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m TarERoiv NumberStatic 05
<br />Terra 0 k River on #3
<br />City f E, k
<br />MI CONSTRUCTION Cit of Elk River
<br />CONTINUATION SHEET AIA DOCUMENTG703
<br />AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 17
<br />Contractor's signed certification is attached. APPLICATION DATE: 6/30/22
<br />In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 6/30/22
<br />Use Column I on Contracts where variable retainage for line items may apply.
<br />A
<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 />PRESENTLY
<br />COMPLETED
<br />(G+C)
<br />TO FINISH
<br />(IF VARIABLE
<br />FROM PREVIOUS
<br />THIS PERIOD
<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 />(NOT IN
<br />TO DATE
<br />CODE
<br />D OR E)
<br />(D+E+F)
<br />Niemela Design and Construction
<br />09-9250
<br />9A
<br />CO#3 ASI#9 Soffit Revisions
<br />$ -
<br />$ -
<br />$ 295.00
<br />$ 295.00
<br />$ 295.00
<br />$ 295.00
<br />100.00%
<br />$ -
<br />$ 14.75
<br />Niemela Design and Construction
<br />09-9250
<br />9A
<br />CO#4 RFI#107
<br />$ -
<br />$ -
<br />$ 213.00
<br />$ 213.00
<br />$ 213.00
<br />$ 213.00
<br />100.00%
<br />$ -
<br />$ 10.65
<br />Niemela Design and Construction
<br />09-9250
<br />9A
<br />CO#5 RFI#100
<br />$ -
<br />$ -
<br />$ 433.00
<br />$ 433.00
<br />$ 433.00
<br />$ 433.00
<br />100.00%
<br />$ -
<br />$ 21.65
<br />Niemela Design and Construction
<br />09-9250
<br />9A
<br />CO#6 RFI#121
<br />$ -
<br />$ -
<br />$ 250.00
<br />$ 250.00
<br />$ 250.00
<br />$ 250.00
<br />100.00%
<br />$ -
<br />$ 12.50
<br />Niemela Design and Construction
<br />09-9250
<br />9A
<br />CO#7 PR#16Added Framingfor Trash Units
<br />$ -
<br />$ -
<br />$ 1,050.00
<br />$ 1,050.00
<br />$ 1,050.00
<br />$ 1,050.00
<br />100.00%
<br />$ -
<br />$ 52.50
<br />Niemela Design and Construction
<br />09-9250
<br />9A
<br />CO#B RFI#154 2'' XPS Tile Backer at Wellness Room
<br />$ -
<br />$ -
<br />$ 5,666.00
<br />$ 5,666.00
<br />$ 5,666.00
<br />$ 5,666.00
<br />100.00%
<br />$ -
<br />$ 264.40
<br />Niemela Design and Construction
<br />09-9250
<br />9A
<br />CO#9 CMU Laminating and Skim Coating
<br />$ -
<br />$ -
<br />$ 10,300.00
<br />$ 10,300.00
<br />$ 10,300.00
<br />$ 10,300.00
<br />100.00%
<br />$ -
<br />$ 515.00
<br />Niemela Design and Construction
<br />09-9250
<br />9A
<br />CO#10 Added Trip Charge
<br />$ -
<br />$ -
<br />$ 950.00
<br />$ 950.00
<br />$ 950.00
<br />$ 950.00
<br />100.00%
<br />$ -
<br />$ 47.50
<br />Niemela Design and Construction
<br />09-9250
<br />9A
<br />CO#11 Option 1 Hilti Spray & Paint
<br />$ -
<br />$ -
<br />$ 4,613.00
<br />$ 4,613.00
<br />$ 4,613.00
<br />$ 4,613.00
<br />100.00%
<br />$ -
<br />$ 230.65
<br />Niemela Design and Construction
<br />09-9250
<br />9A
<br />CO#12 PR#20
<br />$ -
<br />$ -
<br />$ (245.00)
<br />$ (245.00)
<br />$ (245.00)
<br />$ (245.00)
<br />100.00%
<br />$ -
<br />$ (12.25)
<br />Niemela Design and Construction
<br />09-9250
<br />9A
<br />CO#13 RFI#150
<br />$ -
<br />$ -
<br />$ 1,369.00
<br />$ 1,369.00
<br />$ 1,369.00
<br />$ 1,369.00
<br />100.00%
<br />$ -
<br />$ 66.45
<br />Niemela Design and Construction
<br />09-9250
<br />9A
<br />CO#14 Creditfor Gyp at SF140X Head Detail
<br />$ -
