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2026-07-20 I01H_02 Waukee Public Safety Renovation Project_Pmt Est 6
AGENDA ITEM: CITY OF WAUKEE, IOWA CITY COUNCIL MEETING COMMUNICATION MEETING DATE: July 20, 2026 AGENDA ITEM:Consideration of approval of Payment Estimate No. 6 (Combined) for the Waukee Existing Public Safety Building Renovation Project in the amount of $755,235.91. FORMAT:Consent Agenda SYNOPSIS INCLUDING PRO & CON: The renovation project for the building at 1300 SE LA Grant Parkway continues. Work completed for this pay application includes general construction, glass and glazing installation, earthwork and utilities, concrete work, framing, masonry, plumbing and mechanical and the costs associated with Ryan Companies who is acting as the Construction Manager on the project. FISCAL IMPACT INCLUDING COST/BENEFIT ANALYSIS: Payment Estimate No. 6 is in the amount of $755,235.91. COMMISSION/BOARD/COMMITTEE COMMENT: STAFF REVIEW AND COMMENT: RECOMMENDATION: Approve Pay Estimate No. 6 ATTACHMENTS: I. Pay Estimate No. 6 PREPARED BY:Brad Deets, City Administrator REVIEWED BY: PUBLIC NOTICE INFORMATION – NAME OF PUBLICATION: DATE OF PUBLICATION: I1H2 TO: CityofWaukee PROJECT: WaukeeExisting Fire/PoliceRenovationCMA APPLICATION NO:6 230 HickmanRd Waukee, Iowa50263 1300 SE LA GrantParkway Waukee,Iowa 50263 APPLICATION DATE: 6/30/2026 PERIOD FROM: 06/01/26 PERIOD TO: 06/30/26 FROM(CONTRACTOR): RyanCompanies PROJECT NO: 007507CMA 533South ThirdStreet, Suite100 Minneapolis, Minnesota 55415 CONTRACTFOR: CONTRACTOR'S APPLICATION FOR PAYMENT CHANGEORDER SUMMARY ADDITIONS DEDUCTIONS Totalchangesapproved inprevious monthsbyOwner/Client:$ 4,002.70 ($158,951.90) Totalapprovedthis Month:$ 9,045.85 $ 0.00 Totals:$ 13,048.55 ($158,951.90) Netchangebychangeorders:($145,903.35) ORIGINALCONTRACTSUM $6,728,745.00 Net ChangebyChangeOrders ($145,903.35) CONTRACTSUM TODATE $6,582,841.65 TOTAL COMPLETED &STORED TODATE $1,493,052.68 RETAINAGE $35,227.96 TOTAL EARNED LESS RETAINAGE $1,457,824.72 LESS PREVIOUSCERTIFICATESFOR PAYMENT $ 702,588.81 CURRENTPAYMENTDUE $ 755,235.91 ARCHITECT'SCERTIFICATE FOR PAYMENT Inaccordance with the Contract Documents,basedon on-siteobservationsandthedata comprimisingthis application, the CivilEngineer and Architect certify to the Ownerthattothe bestof their knowledge,information and belief theWorkhasprogressedasindicated, the qualityof theWorkis in accordancewiththeContractDocuments,and the Contractor is entitledto payment oftheAMOUNT CERTIFIED. Amount Certified:$ 755,235.91 Architect: By:Date: CivilEngineer: By:Date: CONTRACTOR:RYANCOMPANIESUSINC By:Date: State of:County of: Subscribedandsworn tobeforemethis ________dayof_______________,20_____. NotaryPublic:__________________________________________________ MyCommissionexpires:______________ APPLICATION AND CERTIFICATEFOR PAYMENT Page1 of2 Item Number Value Work Completed Materials Total Completed & Stored Materials Retainage Prime Contract Value Change Value Scheduled Value From Previous Application ($)This Period ($) Materials Presently Stored Total to Date ($) Total to Date (%) Balance to Finish Total #BP01 - PDM - Glass & Glazing $155,170.00 ($7,931.20) $147,238.80 $95,580.00 $49,732.00 $0.00 $145,312.00 98.69%$1,926.80 $4,359.36 $BP02 - DDVI - General Construction $1,106,027.00 $9,045.85 $1,115,072.85 $0.00 $177,364.58 $0.00 $177,364.58 15.91%$937,708.27 $5,320.94 %BP03 - Jordison Construction - Concrete $575,000.00 $0.00 $575,000.00 $70,172.00 $135,216.00 $0.00 $205,388.00 35.72%$369,612.00 $6,161.64 &BP04 - Forrest & Associates - Masonry $233,350.00 $0.00 $233,350.00 $2,196.00 $36,000.00 $0.00 $38,196.00 16.37%$195,154.00 $1,145.88 'BP05 - CarterBuilt - Framing, Drywall & ACT $274,689.00 $0.00 $274,689.00 $13,942.00 $40,700.00 $0.00 $54,642.00 19.89%$220,047.00 $1,639.26 (BP06 - WD Door - Overhead Doors $286,720.00 $0.00 $286,720.00 $0.00 $0.00 $0.00 $0.00 0.00%$286,720.00 $0.00 )BP07 - Richmond Renovation - Painting $97,000.00 $0.00 $97,000.00 $0.00 $0.00 $0.00 $0.00 0.00%$97,000.00 $0.00 *BP08 - Des Moines Marble & Mantel Co - Tile & Flooring $188,620.00 $0.00 $188,620.00 $0.00 $3,075.00 $27,717.00 $30,792.00 16.32%$157,828.00 $923.76 +BP09 - Midwest Automatic Fire Sprinkler Co - Fire Protection $49,600.00 $0.00 $49,600.00 $0.00 $0.00 $0.00 $0.00 0.00%$49,600.00 $0.00 #"BP10 - Air-Con Mechanical Corp - Plumbing $282,445.00 $0.00 $282,445.00 $26,405.40 $40,814.84 $0.00 $67,220.24 23.80%$215,224.76 $2,016.62 ##BP11 - AMC Mechanical Inc - Mechanical $672,000.00 $0.00 $672,000.00 $65,550.00 $107,017.70 $0.00 $172,567.70 25.68%$499,432.30 $5,177.04 #$BP12 - DeVries Electric Inc - Electrical $1,374,000.00 $0.00 $1,374,000.00 $0.00 $0.00 $0.00 $0.00 0.00% $1,374,000.00 $0.00 #%BP13 - Kelly Cortum Inc - Earthwork & Utilities $405,580.00 $0.00 $405,580.00 $197,782.00 $85,000.00 $0.00 $282,782.00 69.72%$122,798.00 $8,483.46 #&Ryan Companies - CMa Professional Services $1,028,544.00 ($147,018.00) $881,526.00 $245,110.23 $73,677.93 $0.00 $318,788.16 36.16%$562,737.84 $0.00 Grand Totals $6,728,745.00 ($145,903.35) $6,582,841.65 $716,737.63 $748,598.05 $27,717.00 $1,493,052.68 22.68% $5,089,788.97 $35,227.96 CONTINUATION SHEET 6:=; # >< # Commitment # Invoice # Vendor Period Billing Date Invoice Status Original Contract Sum Net Change By Change Orders Revised Contract Sum Total Completed and Stored To Date Total Retainage Total Earned Less Retainage Payment Due Balance To Finish % Complete BP-01 3 PDM Precast Inc 06/01/26 - 06/30/26 6/22/2026 Pending Owner Approval $ 155,170.00 $ (7,931.20) $ 147,238.80 $ 145,312.00 $ 4,359.36 $ 140,952.64 $ 48,240.04 $ 6,286.16 98.69% BP-02 1 DDVI Inc 06/01/26 - 06/30/26 6/23/2026 Pending Owner Approval $ 1,106,027.00 $ 9,045.85 $ 1,115,072.85 $ 177,364.58 $ 5,320.94 $ 172,043.64 $ 172,043.64 $ 943,029.21 15.91% BP-03 2 Jordison Construction Inc 06/01/26 - 06/30/26 6/16/2026 Pending Owner Approval $ 575,000.00 $ - $ 575,000.00 $ 205,388.00 $ 6,161.64 $ 199,226.36 $ 131,159.52 $ 375,773.64 35.72% BP-04 2 Forrest & Associates Inc 06/01/26 - 06/30/26 6/23/2026 Pending Owner Approval $ 233,350.00 $ - $ 233,350.00 $ 38,196.00 $ 1,145.88 $ 37,050.12 $ 34,920.00 $ 196,299.88 16.37% BP-05 2 Dwelling Enterprises LLC 06/01/26 - 06/30/26 6/23/2026 Pending Owner Approval $ 274,689.00 $ - $ 274,689.00 $ 54,642.00 $ 1,639.26 $ 53,002.74 $ 39,479.00 $ 221,686.26 19.89% BP-08 1 Des Moines Marble and Mantel Co 06/01/26 - 06/30/26 