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Tar
<br />Elk River F re 3�ion #3
<br />EIk Rid Fire Station
<br />Terra
<br />Ci of Elk River
<br />CONTINUATION SHEET AIA DOCUMENTG703 111-121111
<br />AIA Dow ment G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION N0: 14
<br />Contactor', signed-ifiwtion is attached. APPLICATION DATE: 3/31/22
<br />In tabu htion, below, amount, are stated to the new rest doll.r. PERIODTO 3/31/22
<br />Use Column I on Cont,- where variable mtainage for line items may apply.
<br />A
<br />I A.1
<br />B
<br />C
<br />C1
<br />C2
<br />C3
<br />D
<br />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 />(IFVARIABLE
<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 />(NOTIN
<br />TO DATE
<br />CODE
<br />DOR E)
<br />(D+E+F)
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />C014 Eye Wash Station
<br />$ -
<br />$ -
<br />$ (949.00)
<br />$ (949.00)
<br />$ (949.00)
<br />$ (949.00)
<br />100.00%
<br />$ -
<br />$ (47.45;
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />CONS PRN175CBA Compressor
<br />$ -
<br />$ -
<br />$ 1,790.00
<br />$ 1,790.00
<br />$ 1,790.00
<br />$ 1,790.00
<br />100.00%
<br />$ -
<br />$ 89.50
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />CON6 RFIN107
<br />$ -
<br />$ -
<br />$ (213.00)
<br />$ (213.00)
<br />$ (213.00)
<br />$ (213.00)
<br />100.00%
<br />$ -
<br />$ (10.65)
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />C0N7 RFIN121
<br />(250.00)
<br />$ (250.00)
<br />$ (250.00)
<br />$ (250.00)
<br />100.00%
<br />$ -
<br />$ (12.50)
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />CON8PRN13Steam Genewtor
<br />$ -
<br />$ -
<br />$ 8,342.00
<br />$ 8,342.00
<br />$ 4,171.00
<br />$ 752.00
<br />$ 4,913.00
<br />59.01%
<br />$ 3,419.00
<br />$ 146.15
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />CON9 Duct ln,ulation Replacement (Carp Allow.-)$752
<br />$ -
<br />$ -
<br />$ -
<br />$ -
<br />$ -
<br />$ -
<br />NDIV/01-
<br />PetersonSheetMetal
<br />15-1500
<br />22A
<br />CO 110 Ad ded PVC l n,ua Itio n
<br />$ -
<br />$ -
<br />$ 723.00
<br />$ 723.00
<br />$ -
<br />$ 723.00
<br />$ 723.00
<br />100.00%
<br />$ -
<br />$ 36.15
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />CONll Bay Duct Relo-ion due to Air Drop
<br />$ -
<br />$ -
<br />$ 5,688.00
<br />$ 5,688.00
<br />$ -
<br />$ 5,688.00
<br />$ 5,688.00
<br />100.00%
<br />$ -
<br />$ 284.40
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />CON12 PRN22
<br />$ -
<br />$ -
<br />$ 709.00
<br />$ 709.00
<br />$ -
<br />$ 709.00
<br />$ 709.00
<br />100.00%
<br />$ -
<br />$ 35.45
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />CONI3 CMU Patch work for Duct 139 Twining Room
<br />$ -
<br />$ -
<br />$ -
<br />$ -
<br />$ -
<br />$ -
<br />NDIV/01-
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />CO 114 RFIN183 Revised Exhaust Air Regirter Size
<br />$ -
<br />$ -
<br />$ 2,503.00
<br />$ 2,503.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 2,503.00
