<br />$ 4,027.10
<br />10.00%
<br />$ 36,243.90
<br />$ 201.36
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />Mechanical -Insulation Material
<br />$ 16,961.00
<br />$ -
<br />$ -
<br />$ 16,961.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 16,961.00
<br />$ -
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />Mechanical -Ventilation Material
<br />$ 84,721.00
<br />$ -
<br />$ -
<br />$ 84,721.00
<br />$ 4,236.05
<br />$ 1,694.42
<br />$ 5,930.47
<br />7.00%
<br />$ 78,790.53
<br />$ 296.52
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />Mechanical -Plumbing Labor
<br />$ 146,790.00
<br />$ -
<br />$ -
<br />$ 146,790.00
<br />$ 35,229.60
<br />$ 8,807.40
<br />$ 44,037.00
<br />30.00%
<br />$ 102,753.00
<br />$ 2,201.85
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />Mechanical -Piping Labor
<br />$ 78,083.00
<br />$ -
<br />$ -
<br />$ 78,083.00
<br />$ -
<br />$ 1,561.66
<br />$ 1,561.66
<br />2.00%
<br />$ 76,521.34
<br />$ 78.08
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />Mechanical -Insulation Labor
<br />$ 35,439.00
<br />$ -
<br />$ -
<br />$ 35,439.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 35,439.00
<br />$ -
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />Mechanical -Ventilation Equipment
<br />$ 84,178.00
<br />$ -
<br />$ -
<br />$ 84,178.00
<br />$ -
<br />$ 71,551.30
<br />$ 71,551.30
<br />85.00%
<br />$ 12,626.70
<br />$ 3,577.57
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />Mechanical -Plumbing Fixtures/Equip
<br />$ 98,598.00
<br />$ -
<br />$ -
<br />$ 98,598.00
<br />$ 29,579.40
<br />$ 9,859.80
<br />$ 39,439.20
<br />40.00%
<br />$ 59,158.80
<br />$ 1,971.96
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />Mechanical -Piping Equipment
<br />$ 57,433.00
<br />$ -
<br />$ -
<br />$ 57,433.00
<br />$ 48,818.05
<br />$ 48,818.05
<br />85.00%
<br />$ 8,614.95
<br />$ 2,440.90
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />Mechanical -Refer Piping/Startup
<br />$ 4,394.00
<br />$ -
<br />$ -
<br />$ 4,394.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 4,394.00
<br />$ -
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />Mechanical -Balancing
<br />$ 7,976.00
<br />$ -
<br />$ -
<br />$ 7,976.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 7,976.00
<br />$ -
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />Mechanical -Temp Controls
<br />$ 66,259.00
<br />$ -
<br />$ -
<br />$ 66,259.00
<br />$ 13,251.80
<br />$ 3,312.95
<br />$ 16,564.75
<br />25.00%
<br />$ 49,694.25
<br />$ 828.24
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />Mechanical -Crane
<br />$ 1,785.00
<br />$ -
<br />$ -
<br />$ 1,785.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 1,785.00
<br />$ -
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />Mechanical -Permits
<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 />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />Mechanical -Bond
<br />$ 8,000.00
<br />$ -
<br />$ -
<br />$ 8,000.00
<br />$ 8,000.00
<br />$ 8,000.00
<br />100.00%
<br />$ -
<br />$ 400.00
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />Mechanical -Submittals
<br />$ 5,000.00
<br />$ -
<br />$ -
<br />$ 5,000.00
<br />$ 5,000.00
<br />$ 5,000.00
<br />100.00%
<br />$ -
<br />$ 250.00
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />Mechanical -General Administration
<br />$ 63,330.00
<br />$ -
<br />$ -
<br />$ 63,330.00
<br />$ 18,999.00
<br />$ 6,333.00
<br />$ 25,332.00
<br />40.00%
<br />$ 37,998.00
<br />$ 1,266.60
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />CO#1 PR#3R
<br />$ -
<br />$ -
<br />$ 3,532.00
<br />$ 3,532.00
<br />$ -
<br />$ 1,766.00
<br />$ 1,766.00
<br />50.00%
<br />$ 1,766.00
<br />$ 88.30
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />CO#2 Added expansion tankforsnow melt
<br />$ -
<br />$ -
<br />$ 2,504.00
<br />$ 2,504.00
<br />$ -
<br />$ 2,504.00
<br />$ 2,504.00
<br />100.00%
<br />$ -
<br />$ 125.20
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />CO#3 App Bay Truck Fill & Compressed Air
<br />$ -
<br />$ -
<br />$ 30,621.00
<br />$ 30,621.00
<br />$ -
<br />$ 12,248.40
<br />$ 12,248.40
<br />40.00%
<br />$ 18,372.60
<br />$ 612.42
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />CO#4 Eye Wash Station
<br />$ -
<br />$ -
<br />$ (949.00)
<br />$ (949.00)
<br />$ -
<br />$ -
<br />0.00%
<br />$ (949.00)
<br />$ -
<br />Summit Fire
<br />15-1533
<br />21A
<br />Labor
<br />$ 18,200.00
<br />$ -
<br />$ -
<br />$ 18,200.00
<br />$ -
<br />$ -
<br />0,00%
<br />$ 18,200,00
<br />$ -
<br />Summit Fire
<br />15-1533
<br />21A
<br />Material
<br />$ 22,800.00
<br />$ -
<br />$ -
<br />$ 22,800.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 22,800.00
<br />$ -
<br />Summit Fire
<br />15-1533
<br />21A
<br />Design
<br />$ 3,200.00
<br />$ -
<br />$ -
<br />$ 3,200.00
<br />$ 3,200.00
<br />$ 3,200.00
<br />100.00%
<br />$ -
<br />$ 160.00
<br />Summit Fire
<br />15-1533
<br />21A
<br />Fabrication
<br />$ 2,600.00
<br />$ -
<br />$ -
<br />$ 2,600.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 2,600.00
<br />$ -
<br />Summit Fire
<br />15-1533
<br />21A
<br />Bond
<br />$ 800.00
<br />$ -
<br />$ -
<br />$ 800.00
<br />$ 800.00
<br />$ 800.00
<br />100.00%
<br />$ -
<br />$ 40.00
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