Merrell Bros Inc. 7/26/2021 Change Order 1

CONTINUATION SHEET AIA DOCUMENT G703 PAGE OF PAGES AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT,containing APPLICATION NO: 1 Contractor's signed certification is attached. APPLICATION DATE: 06.1L2021 In tabulations below,amounts are stated to the nearest dollar. PERIOD TO: Use Column I on Contracts where variable retainage for line items may apply. ARCHITECTS PROJECT NO: UT 3752-1/20 A B C D E F G H I I ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL % BALANCE RETALNAGE NO. VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G_L) TO FINISH OF VARIABLE APPLICATION STORED AND STORED (C-G) RATE) (D+E) (NOT IN TO DATE DORE) (DIE+F) 1 MOBILIZATION/DEMOBILIZATION S87,350.00 $87,350.00 $87,350.00 100.00% $0.00 $4,367.50 2 DECONTAMINATION OF EQUIPMENT FOR WORK $I,500.00 $1,500.00 $1,500.00 100.00% $0.00 $75.00 AT WPCF 3 BIOSOLIDS REMOVED.DEWATERED,AND PLACED ON $632,500.00 $588.712.03 $588,712.03 93.00% $43,787.97 $29,435.60 ON WPCF BIOSOLIDS PAD(2,000 DT) 1,861.54 DT x$316.25 4 FORCE ACCOUNT FOR WORK AT WPCF $10,000.00 $0.00 $0.00 0.00% $10,000.00 S0.00 (SECTION 00 7200) 5 DECONTAMINATION OF EQUIPMENT FOR WORK S1,500.00 $1500.00 S1500.00 100.00% $0.00 $75.00 AT WFP 6 BACKWASH SOLIDS REMOVED,DEWATERED, $206,000.00 $18,746.00 S18,746.00 9.00% $187,254.00 $937.30 AND PLACED ON WFP DRYING BED(400 DT) 36.40 DT x 5515.00 7 FORCE ACCOUNT FOR WORK AT WFP $10,000.00 S0.00 $0.00 0.00% $10,000.00 $0.00 (SECTION CO 7200) 8 WA STATE SALES TAX@ 9.8%(WPCF PAD) $71,672.30 $66,401.08 S66,401.08 93.00% $5,271.22 $3,320.05 9 WA STATE SALES TAX @8.4%(WE BID) $18,270.00 $1,700.66 $1,700.66 9.00% S16,569.34 $85.03 t $1,0313,79230 $765,909.77 $765,909.77 74%. 5272,88253 838,295.49