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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 />Preconstruction
<br />01-0002
<br />Preconstruction
<br />$ 10,000.00
<br />$ 10,000.00
<br />$ 10,000.00
<br />$ -
<br />$ 10,000.00
<br />100.00%
<br />$ -
<br />$ 500.00
<br />Bonds & Insurance
<br />01-0100
<br />Bonds & Insurance
<br />$ 76,368.00
<br />$ 76,368.00
<br />$ 76,368.00
<br />$ 76,368.00
<br />100.00%
<br />$ -
<br />$ 3,818.40
<br />Permit
<br />01-0110
<br />Permit
<br />$ 400.00
<br />$ 1,033.46
<br />$ 1,433.46
<br />$ 1,433.46
<br />$ 1,433.46
<br />100.00%
<br />$ -
<br />$ 71.67
<br />CM General Requirements
<br />01-0120
<br />CM General Requirements
<br />$ 724,061.00
<br />$ -
<br />$ (7,465.48)
<br />$ 716,595.52
<br />$ 714,357.33
<br />$ 2,238.19
<br />$ 716,595.52
<br />100.00%
<br />$ -
<br />$ 35,829.78
<br />CM Contingency
<br />01-0130
<br />CM Contingency
<br />$ 233,000.00
<br />$ 27,774.61
<br />$ (260,774.61)
<br />$ -
<br />$ -
<br />$ -
<br />#DIV/01
<br />$ -
<br />$ -
<br />CM Fee
<br />01-0150
<br />CM Fee
<br />$ 101,734.00
<br />$ 101,734.00
<br />$ 101,734.00
<br />$ 101,734.00
<br />100.00%
<br />$ 0.00
<br />$ 5,086.70
<br />Thomsen Construction Services
<br />03-3300
<br />3A
<br />Footings/Pads
<br />$ 22,000.00
<br />$ -
<br />$ -
<br />$ 22,000.00
<br />$ 22,000.00
<br />$ 22,000.00
<br />100.00%
<br />$ -
<br />$ 1,100.00
<br />Thomsen Construction Services
<br />03-3300
<br />3A
<br />Footings Labor
<br />$ 32,000.00
<br />$ -
<br />$ -
<br />$ 32,000.00
<br />$ 32,000.00
<br />$ 32,000.00
<br />100.00%
<br />$ -
<br />$ 1,600.00
<br />Thomsen Construction Services
<br />03-3300
<br />3A
<br />Walls 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 />Thomsen Construction Services
<br />03-3300
<br />3A
<br />Walls Labor
<br />$ 60,000.00
<br />$ -
<br />$ -
<br />$ 60,000.00
<br />$ 60,000.00
<br />$ 60,000.00
<br />100.00%
<br />$ -
<br />$ 3,000.00
<br />Thomsen Construction Services
<br />03-3300
<br />3A
<br />Slab on Grade Material
<br />$ 73,000.00
<br />$ -
<br />$ -
<br />$ 73,000.00
<br />$ 73,000.00
<br />$ 73,000.00
<br />100.00%
<br />$ -
<br />$ 3,650.00
<br />Thomsen Construction Services
<br />03-3300
<br />3A
<br />Slab on Grade Labor
<br />$ 112,900.00
<br />$ -
<br />$ -
<br />$ 112,900.00
<br />$ 112,900.00
<br />$ 112,900.00
<br />100.00%
<br />$ -
<br />$ 5,645.00
<br />Thomsen Construction Services
<br />03-3300
<br />3A
<br />Reinforcing Material
<br />$ 35,000.00
<br />$ -
<br />$ -
<br />$ 35,000.00
<br />$ 35,000.00
<br />$ 35,000.00
<br />100.00%
<br />$ -
<br />$ 1,750.00
<br />Thomsen Construction Services
<br />03-3300
<br />3A
<br />CO#1 PR#4 Stepped Footings
<br />$ -
<br />$ -
<br />$ 2,500.00
<br />$ 2,500.00
<br />$ 2,500.00
<br />$ 2,500.00
<br />100.00%
<br />$ -
<br />$ 125.00
<br />Thomsen Construction Services
<br />03-3300
<br />3A
<br />CO#2 B/C to Dryden
<br />$ -
<br />$ -
<br />$ 500.00
<br />$ 500.00
<br />$ 500.00
<br />$ 500.00
