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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 />DIV26 Fire Alarm/Twenty4Seven
<br />$ 7,044.00
<br />$ -
<br />$ -
<br />$ 7,044.00
<br />$ 7,044.00
<br />$ 7,044.00
<br />100.00%
<br />$ -
<br />$ 352.20
<br />Klein Electric
<br />16-1600
<br />26A
<br />DIV 26 Fire Alarm Rough -In Material
<br />$ 226.00
<br />$ -
<br />$ -
<br />$ 226.00
<br />$ 226.00
<br />$ 226.00
<br />100.00%
<br />$ -
<br />$ 11.40
<br />Klein Electric
<br />16-1600
<br />26A
<br />DIV 26 Fire Alarm Rough -In Labor
<br />$ 1,082.00
<br />$ -
<br />$ -
<br />$ 1,082.00
<br />$ 1,082.00
<br />$ 1,082.00
<br />100.00%
<br />$ -
<br />$ 54.10
<br />Klein Electric
<br />16-1600
<br />26A
<br />DIV 26 Security Rough -In Material
<br />$ 592.00
<br />$ -
<br />$ -
<br />$ 592.00
<br />$ 592.00
<br />$ 592.00
<br />100.00%
<br />$ -
<br />$ 29.60
<br />Klein Electric
<br />16-1600
<br />26A
<br />DIV 26 Security Rough -In Labor
<br />$ 2,765.00
<br />$ -
<br />$ -
<br />$ 2,765.00
<br />$ 2,765.00
<br />$ 2,765.00
<br />100.00%
<br />$ -
<br />$ 136.25
<br />Klein Electric
<br />16-1600
<br />26A
<br />DIV 26 Site Future Cameras Material
<br />$ 4,147.00
<br />$ -
<br />$ -
<br />$ 4,147.00
<br />$ 4,147.00
<br />$ 4,147.00
<br />100.00%
<br />$ -
<br />$ 207.35
<br />Klein Electric
<br />16-1600
<br />26A
<br />DIV 26 Site Future Cameras Labor
<br />$ 1,856.00
<br />$ -
<br />$ -
<br />$ 1,856.00
<br />$ 1,856.00
<br />$ 1,856.00
<br />100.00%
<br />$ -
<br />$ 92.60
<br />Klein Electric
<br />16-1600
<br />26A
<br />CO#1 PR#6 Generator and Transformer
<br />$ -
<br />$ -
<br />$ (19,350.00)
<br />$ (19,350.00)
<br />$ (19,350.00)
<br />$ (19,350.00)
<br />100.00%
<br />$ -
<br />$ (967.50)
<br />Klein Electric
<br />16-1600
<br />26A
<br />CO#2 PR#2 Overhead Doors & Circuiting
<br />$ -
<br />$ -
<br />$ 1,068.00
<br />$ 1,068.00
<br />$ 1,068.00
<br />$ 1,068.00
<br />100.00%
<br />$ -
<br />$ 53.40
<br />Klein Electric
<br />16-1600
<br />26A
<br />CO#3 PR#3R
<br />$ -
<br />$ -
<br />$ (443.00)
<br />$ (443.00)
<br />$ (443.00)
<br />$ (443.00)
<br />100.00%
<br />$ -
<br />$ (22.15)
<br />Klein Electric
<br />16-1600
<br />26A
<br />CO#4 ASI#1/RFI#19
<br />$ -
<br />$ -
<br />$ (2,625.00)
<br />$ (2,625.00)
<br />$ (2,625.00)
<br />$ (2,625.00)
<br />100.00%
<br />$ -
<br />$ (131.25)
<br />Klein Electric
<br />16-1600
<br />26A
<br />CO#5 PR#10R
<br />$ -
<br />$ -
<br />$ 1,875.00
<br />$ 1,875.00
<br />$ 1,875.00
<br />$ 1,875.00
<br />100.00%
<br />$ -
<br />$ 93.75
<br />Klein Electric
<br />16-1600
<br />26A
<br />CO#6 PR#9R Elecrical Revisions
<br />$ -
<br />$ -
<br />$ 2,370.00
<br />$ 2,370.00
<br />$ 2,370.00
<br />$ 2,370.00
<br />100.00%
<br />$ -
<br />$ 116.50
<br />Klein Electric
<br />16-1600
<br />26A
<br />CO#7 ASI#4R Tower Lights
<br />$ -
