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Ed Number <br />�� Terra icr a <br />o. <br />Elk Rives Pudic S�Uy Bui ity o El, Ron <br />Ci of Elk Rives <br />CONTINUATION SHEET AIA DOCUMENT G703 <br />AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 17 <br />Con -.,'s signed certifcation is attached. APPLICATION DATE: 1/31/22 <br />In tabulations below, amounts are stated to the --t dollar. PERIOD TO: 1/31/22 <br />A <br />A <br />B <br />C <br />G1 <br />C2 <br />C.3 <br />D <br />E <br />F <br />G <br />H <br />I <br />SUBCONTRACTOR <br />VENDOR <br />EMPLOYEE <br />ITEM <br />NO. <br />COST <br />CODE <br />BID <br />PACK <br />NO. <br />DESCRIPTION OF WORK <br />SCHEDULED <br />VALUE <br />CHANGE <br />ORDERS <br />BUDGET <br />REVISION/ <br />CONTINGENCY <br />TRANSFER <br />REVISED <br />SCHEDULED <br />VALUE <br />WORKCOMPLETED <br />FROM PREVIOUS <br />APPLICATION <br />(D+E) <br />THIS PERIOD <br />MATERIALS <br />PRESENTLY <br />STORED <br />(NOTIN <br />DOR E) <br />TOTAL <br />COMPLETED <br />ANDSTORED <br />TO DATE <br />(D+E+F) <br />% <br />(G +C) <br />BALANCE <br />TO FINISH <br />(C -G) <br />RETAINAGE <br />PreconstruRion <br />O1-0002 <br />Preconst-ion <br />$ 10,000.0E <br />$ 10,000.00 <br />$ 1E,000.00 <br />$ 10,000.E0 <br />10E.00% <br />$ - <br />$ 500.0E <br />Bonds <br />O1-0110 <br />Bonds&Insurance <br />$ 79,528.0E <br />$ J3J.8fi <br />$ 80,265.86 <br />$ &Q265.Sfi <br />$ SB265.86 <br />100.00%4,013.29 <br />Permits <br />O1-0120 <br />Building Permit/SAC/WAC/SWPPP <br />$ 12),15fi.00 <br />$ (12fi,J56.00) <br />$ 400.0E <br />$ 400.0E <br />$ 400.00 <br />100.00% <br />$ - <br />$ 20.0E <br />CM General Requirements <br />CM General Requirements <br />$ J89,)95.50 <br />$ 17,032.60 <br />$ BOfi,828.10 <br />$ 805,378.15 <br />$ - <br />$ 805,3J8.15 <br />99.82% <br />$ 1,449.95 <br />$ 40,2M.91 <br />CM Contingency <br />01-0150 <br />CIA Contingency <br />$ 238,3J9.00 <br />$ (229,339.53( <br />$ 9,039.47 <br />$ - <br />$ - <br />0.00% <br />$ 9,039.4J <br />$ - <br />CMFee <br />CM Fee <br />$ 92,3J2.00 <br />$ 1,830.0E <br />$ 94,202.0E <br />$ 94,202.0E <br />$ 94,202.0E <br />100.RR <br />$ - <br />$ 4,910.1E <br />Envirobate <br />02-2070 <br />2A <br />Selective Demolition <br />$ 132,619-00 <br />$ - <br />$ 132,619.00 <br />$ 132,619.00 <br />$ 132,619.0E <br />100.00% <br />$ - <br />$ 6,630.95 <br />Envirobate <br />02-ZOJO <br />2A <br />-1 PR#2R Add demo <br />$ - <br />$ 2,85fi.00 <br />$ 2,856.00 <br />$ 2,856.00 <br />$ 2,856.00 <br />10E.00% <br />$ - <br />$ 142.8E <br />Envirobate <br />OZ-20)0 <br />2A <br />CO#2 RFI#5 <br />$ - <br />$ 910.0E <br />$ 910.0E <br />$ 910.0E <br />$ 910.0E <br />100.00% <br />$ - <br />$ 45.50 <br />Envirobate <br />02-2070 <br />2A <br />CO#3 RFIEU <br />$ - <br />$ 1,1fi4.00 <br />$ 1,164.00 <br />$ 1,164.0E <br />$ 1,1fi4.00 <br />1E0.00% <br />$ - <br />$ 58.2E <br />Envirobate <br />02-2070 <br />2A <br />CO#4 RFI#21 <br />$ - <br />$ (1,212.00) <br />$ (1,212.00) <br />$ (1,212.0E) <br />$ (1,212.00) <br />100.00% <br />$ - <br />$ <br />Envirobate <br />02-2070 <br />2A <br />C0#S RFI#36 <br />$ - <br />$ 1,919.0E <br />$ 1,919.0E <br />$ 1,919.0E <br />$ 1,919-00 <br />T.- <br />$ - <br />$ 95.95 <br />ba Envirote <br />02-2070 <br />2A <br />JS <br />CORK RFI#Added Brick Demo <br />$ - <br />$ 8,6)J-00 <br />$ 8,6J)-00 <br />$ 8,677.0E <br />$ 8,677 OR <br />100.00% <br />$ - <br />$ 433.85 <br />Envirobate <br />02-20J0 <br />2A <br />CO#)Back Charge(Fix Da maged Airand Storm Sewer( <br />$ - <br />$ (29726 <br />$ (297.26) <br />$ (297.26) <br />$ (29).26) <br />100.0)% <br />$ - <br />$ (14.86) <br />Envirobate <br />02-20J0 <br />2A <br />CO#B Added Demoat Brick Ledge <br />$ - <br />$ 182.0E <br />$ 182.0E <br />$ 182.0E <br />$ 182.00 <br />100.00% <br />$ - <br />$ 9.1E <br />Envirobate <br />02-Z070 <br />2A <br />CURB RFI#21 <br />$ - <br />$ (596.00) <br />$ (5.01 <br />$ (596.0E) <br />$ (596.W) <br />100.00% <br />$ - <br />$ (29.8E) <br />Envirobate <br />02-2070 <br />2A <br />CORTO RFOEM FOC Demo Carpet <br />$ - <br />$ 1,524.00 <br />$ 1,524.00 <br />$ 1,524.00 <br />$ 1,524.00 <br />100.00% <br />$ - <br />$ 762E <br />Envirobate <br />02-20J0 <br />2A <br />CO#11 PR#19 Demo for Fire Offce Remodel <br />$ - <br />$ 5,543.0E <br />$ 5,543.0E <br />$ - <br />$ - <br />O.00% <br />$ 5,543.0E <br />$ - <br />Ebert <br />03330E <br />3A <br />General Conditions <br />$ 22,866.0E <br />$ - <br />$ - <br />$ 22,866.00 <br />$ 22,S6fi.0E <br />$ 22,B66.00 <br />100.00% <br />1,143.3E <br />Ebert <br />03-3300 <br />3A <br />Bonds&Insurance <br />$ 6,200.0E <br />$ - <br />$ - <br />$ fi,200.00 <br />$ 6,xR00 <br />$ fi,200.00 <br />100.00% <br />$ - <br />$ 310.0E <br />Ebert <br />0}3300 <br />3A <br />Rebar&Accessories <br />Material <br />$ 5Q400.00 <br />$ - <br />$ - <br />$ 5Q400.00 <br />$ 51400.0E <br />$ 50,400.00 <br />100.00% <br />$ - <br />$ 2,520.0E <br />Ebert <br />033300 <br />3A <br />Area A Found <br />labor <br />$ 35,550.0E <br />$ - <br />$ - <br />$ 35,550.0E <br />$ 35,550.0E <br />$ 35,550.00 <br />100.00% <br />$ - <br />$ 1,JJJ.50 <br />Ebert <br />03330E <br />3A <br />Area A Found <br />Material <br />$ 31,521.0E <br />$ - <br />$ - <br />$ 31,521.00 <br />$ 31,521.00 <br />$ 31,521.00 <br />TOO= <br />$ - <br />$ 1,576F5 <br />Ebert <br />0}3300 <br />3A <br />Area A SOG <br />labor <br />$ 27,900.00 <br />$ - <br />$ - <br />$ 2J,900.00 <br />$ 27,900.0E <br />$ 27,900.00 <br />10T00% <br />$ - <br />$ 1,395.0E <br />Ebert <br />03330E <br />3A <br />Area ASOG <br />Material <br />$ 40,5)).00 <br />$ - <br />$ - <br />$ 40,5JJ.00 <br />$ 40,577.0E <br />$ 4Q5J).00 <br />100.00% <br />$ - <br />$ 2,028.85 <br />Ebert <br />03330E <br />3A <br />Area ATop Slabs <br />Labor <br />$ 4,800.0E <br />$ - <br />$ - <br />$ 4,800.0E <br />$ 4,800.0E <br />$ 4,800.0E <br />100.E0% <br />$ - <br />$ 240.0E <br />Ebert <br />0}3300 <br />3A <br />Area A Top Slabs <br />Material <br />$ 3,814.0E <br />$ - <br />$ - <br />$ 3,814.0E <br />$ 3,814.0E <br />$ 3,814-00 <br />1. 00% <br />$ - <br />$ 190.7E <br />Ebert <br />03-3300 <br />3A <br />Area CFound <br />Labor <br />$ 33,900.00 <br />$ - <br />$ - <br />$ 33,900.00 <br />$ 33,900.0E <br />$ 33,900.00 <br />100.00% <br />$ - <br />$ 1,695.0E <br />Ebert <br />0}3300 <br />3A <br />Area CFound <br />Material <br />$ 26,241.0E <br />$ - <br />$ - <br />$ 2fi,241.00 <br />$ 2Q241.00 <br />$ 2Q241.00 <br />100.00% <br />$ - <br />$ 1,312.05 <br />Ebert <br />0}3300 <br />3A <br />Area CSOG <br />labor <br />$ 41,400.0E <br />$ - <br />$ - <br />$ 41,400.00 <br />$ 41,-.00 <br />$ 41,400.00 <br />100.00% <br />$ - <br />$ 2,EJ0.00 <br />Ebert <br />03330E <br />3A <br />Area CSOG <br />Material <br />$ 91,919.0E <br />$ - <br />$ - <br />$ J1,919.00 <br />$ J1,919.00 <br />$ J1,919.00 <br />100.00% <br />$ - <br />$ 3,595.95 <br />Ebert <br />0}3300 <br />3A <br />Exterior Concrete <br />labor <br />$ S,J00.00 <br />$ - <br />$ - <br />$ 8,)0E.00 <br />$ 8,J00.00 <br />$ 8,J0E.E0 <br />100.00% <br />$ - <br />$ 435.0E <br />Ebert <br />03330E <br />3A <br />Exterior Concrete <br />Material <br />$ J,412.E0 <br />$ - <br />$ - <br />$ 9,412.0E <br />$ J,412.00 <br />$ J,41200 <br />100.00% <br />$ - <br />$ 3)O.fi0 <br />Ebert <br />033300 <br />32D <br />General Conditions <br />$ 5,200.0E <br />$ - <br />$ - <br />$ 5,.0.00 <br />$ 5,200.0E <br />$ 5,2M 0 <br />100.00% <br />$ - <br />$ 260.0E <br />Ebert <br />E}3300 <br />32D <br />Bond&Insurance <br />$ 1,181.0E <br />$ - <br />$ - <br />$ 1,181.0E <br />$ 1,181.0E <br />$ 1,181.00 <br />ToT00% <br />$ - <br />$ 59.05 <br />Ebert <br />033300 <br />32D <br />Rebar&Accessories <br />$ 2,885.0E <br />$ - <br />$ - <br />$ 2,885.0E <br />$ 2,885.0E <br />$ 2,885.0E <br />100.00% <br />$ - <br />$ 144.25 <br />Ebert <br />E}3300 <br />32D <br />Curb &Gutter <br />$ 38,J&1.00 <br />$ - <br />$ - <br />$ 38,)&1.00 <br />$ 31,7110 <br />$ 317111 <br />11:1 <br />$ - <br />$ 1,939.2E <br />Ebert <br />0}3300 <br />32D <br />Site Concrete <br />labor <br />$ 13,100.0E <br />$ - <br />$ - <br />$ 13,100.0E <br />$ 13,100.0E <br />$ 13,100.0E <br />1E0.00% <br />$ - <br />$ 655.0E <br />Ebert <br />03330E <br />32D <br />Site Concrete <br />Material <br />$ 1Q219.00 <br />- <br />$ 1Q219.00 <br />$ 10,219.0E <br />$ 10,219.00 <br />100.00% <br />$ - <br />$ 510.95 <br />Ebert <br />03330E <br />32D <br />Existing Walk Rep <br />labor <br />$ 4,SOO.00 <br />$ - <br />$ - <br />$ 4,800.0E <br />$ 4,800.00 <br />$ 4,800.00 <br />100.00% <br />$ - <br />$ 240.0E <br />Ebert <br />033300 <br />32D <br />Existing Walk Rep <br />Material <br />$ 2,531.00 <br />$ - <br />$ - <br />$ 2,531.00 <br />$ 2,531.00 <br />$ 2,531.0E <br />100.00% <br />12655 <br />Ebert <br />033300 <br />32D <br />CO#1 Eliminate Insulation A foundation <br />$ - <br />$ - <br />$ (1,143.M) <br />$ (1,143-06) <br />$ (1,143.06) <br />$ U143.O6, <br />100.00% <br />$ - <br />$ (57:15) <br />Ebert <br />a}3300 <br />32D <br />C0#2 PR#2R Thickened Footing <br />$ - <br />$ - <br />$ 2,C37.71 <br />$ 2,037.71 <br />$ 2,037.71 <br />$ 2,037.71 <br />TOT. <br />$ - <br />$ 1E1.89 <br />Ebert <br />033300 <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 />$ 112.0E <br />Ebert <br />0}3300 <br />32D <br />CO#4PRML3 <br />$ - <br />$ - <br />$ 2009. <br />$ 20.09 <br />$ 20.09 <br />$ 20.09 <br />100.00% <br />$ - <br />$ 1.0E <br />Ebert <br />03,3300 <br />32D <br />CO#5 ASI1 <br />$ - <br />$ - <br />$ 3,585:12 <br />$ 3,M1.12 <br />$ 3,585.12 <br />$ 3,585.12 <br />100.00% <br />$ - <br />$ in.26 <br />Ebert <br />03330E <br />32D <br />C0#6-PM14 <br />$ - <br />$ - <br />$ (50.38) <br />$ (50.38) <br />$ (50.38) <br />$ (50.38) <br />100.00% <br />$ - <br />$ (2.52) <br />Ebert <br />0}3300 <br />32D <br />CO#J ASI 13 <br />$ - <br />$ - <br />$ 3,152.51 <br />$ 3,952.51 <br />$ 3,952.51 <br />$ 3,952.51 <br />100.00% <br />$ - <br />$ 19J.63 <br />Ebert <br />033380 <br />32D <br />CURB RFI#82 added apron <br />$ - <br />$ - <br />$ .6.74 <br />$ 496.J4 <br />$ 49fi.74 <br />$ 496.J4 <br />1E0.00% <br />$ - <br />$ 24.84 <br />Ebert <br />03330E <br />32D <br />CO#9 RFI#116 Add Nt for Fence Pier <br />$ - <br />$ - <br />$ 3,M2.84 <br />$ 3,362.84 <br />$ 3,362.84 <br />$ 3,362.84 <br />100.00% <br />$ - <br />$ 168.14 <br />