<br />100.00%
<br />$ -
<br />$ 25.00
<br />Thomsen Construction Services
<br />03-3300
<br />3A
<br />CO#3 RFI#33 Stepped footings for B" Storm
<br />$ -
<br />$ -
<br />$ 600.00
<br />$ 600.00
<br />$ 600.00
<br />$ 600.00
<br />100.00%
<br />$ -
<br />$ 30.00
<br />Thomsen Construction Services
<br />03-3300
<br />3A
<br />CO#4 RFI#37 Extended Foundation @ 166
<br />$ -
<br />$ -
<br />$ 550.00
<br />$ 550.00
<br />$ 550.00
<br />$ 550.00
<br />100.00%
<br />$
<br />$ 27.50
<br />Thomsen Construction Services
<br />03-3300
<br />3A
<br />CO#5 Footings along GL-B
<br />$ -
<br />$ -
<br />$ 2,480.00
<br />$ 2,480.00
<br />$ 2,480.00
<br />$ 2,480.00
<br />100.00%
<br />$ -
<br />$ 124.00
<br />Thomsen Construction Services
<br />03-3300
<br />3A
<br />CO#6 PR#19 Wellness Room
<br />$ -
<br />$ -
<br />$ 5,150.00
<br />$ 5,150.00
<br />$ 5,150.00
<br />$ 5,150.00
<br />100.00%
<br />$ -
<br />$ 257.50
<br />Thomsen Construction Services
<br />03-3300
<br />3A
<br />CO#7 Concrete in Trash Enclosure (From Klein)
<br />$ -
<br />$ -
<br />$ 650.00
<br />$ 650.00
<br />$ 650.00
<br />$ 650.00
<br />100.00%
<br />$ -
<br />$ 42.50
<br />Concrete Treatments
<br />03-3350
<br />3B & 9E
<br />Polished Concrete and Resinous Flooring
<br />$ 73,189.00
<br />$ -
<br />$ -
<br />$ 73,189.00
<br />$ 73,189.00
<br />$ 73,189.00
<br />100.00%
<br />$ -
<br />$ 3,659.45
<br />Concrete Treatments
<br />03-3350
<br />3B & 9E
<br />CO#1 ASI#BR Changed Polished Flooring
<br />$ -
<br />$ -
<br />$ (3,839.00)
<br />$ (3,839.00)
<br />$ (3,839.00)
<br />$ (3,839.00)
<br />100.00%
<br />$ -
<br />$ (191.95)
<br />Concrete Treatments
<br />03-3350
<br />3B & 9E
<br />CO#2 ASI#10 Stained Floor Logo in Lobby 116
<br />$ -
<br />$ -
<br />$ (1,000.00)
<br />$ (1,000.00)
<br />$ (1,000.00)
<br />$ (1,000.00)
<br />100.00%
<br />$ -
<br />$ (50.00)
<br />Concrete Treatments
<br />03-3350
<br />3B & 9E
<br />CO#3 Moisture Mitigation at App Bay Floor
<br />$ -
<br />$ -
<br />$ 6,565.00
<br />$ 6,565.00
<br />$ 6,565.00
<br />$ 6,565.00
<br />100.00%
<br />$ -
<br />$ 326.25
<br />Concrete Treatments
<br />03-3350
<br />3B & 9E
<br />CO Decon Vestibule Epoxy
<br />$ -
<br />$ -
<br />$ 2,400.00
<br />$ 2,400.00
<br />$ 2,400.00
<br />$ 2,400.00
<br />100.00%
<br />$ -
<br />$ 120.00
<br />Ultra Concrete
<br />03-3390
<br />32D
<br />Bond
<br />$ 2,400.00
<br />$ -
<br />$ -
<br />$ 2,400.00
<br />$ 2,400.00
<br />$ 2,400.00
<br />100.00%
<br />$ -
<br />$ 120.00
<br />Ultra Concrete
<br />03-3390
<br />32D
<br />Curb
<br />$ 37,000.00
<br />$ -
<br />$ -
<br />$ 37,000.00
<br />$ 37,000.00
<br />$ 37,000.00
<br />100.00%
<br />$ -
<br />$ 1,850.00
<br />Ultra Concrete
<br />03-3390
<br />32D
<br />Bollards/Flag Pole Footings
<br />$ 9,800.00
<br />$ -
<br />$ -
<br />$ 9,800.00
<br />$ 9,800.00
<br />$ 9,800.00
<br />100.00%
<br />$ -
<br />$ 490.00
<br />Ultra Concrete
<br />03-3390
<br />32D
<br />Sidewalks/Paving
<br />$ 170,800.00
<br />$ -
<br />$ -
<br />$ 170,800.00