<br />$ -
<br />$ 8,136.00
<br />$ 8,136.00
<br />$ 8,136.00
<br />$ 8,136.00
<br />100.00%
<br />$ -
<br />$ 406.60
<br />Klein Electric
<br />16-1600
<br />26A
<br />CO#B PR#17 SCBA Compressor
<br />$ -
<br />$ -
<br />$ 1,354.00
<br />$ 1,354.00
<br />$ 1,354.00
<br />$ 1,354.00
<br />100.00%
<br />$ -
<br />$ 67.70
<br />Klein Electric
<br />16-1600
<br />26A
<br />CO#9 RFI#117
<br />$ -
<br />$ -
<br />$ 963.00
<br />$ 963.00
<br />$ 963.00
<br />$ 963.00
<br />100.00%
<br />$ -
<br />$ 49.15
<br />Klein Electric
<br />16-1600
<br />26A
<br />CO#10 RFI#116 Automatic Push Pad
<br />$ -
<br />$ -
<br />$ 437.00
<br />$ 437.00
<br />$ 437.00
<br />$ 437.00
<br />100.00%
<br />$ -
<br />$ 21.65
<br />Klein Electric
<br />16-1600
<br />26A
<br />CO#11 RFI#156
<br />$ -
<br />$ -
<br />$ 696.00
<br />$ 696.00
<br />$ 696.00
<br />$ 696.00
<br />100.00%
<br />$ -
<br />$ 34.90
<br />Klein Electric
<br />16-1600
<br />26A
<br />CO#12 ASI#11 Wellness Room Light Fixture
<br />$ -
<br />$ -
<br />$ 1,319.00
<br />$ 1,319.00
<br />$ 1,319.00
<br />$ 1,319.00
<br />100.00%
<br />$ -
<br />$ 65.95
<br />Klein Electric
<br />16-1600
<br />26A
<br />CO#13 RFI#160
<br />$ -
<br />$
<br />$ 3,500.00
<br />$ 3,500.00
<br />$ 3,500.00
<br />$ 3,500.00
<br />100.00%
<br />$ -
<br />$ 175.00
<br />Klein Electric
<br />16-1600
<br />26A
<br />CO#14 RFI#21 Added Circuits & 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 />CO#15 G9 Light Fixture
<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 />CO#16 Omitting Tech Conduit Runs From App 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 />Klein Electric
<br />16-1600
<br />26A
<br />CO#17 Training Tower G1 Light Fixtures
<br />$ -
<br />$ -
<br />$ 1,427.00
<br />$ 1,427.00
<br />$ 1,427.00
<br />$ 1,427.00
<br />100.00%
<br />$ -
<br />$ 71.35
<br />Klein Electric
<br />16-1600
<br />26A
<br />CO#16 App Bay Sectional Door Control Station
<br />$ -
<br />$ -
<br />$ 2,790.00
<br />$ 2,790.00
<br />$ 2,790.00
<br />$ 2,790.00
<br />100.00%
<br />$ -
<br />$ 139.50
<br />Klein Electric
<br />16-1600
<br />26A
<br />CO#19 Thomsen Poured Concrete in Trash Enclosure
<br />$ -
<br />$ -
<br />$ (850.00)
<br />$ (850.00)
<br />$ (850.00)
<br />$ (850.00)
<br />100.00%
<br />$ -
<br />$ (42.50)
<br />Klein Electric
<br />16-1600
<br />26A
<br />CO GFCI Receptacles Laundry
<br />$ -
<br />$ -
<br />$ 1,503.00
<br />$ 1,503.00
<br />$ 1,503.00
<br />$ 1,503.00
<br />100.00%
<br />$ -
<br />$ 75.15
<br />Klein Electric
<br />16-1600
<br />26A
<br />CO IP Dialer
<br />$ -
<br />$ -
<br />$ 576.00
<br />$ 576.00
<br />$ 576.00
<br />$ 576.00
<br />100.00%
<br />$ -
<br />$ 26.90
<br />Klein Electric
<br />16-1600
<br />26A
<br />CO Training Tower Lighting PR#27
<br />$ -
<br />$ 3,663.00
<br />$ 3,663.00
<br />$ 3,663.00
<br />$ 3,663.00
<br />100.00%
<br />$ -