<br />$ -
<br />PetersonSheetMetal
<br />15-1500
<br />22A
<br />CONI5 RFIN139 Credit for Duct Protection
<br />$ -
<br />$ -
<br />$ (470.00)
<br />$ (470.00)
<br />$ -
<br />$ -
<br />0.00%
<br />$ (470.00)
<br />$ -
<br />Summit Fire
<br />15-1533
<br />21A
<br />tabor
<br />$ 18,200.00
<br />$ -
<br />$ -
<br />$ 18,200.00
<br />$ 18,200.00
<br />$ 18,200.00
<br />100.00%
<br />$ -
<br />$ 910.00
<br />Summit Fire
<br />15-1533
<br />21A
<br />Material
<br />$ 22,800.00
<br />$ -
<br />$ -
<br />$ 22,800.00
<br />$ 22,800.00
<br />$ 22,800.00
<br />100.00%
<br />$ -
<br />$ 1,140.00
<br />So"'it 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 />$ 2,600.00
<br />$ 2,600.00
<br />100.00%
<br />$ -
<br />$ 130.00
<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
<br />Summit Fire
<br />15-1533
<br />21A
<br />CONIASIN9 Redesigned Sprinkler Layout
<br />$ -
<br />$ -
<br />$ 820.00
<br />$ 820.00
<br />$ 820.00
<br />$ 820.00
<br />100.00%
<br />$ -
<br />$ 41.00
<br />Klein Electric
<br />16-1600
<br />26A
<br />Elec H,.1-Permit
<br />$ 1,325.00
<br />$ -
<br />$ -
<br />$ 1,325.00
<br />$ 1,325.00
<br />$ 1,325.00
<br />100.00%
<br />$ -
<br />$ 66.25
<br />Klein Electric
<br />16-1600
<br />26A
<br />ElectricakBond
<br />$ 4,347.00
<br />$ -
<br />$ -
<br />$ 4,347.00
<br />$ 4,347.00
<br />$ 4,347.00
<br />100.00%
<br />$ -
<br />$ 217.35
<br />Klein Electric
<br />16-1600
<br />26A
<br />Mobilization
<br />$ 22,936.00
<br />$ -
<br />$ -
<br />$ 22,936.00
<br />$ 22,936.00
<br />$ 22,936.00
<br />100.00%
<br />$ -
<br />$ 1,146.80
<br />Klein Electric
<br />16-1600
<br />26A
<br />Temp Power/Job Twiler
<br />$ 1,710.00
<br />$ -
<br />$ -
<br />$ 1,710.00
<br />$ 1,368.00
<br />$ 1,368.00
<br />80.00%
<br />$ 342.00
<br />$ 68.40
<br />Klein Electric
<br />16-1600
<br />26A
<br />Temp Power/Site
<br />$ 3,325.00
<br />$ -
<br />$ -
<br />$ 3,325.00
<br />$ 2,660.00
<br />$ 2,660.00
<br />80.00%
<br />$ 665.00
<br />$ 133.00
<br />Klein Electric
<br />16-1600
<br />26A
<br />Temp Power/Building
<br />$ 3,325.00
<br />$ -
<br />$ -
<br />$ 3,325.00
<br />$ 2,661.00
<br />$ 2,661.00
<br />80.03%
<br />$ 664.00
<br />$ 133.05
<br />Klein Electric
<br />16-1600
<br />26A
<br />Switchgear Package/Gwybar Electric Co
<br />$ 28,845.00
<br />$ -
<br />$ -
<br />$ 28,845.00
<br />$ 28,845.00
<br />$ 28,845.00
<br />100.00%
<br />$ -
<br />$ 1,442.25
<br />Klein Electric
<br />16-1600
<br />26A
<br />Utility Fee,/Elk River Public Utilities
<br />$ 8,279.00
<br />$ -
<br />$ -
<br />$ 8,279.00
<br />$ 8,279.00
<br />$ 8,279.00
<br />100.00%
<br />$ -
<br />$ 413.95
<br />Klein Electric
<br />16-1600
<br />26A
<br />Utility Tw nsformer Pad Material
<br />$ 1,045.00
<br />$ -
<br />$ -
<br />$ 1,045.00
<br />$ 1,045.00
<br />$ 1,045.00
<br />100.00%
<br />$ -
<br />$ 52.25
<br />Klein Electric
<br />16-1600
<br />26A
<br />Utility Tw nsforme r Pad Labor
<br />$ 1,425.00
<br />$ -
<br />$ -
<br />$ 1,425.00
<br />$ 1,425.00
