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LIBRARY PROJ. & CERT FOR PAYMENT 01/08/2020
,/ 1 `�. A l B I C 1 D 1 E 1 F 1 G 1 H 1 I I J ] K 1 APPLICATION AND CERTIFICATE FOR PAYMENT APPLICATION NUMBER: 1 ( l`. t) 2 DESIGN.BID,BUILD APPLICATION DATE: 1/82020 3 PERIOD FROM: 12/1/2019 4 TO: 1/10/020 -71 ARCHITECTS PROJECT NO.: 6 A B C 1 D I E 1 F G H I 7 i. WORK COMPLETED 8 THIS APPLICATION COMPLETED AND BALANCE TO OMSION DESCRIPTION OF WORK MSBA CODE SCHEDULED PREVIOUS yo VALUE APPLICATION WORK IN PLACE STORED MATERIAL STORED TO DATE (GtC) FINISH RETAINAGE 9 —_, 03+E+F) (C-G) 10 01 General Conditions 0502-0100 S 2,500.00 5 - S 2,500.00 S 2,500.00 100% $ - 5 125.00 'Ti 1 01 Mobilization 0502-0100 $ 3,000.00 $ - S 3,000.00 S 3,000.00 100% $ - 5 150.00 12 01 Submittals 0502-0100 $ 2.000.00 5 - 5 2,000.00 S 2,000.00 100% S - $ 100.00 13 01 Bonds 0502-0100 $ 11,921.00 S - S 11,921.00 S 11,921.00 100% S - 5 596.05 14 01 Insurance 0502-0100 5 2,500.00 $ - !$ 2,500.00 $ 2,500.00 100% $ - $ 125.00 15 02 Existing Conditions 0502-0200 S - S - $ - $ - S - 16 02 Demo labor 0502-0200 5 3.500.00 S - S 3.500.00 5 3,500.00 100% S - $ 175.00 17 02 Equipment rental-dumpster 0502-0200 5 2,500.00 $ - $ 2,500.00 S 2,500.00 100% S - $ 125.00 18 10 Specialties(cutting and patching) 0502-1000 $ 2,500.00 5 - $ 2,500.00 $ 2,500.00 100% S - $ 125.00 19 22 Plumbing 0502-2200 $ - $ - $ - S - $ - 20 22 Plumbing Domestic water piping 0502-2200 $ 3,500.00 $ - S 3,500.00 S 3,500.00 100% S - $ 175.00 21 22 Plumbing Water heater 0502-2200 $ 4,500.00 $ - S 4,500.00 S 4,500.00 100% S - $ 225.00 Plumbing-water specialities& plumbing,loci pumps mbdng valve,all 22 22 other plumbing related materials) 0502-22D0 $ 10,000.00 S - $ 10,000.00 $ 10,000.00 100% $ - $ 500.00 23 22 Plumbing Labor 0502-2200 $ 7,500.00 $ - $ 7,500.00 $ 7,500.00 100% $ - S 375.00 24 23 HVAC 0502-2300 S - $ - $ - $ - $ - 25ti 23 HVAC Boiler 0502-2300 $ 69,500.00 S - $ 69,500.00 $ 69.500.00 100% S - $ 3,475.00 26 23 HVAC Exhaust 0502-2300 $ 5,000.00 $ - ; !S - $ 5,000.00 $ - 27 23 HVAC Gas Piping,valves,fitting etc 0502-2300 $ 7,500.00 $ $ S - 0% 5 7,500.00 $ - 28 23 HVAC Insulation 0502-2300 S 2,000.00 S - $ - S - 0% 5 2,000.00 $ - 29 r 23 HVAC related Labor 0502-2300 $ 18,953.00 $ - $ - 1 $ 18,953.00 $ - 30 23 HVAC Temp boiler 0502-2300 $ 8,500.00 $ 8,500.00 $ 8,500.00 - $ 425.00 31 Electrical HUB electric sub bid 0502-2600 S 22,600.00 $ - S - e 5 - - --.7".----`$ 22,800.00 S - 32 Electrical Cantrots Advantage Power 0502-2600 S 28,850.00_$ - 5 17400.00 I 5 17,500.00_ 61% 5 11,350.00 $ 875.00 33 TOTAL CONTRACT AMOU $218,824.00 l 5 - I $ 151.421.00 1 S 151,421.00 6920% 5 67,403.00 $ 7,571.05 34 35