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<br />CONTINUATION SHEET
<br />AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing
<br />Contractor's signed certification is attached.
<br />In tabulations below, amounts are stated to the nearest dollar.
<br />Use Column I on Contracts where variable retainage for line items may apply.
<br />A A.1 B
<br />SUBCONTRACTOR ITEM BID DESCRIPTION OF WORK
<br />VENDOR NO. PACK
<br />EMPLOYEE NO.
<br />COST
<br />CODE
<br />Preconstruction
<br />01-0002
<br />Preconstruction
<br />Bonds & Insurance
<br />01-0100
<br />Bonds & Insurance
<br />Permit
<br />01-0110
<br />Permit
<br />CM General Requirements
<br />01-0120
<br />CM General Requirements
<br />CM Contingency
<br />01-0130
<br />CM Contingency
<br />CM Fee
<br />01-0150
<br />CM Fee
<br />Thomsen Construction
<br />Services
<br />03-3300
<br />3A
<br />Footings/Pads
<br />Thomsen Construction
<br />Services
<br />03-3300
<br />3A
<br />Footings Labor
<br />Thomsen Construction
<br />Services
<br />03-3300
<br />3A
<br />Walls Material
<br />Thomsen Construction
<br />Services
<br />03-3300
<br />3A
<br />Walls Labor
<br />Thomsen Construction
<br />Services
<br />03-3300
<br />3A
<br />Slab on Grade Material
<br />Thomsen Construction
<br />Services
<br />03-3300
<br />3A
<br />Slab on Grade Labor
<br />Thomsen Construction
<br />Services
<br />03-3300
<br />3A
<br />Reinforcing Material
<br />Thomsen Construction
<br />Services
<br />03-3300
<br />3A
<br />CO#1 PR#4 Stepped Footings
<br />Thomsen Construction
<br />Services
<br />03-3300
<br />3A
<br />CO#2 B/C to Dryden
<br />Thomsen Construction
<br />Services
<br />03-3300
<br />3A
<br />CO#3 RFI#33 Stepped footings for B" Storm
<br />Thomsen Construction
<br />Services
<br />03-3300
<br />3A
<br />CO#4 RFI#37 Extended Foundation @ 166
<br />Thomsen Construction
<br />Services
<br />03-3300
<br />3A
<br />CO#5 Footings along GL-B
<br />Thomsen Construction
<br />Services
<br />03-3300
<br />3A
<br />CO#6 PR#19 Wellness Room
<br />Thomsen Construction
<br />Services
<br />03-3300
<br />3A
<br />CO#7 Concrete in Trash Enclosure (From Klein)
<br />Concrete Treatments
<br />03-3350
<br />3B & 9E
<br />Polished Concrete and Resinous Flooring
<br />Concrete Treatments
<br />03-3350
<br />3B & 9E
<br />CO#1 ASI#BR Changed Polished Flooring
<br />Concrete Treatments
<br />03-3350
<br />3B & 9E
<br />CO#2 ASI#10 Stained Floor Logo in Lobby 116
<br />Concrete Treatments
<br />03-3350
<br />3B & 9E
<br />CO#3 Moisture Mitigation at App Bay Floor
<br />Ultra Concrete
<br />03-3390
<br />32D
<br />Bond
<br />Ultra Concrete
<br />03-3390
<br />32D
<br />Curb
<br />Ultra Concrete
<br />03-3390
<br />32D
<br />Bollards/Flag Pole Footings
<br />Ultra Concrete
<br />03-3390
<br />32D
<br />Sidewalks/Paving
<br />Ultra Concrete
<br />03-3390
<br />32D
<br />CO#1 PR#7 Water Service
