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m TarERoiv NumberStatic 05
<br />Terra 0 k River on #3
<br />CONSTRUCTION Cit of Elk River
<br />MI City f E, k
<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 />Dryden Excavating
<br />31-1000
<br />33A
<br />CO Cleveland Ave Existing CBGrate
<br />$ -
<br />$ 814.69
<br />$ -
<br />$ 814.69
<br />$ 814.69
<br />$ 814.69
<br />100.00%
<br />$ -
<br />$ 40.73
<br />Omann Brothers
<br />32-1216
<br />32C
<br />Gravel Base
<br />$ 16,920.00
<br />$ -
<br />$ -
<br />$ 16,920.00
<br />$ 16,920.00
<br />$ 16,920.00
<br />100.00%
<br />$ -
<br />$ 846.00
<br />Omann Brothers
<br />32-1216
<br />32C
<br />Bit Base Course
<br />$ 25,370.00
<br />$ -
<br />$ -
<br />$ 25,370.00
<br />$ 25,370.00
<br />$ 25,370.00
<br />100.00%
<br />$ -
<br />$ 1,268.50
<br />Omann Brothers
<br />32-1216
<br />32C
<br />Bit Wear Course
<br />$ 27,700.00
<br />$ -
<br />$ -
<br />$ 27,700.00
<br />$ 27,700.00
<br />$ 27,700.00
<br />100.00%
<br />$ -
<br />$ 1,385.00
<br />Omann Brothers
<br />32-1216
<br />32C
<br />Striping
<br />$ 500.00
<br />$ -
<br />$ -
<br />$ 500.00
<br />$ 500.00
<br />$ 500.00
<br />100.00%
<br />$ -
<br />$ 25.00
<br />Omann Brothers
<br />32-1216
<br />32C
<br />CO#1 PR#7 Water Service
<br />$ -
<br />$ -
<br />$ (850.00)
<br />$ (850.00)
<br />$ (850.00)
<br />$ (850.00)
<br />100.00%
<br />$ -
<br />$ (42.50)
<br />Omann Brothers
<br />32-1216
<br />32C
<br />CO#2 Agg Base at intersection of 191st and Edision
<br />$ -
<br />$ -
<br />$ (845.28)
<br />$ (845.28)
<br />$ (845.28)
<br />$ (845.28)
<br />100.00%
<br />$ -
<br />$ (42.26)
<br />Omann Brothers
<br />32-1216
<br />32C
<br />CO#3 Replacing Asphalt w/ Concrete at North Side of Site
<br />$ -
<br />$ -
<br />$ (5,400.00)
<br />$ (5,400.00)
<br />$ (5,400.00)
<br />$ (5,400.00)
<br />100.00%
<br />$ -
<br />$ (270.00)
<br />Omann Brothers
<br />32-1216
<br />32C
<br />CO Escalation
<br />$ -
<br />$ -
<br />$ 3,588.30
<br />$ 3,588.30
<br />$ 3,588.30
<br />$ 3,588.30
<br />100.00%
<br />$ -
<br />$ 179.42
<br />Omann Brothers
<br />32-1216
<br />32C
<br />CO Patch Trail
<br />$ -
<br />$ -
<br />$ 5,000.00
<br />$ 5,000.00
<br />$ 5,000.00
<br />$ 5,000.00
<br />100.00%
<br />$ -
<br />$ 250.00
<br />Peterson Companies
<br />32-4000
<br />32A
<br />Fencing
<br />$ 4,485.00
<br />$ -
<br />$ 1,113.00
<br />$ 5,598.00
<br />$ 5,598.00
<br />$ 5,598.00
<br />100.00%
<br />$ -
<br />$ 279.90
<br />Autumn Ridge
<br />32-3291
<br />32B
<br />Landscaping
<br />$ 68,500.00
<br />$ -
<br />$ -
<br />$ 68,500.00
<br />$ 68,500.00
<br />$ 68,500.00
<br />100.00%
<br />$ -
<br />$ 3,425.00
<br />Autumn Ridge
<br />32-3291
<br />32B
<br />CO#1 Smartlink Irrigation Controller
<br />$ -
<br />$ -
<br />$ 1,132.00
<br />$ 1,132.00
<br />$ 1,132.00
<br />$ 1,132.00
<br />100.00%
<br />$ -
<br />$ 56.60
<br />Century Fence
<br />CO#1 Replacement of Damaged Fence from Camco
<br />$ -
<br />$ -
<br />$ 1,977.19
<br />$ 1,977.19
<br />$ 1,977.19
<br />$ 1,977.19
<br />100.00%
<br />$ -
<br />$ 98.86
<br />GRANDTOTALS $ 6,898,246.00 1 $ 32,960.51 $ (0.00) $ 6,93 1,2 06.51 $ 6,897,364.68 $ 33,841.83 $ - $ 6,931,206.51 100.00% $ 0.00 $ 346,560.33
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