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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 />Peterson Sheet Metal
<br />15-1500
<br />22A
<br />CO Creditforwater leakconcrete repair
<br />$ -
<br />$ (1,068.00)
<br />$ -
<br />$ (1,068.00)
<br />$ -
<br />$ (1,068.00)
<br />$ (1,068.00)
<br />100.00%
<br />$ -
<br />$ (53.40)
<br />Summit Fire
<br />15-1533
<br />21A
<br />Labor
<br />$ 18,200.00
<br />$ -
<br />$ -
<br />$ 18,200.00
<br />$ 18,200.00
<br />$ 18,200.00
<br />100.00%
<br />$ -
<br />$ 910.00
<br />Summit Fire
<br />15-1533
<br />21A
<br />Material
<br />$ 22,800.00
<br />$ -
<br />$ -
<br />$ 22,800.00
<br />$ 22,800.00
<br />$ 22,800.00
<br />100.00%
<br />$ -
<br />$ 1,140.00
<br />Summit Fire
<br />15-1533
<br />21A
<br />Design
<br />$ 3,200.00
<br />$ -
<br />$ -
<br />$ 3,200.00
<br />$ 3,200.00
<br />$ 3,200.00
<br />100.00%
<br />$ -
<br />$ 160.00
<br />Summit Fire
<br />15-1533
<br />21A
<br />Fabrication
<br />$ 2,600.00
<br />$ -
<br />$ -
<br />$ 2,600.00
<br />$ 2,600.00
<br />$ 2,600.00
<br />100.00%
<br />$ -
<br />$ 130.00
<br />Summit Fire
<br />15-1533
<br />21A
<br />Bond
<br />$ 800.00
<br />$ -
<br />$ -
<br />$ 800.00
<br />$ 800.00
<br />$ 800.00
<br />100.00%
<br />$ -
<br />$ 40.00
<br />Summit Fire
<br />15-1533
<br />21A
<br />CO#1 ASI#9 Redesigned Sprinkler Layout
<br />$ -
<br />$ -
<br />$ 620.00
<br />$ 620.00
<br />$ 620.00
<br />$ 620.00
<br />100.00%
<br />$ -
<br />$ 41.00
<br />Klein Electric
<br />16-1600
<br />26A
<br />Electrical -Permit
<br />$ 1,325.00
<br />$ -
<br />$ -
<br />$ 1,325.00
<br />$ 1,325.00
<br />$ 1,325.00
<br />100.00%
<br />$ -
<br />$ 66.25
<br />Klein Electric
<br />16-1600
<br />26A
<br />Electrical -Bond
<br />$ 4,347.00
<br />$ -
<br />$ -
<br />$ 4,347.00
<br />$ 4,347.00
<br />$ 4,347.00
<br />100.00%
<br />$ -
<br />$ 217.35
<br />Klein Electric
<br />16-1600
<br />26A
<br />Mobilization
<br />$ 22,936.00
<br />$ -
<br />$ -
<br />$ 22,936.00
<br />$ 22,936.00
<br />$ 22,936.00
<br />100.00%
<br />$ -
<br />$ 1,146.80
<br />Klein Electric
<br />16-1600
<br />26A
<br />Temp Power/Job Trailer
<br />$ 1,710.00
<br />$ -
<br />$ -
<br />$ 1,710.00
<br />$ 1,710.00
<br />$ 1,710.00
<br />100.00%
<br />$ -
<br />$ 65.50
<br />Klein Electric
<br />16-1600
<br />26A
<br />Temp Power/Site
<br />$ 3,325.00
<br />$ -
<br />$ -
<br />$ 3,325.00
<br />$ 3,325.00
<br />$ 3,325.00
<br />100.00%
<br />$ -
<br />$ 166.25
<br />Klein Electric
<br />16-1600
<br />26A
<br />Temp Power/Building
<br />$ 3,325.00
<br />$ -
<br />$ -
<br />$ 3,325.00
<br />$ 3,325.00
<br />$ 3,325.00
<br />100.00%
<br />$ -
<br />$ 166.25
<br />Klein Electric
<br />16-1600
<br />26A
<br />Switchgear Package/Graybar Electric Co
<br />$ 26,645.00
<br />$ -
<br />$ -
<br />$ 28,845.00
<br />$ 28,845.00
<br />$ 28,845.00
<br />100.00%
<br />$ -
<br />$ 1,442.25
<br />Klein Electric
<br />16-1600
<br />26A
<br />Utility Fees/Elk River Public Utilities
<br />$ 6,279.00
<br />$ -
<br />$ -
<br />$ 8,279.00
<br />$ 8,279.00
<br />$ 8,279.00
<br />100.00%
<br />$ -
<br />$ 413.95
<br />Klein Electric
<br />16-1600
<br />26A