6/23/2026 Pending Owner Approval $ 188,620.00 $ - $ 188,620.00 $ 30,792.00 $ 923.76 $ 29,868.24 $ 29,868.24 $ 158,751.76 16.32% BP-10 2 Air-Con Mechanical Corp 06/01/26 - 06/30/26 6/23/2026 Pending Owner Approval $ 282,445.00 $ - $ 282,445.00 $ 67,220.24 $ 2,016.62 $ 65,203.62 $ 39,590.38 $ 217,241.38 23.80% BP-11 2 AMC Mechanical Inc 06/01/26 - 06/30/26 6/23/2026 Pending Owner Approval $ 672,000.00 $ - $ 672,000.00 $ 172,567.70 $ 5,177.04 $ 167,390.66 $ 103,807.16 $ 504,609.34 25.68% BP-13 2 Kelly Cortum Inc 06/01/26 - 06/30/26 6/23/2026 Pending Owner Approval $ 405,580.00 $ - $ 405,580.00 $ 282,782.00 $ 8,483.46 $ 274,298.54 $ 82,450.00 $ 131,281.46 69.72% CMa 6 Ryan Companies 06/01/26 - 06/30/26 7/1/2026 Pending Owner Approval $ 1,028,544.00 $ (147,018.00) $ 881,526.00 $ 318,788.16 $ - $ 318,788.16 $ 73,677.93 $ 562,737.84 36.16% $ 755,235.91 TO CONTRACTOR:PROJECT:APPLICATION NO:3 Ryan Companies 533South ThirdStreet,Suite 100 Minneapolis,Minnesota 55415 WaukeeExistingFire/PoliceRenovation CMA 1300 SELAGrantParkway Waukee,Iowa 50263 INVOICENO:225141-3 PERIOD:06/01/26- 06/30/26 PROJECTNO:007507CMA FROMSUBCONTRACTOR:CONTRACTNO:BP-01 PDMPrecastInc 220SE6th StSte100 Des Moines,Iowa 50309 CONTRACTDATE: CERTIFICATEDATE:07/13/2026 SUBMITTEDDATE: SUBCONTRACT FOR:Glass &Glazing SUBCONTRACTOR'SAPPLICATIONFOR PAYMENT Application ismadefor payment,as shownbelow,in connection with the Subcontract.Continuation Sheetisattached. 1. OriginalContractSum $155,170.00 2. Netchange bychange orders $(7,931.20) 3. ContractSumtodate(Line 1±2)$147,238.80 4. Total completed andstored to date (Column Gon detailsheet)$145,312.00 5. Retainage: a.3.00%ofcompleted work $4,359.36 b.0.00%ofstored material $0.00 Total retainage (Line5a +5b ortotal in columnIofdetailsheet)$4,359.36 6. Total earned less retainage (Line4 lessLine5 Total)$140,952.64 7. Lessprevious certificatesfor payment (Line6 fromprior certificate)$92,712.60 8. Currentpaymentdue:$48,240.04 9. Balance to finish,including retainage (Line3 lessLine6)$6,286.16 CHANGEORDERSUMMARY ADDITIONS DEDUCTIONS Total changesapproved inprevious monthsby Owner/Client:$4,002.70 $(11,933.90) Total approvedthismonth:$0.00 $0.00 Totals:$4,002.70 $(11,933.90) Netchange bychange orders:$(7,931.20) The undersigned certifies that to the best of the Subcontractor'sknowledge, information and belief, the Work covered by this Application for Payment has been completed in accordance with the SubcontractDocuments, that all amounts have been paid by the Subcontractor for Work which previous Certificates for payment were issued and payments received from the Owner/Client, and thatcurrentpaymentsshownhereinis nowdue. SUBCONTRACTOR:PDMPrecastInc By:ProcoreSubcontractorSignHere Date:ProcoreSubcontractorSignedDate Stateof: Countyof: Subscribedandsworntobefore me this dayof NotaryPublic: Mycommissionexpires: APPLICATION ANDCERTIFICATEFORPAYMENT DOCUMENTSUMMARYSHEET Page 1of2 DocumentSUMMARYSHEET,APPLICATION ANDCERTIFICATEFOR PAYMENT,containing APPLICATIONNUMBER: 3 Contractor's signed Certificationisattached.APPLICATIONDATE: 06/22/2026 Use Column IonContracts where variable retainage forlineitems apply.PERIOD: 06/01/26 -06/30/26 Contract Lines A B C D E F G H I ITEM NO.BUDGET