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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 />Patriot Erectors
<br />05-5121
<br />5B
<br />C044 ASI#BR Roof Transition
<br />$ -
<br />$ -
<br />$ 530.00
<br />$ 530.00
<br />$ 530.00
<br />$ 530.00
<br />100.00%
<br />$ -
<br />$ 26.50
<br />Patriot Erectors
<br />05-5121
<br />5B
<br />C045 RFI#92 Slab Edge Detail at Mezzanine Opening
<br />$ -
<br />$ -
<br />$ 230.00
<br />$ 230.00
<br />$ 230.00
<br />$ 230.00
<br />100.00%
<br />$ -
<br />$ 11.50
<br />Patriot Erectors
<br />05-5121
<br />5B
<br />C046 PR#16
<br />$ -
<br />$ -
<br />$ 477.00
<br />$ 477.00
<br />$ 477.00
<br />$ 477.00
<br />100.00%
<br />$ -
<br />$ 23.65
<br />Patriot Erectors
<br />05-5121
<br />5B
<br />C047 RFI#103 Angles Above W1 Windows
<br />$ -
<br />$ -
<br />$ 424.00
<br />$ 424.00
<br />$ 424.00
<br />$ 424.00
<br />100.00%
<br />$ -
<br />$ 21.20
<br />Patriot Erectors
<br />05-5121
<br />5B
<br />CO#B RFI#109
<br />$ -
<br />$ -
<br />$ 212.00
<br />$ 212.00
<br />$ 212.00
<br />$ 212.00
<br />100.00%
<br />$ -
<br />$ 10.60
<br />Patriot Erectors
<br />05-5121
<br />5B
<br />C049 RFI#100
<br />$ -
<br />$ -
<br />$ 742.00
<br />$ 742.00
<br />$ 742.00
<br />$ 742.00
<br />100.00%
<br />$ -
<br />$ 37.10
<br />Patriot Erectors
<br />05-5121
<br />5B
<br />CO#10 RFI #101
<br />$ -
<br />$ -
<br />$ 212.00
<br />$ 212.00
<br />$ 212.00
<br />$ 212.00
<br />100.00%
<br />$ -
<br />$ 10.60
<br />Patriot Erectors
<br />05-5121
<br />5B
<br />CO#11 RFI#156 Additional Angle Iron for Fan
<br />$ -
<br />$ -
<br />$ 1,612.00
<br />$ 1,612.00
<br />$ 1,612.00
<br />$ 1,612.00
<br />100.00%
<br />$ -
<br />$ 60.60
<br />Patriot Erectors
<br />05-5121
<br />5B
<br />CO#12 RFI#159 Training Tower Welding
<br />$ -
<br />$ -
<br />$ 424.00
<br />$ 424.00
<br />$ 424.00
<br />$ 424.00
<br />100.00%
<br />$ -
<br />$ 21.20
<br />Patriot Erectors
<br />05-5121
<br />5B
<br />CO#13 RFI#140 Rapelling Anchors
<br />$ -
<br />$ -
<br />$ 1,219.00
<br />$ 1,219.00
<br />$ 1,219.00
<br />$ 1,219.00
<br />100.00%
<br />$ -
<br />$ 60.95
<br />Patriot Erectors
<br />05-5121
<br />5B
<br />CO Trash Gate
<br />$ -
<br />$ -
<br />$ 1,027.00
<br />$ 1,027.00
<br />$ 1,027.00
<br />$ 1,027.00
<br />100.00%
<br />$ -
<br />$ 51.35
<br />Century Construction
<br />06-6100
<br />6A
<br />Performance & Payment Bond
<br />$ 6,400.00
<br />$ -
<br />$ -
<br />$ 6,400.00
<br />$ 6,400.00
<br />$ 6,400.00
<br />100.00%
<br />$ -
<br />$ 320.00
<br />Ce ntury Construction
<br />06-6100
<br />6A
<br />Allowance
<br />$ 10,000.00
<br />$ -
<br />$ -
<br />$ 10,000.00
<br />$ 10,000.00
<br />$ 10,000.00
<br />100.00%
<br />$ -
<br />$ 500.00
<br />Century Construction
<br />06-6100
<br />6A
<br />Mobilization
<br />$ 3,100.00
<br />$ -
<br />$ -
<br />$ 3,100.00
<br />$ 3,100.00
<br />$ 3,100.00
<br />100.00%
<br />$ -
<br />$ 155.00
<br />Century Construction
<br />06-6100
<br />6A
<br />Materials
<br />$ 97,000.00
<br />$ -
<br />$ -
<br />$ 97,000.00
<br />$ 74,998.00
<br />$ 22,002.00