<br />$ 163.15
<br />Klein Electric
<br />16-1600
<br />26A
<br />Raise Exterior Sign
<br />$ -
<br />$ -
<br />$ 445.00
<br />$ 445.00
<br />$ 445.00
<br />$ 445.00
<br />100.00%
<br />$ -
<br />$ 22.25
<br />Klein Electric
<br />16-1600
<br />26A
<br />CO Lights at Pergola Credit
<br />$ -
<br />$ -
<br />$ (402.00)
<br />$ (402.00)
<br />$ (402.00)
<br />$ (402.00)
<br />100.00%
<br />$ -
<br />$ (20.10)
<br />Klein Electric
<br />16-1600
<br />26A
<br />Decon Epoxy Flooring
<br />$ -
<br />$ -
<br />$ 201.00
<br />$ 201.00
<br />$ 201.00
<br />$ 201.00
<br />100.00%
<br />$ -
<br />$ 10.05
<br />Twenty4Seven
<br />16-1600
<br />Horn Strobe Relocate and Replace
<br />$ -
<br />$ -
<br />$ 509.25
<br />$ 509.25
<br />$ 509.25
<br />$ 509.25
<br />100.00%
<br />$ -
<br />$ 25.46
<br />Dryden Excavating
<br />31-1000
<br />31A
<br />Mobilization, Bond, SWPP Permit
<br />$ 7,000.00
<br />$ -
<br />$ -
<br />$ 7,000.00
<br />$ 7,000.00
<br />$ 7,000.00
<br />100.00%
<br />$ -
<br />$ 350.00
<br />Dryden Excavating
<br />31-1000
<br />31A
<br />Bituminous Saw -Cutting Labor
<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 Excavating
<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 />$ 162.00
<br />Dryden Excavating
<br />31-1000
<br />31A
<br />Concrete Saw -Cutting Labor
<br />$ 160.00
<br />$ -
<br />$ -
<br />$ 160.00
<br />$ 160.00
<br />$ 160.00
<br />100.00%
<br />$ -
<br />$ 8.00
<br />Dryden Excavating
<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 />$ 161.60
<br />Dryden Excavating
<br />31-1000
<br />31A
<br />Tree Protection Labor
<br />$ 75.00
<br />$ -
<br />$ -
<br />$ 75.00
<br />$ 75.00
<br />$ 75.00
<br />100.00%
<br />$ -
<br />$ 3.75
<br />Dryden Excavating
<br />31-1000
<br />31A
<br />Clearing & Grubbing Labor
<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 Excavating
<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 />Dryden Excavating
<br />31-1000
<br />31A
<br />Export Excess Topsoil Labor
<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 />Dryden Excavating
<br />31-1000
<br />31A
<br />Site Grading Labor
<br />$ 56,076.01
<br />$ -
<br />$ -
<br />$ 56,076.01
<br />$ 56,076.01
<br />$ 56,076.01
<br />100.00%
<br />$ -
<br />$ 2,803.80
<br />Dryden Excavating
<br />31-1000
<br />31A
<br />Site Grading Material
<br />$ 14,040.00
<br />$ -
<br />$ -
<br />$ 14,040.00
<br />$ 14,040.00
<br />$ 14,040.00
<br />100.00%
<br />$ -
<br />$ 702.00
<br />Dryden Excavating
<br />31-1000
<br />31A
<br />Exc. & Backfill Foundations
<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 />Dryden Excavating
<br />31-1000
<br />31A
<br />Building Sand Cushion Labor
<br />$ 3,298.00
<br />$ -
<br />$ -
<br />$ 3,298.00
<br />$ 3,298.00
<br />$ 3,298.00
<br />100.00%
<br />$ -
<br />$ 164.90
<br />Page 9 / 11
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