|
Tar 20.705
<br />� Numbation#3
<br />EIk Ri
<br />Terra Elk Riva F re Station #3
<br />Ci of Elk Riva
<br />CONTINUATION SHEET AIA DOCUMENTG703 111-121111
<br />AIA Dow ment G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION N0: 14
<br />Contactor', signed-ifiation katt,,h,d. APPLICATION DATE: 3/31/22
<br />In tabu htion, below, amount, are stated to the -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 />Klein Electric
<br />16-1600
<br />26A
<br />COff5 PRN10R
<br />$ -
<br />$ -
<br />$ 1,875.00
<br />$ 1,875.00
<br />$ 526.00
<br />$ 1,349.00
<br />$ 1,875.00
<br />100.00%
<br />$ -
<br />$ 93.75
<br />Klein Electric
<br />16-1600
<br />26A
<br />COff6 PRff9R Elecrial Revisions
<br />$ -
<br />$ -
<br />$ 2,370.00
<br />$ 2,370.00
<br />$ 1,660.00
<br />$ 1,660.00
<br />70.04%
<br />$ 710.00
<br />$ 83.00
<br />Klein Electric
<br />16-1600
<br />26A
<br />COff7ASIff4RTower Light,
<br />$ -
<br />$ -
<br />$ 8,136.00
<br />$ 8,136.00
<br />$ 4,068.00
<br />$ 2,441.00
<br />$ 6,509.00
<br />80.00%
<br />$ 1,627.00
<br />$ 325.45
<br />Klein Electric
<br />16-1600
<br />26A
<br />COff8PRfi17SCBACompres,or
<br />$ -
<br />$ -
<br />$ 1,354.00
<br />$ 1,354.00
<br />$ 1,016.00
<br />$ 203.00
<br />$ 1,219.00
<br />90.03%
<br />$ 135.00
<br />$ 60.95
<br />Klein Electric
<br />16-1600
<br />26A
<br />COff9 RFIfi117
<br />$ -
<br />$ -
<br />$ 983.00
<br />$ 983.00
<br />$ 737.00
<br />$ 246.00
<br />$ 983.00
<br />100.00%
<br />$ -
<br />$ 49.15
<br />Klein Electric
<br />16-1600
<br />26A
<br />COfi10 RFIfi118Automatic Push Pad
<br />$ -
<br />$ -
<br />$ 437.00
<br />$ 437.00
<br />$ 328.00
<br />$ 328.00
<br />75.06%
<br />$ 109.00
<br />$ 16.40
<br />Klein Electric
<br />16-1600
<br />26A
<br />CO#11 RFlff156
<br />$ -
<br />$ -
<br />$ 698.00
<br />$ 698.00
<br />$ -
<br />$ 698.00
<br />$ 698.00
<br />100.00%
<br />$ -
<br />$ 34.90
<br />Klein Electric
<br />16-1600
<br />26A
<br />COfi12ASI#11 Wellness Room Light Fature
<br />$ -
<br />$ -
<br />$ 1,319.00
<br />$ 1,319.00
<br />$ -
<br />$ 660.00
<br />$ 660.00
<br />50.04%
<br />$ 659.00
<br />$ 33.00
<br />Klein Electric
<br />16-1600
<br />26A
<br />COff13 RFIfi160
<br />$ -
<br />$ -
<br />$ 3,394.00
<br />$ 3,394.00
<br />$ 875.00
<br />$ 2,450.00
<br />$ 3,325.00
<br />97.97%
<br />$ 69.00
<br />$ 166.25
<br />Klein Electric
<br />16-1600
<br />26A
<br />COfi14 RFIf21Added Cirwit,&Unit Heaters
<br />$ -
<br />$ -
<br />$ 1,120.00
<br />$ 1,120.00
<br />$ 1,120.00
<br />$ 1,120.00
<br />100.00%
<br />$ -
<br />$ 56.00
<br />Klein Electric
<br />16-1600
<br />26A
<br />COff15 G9 Light Fature
<br />$ -
<br />$ -
<br />$ 395.00
<br />$ 395.00
<br />$ 395.00
<br />$ 395.00
<br />100.00%
<br />$ -
<br />$ 19.75
<br />Klein Electric
<br />16-1600
<br />26A
<br />COfi160mrtting Tech Conduit Run, From ADD Bay
<br />$ -
<br />$ -
<br />$ (1,439.00)
<br />$ (1,439.00)
<br />$ (1,439.00)
<br />$ (1,439.00)
<br />100.00%
<br />$ -
<br />$ (71.95)
<br />Dryden Exavating
<br />31-1000
<br />31A
<br />Mobilization, Bond, SWPP Permit
<br />$ 7,000.00
<br />$ -