<br />$ 97,000.00
<br />100.00%
<br />$ -
<br />$ 4,850.00
<br />Century Construction
<br />06-6100
<br />6A
<br />Material Blocking
<br />$ 12,000.00
<br />$ -
<br />$ -
<br />$ 12,000.00
<br />$ 12,000.00
<br />$ 12,000.00
<br />100.00%
<br />$ -
<br />$ 600.00
<br />Century Construction
<br />06-6100
<br />6A
<br />Install Roof Blocking
<br />$ 43,000.00
<br />$ -
<br />$ -
<br />$ 43,000.00
<br />$ 43,000.00
<br />$ 43,000.00
<br />100.00%
<br />$ -
<br />$ 2,150.00
<br />Century Construction
<br />06-6100
<br />6A
<br />Install In Wall Blocking
<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 />Century Construction
<br />06-6100
<br />6A
<br />Cabinets and Millwork
<br />$ 8,500.00
<br />$
<br />$ -
<br />$ 8,500.00
<br />$ 8,500.00
<br />$ 8,500.00
<br />100.00%
<br />$ -
<br />$ 425.00
<br />Century Construction
<br />06-6100
<br />6A
<br />Specialties
<br />$ 32,000.00
<br />$ -
<br />$ -
<br />$ 32,000.00
<br />$ 24,000.00
<br />$ 8,000.00
<br />$ 32,000.00
<br />100.00%
<br />$ -
<br />$ 1,600.00
<br />Century Construction
<br />06-6100
<br />6A
<br />Temp Enclosures
<br />$ 6,000.00
<br />$ -
<br />$ -
<br />$ 6,000.00
<br />$ 6,000.00
<br />$ 6,000.00
<br />100.00%
<br />$ -
<br />$ 300.00
<br />Century Construction
<br />06-6100
<br />6A
<br />Doors & Hardware
<br />$ 17,000.00
<br />$ -
<br />$ -
<br />$ 17,000.00
<br />$ 17,000.00
<br />$ 17,000.00
<br />100.00%
<br />$ -
<br />$ 650.00
<br />Century Construction
<br />06-6100
<br />6A
<br />C041 For Distinctive to Predrill Sill Angles
<br />$ -
<br />$ -
<br />$ (676.41)
<br />$ (676.41)
<br />$ (676.41)
<br />$ (676.41)
<br />100.00%
<br />$ -
<br />$ (33.82)
<br />Century Construction
<br />06-6100
<br />6A
<br />C042 PR#15 Flagpoles
<br />$ -
<br />$ -
<br />$ (277.00)
<br />$ (277.00)
<br />$ (277.00)
<br />$ (277.00)
<br />100.00%
<br />$ -
<br />$ (13.85)
<br />Century Construction
<br />06-6100
<br />6A
<br />C043 Disctinctive Predrill Holes for Operable Partition
<br />$ -
<br />$ -
<br />$ (468.54)
<br />$ (468.54)
<br />$ (468.54)
<br />$ (468.54)
<br />100.00%
<br />$ -
<br />$ (23.43)
<br />Century Construction
<br />06-6100
<br />6A
<br />C044 Wood Blockingat Heads of W1 (Used $655 of Allowance)
<br />$ -
<br />$ -
<br />$ -
<br />$ -
<br />$ -
<br />$ -
<br />#DIV/01
<br />$ -
<br />$ -
<br />Century Construction
<br />06-6100
<br />6A
<br />C045 RFI#110 Wood Blocking
<br />$ -
<br />$ -
<br />$ 534.35
<br />$ 534.35
<br />$ 534.35
<br />$ 534.35
<br />100.00%
<br />$ -
<br />$ 26.72
<br />Century Construction
<br />06-6100
<br />6A
<br />C046 Allowance Usage (Remaining $8,290)
<br />$ -
<br />$ -
<br />$ -
<br />$ -
<br />$ -
<br />$ -
<br />#DIV/01
<br />$ -
<br />$ -
<br />Century Construction
<br />06-6100
<br />6A
<br />C047 Allowance Usage (Remaining $7,018)
<br />$ -
<br />$ -
<br />$ (1,272.00)
<br />$ (1,272.00)
<br />$ (1,272.00)
<br />$ (1,272.00)
<br />100.00%
<br />$ -
<br />$ (63.60)
<br />Century Construction
<br />06-6100
<br />6A
<br />CO#B PR#16Added Paper Towel/Trash Units
<br />$ -
<br />$ -
<br />$ 2,248.00
