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Terra Project Number 20.700 <br />�l Terra Ok River Public Safety Building Expansion <br />CONSTRUCTION at of Elk River <br />CONTINUATION SHEET AIA DOCUMENT G703 <br />AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 13 <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 />A-T <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 />FROM PREVIOUS <br />THIS PERIOD <br />PRESENTLY <br />COMPLETED <br />(G+C) <br />TO FINISH <br />EMPLOYEE <br />NO. <br />CONTINGENCY <br />VALUE <br />APPLICATION <br />STORED <br />AND STORED <br />(C -G) <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 <br />01-0110 <br />Bonds & Insurance <br />$ 79,528.00 <br />$ 737.86 <br />$ 80,265.86 <br />$ 79,528.00 <br />$ 737.86 <br />$ 80,265.86 <br />100.00% <br />$ - <br />$ 4,013.29 <br />Permits <br />01-0120 <br />Building Permit/SAC/WAC/SWPPP <br />$ 127,156.00 <br />$ (126,756.00) <br />$ 400.00 <br />$ 400.00 <br />$ 400.00 <br />100.00% <br />$ - <br />$ 20.00 <br />CM General Requirements <br />CM General Requirements <br />$ 789,795.50 <br />$ 15,582.65 <br />$ 805,378.15 <br />$ 762,645.30 <br />$ 39,852.26 <br />$ 802,497.56 <br />99.64% <br />$ 2,880.59 <br />$ 40,124.88 <br />CM Contingency <br />01-0150 <br />CM Contingency <br />$ 238,379.00 <br />$ (203,933.25) <br />$ 34,445.75 <br />$ - <br />$ - <br />0.00% <br />$ 34,445.75 <br />$ - <br />CM Fee <br />CM Fee <br />$ 92,372.00 <br />$ 1,830.00 <br />$ 94,202.00 <br />$ 83,439.66 <br />$ 5,522.00 <br />$ 88,961.66 <br />94.44% <br />$ 5,240.34 <br />$ 4,448.08 <br />Envirobate <br />02-2070 <br />2A <br />Selective Demolition <br />$ 132,619.00 <br />$ - <br />$ 132,619.00 <br />$ 131,119.00 <br />$ 131,119.00 <br />98.87% <br />$ 1,500.00 <br />$ 6,555.95 <br />Envirobate <br />02-2070 <br />2A <br />CO#1 PR#2R Add demo <br />$ - <br />$ 2,856.00 <br />$ 2,856.00 <br />$ 2,856.00 <br />$ 2,856.00 <br />100.00% <br />$ - <br />$ 142.80 <br />Envirobate <br />02-2070 <br />2A <br />CO#2 RFI#5 <br />$ - <br />$ 910.00 <br />$ 910.00 <br />$ 910.00 <br />$ 910.00 <br />100.00% <br />$ - <br />$ 45.50 <br />Envirobate <br />02-2070 <br />2A <br />CO#3 RFI#17 <br />$ - <br />$ 1,164.00 <br />$ 1,164.00 <br />$ 1,164.00 <br />$ 1,164.00 <br />100.00% <br />$ - <br />$ 58.20 <br />Envirobate <br />02-2070 <br />2A <br />CO#4 RFI#21 <br />$ - <br />$ (1,212.00) <br />$ (1,212.00) <br />$ (1,212.00) <br />$ (1,212.00) <br />100.00% <br />$ - <br />$ (60.60) <br />Envirobate <br />02-2070 <br />2A <br />CO#5 RFI#36 <br />$ - <br />$ 1,919.00 <br />$ 1,919.00 <br />$ 1,919.00 <br />$ 1,919.00 <br />100.00% <br />$ - <br />$ 95.95 <br />Envirobate <br />02-2070 <br />2A <br />CO#6 RFI#78 Added Brick Demo <br />$ - <br />$ 8,677.00 <br />$ 8,677.00 <br />$ 8,677.00 <br />$ 8,677.00 <br />100.00% <br />$ - <br />$ 433.85 <br />Envirobate <br />02-2070 <br />2A <br />CO#7 Back Charge (Fix Damaged Air and Storm Sewer) <br />$ - <br />$ (297.26) <br />$ (297.26) <br />$ (297.26) <br />$ (297.26) <br />100.00% <br />$ - <br />$ (14.86) <br />Envirobate <br />02-2070 <br />2A <br />CO#8 Added Demo at Brick Ledge <br />$ - <br />$ 182.00 <br />$ 182.00 <br />$ 182.00 <br />$ 182.00 <br />100.00% <br />$ - <br />$ 9.10 <br />Envirobate <br />02-2070 <br />2A <br />CO#9 RFI#21 <br />$ - <br />$ (596.00) <br />$ (596.00) <br />$ (596.00) <br />$ (596.00) <br />100.00% <br />$ - <br />$ (29.80) <br />Envirobate <br />02-2070 <br />2A <br />CO#10 RFI#150 EOC Demo Carpet <br />$ - <br />$ 1,524.00 <br />$ 1,524.00 <br />$ 1,524.00 <br />$ 1,524.00 <br />100.00% <br />$ - <br />$ 76.20 <br />Envirobate <br />02-2070 <br />2A <br />CO#11 PR#19 Demo for Fire Office Remodel <br />$ - <br />$ 5,543.00 <br />$ 5,543.00 <br />$ - <br />$ - <br />0.00% <br />$ 5,543.00 <br />$ - <br />Ebert <br />03-3300 <br />3A <br />General Conditions <br />$ 22,866.00 <br />$ - <br />$ - <br />$ 22,866.00 <br />$ 22,866.00 <br />$ 22,866.00 <br />100.00% <br />$ - <br />$ 1,143.30 <br />Ebert <br />03-3300 <br />3A <br />Bonds & Insurance <br />$ 6,200.00 <br />$ - <br />$ - <br />$ 6,200.00 <br />$ 6,200.00 <br />$ 6,200.00 <br />100.00% <br />$ - <br />$ 310.00 <br />Ebert <br />03-3300 <br />3A <br />Reber &Accessories <br />Material <br />$ 50,400.00 <br />$ - <br />$ - <br />$ 50,400.00 <br />$ 50,400.00 <br />$ 50,400.00 <br />100.00% <br />$ - <br />$ 2,520.00 <br />Ebert <br />03-3300 <br />3A <br />Area A Found <br />Labor <br />$ 35,550.00 <br />$ - <br />$ - <br />$ 35,550.00 <br />$ 35,550.00 <br />$ 35,550.00 <br />100.00% <br />$ - <br />$ 1,777.50 <br />Ebert <br />03-3300 <br />3A <br />Area A Found <br />Material <br />$ 31,521.00 <br />$ - <br />$ - <br />$ 31,521.00 <br />$ 31,521.00 <br />$ 31,521.00 <br />100.00% <br />$ - <br />$ 1,576.05 <br />Ebert <br />03-3300 <br />3A <br />Area A SOG <br />Labor <br />$ 27,900.00 <br />$ - <br />$ - <br />$ 27,900.00 <br />$ 27,900.00 <br />$ 27,900.00 <br />100.00% <br />$ - <br />$ 1,395.00 <br />Ebert <br />03-3300 <br />3A <br />Area A SOG <br />Material <br />$ 40,577.00 <br />$ - <br />$ - <br />$ 40,577.00 <br />$ 40,577.00 <br />$ 40,577.00 <br />100.00% <br />$ - <br />$ 2,028.85 <br />Ebert <br />03-3300 <br />3A <br />Area A Top Slabs <br />Labor <br />$ 4,800.00 <br />$ - <br />$ - <br />$ 4,800.00 <br />$ 4,800.00 <br />$ 4,800.00 <br />100.00% <br />$ - <br />$ 240.00 <br />Ebert <br />03-3300 <br />3A <br />Area A Top Slabs <br />Material <br />$ 3,814.00 <br />$ - <br />$ - <br />$ 3,814.00 <br />$ 3,814.00 <br />$ 3,814.00 <br />100.00% <br />$ - <br />$ 190.70 <br />Ebert <br />03-3300 <br />3A <br />Area C Found <br />Labor <br />$ 33,900.00 <br />$ - <br />$ - <br />$ 33,900.00 <br />$ 33,900.00 <br />$ 33,900.00 <br />100.00% <br />$ - <br />$ 1,695.00 <br />Ebert <br />03-3300 <br />3A <br />Area C Found <br />Material <br />$ 26,241.00 <br />$ - <br />$ - <br />$ 26,241.00 <br />$ 26,241.00 <br />$ 26,241.00 <br />100.00% <br />$ - <br />$ 1,312.05 <br />Ebert <br />03-3300 <br />3A <br />Area C SOG <br />Labor <br />$ 41,400.00 <br />$ - <br />$ - <br />$ 41,400.00 <br />$ 41,400.00 <br />$ 41,400.00 <br />100.00% <br />$ - <br />$ 2,070.00 <br />Ebert <br />03-3300 <br />3A <br />Area C SOG <br />Material <br />$ 71,919.00 <br />$ - <br />$ - <br />$ 71,919.00 <br />$ 71,919.00 <br />$ 71,919.00 <br />100.00% <br />$ - <br />$ 3,595.95 <br />Ebert <br />03-3300 <br />3A <br />Exterior Concrete <br />Labor <br />$ 8,700.00 <br />$ - <br />$ - <br />$ 8,700.00 <br />$ 8,700.00 <br />$ 8,700.00 <br />100.00% <br />$ - <br />$ 435.00 <br />Ebert <br />03-3300 <br />3A <br />Exterior Concrete <br />Material <br />$ 7,412.00 <br />$ - <br />$ - <br />$ 7,412.00 <br />$ 7,412.00 <br />$ 7,412.00 <br />100.00% <br />$ - <br />$ 370.60 <br />Ebert <br />03-3300 <br />32D <br />General Conditions <br />$ 5,200.00 <br />$ - <br />$ - <br />$ 5,200.00 <br />$ 5,200.00 <br />$ 5,200.00 <br />100.00% <br />$ - <br />$ 260.00 <br />Ebert <br />03-3300 <br />32D <br />Bond & Insurance <br />$ 1,181.00 <br />$ - <br />$ - <br />$ 1,181.00 <br />$ 1,181.00 <br />$ 1,181.00 <br />100.00% <br />$ - <br />$ 59.05 <br />Ebert <br />03-3300 <br />32D <br />Reber &Accessories <br />$ 2,885.00 <br />$ - <br />$ - <br />$ 2,885.00 <br />$ 2,885.00 <br />$ 2,885.00 <br />100.00% <br />$ - <br />$ 144.25 <br />Ebert <br />03-3300 <br />32D <br />Curb &Gutter <br />$ 38,784.00 <br />$ - <br />$ - <br />$ 38,784.00 <br />$ 38,784.00 <br />$ 38,784.00 <br />100.00% <br />$ - <br />$ 1,939.20 <br />Ebert <br />03-3300 <br />32D <br />Site Concrete <br />Labor <br />$ 13,100.00 <br />$ - <br />$ - <br />$ 13,100.00 <br />$ 13,100.00 <br />$ 13,100.00 <br />100.00% <br />$ - <br />$ 655.00 <br />Ebert <br />03-3300 <br />32D <br />Site Concrete <br />Material <br />$ 10,219.00 <br />$ - <br />$ - <br />$ 10,219.00 <br />$ 10,219.00 <br />$ 10,219.00 <br />100.00% <br />$ - <br />$ 510.95 <br />Ebert <br />03-3300 <br />32D <br />Existing Walk Rep <br />Labor <br />$ 4,800.00 <br />$ - <br />$ - <br />$ 4,800.00 <br />$ 4,800.00 <br />$ 4,800.00 <br />100.00% <br />$ - <br />$ 240.00 <br />Ebert <br />03-3300 <br />32D <br />Existing Walk Rep <br />Material <br />$ 2,531.00 <br />$ - <br />$ - <br />$ 2,531.00 <br />$ 2,531.00 <br />$ 2,531.00 <br />100.00% <br />$ - <br />$ 126.55 <br />Ebert <br />03-3300 <br />32D <br />CO#1 Eliminate Insulation at foundation <br />$ - <br />$ - <br />$ (1,143.06) <br />$ (1,143.06) <br />$ (1,143.06) <br />$ (1,143.06) <br />100.00% <br />$ - <br />$ (57.15) <br />Ebert <br />03-3300 <br />32D <br />CO#2 PR#2R Thickened Footing <br />$ - <br />$ - <br />$ 2,037.71 <br />$ 2,037.71 <br />$ 2,037.71 <br />$ 2,037.71 <br />100.00% <br />$ - <br />$ 101.89 <br />Ebert <br />03-3300 <br />32D <br />CO#3 RFI#21 <br />$ - <br />$ - <br />$ 2,240.08 <br />$ 2,240.08 <br />$ 2,240.08 <br />$ 2,240.08 <br />100.00% <br />$ - <br />$ 112.00 <br />Ebert <br />03-3300 <br />32D <br />CO#4 PR#03 <br />$ - <br />$ - <br />$ 20.09 <br />$ 20.09 <br />$ 20.09 <br />$ 20.09 <br />100.00% <br />$ - <br />$ 1.00 <br />Ebert <br />03-3300 <br />32D <br />CO#5 ASI1 <br />$ - <br />$ - <br />$ 3,585.12 <br />$ 3,585.12 <br />$ 3,585.12 <br />$ 3,585.12 <br />100.00% <br />$ - <br />$ 179.26 <br />Ebert <br />03-3300 <br />32D <br />CO#6-PR#14 <br />$ - <br />$ - <br />$ (50.38) <br />$ (50.38) <br />$ (50.38) <br />$ (50.38) <br />100.00% <br />$ - <br />$ (2.52) <br />Ebert <br />03-3300 <br />32D <br />CO#7 ASI 13 <br />$ - <br />$ - <br />$ 3,952.51 <br />$ 3,952.51 <br />$ 3,952.51 <br />$ 3,952.51 <br />100.00% <br />$ - <br />$ 197.63 <br />Ebert <br />03-3300 <br />32D <br />CO#8 RFI#82 added apron <br />$ - <br />$ - <br />$ 496.74 <br />$ 496.74 <br />$ 496.74 <br />$ 496.74 <br />100.00% <br />$ - <br />$ 24.84 <br />Ebert <br />03-3300 <br />32D <br />CO#9 RFI#116 Add Altfor Fence Pier <br />$ - <br />$ - <br />$ 3,362.84 <br />$ 3,362.84 <br />$ 3,362.84 <br />$ 3,362.84 <br />100.00% <br />$ - <br />$ 168.14 <br />Ebert <br />03-3300 <br />32D <br />CO#10 Eeiminate sealer in 176 <br />$ - <br />$ - <br />$ (149.56) <br />$ (149.56) <br />$ (149.56) <br />$ (149.56) <br />100.00% <br />$ - <br />$ (7.48) <br />