<br />$ -
<br />$ 7,000.00
<br />$ 6,300.00
<br />$ 6,300.00
<br />90.00%
<br />$ 700.00
<br />$ 315.00
<br />Dryd onExa vati ng
<br />31-1000
<br />31A
<br />Bituminous Saw Cutting fa bor
<br />$ 2,105.00
<br />$ -
<br />$ -
<br />$ 2,105.00
<br />$ 2,105.00
<br />$ 2,105.00
<br />100.00%
<br />$ -
<br />$ 105.25
<br />Dryden Exavating
<br />31-1000
<br />31A
<br />Bituminous Removal Labor
<br />$ 3,640.00
<br />$ -
<br />$ -
<br />$ 3,640.00
<br />$ 3,640.00
<br />$ 3,640.00
<br />100.00%
<br />$ -
<br />$ 182.00
<br />Dryd onExavati ng
<br />31-1000
<br />31A
<br />Concrete S-Cutting tabor
<br />$ 160.00
<br />160.00
<br />$ 160.00
<br />$ 160.00
<br />100.00%
<br />$ -
<br />$ 8.00
<br />Dryden Ex -ting
<br />31-1000
<br />31A
<br />Concrete Removal Labor
<br />$ 3,236.00
<br />$ -
<br />$ -
<br />$ 3,236.00
<br />$ 3,236.00
<br />$ 3,236.00
<br />100.00%
<br />$ -
<br />$ 161.80
<br />Dryden Exavati ng
<br />31-1000
<br />31A
<br />Tree Protection tabor
<br />$ 75.00
<br />$ -
<br />$ -
<br />$ 75.00
<br />$ 75.00
<br />$ 75.00
<br />100.00%
<br />$ -
<br />$ 3.75
<br />Dryd on Exavating
<br />31-1000
<br />31A
<br />Clearing&Grabbing tabor
<br />$ 2,100.00
<br />$ -
<br />$ -
<br />$ 2,100.00
<br />$ 2,100.00
<br />$ 2,100.00
<br />100.00%
<br />$ -
<br />$ 105.00
<br />Dryden Exavati ng
<br />31-1000
<br />31A
<br />Topsoil Stripping & Emb. Labor
<br />$ 1,386.00
<br />$ -
<br />$ -
<br />$ 1,386.00
<br />$ 1,386.00
<br />$ 1,386.00
<br />100.00%
<br />$ -
<br />$ 69.30
<br />Dryd on Exavating
<br />31-1000
<br />31A
<br />Export Exces,Top,oil tabor
<br />$ 14,055.00
<br />$ -
<br />$ -
<br />$ 14,055.00
<br />$ 14,055.00
<br />$ 14,055.00
<br />100.00%
<br />$ -
<br />$ 702.75
<br />Dryd onExavati ng
<br />31-1000
<br />31A
<br />Site Gading tabor
<br />$ 56,076.01
<br />$ -
<br />$ -
<br />$ 56,076.01
<br />$ 42,834.04
<br />$ 42,834.04
<br />76.39%
<br />$ 13,241.97
<br />$ 2,141.70
<br />Dryden Exavating
<br />31-1000
<br />31A
<br />Site Gading Material
<br />$ 14,040.00
<br />$ -
<br />$ -
<br />$ 14,040.00
<br />$ 14,040.00
<br />$ 14,040.00
<br />100.00%
<br />$ -
<br />$ 70200
<br />Dryden Exa vati ng
<br />31-1000
<br />31A
<br />Exc. & Backfill Foundation,
<br />$ 25,378.00
<br />$ -
<br />$ -
<br />$ 25,378.00
<br />$ 25,378.00
<br />$ 25,378.00
<br />100.00%
<br />$ -
<br />$ 1,268.90
<br />Dryd on Exavating
<br />31-1000
<br />31A
<br />Building Sand Chi o n tabor
<br />$ 3,298.00
<br />$ -
<br />$ -
<br />$ 3,298.00
<br />$ 3,141.60
<br />$ 3,141.60
<br />95.26%
<br />$ 156.40
<br />$ 157.08
<br />Dryd onExavati ng
<br />31-1000
<br />31A
<br />Bu ild i ng Sand Cush ion Materil
<br />$ 629.00
<br />$ -
<br />$ -
<br />$ 629.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 629.00
<br />$ -
<br />Dryden Exavating
<br />31-1000
<br />31A
<br />Class5 Labor
<br />$ 9,014.00
<br />$ -
<br />$ -
<br />$ 9,014.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 9,014.00
<br />$ -
<br />Dryden Exavati ng
<br />31-1000
<br />31A
<br />ClassS Material
<br />$ 7,854.00
<br />$ -
<br />$ -