<br />$ 2,248.00
<br />$ 2,248.00
<br />$ 2,248.00
<br />100.00%
<br />$ -
<br />$ 112.40
<br />Century Construction
<br />06-6100
<br />6A
<br />C049 CSI Div-10 Additional Charges
<br />$ -
<br />$ -
<br />$ 2,335.50
<br />$ 2,335.50
<br />$ 67.50
<br />$ 2,248.00
<br />$ 2,335.50
<br />100.00%
<br />$ -
<br />$ 116.76
<br />Ce ntury Construction
<br />06-6100
<br />6A
<br />CO#10 Interior Signage
<br />$ -
<br />$ -
<br />$ (572.82)
<br />$ (572.82)
<br />$ (572.82)
<br />$ (572.82)
<br />100.00%
<br />$ -
<br />$ (28.64)
<br />Century Construction
<br />06-6100
<br />6A
<br />CO#11 Allowance Usage (Remaining $3930.50)
<br />$ -
<br />$ -
<br />$ -
<br />$ -
<br />$ -
<br />$ -
<br />#DIV/01
<br />$ -
<br />$ -
<br />Century Construction
<br />06-6100
<br />6A
<br />CO#12 RFI#201 Bondo and Reinstall Door 106
<br />$ -
<br />$ -
<br />$ 479.27
<br />$ 479.27
<br />$ 479.27
<br />$ 479.27
<br />100.00%
<br />$ -
<br />$ 23.96
<br />Century Construction
<br />06-6100
<br />6A
<br />CO Pergola
<br />$ -
<br />$ -
<br />$ (11,023.27)
<br />$ (11,023.27)
<br />$ -
<br />$ (11,023.27)
<br />$ (11,023.27)
<br />100.00%
<br />$ -
<br />$ (551.16)
<br />Century Construction
<br />06-6100
<br />6A
<br />CO Alternate Operable Partition
<br />$ -
<br />$ -
<br />$ 9,544.91
<br />$ 9,544.91
<br />$ -
<br />$ 9,544.91
<br />$ 9,544.91
<br />100.00%
<br />$ -
<br />$ 477.25
<br />Niche Visual
<br />06-6100
<br />Raise Exterior Sign
<br />$ -
<br />$ -
<br />$ 1,900.00
<br />$ 1,900.00
<br />$ -
<br />$ 1,900.00
<br />$ 1,900.00
<br />100.00%
<br />$ -
<br />$ 95.00
<br />Northern Woodwork
<br />06-6400
<br />6B
<br />Architectural Millwork
<br />$ 45,900.00
<br />$ -
<br />$ -
<br />$ 45,900.00
<br />$ 45,900.00
<br />$ 45,900.00
<br />100.00%
<br />$ -
<br />$ 2,295.00
<br />Northern Woodwork
<br />06-6400
<br />6B
<br />C041 PR#16
<br />$ -
<br />$ -
<br />$ 165.00
<br />$ 165.00
<br />$ 165.00
<br />$ 165.00
<br />100.00%
<br />$ -
<br />$ 6.25
<br />Quality Coatings
<br />07-7210
<br />7C
<br />Fluid Applied Air Barrier
<br />$ 38,600.00
<br />$ -
<br />$ -
<br />$ 38,600.00
<br />$ 38,600.00
<br />$ 38,600.00
<br />100.00%
<br />$ -
<br />$ 1,930.00
<br />Quality Coatings
<br />07-7210
<br />7C
<br />C041 ASI#BR Removal of Tranisition Membrane
<br />$ -
<br />$ -
<br />$ (800.00)
<br />$ (800.00)
<br />$ (800.00)
<br />$ (800.00)
<br />100.00%
<br />$ -
<br />$ (40.00)
<br />Quality Coatings
<br />07-7210
<br />7C
<br />C042 Remove and Reinstall AS at W1
<br />$ -
<br />$ -
<br />$ 1,590.00
<br />$ 1,590.00
<br />$ 1,590.00
<br />$ 1,590.00
<br />100.009
<br />$ -
<br />$ 79.50
<br />Quality Coatings
<br />07-7210
<br />7C
<br />C043 PR#20
<br />$ -
<br />$ -
<br />$ (200.00)
<br />$ (200.00)
<br />$ (200.00)
<br />$ (200.00)
<br />100.00%
<br />$ -
<br />$ (10.00)
<br />Qua Iity Coatings
<br />07-7210
<br />7C
<br />Raise Exterior Sign
<br />$ -
<br />$ -
<br />$ 925.00
<br />$ 925.00
<br />$ 925.00
<br />$ 925.00
<br />100.00%
<br />$ -
<br />$ 46.25
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