<br />$ -
<br />$ (50.00)
<br />$ (50.00)
<br />$ (50.00)
<br />$ (50.00)
<br />100.00%
<br />$ -
<br />$ (2.50)
<br />Niemela Design and Construction
<br />09-9250
<br />9A
<br />CO#15Access Panel Allowance Usage ($0 Remanining)
<br />$ -
<br />$ -
<br />$ -
<br />$ -
<br />$ -
<br />$ -
<br />#DIV/01
<br />$ -
<br />$ -
<br />Niemela Design and Construction
<br />09-9250
<br />9A
<br />CO#16 Using$330of $5000AIlowance ($4670 Remaining)
<br />$ -
<br />$ -
<br />$ -
<br />$ -
<br />$ -
<br />$ -
<br />#DIV/01
<br />$ -
<br />$ -
<br />Niemela Design and Construction
<br />09-9250
<br />9A
<br />CO#17 Using$325 of Allowance ($4345 Remaining)
<br />$ -
<br />$ -
<br />$ -
<br />$ -
<br />$ -
<br />$ -
<br />#DIV/01
<br />$ -
<br />$ -
<br />Niemela Design and Construction
<br />09-9250
<br />9A
<br />CO#16 Soffit Expansion Joint Painting
<br />$ -
<br />$ -
<br />$ (823.00)
<br />$ (823.00)
<br />$ (823.00)
<br />$ (823.00)
<br />100.00%
<br />$ -
<br />$ (41.15)
<br />Niemela Design and Construction
<br />09-9250
<br />9A
<br />CO Vent Hood Backing
<br />$ -
<br />$ -
<br />$ 541.25
<br />$ 541.25
<br />$ 541.25
<br />$ 541.25
<br />100.00%
<br />$ -
<br />$ 27.06
<br />Tim's Construction Group
<br />09-9300
<br />9B
<br />Labor
<br />$ 23,450.00
<br />$ -
<br />$ -
<br />$ 23,450.00
<br />$ 23,450.00
<br />$ 23,450.00
<br />100.00%
<br />$ -
<br />$ 1,172.50
<br />Tim's Construction Group
<br />09-9300
<br />9B
<br />Tile Material
<br />$ 26,365.00
<br />$ -
<br />$ -
<br />$ 26,365.00
<br />$ 26,365.00
<br />$ 26,365.00
<br />100.00%
<br />$ -
<br />$ 1,318.25
<br />Tim's Construction Group
<br />09-9300
<br />9B
<br />CO#1 - PR#20
<br />$ -
<br />$ -
<br />$ (210.00)
<br />$ (210.00)
<br />$ (210.00)
<br />$ (210.00)
<br />100.00%
<br />$ -
<br />$ (10.50)
<br />Sonus Interiors
<br />09-9510
<br />9C
<br />ACT-1 Material
<br />$ 9,850.00
<br />$ -
<br />$ -
<br />$ 9,850.00
<br />$ 9,850.00
<br />$ 9,850.00
<br />100.00%
<br />$ -
<br />$ 492.50
<br />Sonus Interiors
<br />09-9510
<br />9C
<br />ACT-1 Labor
<br />$ 6,936.00
<br />$ -
<br />$ -
<br />$ 6,936.00
<br />$ 6,936.00
<br />$ 6,936.00
<br />100.00%
<br />$ -
<br />$ 346.60
<br />Sonus Interiors
<br />09-9510
<br />9C
<br />ACP Material
<br />$ 61,659.00
<br />$ -
<br />$ -
<br />$ 61,659.00
<br />$ 61,659.00
<br />$ 61,659.00
<br />100.00%
<br />$ -
<br />$ 3,082.95
<br />Sonus Interiors
<br />09-9510
<br />9C
<br />ACP Labor
<br />$ 9,674.00
<br />$ -
<br />$ -
<br />$ 9,674.00
<br />$ 9,674.00
<br />$ 9,674.00
<br />100.00%
<br />$ -
<br />$ 463.70
<br />Sonus Interiors
<br />09-9510
<br />9C
<br />Bond
<br />$ 1,231.00
<br />$ -
<br />$ -
<br />$ 1,231.00
<br />$ 1,231.00
<br />$ 1,231.00
<br />100.00%
<br />$ -
<br />$ 61.55
<br />Sonus Interiors
<br />09-9510
<br />9C
<br />CO#1 PR#3R
<br />$ -
<br />$ -
<br />$ 1,130.00
<br />$ 1,130.00
<br />$ 1,130.00
<br />$ 1,130.00
<br />100.00%
<br />$ -
<br />$ 56.50
<br />Sonus Interiors
<br />09-9510
<br />9C
<br />CO#2 RFI#76 Extended Wall Track
<br />$ -
<br />$ -
<br />$ 637.00
<br />$ 637.00
<br />$ 637.00
<br />$ 637.00
<br />100.00%
<br />$ -
<br />$ 31.65
<br />Sonus Interiors
<br />09-9510
<br />9C
<br />CO#3 ASI#9 Removed ACT in Room 124
<br />$ -
<br />$ -
<br />$ (257.00)
<br />$ (257.00)
<br />$ (257.00)
<br />$ (257.00)
