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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: 23
<br />Contractor's signed certification is attached. APPLICATION DATE: 12/31/22
<br />In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 12/31/22
<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 />Klein Electric
<br />16-1600
<br />26A
<br />Site Pole Install Material
<br />$ 98.00
<br />$ -
<br />$ -
<br />$ 98.00
<br />$ 98.00
<br />$ 98.00
<br />100.00%
<br />$ -
<br />$ 4.90
<br />Klein Electric
<br />16-1600
<br />26A
<br />Site Pole Install Labor
<br />$ 1,126.00
<br />$ -
<br />$ -
<br />$ 1,126.00
<br />$ 1,126.00
<br />$ 1,126.00
<br />100.00%
<br />$ -
<br />$ 56.30
<br />Klein Electric
<br />16-1600
<br />26A
<br />Site Flag Pole -Sign Material
<br />$ 1,757.00
<br />$ -
<br />$ -
<br />$ 1,757.00
<br />$ 1,757.00
<br />$ 1,757.00
<br />100.00%
<br />$ -
<br />$ 87.85
<br />Klein Electric
<br />16-1600
<br />26A
<br />Site Flag Pole -Sign Labor
<br />$ 1,982.00
<br />$ -
<br />$ -
<br />$ 1,982.00
<br />$ 1,982.00
<br />$ 1,982.00
<br />100.00%
<br />$ -
<br />$ 99.10
<br />Klein Electric
<br />16-1600
<br />26A
<br />Site Grill-Recept Material
<br />$ 376.00
<br />$ -
<br />$ -
<br />$ 376.00
<br />$ 376.00
<br />$ 376.00
<br />100.00%
<br />$ -
<br />$ 18.80
<br />Klein Electric
<br />16-1600
<br />26A
<br />Site Grill-Recept Labor
<br />$ 507.00
<br />$ -
<br />$ -
<br />$ 507.00
<br />$ 507.00
<br />$ 507.00
<br />100.00%
<br />$ -
<br />$ 25.35
<br />Klein Electric
<br />16-1600
<br />26A
<br />Power -Device Material
<br />$ 15,167.00
<br />$ -
<br />$ -
<br />$ 15,167.00
<br />$ 15,167.00
<br />$ 15,167.00
<br />100.00%
<br />$ -
<br />$ 758.35
<br />Klein Electric
<br />16-1600
<br />26A
<br />Power -Device Labor
<br />$ 26,781.00
<br />$ -
<br />$ -
<br />$ 26,781.00
<br />$ 26,781.00
<br />$ 26,781.00
<br />100.00%
<br />$ -
<br />$ 1,339.05
<br />Klein Electric
<br />16-1600
<br />26A
<br />Floor Boxes/Graybar Electric Co
<br />$ 2,011.00
<br />$ -
<br />$ -
<br />$ 2,011.00
<br />$ 2,011.00
<br />$ 2,011.00
<br />100.00%
<br />$ -
<br />$ 100.55
<br />Klein Electric
<br />16-1600
<br />26A
<br />Floor Box Material
<br />$ 668.00
<br />$ -
<br />$ -
<br />$ 668.00
<br />$ 668.00
<br />$ 668.00
<br />100.00%
<br />$ -
<br />$ 33.40
<br />Klein Electric
<br />16-1600
<br />26A
<br />Floor Box Labor
<br />$ 2,021.00
<br />$ -
<br />$ -
<br />$ 2,021.00
<br />$ 2,021.00
<br />$ 2,021.00
<br />100.00%
<br />$ -
<br />$ 101.05
<br />Klein Electric
<br />16-1600
<br />26A
<br />Cord Reels/Graybar Electric Co
<br />$ 3,585.00
<br />$ -
<br />$ -
<br />$ 3,585.00
<br />$ 3,585.00
<br />$ 3,585.00
<br />100.00%
<br />$ -
<br />$ 179.25
<br />Klein Electric
<br />16-1600
<br />26A
<br />Cord Reels Material
<br />$ 496.00
<br />$ -
<br />$ -
<br />$ 496.00
<br />$ 496.00
<br />$ 496.00
<br />100.00%
<br />$ -
<br />$ 24.80
<br />Klein Electric
<br />16-1600
<br />26A
<br />Cord Reels Labor
<br />$ 1,694.00
<br />$ -
<br />$ -
<br />$ 1,694.00
<br />$ 1,694.00
<br />$ 1,694.00
<br />100.00%
<br />$ -
<br />$ 84.70
<br />Klein Electric
<br />16-1600
<br />26A
<br />OHD Material
<br />$ 1,247.00
<br />$ -
<br />$ -
<br />$ 1,247.00
<br />$ 1,247.00
<br />$ 1,247.00
<br />100.00%
<br />$ -