CODE DESCRIPTIONOFWORK SCHEDULED VALUE WORKCOMPLETED MATERIALS PRESENTLY STORED (NOT IN D OR E) TOTAL COMPLETED AND STOREDTO DATE (D + E + F) % (G/ C) BALANCE TO FINISH (C -G) RETAINAGEFROM PREVIOUS APPLICATION (D + E) THIS PERIOD 1 08-088100-S.S Glass & Glazing.S -Labor & MaterialsSubcontract Shop Drawings $5,000.00 $5,000.00 $0.00 $0.00 $5,000.00 100.00%$0.00 $150.00 2 08-088100-S.S Glass & Glazing.S -Labor & MaterialsSubcontract Glass Purchased Materials $92,800.00 $83,168.00 $9,632.00 $0.00 $92,800.00 100.00%$0.00 $2,784.00 3 08-088100-S.S Glass & Glazing.S -Labor & MaterialsSubcontract Fab& Install $57,370.00 $15,719.00 $39,724.20 $0.00 $55,443.20 96.64%$1,926.80 $1,663.30 TOTALS:$155,170.00 $103,887.00 $49,356.20 $0.00 $153,243.20 98.76%$1,926.80 $4,597.30 Change Orders A B C D E F G H I ITEM NO.DESCRIPTION OF WORK SCHEDULED VALUE WORKCOMPLETED MATERIALS PRESENTLY STORED (NOT IN D OR E) TOTAL COMPLETED AND STOREDTO DATE (D + E + F) % (G/ C) BALANCE TO FINISH (C -G) RETAINAGEFROM PREVIOUS APPLICATION (D + E) THIS PERIOD 4 CCO#001 PDMCO#1 4.1 08-088100-S.S ITC #1 -Storefront& Curtainwall Mods $(11,933.90)$(10,740.00)$(1,193.90)$0.00 $(11,933.90) 100.00%$0.00 $(358.02) 4.2 08-088100-S.S 04.03.2026 As BidDocumentUpdate $0.00 $0.00 $0.00 $0.00 $0.00 0.00%$0.00 $0.00 4.3 08-088100-S.S BP#1AIA232 11.1.1 Insurance Language Update $0.00 $0.00 $0.00 $0.00 $0.00 0.00%$0.00 $0.00 4.4 08-088100-S.S ITC #1 -HardwareMods $2,702.70 $2,433.00 $269.70 $0.00 $2,702.70 100.00%$0.00 $81.08 5 CCO#002 PDMCO#02- CW-1 Acid Etched Glass (DC) 5.1 08-088100-S.S PDM_CW-1 AcidEtched Glass $1,300.00 $0.00 $1,300.00 $0.00 $1,300.00 100.00%$0.00 $39.00 TOTALS:$(7,931.20)$(8,307.00)$375.80 $0.00 $(7,931.20) 100.00%$0.00 $(237.94) Grand Totals A B C D E F G H I ITEM NO.DESCRIPTION OF WORK SCHEDULED VALUE WORKCOMPLETED MATERIALS PRESENTLY STORED (NOT IN D OR E) TOTAL COMPLETED AND STOREDTO DATE (D + E + F) % (G/ C) BALANCE TO FINISH (C -G) RETAINAGEFROM PREVIOUS APPLICATION (D + E) THIS PERIOD GRAND TOTALS:$147,238.80 $95,580.00 $49,732.00 $0.00 $145,312.00 98.69%$1,926.80 $4,359.36 CONTINUATION SHEET DOCUMENTDETAIL SHEET Page 2of2 TO CONTRACTOR:PROJECT:APPLICATION NO:1 Ryan Companies 533South ThirdStreet,Suite 100 Minneapolis,Minnesota 55415 WaukeeExistingFire/PoliceRenovation CMA 1300 SELAGrantParkway Waukee,Iowa 50263 INVOICENO: PERIOD:06/01/26- 06/30/26 PROJECTNO:007507CMA FROMSUBCONTRACTOR:CONTRACTNO:BP-02 DDVIInc 1817N 7thSt Indianola,Iowa 50125 CONTRACTDATE:04/20/2026 CERTIFICATEDATE:07/13/2026 SUBMITTEDDATE:06/22/2026 SUBCONTRACT FOR:GeneralConstruction SUBCONTRACTOR'SAPPLICATIONFOR PAYMENT Application ismadefor payment,as shownbelow,in connection with the Subcontract.Continuation Sheetisattached. 1. OriginalContractSum $1,106,027.00 2. Netchange bychange orders $9,045.85 3. ContractSumtodate(Line 1±2)$1,115,072.85 4. Total completed andstored to date (Column Gon detailsheet)$177,364.58 5. Retainage: a.3.00%ofcompleted work $5,320.94 b.0.00%ofstored material $0.00 Total retainage (Line5a +5b ortotal in columnIofdetailsheet)$5,320.94 6. Total earned less retainage (Line4 lessLine5 Total)$172,043.64 7. Lessprevious certificatesfor payment (Line6 fromprior certificate)$0.00 