<br />Utility Transformer Pad Material
<br />$ 1,045.00
<br />$ -
<br />$ -
<br />$ 1,045.00
<br />$ 1,045.00
<br />$ 1,045.00
<br />100.00%
<br />$ -
<br />$ 52.25
<br />Klein Electric
<br />16-1600
<br />26A
<br />Utility Transformer Pad Labor
<br />$ 1,425.00
<br />$ -
<br />$ -
<br />$ 1,425.00
<br />$ 1,425.00
<br />$ 1,425.00
<br />100.00%
<br />$ -
<br />$ 71.25
<br />Klein Electric
<br />16-1600
<br />26A
<br />Service Entrance Material
<br />$ 4,834.00
<br />$ -
<br />$ -
<br />$ 4,834.00
<br />$ 4,834.00
<br />$ 4,834.00
<br />100.00%
<br />$ -
<br />$ 241.70
<br />Klein Electric
<br />16-1600
<br />26A
<br />Service Entrance Labor
<br />$ 3,827.00
<br />$ -
<br />$ -
<br />$ 3,827.00
<br />$ 3,827.00
<br />$ 3,827.00
<br />100.00%
<br />$ -
<br />$ 191.35
<br />Klein Electric
<br />16-1600
<br />26A
<br />Service Equipment Material
<br />$ 2,776.00
<br />$ -
<br />$ -
<br />$ 2,776.00
<br />$ 2,776.00
<br />$ 2,776.00
<br />100.00%
<br />$ -
<br />$ 136.60
<br />Klein Electric
<br />16-1600
<br />26A
<br />Service Equipment Labor
<br />$ 3,277.00
<br />$ -
<br />$ -
<br />$ 3,277.00
<br />$ 3,277.00
<br />$ 3,277.00
<br />100.00%
<br />$ -
<br />$ 163.65
<br />Klein Electric
<br />16-1600
<br />26A
<br />Power Panelboards Material
<br />$ 2,739.00
<br />$ -
<br />$ -
<br />$ 2,739.00
<br />$ 2,739.00
<br />$ 2,739.00
<br />100.00%
<br />$ -
<br />$ 136.95
<br />Klein Electric
<br />16-1600
<br />26A
<br />Power Panelboards Labor
<br />$ 2,856.00
<br />$ -
<br />$ -
<br />$ 2,856.00
<br />$ 2,856.00
<br />$ 2,856.00
<br />100.00%
<br />$ -
<br />$ 142.60
<br />Klein Electric
<br />16-1600
<br />26A
<br />Generator Package/Total Energy Systems
<br />$ 79,282.00
<br />$ -
<br />$ -
<br />$ 79,282.00
<br />$ 79,282.00
<br />$ 79,282.00
<br />100.00%
<br />$ -
<br />$ 3,964.10
<br />Klein Electric
<br />16-1600
<br />26A
<br />Generator Pad Material
<br />$ 1,235.00
<br />$ -
<br />$ -
<br />$ 1,235.00
<br />$ 1,235.00
<br />$ 1,235.00
<br />100.00%
<br />$ -
<br />$ 61.75
<br />Klein Electric
<br />16-1600
<br />26A
<br />Generator Pad Labor
<br />$ 1,710.00
<br />$ -
<br />$ -
<br />$ 1,710.00
<br />$ 1,710.00
<br />$ 1,710.00
<br />100.00%
<br />$ -
<br />$ 65.50
<br />Klein Electric
<br />16-1600
<br />26A
<br />Generator Material
<br />$ 1,562.00
<br />$ -
<br />$ -
<br />$ 1,562.00
<br />$ 1,562.00
<br />$ 1,562.00
<br />100.00%
<br />$ -
<br />$ 76.10
<br />Klein Electric
<br />16-1600
<br />26A
<br />Generator Labor
<br />$ 4,091.00
<br />$ -
<br />$ -
<br />$ 4,091.00
<br />$ 4,091.00
<br />$ 4,091.00
<br />100.00%
<br />$ -
<br />$ 204.55
<br />Klein Electric
<br />16-1600
<br />26A
<br />Generator Serivice Entrance Material
<br />$ 3,841.00
<br />$ -
<br />$ -
<br />$ 3,841.00
<br />$ 3,841.00
<br />$ 3,841.00
<br />100.00%
<br />$ -
<br />$ 192.05
<br />Klein Electric
<br />16-1600
<br />26A
<br />Generator Serivice Entrance Labor
<br />$ 3,599.00
<br />$ -
<br />$ -
<br />$ 3,599.00
<br />$ 3,599.00
<br />$ 3,599.00
<br />100.00%
<br />$ -
<br />$ 179.95
<br />Klein Electric
<br />16-1600
<br />26A
<br />ATS Equipment Material
<br />$ 2,309.00
<br />$ -
<br />$ -