<br />100.00%
<br />$ -
<br />$ (12.85)
<br />Centennial Flooring
<br />09-9660
<br />9D
<br />Carpet & Resilient Flooring -Material
<br />$ 14,000.00
<br />$ -
<br />$ -
<br />$ 14,000.00
<br />$ 14,000.00
<br />$ 14,000.00
<br />100.00%
<br />$ -
<br />$ 700.00
<br />Centennial Flooring
<br />09-9660
<br />9D
<br />Carpet & Resilient Flooring -Labor
<br />$ 5,500.00
<br />$ -
<br />$ -
<br />$ 5,500.00
<br />$ 5,500.00
<br />$ 5,500.00
<br />100.00%
<br />$ -
<br />$ 275.00
<br />Centennial Flooring
<br />09-9660
<br />9D
<br />CO#1 RFI#143 Added LokDots
<br />$ -
<br />$ -
<br />$ 215.00
<br />$ 215.00
<br />$ 215.00
<br />$ 215.00
<br />100.00%
<br />$ -
<br />$ 10.75
<br />Steinbrecher Painting
<br />09-9910
<br />9F
<br />Painting& Wallcovering
<br />$ 76,200.00
<br />$ -
<br />$ -
<br />$ 76,200.00
<br />$ 76,200.00
<br />$ 76,200.00
<br />100.00%
<br />$ -
<br />$ 3,810.00
<br />Steinbrecher Painting
<br />09-9910
<br />9F
<br />CO#1 ASI#10 Interior Finishes
<br />$ -
<br />$ -
<br />$ 673.00
<br />$ 673.00
<br />$ 673.00
<br />$ 673.00
<br />100.00%
<br />$ -
<br />$ 33.65
<br />Steinbrecher Painting
<br />09-9910
<br />9F
<br />CO#2 Added Painting at M04 & Vestibule 107 PR#20
<br />$ -
<br />$ -
<br />$ 415.00
<br />$ 415.00
<br />$ 415.00
<br />$ 415.00
<br />100.00%
<br />$ -
<br />$ 20.75
<br />Steinbrecher Painting
<br />09-9910
<br />9F
<br />CO#3 Painting Soffits after Control Joints
<br />$ -
<br />$ -
<br />$ 623.00
<br />$ 623.00
<br />$ 623.00
<br />$ 623.00
<br />100.00%
<br />$ -
<br />$ 41.15
<br />Steinbrecher Painting
<br />09-9910
<br />9F
<br />CO#4 RFI#201 Repainting Door Frame 106
<br />$ -
<br />$ -
<br />$ 717.00
<br />$ 717.00
<br />$ 717.00
<br />$ 717.00
<br />100.00%
<br />$ -
<br />$ 35.65
<br />Steinbrecher Painting
<br />09-9910
<br />9F
<br />CO Relocate Roof Vent
<br />$ -
<br />$ -
<br />$ 373.00
<br />$ 373.00
<br />$ 373.00
<br />$ 373.00
<br />100.00%
<br />$ -
<br />$ 16.65
<br />Steinbrecher Painting
<br />09-9910
<br />9F
<br />CO Vent Hood Blocking
<br />$ -
<br />$ -
<br />$ 88.00
<br />$ 88.00
<br />$ 88.00
<br />$ 88.00
<br />100.00%
<br />$ -
<br />$ 4.40
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />Mechanical -Fabricated Ductwork
<br />$ 16,475.00
<br />$ -
<br />$ -
<br />$ 16,475.00
<br />$ 16,475.00
<br />$ 16,475.00
<br />100.00%
<br />$ -
<br />$ 623.75
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />Mechanical -Duct Field Material
<br />$ 19,439.00
<br />$ -
<br />$ -
<br />$ 19,439.00
<br />$ 19,439.00
<br />$ 19,439.00
<br />100.00%
<br />$ -
<br />$ 971.95
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />Mechanical -Plumbing Material
<br />$ 71,868.00
<br />$ -
<br />$ -
<br />$ 71,868.00
<br />$ 71,868.00
<br />$ 71,868.00
<br />100.00%
<br />$ -
<br />$ 3,593.40
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />Mechanical -Piping Material
<br />$ 40,271.00
<br />$ -
<br />$ -
<br />$ 40,271.00
<br />$ 40,271.00
<br />$ 40,271.00
<br />100.00%
<br />$
<br />$ 2,013.55
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />Mechanical -Insulation Material
<br />$ 16,961.00
<br />$ -
<br />$ -
<br />$ 16,961.00
<br />$ 16,961.00
<br />$ 16,961.00
<br />100.00%
<br />$ -
<br />$ 646.05
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