<br />Ultra Concrete
<br />03-3390
<br />32D
<br />CO#2 Replacing Asphalt w/ Concrete at N side of App Bay
<br />Camco Construction
<br />04-4200
<br />4A
<br />Masonry -Bond
<br />Camco Construction
<br />04-4200
<br />4A
<br />Masonry-Rebar
<br />Camco Construction
<br />04-4200
<br />4A
<br />Masonry-Misc Masonry Materials
<br />Camco Construction
<br />04-4200
<br />4A
<br />Masonry -Insulation
<br />Camco Construction
<br />04-4200
<br />4A
<br />Masonry -Grout Material
<br />Camco Construction
<br />04-4200
<br />4A
<br />Masonry -Grout Labor
<br />Camco Construction
<br />04-4200
<br />4A
<br />Masonry -Stone Material
<br />Camco Construction
<br />04-4200
<br />4A
<br />Masonry -Stone Labor
<br />Camco Construction
<br />04-4200
<br />4A
<br />Masonry-Facebr¢k Material
<br />Camco Construction
<br />04-4200
<br />4A
<br />Masonry-Facebr¢k Labor
<br />Camco Construction
<br />04-4200
<br />4A
<br />Masonry -Precast Material
<br />Camco Construction
<br />04-4200
<br />4A
<br />Masonry -Precast Labor
<br />Camco Construction
<br />04-4200
<br />4A
<br />Masonry-CMU Material
<br />AIA DOCUMENT G703
<br />C CA
<br />C.2
<br />C.3
<br />D E
<br />F
<br />SCHEDULED CHANGE
<br />BUDGET
<br />REVISED
<br />WORK CO APLETED
<br />MATERIALS
<br />VALUE ORDERS
<br />REVISION/
<br />SCHEDULED
<br />FROM PREVIOUS THIS PERIOD
<br />PRESENTLY
<br />CONTINGENCY
<br />VALUE
<br />APPLICATION
<br />STORED
<br />TRANSFER
<br />(D+ E)
<br />(NOT IN
<br />D OR E)
<br />$ 10,000.00
<br />$ 76,368.00
<br />$ 400.00
<br />$ 724,061.00 $
<br />$ 233,000.00
<br />$ 101,734.00
<br />$ 22,000.00 $
<br />$ 32,000.00 $
<br />$ 14,000.00 $
<br />$ 60,000.00 $
<br />$ 73,000.00 $
<br />$ 112,900.00 $
<br />$ 35,000.00 $
<br />$ 73,189.00 $
<br />$ 2,400.00 $
<br />$ 37,000.00 $
<br />$ 9,800.00 $
<br />$ 170,800.00 $
<br />S - S
<br />15,000.00
<br />40,000.00
<br />115,000.00
<br />20,000.00
<br />42,000.00
<br />50,000.00
<br />60,000.00
<br />42,000.00
<br />75,000.00
<br />230,000.00
<br />35,000.00
<br />40,000.00
<br />100,000.00
<br />Page l/10
<br />$ 10,000.00 $ 10,000.00 $ -
<br />$ 76,368.00 $ 76,368.00
<br />$ 1,033.46 $ 1,433.46 $ 1,433.46
<br />$ (23,154.35) $ 700,906.65 $ 687,015.70 $ 12,714.55
<br />$ (224,466.82) $ 8,533.18 $ -
<br />$ 101,734.00 $ 90,812.61
<br />$ - $ 22,000.00 $ 22,000.00
<br />$ - $ 32,000.00 $ 32,000.00
<br />$ - $ 14,000.00 $ 14,000.00
<br />$ - $ 60,000.00 $ 60,000.00
<br />$ - $ 73,000.00 $ 70,750.00 $ 2,250.00
<br />$ - $ 112,900.00 $ 105,500.00 $ 7,400.00
<br />$ - $ 35,000.00 $ 35,000.00
<br />$ 2,500.00 $ 2,500.00 $ 2,500.00
<br />$ 500.00 $ 500.00 $ 500.00
<br />$ 600.00 $ 600.00 $ 600.00
<br />$ 550.00 $ 550.00 $ 550.00
<br />$ 2,480.00 $ 2,480.00 $ 2,480.00
<br />$ 5,150.00 $ 5,150.00 $ 5,150.00
<br />$ 650.00 $ 650.00 $ - $ 650.00
<br />$ - $ 73,189.00 $ 73,189.00
