|
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 />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />Mechanical -Ventilation Material
<br />$ 84,721.00
<br />$ -
<br />$ -
<br />$ 84,721.00
<br />$ 84,721.00
<br />$ 84,721.00
<br />100.00%
<br />$ -
<br />$ 4,236.05
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />Mechanical -Plumbing Labor
<br />$ 146,790.00
<br />$ -
<br />$ -
<br />$ 146,790.00
<br />$ 146,790.00
<br />$ 146,790.00
<br />100.00%
<br />$ -
<br />$ 7,339.50
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />Mechanical -Piping Labor
<br />$ 78,083.00
<br />$ -
<br />$ -
<br />$ 78,083.00
<br />$ 78,083.00
<br />$ 78,083.00
<br />100.00%
<br />$ -
<br />$ 3,904.15
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />Mechanical -Insulation Labor
<br />$ 35,439.00
<br />$ -
<br />$ -
<br />$ 35,439.00
<br />$ 35,439.00
<br />$ 35,439.00
<br />100.00%
<br />$ -
<br />$ 1,771.95
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />Mechanical -Ventilation Equipment
<br />$ 84,178.00
<br />$ -
<br />$ -
<br />$ 84,178.00
<br />$ 84,178.00
<br />$ 84,178.00
<br />100.00%
<br />$ -
<br />$ 4,208.90
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />Mechanical -Plumbing Fixtures/Equip
<br />$ 96,596.00
<br />$ -
<br />$ -
<br />$ 96,596.00
<br />$ 96,596.00
<br />$ 96,598.00
<br />100.00%
<br />$ -
<br />$ 4,929.90
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />Mechanical -Piping Equipment
<br />$ 57,433.00
<br />$ -
<br />$ -
<br />$ 57,433.00
<br />$ 57,433.00
<br />$ 57,433.00
<br />100.00%
<br />$ -
<br />$ 2,871.65
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />Mechanical -Refer Piping/Startup
<br />$ 4,394.00
<br />$ -
<br />$ -
<br />$ 4,394.00
<br />$ 4,394.00
<br />$ 4,394.00
<br />100.00%
<br />$ -
<br />$ 219.70
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />Mechanical -Balancing
<br />$ 7,976.00
<br />$ -
<br />$ -
<br />$ 7,976.00
<br />$ 7,976.00
<br />$ 7,976.00
<br />100.00%
<br />$ -
<br />$ 396.60
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />Mechanical -Temp Controls
<br />$ 66,259.00
<br />$ -
<br />$ -
<br />$ 66,259.00
<br />$ 66,259.00
<br />$ 66,259.00
<br />100.00%
<br />$ -
<br />$ 3,312.95
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />Mechanical -Crane
<br />$ 1,785.00
<br />$ -
<br />$ -
<br />$ 1,785.00
<br />$ 1,785.00
<br />$ 1,785.00
<br />100.00%
<br />$ -
<br />$ 69.25
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />Mechanical -Permits
<br />$ 15,000.00
<br />$ -
<br />$ -
<br />$ 15,000.00
<br />$ 15,000.00
<br />$ 15,000.00
<br />100.00%
<br />$ -
<br />$ 750.00
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />Mechanical -Bond
<br />$ 8,000.00
<br />$ -
<br />$ -
<br />$ 8,000.00
<br />$ 8,000.00
<br />$ 8,000.00
<br />100.00%
<br />$ -
<br />$ 400.00
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />Mechanical -Submittals
<br />$ 5,000.00
<br />$ -
<br />$ -
<br />$ 5,000.00
<br />$ 5,000.00
<br />$ 5,000.00
<br />100.00%
<br />$ -
<br />$ 250.00
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />Mechanical -General Administration
<br />$ 63,330.00
<br />$ -
<br />$ -
<br />$ 63,330.00
<br />$ 63,330.00
<br />$ 63,330.00
<br />100.00%
<br />$ -
<br />$ 3,166.50
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />CO#1 PR#3R
<br />$ -
<br />$ -
<br />$ 3,532.00
<br />$ 3,532.00
<br />$ 3,532.00
<br />$ 3,532.00
<br />100.00%
<br />$ -
<br />$ 176.60
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />CO#2 Added expansion tankforsnow melt
<br />$ -
<br />$ -
<br />$ 2,504.00
<br />$ 2,504.00
<br />$ 2,504.00
<br />$ 2,504.00
<br />100.00%
<br />$ -
<br />$ 125.20
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />CO#3 App Bay Truck Fill & Compressed Air
<br />$ -
<br />$ -
<br />$ 30,621.00
<br />$ 30,621.00
<br />$ 30,621.00
<br />$ 30,621.00
<br />100.00%
<br />$ -
<br />$ 1,531.05
