s�,����. AI � .
<br /> ��� � Document G703�" - 1992
<br /> Continuation Sheet
<br /> AIA Document G702-1992,Application and Certification for Payment,or G736-2009, Application No: 5
<br /> Projed Application and Project Certificate for P;ISD#728 Application Date: �� �ti�-�9f36�j'2@i8
<br /> containing Contractor's signed certification is at 11500193rd Avenue NE Period To: �,��,„ t� �f3�/20�i8
<br /> In tabulations below,amounts are in US dollars Elk River,MN 55330 Architect's Projec�No:
<br /> Use Column 1 on Contracts where variable retainage for line items may apply.
<br /> Retainage Rate: 596
<br /> A B C D E F G H I
<br /> WORK COMPLETED
<br /> TOTAL
<br /> FROM MATERIALS COMPLETED
<br /> PREVIOUS PRESENTIY AND STORED TO BALANCE TO RETAINAGE
<br /> ITEM DESCRIPTION OF SCHEDULED APPLICATION STORED DATE % FINISH (IF VARIABLE
<br /> N0. WURK VALUE (D+E) THIS PERIOD (NOT IN D OR E) (D+E+F) (G/C) (C-G) RATE)
<br /> Bond S 10,511.00 10,511.00 10,511.00 lOaYo - 525.55
<br /> Shop Drawiogs S 16,28�.00 16,2$7.00 16,287.00 100°k - 814.35
<br /> Mobilization $ 9,827.70 9,827.00 9,827.00 100% 0.70 491.35
<br /> GCs S 53,012.00 22,826.62 8,�96.00 31,622.62 6096 21,38936 1,581.13
<br /> Div 3 Concrete S 105,000.00 102,501.00 102,501.00 98'/e 2,499.00 5,125.05
<br /> Mecal Fabricadons S 879.90 - 0'� 879.90 -
<br /> Div 6 Wood S 500.00 278.00 278.00 Sb% 222.00 13.90
<br /> Finish Cupentty 5 3,649.80 --(7 - , . —�s -`"�"�' t7 ,e "3�Ie�. ... �- .
<br /> Div 7 S 9,047.00 .--e> ' -r� '..7:9�'7:99 7`f, ,o �p�'�.1.CC> _ t'.,
<br /> Div.8 Framcs.Doors,ard HDWR S 11,100.OQ 4,1 t6.55 4,116.55 37°� 6,983.45 205.83
<br /> Div.8 Window L�stall&Glazing S 1,520.00 - 0`/o t,520.00 -
<br /> Div.8 O.H.Doors S 9,425.00 • 0'/0 9,425.00 -
<br /> Div 9.FRP S 1,500.00 - 0% 1,500.00 -
<br /> Div.9 Drywall S 9,600.00 6,886.00 6,886.00 72°k 2,714.00 34430
<br /> Div.9 Acoustical Ccilings S 3,500.00 • 0'� 3.500.� -
<br /> Div,9 Resilient Flooring S 2,493.00 1,095.00 1,095.00 44% 1,398.W 54.75
<br /> Div.9 Painting S 5,630.00 • 0'/a 5,630.00 -
<br /> Div 10 S 1,960.60 399.96 399.96 20°/. 1,560.64 20.00
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