<br />$ (3,639.00) $ (3,839.00) $ (3,839.00)
<br />$ (1,000.00) $ (1,000.00) $ (1,000.00)
<br />$ 6,565.00 $ 6,565.00 $ 6,565.00
<br />$ - $ 2,400.00 $ 2,400.00
<br />$ - $ 37,000.00 $ 21,000.00 $ 16,000.00
<br />$ - $ 9,800.00 $ - $ 5,660.00
<br />$ - $ 170,800.00 $ - $ 145,180.00
<br />$ (994.93) $ (994.93) $ -
<br />$ 11,593.62 $ 11,593.62 $ -
<br />$ - $ 15,000.00 $ 15,000.00
<br />$ - $ 40,000.00 $ 40,000.00
<br />$ - $ 115,000.00 $ 115,000.00
<br />$ - $ 20,000.00 $ 20,000.00
<br />$ - $ 42,000.00 $ 42,000.00
<br />$ - $ 50,000.00 $ 50,000.00
<br />$ - $ 60,000.00 $ 60,000.00
<br />$ - $ 42,000.00 $ 42,000.00
<br />$ - $ 75,000.00 $ 75,000.00
<br />$ - $ 230,000.00 $ 230,000.00
<br />$ - $ 35,000.00 $ 35,000.00
<br />$ - $ 40,000.00 $ 40,000.00
<br />$ - $ 100,000.00 $ 100,000.00
<br />Tara Prolewt Number 20 705
<br />0 k River F reStati on #3
<br />City of El k River
<br />APPLICATION NO: 16
<br />APPLICATION DATE: 5/31/22
<br />PERIOD TO: 5/31/22
<br />G H I
<br />TOTAL % BALANCE RETAINAGE
<br />COMPLETED (G+C) TO FINISH (IF VARIABLE
<br />AND STORED (C -G) RATE)
<br />TO DATE
<br />(D+E+F)
<br />$ 10,000.00 100.00% $ - $ 500.00
<br />$ 76,368.00 100.00% $ - $ 3,818.40
<br />$ 1,433.46 100.00% $ - $ 71.67
<br />$ 699,730.25 99.63% $ 1,176.40 $ 34,986.51
<br />$ - 0.00% $ 8,533.18 $ -
<br />$ 90,812.61 69.26% $ 10,921.39 $ 4,540.63
<br />$ 22,000.00 100.00% $ - $ 1,100.00
<br />$ 32,000.00 100.00% $ - $ 1,600.00
<br />$ 14,000.00 100.00% $ - $ 700.00
<br />$ 60,000.00 100.00% $ - $ 3,000.00
<br />$ 73,000.00 100.00% $ - $ 3,650.00
<br />$ 112,900.00 100.00% $ - $ 5,645.00
<br />$ 35,000.00 100.00% $ - $ 1,750.00
<br />$ 2,500.00 100.00% $ - $ 125.00
<br />$ 500.00 100.00% $ - $ 25.00
<br />$ 600.00 100.00% $ - $ 30.00
<br />$ 550.00 100.00% $ - $ 27.50
<br />$ 2,480.00 100.00% $ - $ 124.00
<br />$ 5,150.00 100.00% $ - $ 257.50
<br />$ 650.00 100.00% $ - $ 42.50
<br />$ 73,189.00 100.00% $ - $ 3,659.45
<br />$ (3,839.00) 100.00% $ - $ (191.95)
<br />$ (1,000.00) 100.00% $ $ (50.00)
<br />$ 6,565.00 100.00% $ - $ 326.25
<br />$ 2,400.00 100.00% $ - $ 120.00
<br />$ 37,000.00 100.00% $ - $ 1,850.00
<br />$ 5,660.00 60.00% $ 3,920.00 $ 294.00
<br />$ 145,180.00 65.00% $ 25,620.00 $ 7,259.00
<br />$ - 0.00% $ (994.93) $ -
<br />$ - 0.00% $ 11,593.62 $ -
<br />$ 15,000.00 100.00% $ - $ 750.00
<br />$ 40,000.00 100.00% $ - $ 2,000.00
<br />$ 115,000.00 100.00% $ - $ 5,750.00
<br />$ 20,000.00 100.00% $ - $ 1,000.00
<br />$ 42,000.00 100.00% $ - $ 2,100.00
<br />$ 50,000.00 100.00% $ - $ 2,500.00
<br />$ 60,000.00 100.00% $ - $ 3,000.00
<br />$ 42,000.00 100.00% $ - $ 2,100.00
<br />$ 75,000.00 100.00% $ - $ 3,750.00
<br />$ 230,000.00 100.00% $ - $ 11,500.00
<br />$ 35,000.00 100.00% $ - $ 1,750.00
<br />$ 40,000.00 100.00% $ - $ 2,000.00
<br />$ 100,000.00 100.00% $ - $ 5,000.00
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