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />CO#4 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 />CO#5 PR#17 SCBA Compressor
<br />$ -
<br />$
<br />$ 1,790.00
<br />$ 1,790.00
<br />$ 1,790.00
<br />$ 1,790.00
<br />100.00%
<br />$ -
<br />$ 69.50
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />CO#6 RFI#107
<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 />CO#7 RFI#121
<br />$ -
<br />$ -
<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 />CO#B PR#13 Steam Generator
<br />$ -
<br />$ -
<br />$ 8,342.00
<br />$ 8,342.00
<br />$ 4,923.00
<br />$ 3,419.00
<br />$ 8,342.00
<br />100.00%
<br />$ -
<br />$ 417.10
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />CO#9 Duct Insulation Replacement (Carp Allowance) $752
<br />$ -
<br />$ -
<br />$ -
<br />$ -
<br />$ -
<br />$ -
<br />#DIV/01
<br />$ -
<br />$ -
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />CO#10 Added PVC Insualtion
<br />$ -
<br />$ -
<br />$ 723.00
<br />$ 723.00
<br />$ 723.00
<br />$ 723.00
<br />100.00%
<br />$ -
<br />$ 36.15
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />CO#11 Bay Duct Relocation due to Air Drop
<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 />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />CO#12 PR#22
<br />$ -
<br />$ -
<br />$ 709.00
<br />$ 709.00
<br />$ 709.00
<br />$ 709.00
<br />100.00%
<br />$ -
<br />$ 35.45
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />CO#13 CMU Patch work for Duct 139 Training Room
<br />$ -
<br />$ -
<br />$ (744.50)
<br />$ (744.50)
<br />$ -
<br />$ (744.50)
<br />$ (744.50)
<br />100.00%
<br />$ -
<br />$ (37.23)
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />CO#14 RFI#163 Revised Exhaust Air Register Size
<br />$ -
<br />$ -
<br />$ 2,503.00
<br />$ 2,503.00
<br />$ -
<br />$ 2,503.00
<br />$ 2,503.00
<br />100.00%
<br />$ -
<br />$ 125.15
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />CO#15 RFI#139 Credit for Duct Protection
<br />$ -
<br />$ -
<br />$ (470.00)
<br />$ (470.00)
<br />$ -
<br />$ (470.00)
<br />$ (470.00)
<br />100.00%
<br />$ -
<br />$ (23.50)
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />CO Relocate Roof Vent
<br />$ -
<br />$ -
<br />$ 2,046.00
<br />$ 2,046.00
<br />$ -
<br />$ 2,046.00
<br />$ 2,046.00
<br />100.00%
<br />$ -
<br />$ 102.30
<br />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />CO Vent Hood Backing
<br />$ -
<br />$ -
<br />$ 437.00
<br />$ 437.00
<br />$ -
<br />$ 437.00
<br />$ 437.00
<br />100.00%
<br />$ -
<br />$ 21.65
<br />Summit Fire
<br />15-1533
<br />21A
<br />Labor
<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 />Summit 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 />CO#1 ASI#9 Redesigned Sprinkler Layout
<br />$ -
<br />$ -
<br />$ 620.00
<br />$ 620.00
<br />$ 620.00
<br />$ 620.00
<br />100.00%
<br />$ -
<br />$ 41.00
<br />Klein Electric
<br />16-1600
<br />26A
<br />Electrical -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 />Electrical -Bond
<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 Trailer
<br />$ 1,710.00
<br />$ -
<br />$ -
<br />$ 1,710.00
<br />$ 1,710.00
<br />$ 1,710.00
<br />100.00%
<br />$ -
<br />$ 65.50
<br />Klein Electric
<br />16-1600
<br />26A
<br />Temp Power/Site
<br />$ 3,325.00
<br />$ -
<br />$ -
<br />$ 3,325.00
<br />$ 3,325.00
<br />$ 3,325.00
<br />100.00%
<br />$ -
<br />$ 166.25
<br />Klein Electric
<br />16-1600
<br />26A
<br />Temp Power/Building
<br />$ 3,325.00
<br />$ -
<br />$ -
<br />$ 3,325.00
<br />$ 3,325.00
<br />$ 3,325.00
<br />100.00%
<br />$ -
<br />$ 166.25
<br />Klein Electric
<br />16-1600
<br />26A
<br />Switchgear Package/Graybar Electric Co
<br />$ 26,645.00
<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 Fees/Elk River Public Utilities
<br />$ 6,279.00
<br />$ -
<br />$ -
<br />$ 8,279.00
<br />$ 8,279.00
<br />$ 8,279.00
<br />J.00.00%
<br />$ -
<br />$ 413.95
<br />Page 6 / 10
<br />
|