<br />$ 170,800.00
<br />$ 170,800.00
<br />100.00%
<br />$ -
<br />$ 8,540.00
<br />Ultra Concrete
<br />03-3390
<br />32D
<br />CO#1 PR#7 Water Service
<br />$ -
<br />$ -
<br />$ (994.93)
<br />$ (994.93)
<br />$ (994.93)
<br />$ (994.93)
<br />100.00%
<br />$ -
<br />$ (49.75)
<br />Ultra Concrete
<br />03-3390
<br />32D
<br />CO#2 Replacing Asphalt w/Concrete at N side of App Bay
<br />$ -
<br />$ -
<br />$ 11,593.62
<br />$ 11,593.62
<br />$ 11,593.62
<br />$ 11,593.62
<br />100.00%
<br />$ -
<br />$ 579.66
<br />Ultra Concrete
<br />03-3390
<br />32D
<br />CO#3 Colored Concrete Deduct
<br />$ -
<br />$ -
<br />$ (541.20)
<br />$ (541.20)
<br />$ (541.20)
<br />$ (541.20)
<br />100.00%
<br />$ -
<br />$ (27.06)
<br />Ultra Concrete
<br />03-3390
<br />32D
<br />CO#4 Trench Drain Concrete Pour
<br />$ -
<br />$ 1,776.21
<br />$ 1,776.21
<br />$ 1,776.21
<br />$ 1,776.21
<br />100.00%
<br />$ -
<br />$ 66.61
<br />Ultra Concrete
<br />03-3390
<br />32D
<br />Concrete Pavingto Trench Drain Rebar
<br />$ -
<br />$ -
<br />$ 1,779.23
<br />$ 1,779.23
<br />$ 1,779.23
<br />$ 1,779.23
<br />100.00%
<br />$ -
<br />$ 66.96
<br />Camco Construction
<br />04-4200
<br />4A
<br />Masonry -Bond
<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 />Camco Construction
<br />04-4200
<br />4A
<br />Masonry-Rebar
<br />$ 40,000.00
<br />$ -
<br />$ -
<br />$ 40,000.00
<br />$ 40,000.00
<br />$ 40,000.00
<br />100.00%
<br />$ -
<br />$ 2,000.00
<br />Camco Construction
<br />04-4200
<br />4A
<br />Masonry-Misc Masonry Materials
<br />$ 115,000.00
<br />$ -
<br />$ -
<br />$ 115,000.00
<br />$ 115,000.00
<br />$ 115,000.00
<br />100.00%
<br />$ -
<br />$ 5,750.00
<br />Camco Construction
<br />04-4200
<br />4A
<br />Masonry -Insulation
<br />$ 20,000.00
<br />$ -
<br />$ -
<br />$ 20,000.00
<br />$ 20,000.00
<br />$ 20,000.00
<br />100.00%
<br />$ -
<br />$ 1:000.00
<br />Camco Construction
<br />04-4200
<br />4A
<br />Masonry -Grout Material
<br />$ 42,000.00
<br />$ -
<br />$ -
<br />$ 42,000.00
<br />$ 42,000.00
<br />$ 42,000.00
<br />100.00%
<br />$ -
<br />$ 2100.00
<br />Camco Construction
<br />04-4200
<br />4A
<br />Masonry -Grout Labor
<br />$ 50,000.00
<br />$ -
<br />$ -
<br />$ 50,000.00
<br />$ 50,000.00
<br />$ 50,000.00
<br />100.00%
<br />$ -
<br />$ 2,500.00
<br />Camco Construction
<br />04-4200
<br />4A
<br />Masonry -Stone Material
<br />$ 60,000.00
<br />$ -
<br />$ -
<br />$ 60,000.00
<br />$ 60,000.00
<br />$ 60,000.00
<br />100.00%
<br />$ -
<br />$ 3,000.00
<br />Camco Construction
<br />04-4200
<br />4A
<br />Masonry -Stone Labor
<br />$ 42,000.00
<br />$ -
<br />$ -
<br />$ 42,000.00
<br />$ 42,000.00
<br />$ 42,000.00
<br />100.00%
<br />$ -
<br />$ 2,100.00
<br />Camco Construction
<br />04-4200
<br />4A
<br />Masonry-Facebrick Material
<br />$ 75,000.00
<br />$ -
<br />$ -
<br />$ 75,000.00
<br />$ 75,000.00
<br />$ 75,000.00
<br />100.00%
<br />$ -
<br />$ 3,750.00
<br />Pagel /11
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