<br />$ 62.35
<br />Klein Electric
<br />16-1600
<br />26A
<br />OHD Labor
<br />$ 2,742.00
<br />$ -
<br />$ -
<br />$ 2,742.00
<br />$ 2,742.00
<br />$ 2,742.00
<br />100.00%
<br />$ -
<br />$ 137.10
<br />Klein Electric
<br />16-1600
<br />26A
<br />Air Comprssor Material
<br />$ 325.00
<br />$ -
<br />$ -
<br />$ 325.00
<br />$ 325.00
<br />$ 325.00
<br />100.00%
<br />$ -
<br />$ 16.25
<br />Klein Electric
<br />16-1600
<br />26A
<br />Air Comprssor Labor
<br />$ 498.00
<br />$ -
<br />$ -
<br />$ 498.00
<br />$ 498.00
<br />$ 498.00
<br />100.00%
<br />$ -
<br />$ 24.90
<br />Klein Electric
<br />16-1600
<br />26A
<br />Boilers Material
<br />$ 380.00
<br />$ -
<br />$ -
<br />$ 380.00
<br />$ 380.00
<br />$ 380.00
<br />100.00%
<br />$ -
<br />$ 19.00
<br />Klein Electric
<br />16-1600
<br />26A
<br />Boilers Labor
<br />$ 648.00
<br />$ -
<br />$ -
<br />$ 648.00
<br />$ 648.00
<br />$ 648.00
<br />100.00%
<br />$ -
<br />$ 32.40
<br />Klein Electric
<br />16-1600
<br />26A
<br />Compressed Air Dryer Material
<br />$ 532.00
<br />$ -
<br />$ -
<br />$ 532.00
<br />$ 532.00
<br />$ 532.00
<br />100.00%
<br />$ -
<br />$ 26.60
<br />Klein Electric
<br />16-1600
<br />26A
<br />Compressed Air Dryer Labor
<br />$ 540.00
<br />$ -
<br />$ -
<br />$ 540.00
<br />$ 540.00
<br />$ 540.00
<br />100.00%
<br />$ -
<br />$ 27.00
<br />Klein Electric
<br />16-1600
<br />26A
<br />Condensing Unit Material
<br />$ 208.00
<br />$ -
<br />$ -
<br />$ 208.00
<br />$ 208.00
<br />$ 208.00
<br />100.00%
<br />$ -
<br />$ 10.40
<br />Klein Electric
<br />16-1600
<br />26A
<br />Condensing Unit Labor
<br />$ 369.00
<br />$ -
<br />$ -
<br />$ 369.00
<br />$ 369.00
<br />$ 369.00
<br />100.00%
<br />$ -
<br />$ 18.45
<br />Klein Electric
<br />16-1600
<br />26A
<br />Domestic Water Heater -Pump Material
<br />$ 252.00
<br />$ -
<br />$ -
<br />$ 252.00
<br />$ 252.00
<br />$ 252.00
<br />100.00%
<br />$ -
<br />$ 12.60
<br />Klein Electric
<br />16-1600
<br />26A
<br />Domestic Water Heater -Pump Labor
<br />$ 561.00
<br />$ -
<br />$ -
<br />$ 561.00
<br />$ 561.00
<br />$ 561.00
<br />100.00%
<br />$ -
<br />$ 28.05
<br />Klein Electric
<br />16-1600
<br />26A
<br />Exhaust -Supply Fans Material
<br />$ 1,140.00
<br />$ -
<br />$ -
<br />$ 1,140.00
<br />$ 1,140.00
<br />$ 1,140.00
<br />100.00%
<br />$ -
<br />$ 57.00
<br />Klein Electric
<br />16-1600
<br />26A
<br />Exhaust -Supply Fans Labor
<br />$ 3,306.00
<br />$ -
<br />$ -
<br />$ 3,306.00
<br />$ 3,306.00
<br />$ 3,306.00
<br />100.00%
<br />$ -
<br />$ 165.30
<br />Klein Electric
<br />16-1600
<br />26A
<br />Furnace Material
<br />$ 344.00
<br />$ -
<br />$ -
<br />$ 344.00
<br />$ 344.00
<br />$ 344.00
<br />100.00%
<br />$ -
<br />$ 17.20
<br />Klein Electric
<br />16-1600
<br />26A
<br />Furnace Labor
<br />$ 713.00
<br />$ -
<br />$ -
<br />$ 713.00
<br />$ 713.00
<br />$ 713.00
<br />100.00%
<br />$ -
<br />$ 35.65
<br />Klein Electric
<br />16-1600
<br />26A
<br />Heat Pumps -Coils Material
<br />$ 334.00
<br />$ -
<br />$ -
<br />$ 334.00
<br />$ 334.00
<br />$ 334.00
<br />100.00%
<br />$ -
<br />$ 16.70
<br />Klein Electric
<br />16-1600
<br />26A
<br />Heat Pumps -Coils Labor
<br />$ 1,224.00
<br />$ -
<br />$ -
<br />$ 1,224.00
<br />$ 1,224.00