<br />$ 7,854.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 7,854.00
<br />$ -
<br />Dryden Exavating
<br />31-1000
<br />31A
<br />Subgade Prep Labor
<br />$ 8,595.00
<br />$ -
<br />$ -
<br />$ 8,595.00
<br />$ 4,297.50
<br />$ 4297.50
<br />50.00%
<br />$ 4,197.50
<br />$ 114.11
<br />Dryden Exavati ng
<br />31-1000
<br />31A
<br />Dewatering tabor
<br />$ 2,625.00
<br />$ -
<br />$ -
<br />$ 2,625.00
<br />$ 2,625.00
<br />$ 2:625.00
<br />100.00%
<br />$ -
<br />$ 131.25
<br />Dryden Exavating
<br />31-1000
<br />31A
<br />SWPP Permit
<br />$ 525.00
<br />$ -
<br />$ -
<br />$ 525.00
<br />$ 525.00
<br />$ 525.00
<br />100.00%
<br />$ -
<br />$ 26.25
<br />Dryd onExavati ng
<br />31-1000
<br />31A
<br />Silt Fence tabor
<br />$ 2,240.00
<br />2,240.00
<br />$ 2'240.00
<br />$ 2,240.00
<br />100.00%
<br />$ -
<br />$ 112.00
<br />Dryd on Exavating
<br />31-1000
<br />31A
<br />Silt Fence Ma-ial
<br />$ 700.00
<br />$ -
<br />$ -
<br />$ 700.00
<br />$ 700.00
<br />$ 700.00
<br />100.00%
<br />$ -
<br />$ 35.00
<br />Dryden Exavati ng
<br />31-1000
<br />31A
<br />Inlet Protection tabor
<br />$ 2,502.00
<br />$ -
<br />$ -
<br />$ 2,502.00
<br />$ 2,502.00
<br />$ 2,502.00
<br />100.00%
<br />$ -
<br />$ 125.10
<br />Dryden Exavating
<br />31-1000
<br />31A
<br />Co nl,uaion Entance Labor
<br />$ 2,000.00
<br />$ -
<br />$ -
<br />$ 2,000.00
<br />$ 2,000.00
<br />$ 2,000.00
<br />100.00%
<br />$ -
<br />$ 100.00
<br />Dryden Exavati ng
<br />31-1000
<br />31A
<br />Con-aion Entance Materials
<br />$ 100.00
<br />$ -
<br />$ -
<br />$ 100.00
<br />$ 100.00
<br />$ 100.00
<br />100.00%
<br />$ -
<br />$ 5.00
<br />Dryd onExavating
<br />31-1000
<br />31A
<br />Hyd ro Seed
<br />$ 1,166.00
<br />$ -
<br />$ -
<br />$ 1,166.00
<br />$ -
<br />$ -
<br />0.00%
<br />$ 1,166.00
<br />$ -
<br />Dryden Exavati ng
<br />31-1000
<br />31A
<br />Flex Mat tabor
<br />$ 700.00
<br />$ -
<br />$ -
<br />$ 700.00
<br />0.00%
<br />$ 700.00
<br />$ -
<br />Dryden Exavating
<br />31-1000
<br />31A
<br />Flex Mat Material
<br />$ 3,266.00
<br />$ -
<br />$ -
<br />$ 3,266.00
<br />$ 3,260.00
<br />$ 3,260.00
<br />99.82%
<br />$ 6.00
<br />$ 163.00
<br />Dryden Exavati ng
<br />31-1000
<br />33A
<br />Mobilization, Bond, Permits
<br />$ 20,504.16
<br />$ -
<br />$ -
<br />$ 20:504. 16
<br />$ 18:453.74
<br />$ 18,453.74
<br />90.00%
<br />$ 2,050.42
<br />$ 922.69
<br />Dryd on Exavating
<br />31-1000
<br />33A
<br />Water Uti lities fa bo r
<br />$ 25,719.19
<br />25,719.19
<br />$ 25,719.19
<br />$ 25,719.19
<br />100.00%
<br />$ -
<br />$ 1,285.96
<br />Dryd onExavati ng
<br />31-1000
<br />33A
<br />Water Utilities Material
<br />$ 52,306.23
<br />$ -
<br />$ -
<br />$ 52,306.23
<br />$ 52,306.23
<br />$ 52,306.23
<br />100.00%
<br />$ -
<br />$ 2,615.31
<br />Dryd on Exavating
<br />31-1000
<br />33A
<br />Wet Tap La bor
<br />$ 239.22
<br />$ -
<br />$ -
<br />$ 239.22
<br />$ 239.22
<br />$ 239.22
<br />100.00%
<br />11.96
<br />Dryden Exavating
<br />31-1000
<br />33A
<br />Wet Tap Material
<br />$ 2,500.00
<br />2,500.00