8. Currentpaymentdue:$172,043.64 9. Balance to finish,including retainage (Line3 lessLine6)$943,029.21 CHANGEORDERSUMMARY ADDITIONS DEDUCTIONS Total changesapproved inprevious monthsby Owner/Client:$0.00 $0.00 Total approvedthismonth:$9,045.85 $0.00 Totals:$9,045.85 $0.00 Netchange bychange orders:$9,045.85 The undersigned certifies that to the best of the Subcontractor'sknowledge, information and belief, the Work covered by this Application for Payment has been completed in accordance with the SubcontractDocuments, that all amounts have been paid by the Subcontractor for Work which previous Certificates for payment were issued and payments received from the Owner/Client, and thatcurrentpaymentsshownhereinis nowdue. SUBCONTRACTOR:DDVIInc By:ProcoreSubcontractorSignHere Date:ProcoreSubcontractorSignedDate Stateof: Countyof: Subscribedandsworntobefore me this dayof NotaryPublic: Mycommissionexpires: APPLICATION ANDCERTIFICATEFORPAYMENT DOCUMENTSUMMARYSHEET Page 1of6 DocumentSUMMARYSHEET,APPLICATION ANDCERTIFICATEFOR PAYMENT,containing APPLICATIONNUMBER: 1 Contractor's signed Certificationisattached.APPLICATIONDATE: 06/23/2026 Use Column IonContracts where variable retainage forlineitems apply.PERIOD: 06/01/26 -06/30/26 Contract Lines A B C D E F G H I ITEM NO.BUDGET CODE DESCRIPTIONOFWORK SCHEDULED VALUE WORKCOMPLETED MATERIALS PRESENTLY STORED (NOT IN D OR E) TOTAL COMPLETED AND STOREDTO DATE (D + E + F) % (G/ C) BALANCE TO FINISH (C -G) RETAINAGEFROM PREVIOUS APPLICATION (D + E) THIS PERIOD 1 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract General Conditions/Overhead/Profit $138,203.00 $0.00 $19,348.42 $0.00 $19,348.42 14.00%$118,854.58 $580.45 2 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Insurance/Bonds $23,875.00 $0.00 $23,875.00 $0.00 $23,875.00 100.00%$0.00 $716.25 3 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Fire ExtTemporary $1,500.00 $0.00 $750.00 $0.00 $750.00 50.00%$750.00 $22.50 4 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract TempDoors& locks $950.00 $0.00 $0.00 $0.00 $0.00 0.00%$950.00 $0.00 5 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract TempPartitions $10,500.00 $0.00 $0.00 $0.00 $0.00 0.00%$10,500.00 $0.00 6 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Submittals $20,000.00 $0.00 $15,000.00 $0.00 $15,000.00 75.00%$5,000.00 $450.00 7 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Staking $1,500.00 $0.00 $750.00 $0.00 $750.00 50.00%$750.00 $22.50 8 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Bumper Post/SiteSigns- Labor $2,000.00 $0.00 $0.00 $0.00 $0.00 0.00%$2,000.00 $0.00 9 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Bumper Post/SiteSigns- Material $8,435.00 $0.00 $0.00 $0.00 $0.00 0.00%$8,435.00 $0.00 10 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Bumper Post/SiteSigns- Equipment $2,000.00 $0.00 $0.00 $0.00 $0.00 0.00%$2,000.00 $0.00 11 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Landscaping- Labor $22,000.00 $0.00 $0.00 $0.00 $0.00 0.00%$22,000.00 $0.00 12 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Landscaping- Material $24,000.00 $0.00 $0.00 $0.00 $0.00 0.00%$24,000.00 $0.00 13 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Relocate FFE $3,000.00 $0.00 $3,000.00 $0.00 $3,000.00 100.00%$0.00 $90.00 14 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Demo $62,000.00 $0.00 $58,900.00 $0.00 $58,900.00 95.00%$3,100.00 $1,767.00 15 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract ConcretePatch $950.00 $0.00 $0.00 $0.00 $0.00 0.00%$950.00 $0.00 16 06-061005-S.S Structural Steel $98,600.00 $0.00 $24,650.00 $0.00 $24,650.00 25.00%$73,950.00 $739.50 CONTINUATION SHEET DOCUMENTDETAIL SHEET Page 2of6 A B C D E F G H I ITEM NO.BUDGET CODE DESCRIPTIONOFWORK SCHEDULED VALUE WORKCOMPLETED MATERIALS PRESENTLY STORED (NOT IN D OR E) TOTAL COMPLETED AND STOREDTO DATE (D + E + F) % (G/ C) BALANCE TO FINISH (C -G) RETAINAGEFROM PREVIOUS APPLICATION (D + E) THIS PERIOD Rough Carpentry.S -Labor & MaterialsSubcontract 17 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Steel Erection $33,000.00 $0.00 $5,000.00 $0.00 $5,000.00 15.15%$28,000.00 $150.00 18 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Blocking/Plywood/Plywood Sheathing - Labor $4,600.00 $0.00 $0.00 $0.00 $0.00 0.00%$4,600.00 $0.00 19 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Blocking/Plywood/Plywood Sheathing - Material $8,551.00 $0.00 $0.00 $0.00 $0.00 0.00%$8,551.00 $0.00 20 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Casework - Labor $21,000.00 $0.00 $0.00 $0.00 $0.00 0.00%$21,000.00 $0.00 21 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Casework - Material $118,986.00 $0.00 $11,898.00 $0.00 $11,898.00 10.00%$107,088.00 $356.94 22 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Roof Plate -Labor $100.00 $0.00 $0.00 $0.00 $0.00 0.00%$100.00 $0.00 23 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Roof Plate -Material $500.00 $0.00 $0.00 $0.00 $0.00 0.00%$500.00 $0.00 24 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Roof Patch $8,500.00 $0.00 $0.00 $0.00 $0.00 0.00%$8,500.00 $0.00 25 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract ACM Panels -Labor $8,019.00 $0.00 $801.90 $0.00 $801.90 10.00%$7,217.10 $24.06 26 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract ACM Panels -Material $21,865.00 $0.00 $2,186.50 $0.00 $2,186.50 10.00%$19,678.50 $65.60 27 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Flashings/Trims/Gutter/Downspouts - Labor $60,223.00 $0.00 $7,226.76 $0.00 $7,226.76 12.00%$52,996.24 $216.80 28 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Flashings/Trims/Gutter/Downspouts - Material $39,780.00 $0.00 $3,978.00 $0.00 $3,978.00 10.00%$35,802.00 $119.34 29 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Vapor Barrier - Labor $1,000.00 $0.00 $0.00 $0.00 $0.00 0.00%$1,000.00 $0.00 30 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Vapor Barrier - Material $400.00 $0.00 $0.00 $0.00 $0.00 0.00%$400.00 $0.00 31 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Joint Sealants -Labor $8,750.00 $0.00 $0.00 $0.00 $0.00 0.00%$8,750.00 $0.00 32 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Joint Sealants -Material $1,200.00 $0.00 $0.00 $0.00 $0.00 0.00%$1,200.00 $0.00 33 06-061005-S.S Doors - Labor $7,104.00 $0.00 $0.00 $0.00 $0.00 0.00%$7,104.00 $0.00 CONTINUATION SHEET DOCUMENTDETAIL SHEET Page 3of6 A B C D E F G H I ITEM NO.BUDGET CODE