|
o AI � _
<br /> �-�� A �o�u TM
<br /> ment G703 1992
<br /> Conttnuation Sheet
<br /> AIA Document G702-1992,Application and Certiflcation for Payment,or G736-2009, Application No: g
<br /> Projed Application and Project Certificate for P;ISD#728 Applicatton Date: 12/31/2018
<br /> containing Contrador's signed certification is at 11500193rd Avenue NE Period To: 12/31/2018
<br /> In tabulations below,amounts are in US doilars Elk River,MN 55330 Archttect's Project No:
<br /> Use Column I on Contracts where variable retaina�e for line items may apply.
<br /> Retaina�e Rate: S�
<br /> A B C D E F G H �
<br /> WORK COMPLETED
<br /> T�TAL
<br /> FROM MATERIALS COMPLE?ED
<br /> PREVIOUS PRESENTLY AND STORED TO BALANCE TO RETAINAGE
<br /> ITEM DESCRIPTION OF SCHEDULED APPLICATION STORED DATE % FINISH (IF VARIABLE
<br /> N0. WORK VALUE (D+Ej THIS PERIOD (NOT IN D OR E) (D+E+F) (G/C) (C-G) RATE)
<br /> Bond $ 10.511.00 10,511.00 10,511.00 100% - 525.55
<br /> �op��&S $ 16,Z87.00 16,287.00 16,287A0 100% - 81435
<br /> Mobili�ation S 9,827.70 9,827.70 9,827.70 100% - 491.39
<br /> �8 $ 53,012.00 53,012.00 53,012.D0 100% - 2,650.60 i
<br /> Div 3 Concrete S 105,000.00 105,000.00 l OS,OQd.00 100% - 5,250.04 ;
<br /> Metal Fabrications � 879.90 879.90 879.90 100% - qq.pp i
<br /> i
<br /> Div 6 Wood $ 500.00 500.00 500.00 100% - 25.00 '
<br /> Finish Carpentry a 3,649.80 3,649.80 3,649.80 100% - 182.49
<br /> Div 7 S 7,047.06 7,047.dD 7.047.00 100% - 352.35
<br /> Div.8 F�ames,Doare,and HDWR $ 1 I,100.00 I 1,100.00 11,100.00 100% - 555.00 i
<br /> Qiv.8 Window insla0$Glazing $ 1,520.00 1,520.00 1,320.00 100% - 76.00 ,
<br /> Div.8 O.H.Doors $ 9,425.00 9,425.00 9,425.00 100% - 471.25
<br /> Div 9.FRP $ 1,500.00 1,500.00 1,500.Q0 100% - 75.00
<br /> Dlv.9 Drywell $ 9,600.00 9.600.00 9,600.00 100% - 480.00
<br /> Div.9 AcoU�tical Ceilings 4 3,500.00 3,500.00 3,500.00 100% - 175.00
<br /> Div.9 Resilient Flooiing 5 2,493.00 2,493.00 0
<br /> 2�493.Q0 100% - 124.65
<br /> Div.9 Peinting � 5,630.00 5,630.00 5,630.00 1Q0% - 28l.50
<br /> Div 10 S 1,960.60 1,960.60 1,960.60 100'/0 - 98.03
<br />
|