<br />$ 1,425.00
<br />100.00%
<br />$ -
<br />$ 71.25
<br />Klein Electric
<br />16-1600
<br />26A
<br />Service Entwnce Materhl
<br />$ 4,834.00
<br />$ -
<br />$ -
<br />$ 4,834.00
<br />$ 4,834.00
<br />$ 4,834.00
<br />100.00%
<br />$ -
<br />$ 241.70
<br />Klein Electric
<br />16-1600
<br />26A
<br />Service Entwnce Labor
<br />$ 3,827.00
<br />$ -
<br />$ -
<br />$ 3,827.00
<br />$ 3,827.00
<br />$ 3,827.00
<br />100.00%
<br />$ -
<br />$ 191.35
<br />Klein Electric
<br />16-1600
<br />26A
<br />Service Equipment M-ml
<br />$ 2,776.00
<br />$ -
<br />$ -
<br />$ 2,776.00
<br />$ 2,776.00
<br />$ 2,776.00
<br />100.00%
<br />$ -
<br />$ 138.80
<br />Klein Electric
<br />16-1600
<br />26A
<br />Service Equipment tabor
<br />$ 3,277.00
<br />$ -
<br />$ -
<br />$ 3,277.00
<br />$ 3,277.00
<br />$ 3,277.00
<br />100.00%
<br />$ -
<br />$ 163.85
<br />Klein Electric
<br />16-1600
<br />26A
<br />Power Panelboard, M-ml
<br />$ 2,739.00
<br />$ -
<br />$ -
<br />$ 2,739.00
<br />$ 2,739.00
<br />$ 2,739.00
<br />100.00%
<br />$ -
<br />$ 136.95
<br />Klein Electric
<br />16-1600
<br />26A
<br />Power Panelboard, tabor
<br />$ 2,856.00
<br />$ -
<br />$ -
<br />$ 2,856.00
<br />$ 2,856.00
<br />$ 2,856.00
<br />100.00%
<br />$ -
<br />$ 142.80
<br />Klein Electric
<br />16-1600
<br />26A
<br />Genewtor Package/Total Energy Systems
<br />$ 79,282.00
<br />$ -
<br />$ -
<br />$ 79,282.00
<br />$ 7,928.00
<br />$ 16,049.00
<br />$ 23,977.00
<br />30.24%
<br />$ 55,305.00
<br />$ 1,198.85
<br />Klein Electric
<br />16-1600
<br />26A
<br />Genewtor Pad Material
<br />$ 1,235.00
<br />$ -
<br />$ -
<br />$ 1,235.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 1,235.00
<br />$ -
<br />Klein Electric
<br />16-1600
<br />26A
<br />Genewtor Pad Labor
<br />$ 1,710.00
<br />$ -
<br />$ -
<br />$ 1,710.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 1,710.00
<br />$ -
<br />KleinElectric
<br />16-1600
<br />26A
<br />Genewtor M-ml
<br />$ 1,562.00
<br />$ -
<br />$ -
<br />$ 1,562.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 1,562.00
<br />$ -
<br />KleinElectric
<br />16-1600
<br />26A
<br />Genewtor tabor
<br />$ 4,091.00
<br />$ -
<br />$ -
<br />$ 4,091.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 4,091.00
<br />$ -
<br />KleinElectric
<br />16-1600
<br />26A
<br />Genewtor Serivce Entwnce Material
<br />$ 3,841.00
<br />$ -
<br />$ -
<br />$ 3,841.00
<br />$ 960.00
<br />$ 960.00
<br />24.99%
<br />$ 2,881.00
<br />$ 48.00
<br />Klein Electric
<br />16-1600
<br />26A
<br />Genewtor Serivce Entwnce La bor
<br />$ 3,599.00
<br />$ -
<br />$ -
<br />$ 3,599.00
<br />$ 900.00
<br />$ 900.00
<br />25.01%
<br />$ 2,699.00
<br />$ 45.00
<br />Klein Electric
<br />16-1600
<br />26A
<br />ATS Equipment M-ml
<br />$ 2,309.00
<br />$ -
<br />$ -
<br />$ 2,309.00
<br />$ 2,309.00
<br />$ 2,309.00
<br />100.00%
<br />$ -
<br />$ 115.45
<br />Klein Electric
<br />16-1600
<br />26A
<br />ATS Equipment tabor
<br />$ 2,901.00