<br />$ 2,309.00
<br />$ 2,309.00
<br />$ 2,309.00
<br />100.00%
<br />$ -
<br />$ 115.45
<br />Klein Electric
<br />16-1600
<br />26A
<br />ATS Equipment Labor
<br />$ 2,901.00
<br />$ -
<br />$ -
<br />$ 2,901.00
<br />$ 2,901.00
<br />$ 2,901.00
<br />100.00%
<br />$ -
<br />$ 145.05
<br />Klein Electric
<br />16-1600
<br />26A
<br />ES Panelboards Material
<br />$ 601.00
<br />$ -
<br />$ -
<br />$ 601.00
<br />$ 601.00
<br />$ 601.00
<br />100.00%
<br />$ -
<br />$ 40.05
<br />Klein Electric
<br />16-1600
<br />26A
<br />ES Panelboards Labor
<br />$ 1,146.00
<br />$ -
<br />$ -
<br />$ 1,146.00
<br />$ 1,146.00
<br />$ 1,146.00
<br />100.00%
<br />$ -
<br />$ 57.30
<br />Klein Electric
<br />16-1600
<br />26A
<br />Light Fixture Package/Viking Electric
<br />$ 94,954.00
<br />$ -
<br />$ -
<br />$ 94,954.00
<br />$ 94,954.00
<br />$ 94,954.00
<br />100.00%
<br />$ -
<br />$ 4,747.70
<br />Klein Electric
<br />16-1600
<br />26A
<br />Fixture Material
<br />$ 6,196.00
<br />$ -
<br />$ -
<br />$ 6,196.00
<br />$ 6,196.00
<br />$ 6,196.00
<br />100.00%
<br />$ -
<br />$ 309.60
<br />Klein Electric
<br />16-1600
<br />26A
<br />Fixture Labor
<br />$ 21,162.00
<br />$ -
<br />$ -
<br />$ 21,162.00
<br />$ 21,162.00
<br />$ 21,162.00
<br />100.00%
<br />$ -
<br />$ 1,058.10
<br />Klein Electric
<br />16-1600
<br />26A
<br />Fixture Control Material
<br />$ 1,572.00
<br />$ -
<br />$ -
<br />$ 1,572.00
<br />$ 1,572.00
<br />$ 1,572.00
<br />100.00%
<br />$ -
<br />$ 76.60
<br />Klein Electric
<br />16-1600
<br />26A
<br />Fixture Control Labor
<br />$ 4,632.00
<br />$ -
<br />$ -
<br />$ 4,632.00
<br />$ 4,632.00
<br />$ 4,632.00
<br />100.00%
<br />$ -
<br />$ 231.60
<br />Klein Electric
<br />16-1600
<br />26A
<br />HVLS Fan/Big Ass Fans
<br />$ 10,123.00
<br />$ -
<br />$ -
<br />$ 10,123.00
<br />$ 10,123.00
<br />$ 10,123.00
<br />100.00%
<br />$ -
<br />$ 506.15
<br />Klein Electric
<br />16-1600
<br />26A
<br />HVLS Fan Material
<br />$ 313.00
<br />$ -
<br />$ -
<br />$ 313.00
<br />$ 313.00
<br />$ 313.00
<br />100.00%
<br />$ -
<br />$ 15.65
<br />Klein Electric
<br />16-1600
<br />26A
<br />HVLS Fan Labor
<br />$ 676.00
<br />$ -
<br />$ -
<br />$ 676.00
<br />$ 676.00
<br />$ 676.00
<br />100.00%
<br />$ -
<br />$ 43.90
<br />Klein Electric
<br />16-1600
<br />26A
<br />Site Pole Bases Material
<br />$ 2,320.00
<br />$ -
<br />$ -
<br />$ 2,320.00
<br />$ 2,320.00
<br />$ 2,320.00
<br />100.00%
<br />$ -
<br />$ 116.00
<br />Klein Electric
<br />16-1600
<br />26A
<br />Site Pole Bases Labor
<br />$ 2,546.00
<br />$ -
<br />$ -
<br />$ 2,546.00
<br />$ 2,546.00
<br />$ 2,546.00
<br />100.009
<br />$ -
<br />$ 127.30
<br />Klein Electric
<br />16-1600
<br />26A
<br />Site Pole Underground Material
<br />$ 2,318.00
<br />$ -
<br />$ -
<br />$ 2,318.00
<br />$ 2,318.00
<br />$ 2,318.00
<br />100.00%
<br />$ -
<br />$ 115.90
<br />Klein Electric
<br />16-1600
<br />26A
<br />Site Pole Underground Labor
<br />$ 3,041.00
<br />$ -
<br />$ -
<br />$ 3,041.00
<br />$ 3,041.00
<br />$ 3,041.00
<br />100.00%
<br />$ -
<br />$ 152.05
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