HomeMy WebLinkAboutInv# OCUD Pay App 1 - Burkhardt Construction - 07/10/2025PO 2025-00000306
Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION NUMBER: 1
Contractor's signed Certification is attached.APPLICATION DATE: 07/10/2025
Use Column I on Contracts where variable retainage for line items apply.PERIOD: 06/01/25 - 06/30/25
ARCHITECTS/ENGINEERS PROJECT NO:
Contract Lines
A B C D E F G H I
ITEM
NO.
COST
CODE DESCRIPTION OF WORK SCHEDULED
VALUE
WORK COMPLETED
MATERIALS
PRESENTLY
STORED (NOT
IN D OR E)
TOTAL
COMPLETED
AND STORED TO
DATE (D+E+F)
% (G / C)
BALANCE
TO FINISH
(C - G)
RETAINAGEFROM
PREVIOUS
APPLICATION
(D + E)
THIS PERIOD
1
1-00195
- Owner
Direct
Purchas
e
CO #1 ODP Deduct [not included in this pay app]$ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 100.00%$ 0.00 $ 0.00
2
17-
01701 -
Continge
ncy
CO #2 Site Muck Mitigation $ 120,702.75 $ 0.00 $ 56,066.78 $ 0.00 $ 56,066.78 46.45%$ 64,635.97 $ 2,803.34
3
17-
01701 -
Continge
ncy
CO #3 CW Thomas Water Meters $ 4,725.00 $ 0.00 $ 4,725.00 $ 0.00 $ 4,725.00 100.00%$ 0.00 $ 236.25
4
1-00195
- Owner
Direct
Purchas
e
CO #4 ODP Deduct [not included in this pay app]$ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 100.00%$ 0.00 $ 0.00
5
17-
01701 -
Continge
ncy
CO #5 Added Swing Set and Extension of
Playground Area $ 134,425.91 $ 0.00 $ 0.00 $ 0.00 $ 0.00 0.00%$ 134,425.91 $ 0.00
6
17-
01701 -
Continge
ncy
CO #6 DEDUCT "BILLED CO'S" PER CODB
REQUEST [Not included in this pay app]$ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 100.00%$ 0.00 $ 0.00
TOTALS:$ 259,853.66 $ 0.00 $ 60,791.78 $ 0.00 $ 60,791.78 23.39%$ 199,061.88 $ 3,039.59
Grand Totals
A B C D E F G H I
ITEM
NO.
DESCRIPTION OF
WORK SCHEDULED VALUE
WORK COMPLETED MATERIALS
PRESENTLY
STORED (NOT IN D
OR E)
TOTAL
COMPLETED
AND STORED TO
DATE (D+E+F)
%
(G / C)
BALANCE
TO FINISH
(C - G)
RETAINAGEFROM PREVIOUS
APPLICATION
(D + E)
THIS PERIOD
GRAND TOTALS: $ 259,853.66 $ 0.00 $ 60,791.78 $ 0.00 $ 60,791.78 23.39%$ 199,061.88 $ 3,039.59
CONTINUATION SHEET DOCUMENT G703 Page 2 of 3
DOCUMENT G703 - APPLICATION AND CERTIFICATE FOR PAYMENT
CONTINUATION SHEET DOCUMENT G703 Page 3 of 3