<br />$ 2,500.00
<br />$ 2,500.00
<br />100.00%
<br />$ -
<br />$ 125.00
<br />Dryd on Exavating
<br />31-1000
<br />33A
<br />Sanitary Piping to bor
<br />$ 9,667.77
<br />$ -
<br />$ -
<br />$ 9,667.77
<br />$ 9,667.77
<br />$ 9,667.77
<br />100.00%
<br />$ -
<br />$ 483.39
<br />Dryden Exavating
<br />31-1000
<br />33A
<br />San it n, Piping Material
<br />$ 9,62235
<br />$ -
<br />$ -
<br />$ 9,62235
<br />$ 9,62235
<br />$ 9,622.35
<br />100.00%
<br />$ -
<br />$ 481.12
<br />Dryden Exavating
<br />31-1000
<br />33A
<br />Sanitary Manholes Labor
<br />$ 1,808.00
<br />$ -
<br />$ -
<br />$ 1,808.00
<br />$ 1,808.00
<br />$ 1,808.00
<br />100.00%
<br />$ -
<br />$ 90.40
<br />Dryd onExavati ng
<br />31-1000
<br />33A
<br />San ita ry Manholes Material
<br />$ 9,425.00
<br />$ -
<br />$ -
<br />$ 9,425.00
<br />$ 9:425.00
<br />$ 9,425.00
<br />100.00%
<br />$ -
<br />$ 471.25
<br />Dryd on Exavating
<br />31-1000
<br />33A
<br />Manhole Casting, La bor
<br />$ 691.20
<br />$ -
<br />$ -
<br />$ 691.20
<br />$ 691.20
<br />$ 691.20
<br />100.00%
<br />$ -
<br />$ 34.56
<br />Dryd onExavati ng
<br />31-1000
<br />33A
<br />Manhole Castings Material
<br />$ 1,140.00
<br />$ -
<br />$ -
<br />$ 1,140.00
<br />$ 1,103.80
<br />$ 1,103.80
<br />96.82%
<br />$ 36.20
<br />$ 55.19
<br />Dryden Exavating
<br />31-1000
<br />33A
<br />Storm -PVC Piping Labor
<br />$ 8,024.15
<br />$ -
<br />$ -
<br />$ 8,024.15
<br />$ 7,073.34
<br />$ 7,073.34
<br />88.15%
<br />$ 950.81
<br />$ 353.67
<br />Dryden Exavati ng
<br />31-1000
<br />33A
<br />Storm -PVC Piping Material
<br />$ 10,992.34
<br />$ -
<br />$ -
<br />$ 10,992.34
<br />$ 10,992.34
<br />$ 10,992.34
<br />100.00%
<br />$ -
<br />$ 549.62
<br />Dryden Exavating
<br />31-1000
<br />33A
<br />Storm -Concrete Piping/Manholes Labor
<br />$ 10,155.38
<br />$ -
<br />$ -
<br />$ 10,155.38
<br />$ 10,155.38
<br />$ 10,155.38
<br />100.00%
<br />$ -
<br />$ 507.77
<br />Dryd en Excavat i ng
<br />31-1000
<br />33A
<br />Storm -Concrete Piping/Manholes Material
<br />$ 27,063.60
<br />$ -
<br />$ -
<br />$ 27,063.60
<br />$ 27,063.60
<br />$ 27,063.60
<br />100.00%
<br />$ -
<br />$ 1,353.18
<br />Dryd on Excavating
<br />31-1000
<br />33A
<br />Storm - Castings/Grates Labor
<br />$ 3,152.40
<br />$ -
<br />$ -
<br />$ 3,152.40
<br />$ 2,887.40
<br />$ 2,887.40
<br />91.59%
<br />$ 265.00
<br />$ 144.37
<br />Dryd onExcavat i ng
<br />31-1000
<br />33A
<br />Storm-Castings/Grates Material
<br />$ 52,068.00
<br />$ -
<br />$ -
<br />$ 52,068.00
<br />$ 52,068.00
<br />$ 52,068.00
<br />100.00%
<br />$ -
<br />$ 2,603.40
<br />Dryden Excavating
<br />31-1000
<br />33A
<br />COfil Additional Construction Entrances
<br />$ -
<br />$ -
<br />$ 4,246.61
<br />$ 4,246.61
<br />$ 4,246.61
<br />$ 4,246.61
<br />100.00%
<br />$ -
<br />$ 212.33
<br />Dryd onExavati ng
<br />31-1000
<br />33A
<br />CON2 PRff7 Water Service
<br />$ -
<br />$ -
<br />$ (1,517.19)
<br />$ (1,517.19)
<br />$ (1,517.19)
<br />$ (1,517.19)
<br />100.00%
<br />$ -
<br />$ (75.86)
<br />Page 7 / 8
<br />
|