<br />$ 1,224.00
<br />100.00%
<br />$ -
<br />$ 61.20
<br />Klein Electric
<br />16-1600
<br />26A
<br />Make Up Air Unit Material
<br />$ 1,334.00
<br />$ -
<br />$ -
<br />$ 1,334.00
<br />$ 1,334.00
<br />$ 1,334.00
<br />100.00%
<br />$ -
<br />$ 66.70
<br />Klein Electric
<br />16-1600
<br />26A
<br />Make Up Air Unit Labor
<br />$ 1,590.00
<br />$ -
<br />$ -
<br />$ 1,590.00
<br />$ 1,590.00
<br />$ 1,590.00
<br />100.00%
<br />$ -
<br />$ 79.50
<br />Klein Electric
<br />16-1600
<br />26A
<br />Pressure Washer Material
<br />$ 467.00
<br />$ -
<br />$ -
<br />$ 467.00
<br />$ 467.00
<br />$ 467.00
<br />100.00%
<br />$ -
<br />$ 23.35
<br />Klein Electric
<br />16-1600
<br />26A
<br />Pressure Washer Labor
<br />$ 903.00
<br />$ -
<br />$ -
<br />$ 903.00
<br />$ 903.00
<br />$ 903.00
<br />100.00%
<br />$ -
<br />$ 45.15
<br />Klein Electric
<br />16-1600
<br />26A
<br />Pumps Material
<br />$ 979.00
<br />$ -
<br />$ -
<br />$ 979.00
<br />$ 979.00
<br />$ 979.00
<br />100.00%
<br />$ -
<br />$ 48.95
<br />Klein Electric
<br />16-1600
<br />26A
<br />Pumps Labor
<br />$ 1,443.00
<br />$ -
<br />$ -
<br />$ 1,443.00
<br />$ 1,443.00
<br />$ 1,443.00
<br />100.00%
<br />$ -
<br />$ 72.15
<br />Klein Electric
<br />16-1600
<br />26A
<br />Roof Top Unit Material
<br />$ 968.00
<br />$ -
<br />$ -
<br />$ 968.00
<br />$ 968.00
<br />$ 968.00
<br />100.00%
<br />$ -
<br />$ 48.40
<br />Klein Electric
<br />16-1600
<br />26A
<br />Roof Top Unit Labor
<br />$ 1,918.00
<br />$ -
<br />$ -
<br />$ 1,918.00
<br />$ 1,918.00
<br />$ 1,918.00
<br />100.00%
<br />$ -
<br />$ 95.90
<br />Klein Electric
<br />16-1600
<br />26A
<br />Unit Heaters Material
<br />$ 1,200.00
<br />$ -
<br />$ -
<br />$ 1,200.00
<br />$ 1,200.00
<br />$ 1,200.00
<br />100.00%
<br />$ -
<br />$ 60.00
<br />Klein Electric
<br />16-1600
<br />26A
<br />Unit Heaters Labor
<br />$ 2,335.00
<br />$ -
<br />$ -
<br />$ 2,335.00
<br />$ 2,335.00
<br />$ 2,335.00
<br />100.00%
<br />$ -
<br />$ 116.75
<br />Klein Electric
<br />16-1600
<br />26A
<br />Steam Generator Material
<br />$ 542.00
<br />$ -
<br />$ -
<br />$ 542.00
<br />$ 542.00
<br />$ 542.00
<br />100.00%
<br />$ -
<br />$ 27.10
<br />Klein Electric
<br />16-1600
<br />26A
<br />Steam Generator Labor
<br />$ 532.00
<br />$ -
<br />$ -
<br />$ 532.00
<br />$ 532.00
<br />$ 532.00
<br />100.009
<br />$ -
<br />$ 26.60
<br />Klein Electric
<br />16-1600
<br />26A
<br />DIV 27 Data Rough -In Material
<br />$ 2,714.00
<br />$ -
<br />$ -
<br />$ 2,714.00
<br />$ 2,714.00
<br />$ 2,714.00
<br />100.00%
<br />$ -
<br />$ 135.70
<br />Klein Electric
<br />16-1600
<br />26A
<br />DIV 27 Data Rough -In Labor
<br />$ 3,398.00
<br />$ -
<br />$ -
<br />$ 3,398.00
<br />$ 3,398.00
<br />$ 3,398.00
<br />100.009
<br />$ -
<br />$ 169.90
<br />Klein Electric
<br />16-1600
<br />26A
<br />DIV 27 AV Rough -In Material
<br />$ 1,568.00
<br />$ -
<br />$ -
<br />$ 1,568.00
<br />$ 1,568.00
<br />$ 1,568.00
<br />100.00%
<br />$ -
<br />$ 78.40
<br />Klein Electric
<br />16-1600
<br />26A
<br />DIV 27 AV Rough -In Labor
<br />$ 1,760.00
<br />$ -
<br />$ -
<br />$ 1,760.00
<br />$ 1,760.00
<br />$ 1,760.00
<br />100.00%
<br />$ -
<br />$ 88.00
<br />Page 8 / 11
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