<br />$ -
<br />$ -
<br />$ 2,901.00
<br />$ 2,901.00
<br />$ 2,901.00
<br />100.00%
<br />$ -
<br />$ 145.05
<br />Klein Electric
<br />16-1600
<br />26A
<br />ES Panelboard, Material
<br />$ 801.00
<br />$ -
<br />$ -
<br />$ 801.00
<br />$ 801.00
<br />$ 801.00
<br />100.00%
<br />$ -
<br />$ 40.05
<br />Klein Electric
<br />16-1600
<br />26A
<br />ES Panelboard, La bor
<br />$ 1,146.00
<br />$ -
<br />$ -
<br />$ 1,146.00
<br />$ 1,146.00
<br />$ 1,146.00
<br />100.00%
<br />$ -
<br />$ 57.30
<br />Klein Electric
<br />16-1600
<br />26A
<br />Light FiMure Package/Viking Electric
<br />$ 94,954.00
<br />$ -
<br />$ -
<br />$ 94,954.00
<br />$ 94,954.00
<br />$ 94,954.00
<br />100.00%
<br />$ -
<br />$ 4,747.70
<br />Klein Electric
<br />16-1600
<br />26A
<br />Fature M-ml
<br />$ 6,196.00
<br />$ -
<br />$ -
<br />$ 6,196.00
<br />$ 4,957.00
<br />$ 4,957.00
<br />80.00%
<br />$ 1,239.00
<br />$ 247.85
<br />Klein Electric
<br />16-1600
<br />26A
<br />Fature Labor
<br />$ 21,162.00
<br />$ -
<br />$ -
<br />$ 21,162.00
<br />$ 16,929.00
<br />$ 4,000.00
<br />$ 20,929.00
<br />98.90%
<br />$ 233.00
<br />$ 1,046.45
<br />Klein Electric
<br />16-1600
<br />26A
<br />Fature Control Material
<br />$ 1,572.00
<br />$ -
<br />$ -
<br />$ 1,572.00
<br />$ 1,258.00
<br />$ 1,258.00
<br />80.03%
<br />$ 314.00
<br />$ 62.90
<br />Klein Electric
<br />16-1600
<br />26A
<br />Fature Control tabor
<br />$ 4,632.00
<br />$ -
<br />$ -
<br />$ 4,632.00
<br />$ 3,706.00
<br />$ 3,706.00
<br />80.01%
<br />$ 926.00
<br />$ 185.30
<br />Klein Electric
<br />16-1600
<br />26A
<br />HVLS Fan/Big Ass Fa n,
<br />$ 10,123.00
<br />$ -
<br />$ -
<br />$ 10,123.00
<br />$ 10,123.00
<br />$ 10,123.00
<br />100.00%
<br />$ -
<br />$ 506.15
<br />Klein Electric
<br />16-1600
<br />26A
<br />HVLS Fan Material
<br />$ 313.00
<br />$ -
<br />$ -
<br />$ 313.00
<br />$ 94.00
<br />$ 94.00
<br />30.03%
<br />$ 219.00
<br />$ 4.70
<br />Klein Electric
<br />16-1600
<br />26A
<br />HVLS Fan tabor
<br />$ 878.00
<br />$ -
<br />$ -
<br />$ 878.00
<br />$ 263.00
<br />$ 263.00
<br />29.95%
<br />$ 615.00
<br />$ 13.15
<br />Klein Electric
<br />16-1600
<br />26A
<br />Srte Pole Bases Material
<br />$ 2,320.00
<br />$ -
<br />$ -
<br />$ 2,320.00
<br />$ 116.00
<br />$ 116.00
<br />5.00%
<br />$ 2,204.00
<br />$ 5.80
<br />Klein Electric
<br />16-1600
<br />26A
<br />Srte Pole Bases tabor
<br />$ 2,546.00
<br />$ -
<br />$ -
<br />$ 2,546.00
<br />$ 127.00
<br />$ 127.00
<br />4.99%
<br />$ 2,419.00
<br />$ 6.35
<br />Klein Electric
<br />16-1600
<br />26A
<br />Srte Pole Underground Material
<br />$ 2,318.00
<br />$ -
<br />$ -
<br />$ 2,318.00
<br />$ 116.00
<br />$ 116.00
<br />5.00%
<br />$ 2,202.00
<br />$ 5.80
<br />Klein Electric
<br />16-1600
<br />26A
<br />Srte Pole Underground tabor
<br />$ 3,041.00
<br />$ -
<br />$ -
<br />$ 3,041.00
<br />$ 152.00
<br />$ 152.00
<br />5.00%
<br />$ 2,889.00
<br />$ 7.60
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