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09.01B Public Works Facility Project Payment Certificates
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03-05-2019 City Council Meeting
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09.01B Public Works Facility Project Payment Certificates
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+�, y+iy� � � ' <br /> IA <br /> Document G703 — 1992 <br /> Continuatlon Sheet <br /> AIA Document G702-1992,Application and Certification for Payment,or G736-2009, Application No: 9-Partial Retention <br /> Project Application and Project Certiflcate for P:ISD#728 Application Date: 12/31/2018 <br /> containing Contractor's signed certificatfon is at 11500193rd Avenue IVE Period To: 12/31/2018 <br /> In tabulations below,amounts are in US dollars Elk River,MN 55330 Architect's ProJect No: <br /> Use Column I on Contracts where variabie retainage for line items may apply. <br /> Retainage Rate: 5/ <br /> A B C D E F G H � <br /> WORK COMPLETED <br /> TOTAL <br /> FROM MATERIALS COMPLETED <br /> PREVIOUS PRESENTLY AND STORED TO BALANCE TO RETAINAGE <br /> ITEM DESCRIPTION OF SCHEDULED APPLICATION STORED DATE % FINISH (IF VARIABLE <br /> NO. WORK VALUE (D+E) THIS PERIOD (NOT IN D OR E) (D+E+F) (G/C) (C-G) RATE) <br /> Bomt s io,si�.00 �o,s�i.00 to,s�i.00 �oo�ia _ <br /> Shop Diewings $ 16,287.00 16,287.00 16,287.Q0 100% _ <br /> Mobili�Non $ 9,827.70 9,827.70 9,827.70 100% _ <br /> �s S 53,012.00 53.012.00 53,012.00 100% _ � <br /> Div 3 Conc[eTe $ 105.000.00 105,000.00 IOS.Q00.00 100% - <br /> Metal FabricaHoav S 879,90 879.90 879.90 100% - <br /> Div 6 Wood S 500.00 500.00 500.00 100°/a <br /> Finish Carpentry S 3,649.80 3.649.80 3.649.80 100% _ <br /> Div 7 S 7,Od7.00 7,047.00 7.04�.00 100% _ <br /> Div.8 Frames,Doors�pnd HDWR S I1,100.00 11,100.00 11,100.00 100% . <br /> IJiv.8�VitMow Install dt Glezing S 1.520.00 1,520.00 1,520.00 100% - <br /> IIiv.8 O.H.Doors S 9,425.00 9,425.00 9,425.Q0 100% _ <br /> Div 9.FRP $ 1.500.00 1,500.00 1,500.00 100% _ <br /> Div.9 Drywell $ 9,600.00 9,600.00 9.600.00 100% - <br /> Div.9 Acoustical Ce�7ings E 3,500.00 3.500.00 3,SOD.00 100% . <br /> Div.9 Resilient Flooring a 2�493.00 2�493.00 2,493.00 100% <br /> Div.9 PaiuNug S 5.630.00 5,630.00 5,630.00 100% _ <br /> Div 10 $ 1,960.60 1,960.60 1,960.60 I00% - <br />
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