DESCRIPTIONOFWORK SCHEDULED VALUE WORKCOMPLETED MATERIALS PRESENTLY STORED (NOT IN D OR E) TOTAL COMPLETED AND STOREDTO DATE (D + E + F) % (G/ C) BALANCE TO FINISH (C -G) RETAINAGEFROM PREVIOUS APPLICATION (D + E) THIS PERIOD Rough Carpentry.S -Labor & MaterialsSubcontract 34 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Doors - Material $148,761.00 $0.00 $0.00 $0.00 $0.00 0.00%$148,761.00 $0.00 35 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Panick Devices $6,000.00 $0.00 $0.00 $0.00 $0.00 0.00%$6,000.00 $0.00 36 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Glass & Glazing -Labor $4,112.00 $0.00 $0.00 $0.00 $0.00 0.00%$4,112.00 $0.00 37 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Glass & Glazing -Material $4,788.00 $0.00 $0.00 $0.00 $0.00 0.00%$4,788.00 $0.00 38 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Glass & Glazing -Submittals $1,150.00 $0.00 $0.00 $0.00 $0.00 0.00%$1,150.00 $0.00 39 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Cold Formed Metal Framing- Labor $3,720.00 $0.00 $0.00 $0.00 $0.00 0.00%$3,720.00 $0.00 40 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Cold Formed Metal Framing- Material $1,445.00 $0.00 $0.00 $0.00 $0.00 0.00%$1,445.00 $0.00 41 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Sheathing- Labor $5,060.00 $0.00 $0.00 $0.00 $0.00 0.00%$5,060.00 $0.00 42 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Sheathing- Material $2,111.00 $0.00 $0.00 $0.00 $0.00 0.00%$2,111.00 $0.00 43 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract ExteriorWood Soffit -Labor $10,160.00 $0.00 $0.00 $0.00 $0.00 0.00%$10,160.00 $0.00 44 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract ExteriorWood Soffit -Labor $12,964.00 $0.00 $0.00 $0.00 $0.00 0.00%$12,964.00 $0.00 45 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Chalk & Tack-Material $6,084.00 $0.00 $0.00 $0.00 $0.00 0.00%$6,084.00 $0.00 46 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Toilet Partitions andAccessories -Labor $301.00 $0.00 $0.00 $0.00 $0.00 0.00%$301.00 $0.00 47 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Toilet Partitions andAccessories - Material $13,301.00 $0.00 $0.00 $0.00 $0.00 0.00%$13,301.00 $0.00 48 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Corner Guard- Labor $88.00 $0.00 $0.00 $0.00 $0.00 0.00%$88.00 $0.00 49 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Corner Guard- Material $2,053.00 $0.00 $0.00 $0.00 $0.00 0.00%$2,053.00 $0.00 50 06-061005-S.S Fire Ext- Labor $221.00 $0.00 $0.00 $0.00 $0.00 0.00%$221.00 $0.00 CONTINUATION SHEET DOCUMENTDETAIL SHEET Page 4of6 A B C D E F G H I ITEM NO.BUDGET CODE DESCRIPTIONOFWORK SCHEDULED VALUE WORKCOMPLETED MATERIALS PRESENTLY STORED (NOT IN D OR E) TOTAL COMPLETED AND STOREDTO DATE (D + E + F) % (G/ C) BALANCE TO FINISH (C -G) RETAINAGEFROM PREVIOUS APPLICATION (D + E) THIS PERIOD Rough Carpentry.S -Labor & MaterialsSubcontract 51 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Fire Ext- Material $678.00 $0.00 $0.00 $0.00 $0.00 0.00%$678.00 $0.00 52 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Defib -Labor $25.00 $0.00 $0.00 $0.00 $0.00 0.00%$25.00 $0.00 53 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Defib -Material $472.00 $0.00 $0.00 $0.00 $0.00 0.00%$472.00 $0.00 54 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Flag Pole -Labor $809.00 $0.00 $0.00 $0.00 $0.00 0.00%$809.00 $0.00 55 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Signage -Labor $8,900.00 $0.00 $0.00 $0.00 $0.00 0.00%$8,900.00 $0.00 56 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract TurnoutGearLockers $10,978.00 $0.00 $0.00 $0.00 $0.00 0.00%$10,978.00 $0.00 57 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract MetalLockers $55,584.00 $0.00 $0.00 $0.00 $0.00 0.00%$55,584.00 $0.00 58 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Locker bases $1,600.00 $0.00 $0.00 $0.00 $0.00 0.00%$1,600.00 $0.00 59 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Kitchen Appliances $17,096.00 $0.00 $0.00 $0.00 $0.00 0.00%$17,096.00 $0.00 60 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Reinstall existing FFE $7,000.00 $0.00 $0.00 $0.00 $0.00 0.00%$7,000.00 $0.00 61 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Blinds- Labor $660.00 $0.00 $0.00 $0.00 $0.00 0.00%$660.00 $0.00 62 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Blinds- Material $3,615.00 $0.00 $0.00 $0.00 $0.00 0.00%$3,615.00 $0.00 63 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Sauna- Labor $3,000.00 $0.00 $0.00 $0.00 $0.00 0.00%$3,000.00 $0.00 64 06-061005-S.S Rough Carpentry.S -Labor & MaterialsSubcontract Sauna- Material $10,200.00 $0.00 $0.00 $0.00 $0.00 0.00%$10,200.00 $0.00 TOTALS:$1,106,027.00 $0.00 $177,364.58 $0.00 $177,364.58 16.04%$928,662.42 $5,320.94 CONTINUATION SHEET DOCUMENTDETAIL SHEET Page 5of6 Change Orders A B C D E F G H I ITEM NO.DESCRIPTION OF WORK SCHEDULED VALUE WORKCOMPLETED MATERIALS PRESENTLY STORED (NOT IN D OR E) TOTAL COMPLETED AND STOREDTO DATE (D + E + F) % (G/ C) BALANCE TO FINISH (C -G) RETAINAGEFROM PREVIOUS APPLICATION (D + E) THIS PERIOD 65 CCO#001 DDVICO#01 65.1 06-061005-S.S DDVI_RFI#2:Corridor108C & Additional Jail Carpet Demo $1,619.75 $0.00 $0.00 $0.00 $0.00 0.00%$1,619.75 $0.00 65.2 06-061005-S.S DDVI_RFI#8:Day-UseLocker Internal Shelving $7,426.10 $0.00 $0.00 $0.00 $0.00 0.00%$7,426.10 $0.00 TOTALS:$9,045.85 $0.00 $0.00 $0.00 $0.00 0.00%$9,045.85 $0.00 Grand Totals A B C D E F G H I ITEM NO.DESCRIPTION OF WORK SCHEDULED VALUE WORKCOMPLETED MATERIALS PRESENTLY STORED (NOT IN D OR E) TOTAL COMPLETED AND STOREDTO DATE (D + E + F) % (G/ C) BALANCE TO FINISH (C -G) RETAINAGEFROM PREVIOUS APPLICATION (D + E) THIS PERIOD GRAND TOTALS:$1,115,072.85 $0.00 $177,364.58 $0.00 $177,364.58 15.91%$937,708.27 $5,320.94 CONTINUATION SHEET DOCUMENTDETAIL SHEET Page 6of6 TO CONTRACTOR:PROJECT:APPLICATION NO:2 Ryan Companies 533South ThirdStreet,Suite 100 Minneapolis,Minnesota 55415 WaukeeExistingFire/PoliceRenovation CMA 1300 SELAGrantParkway Waukee,Iowa 50263 INVOICENO:25212 PERIOD:06/01/26- 06/30/26 PROJECTNO:007507CMA FROMSUBCONTRACTOR:CONTRACTNO:BP-03 JordisonConstruction Inc 12014RidgemontDr Urbandale ,Iowa50323 CONTRACTDATE:04/20/2026 CERTIFICATEDATE:07/13/2026 SUBMITTEDDATE: SUBCONTRACT FOR:Concrete SUBCONTRACTOR'SAPPLICATIONFOR PAYMENT Application ismadefor payment,as shownbelow,in connection with the Subcontract.Continuation Sheetisattached. 1. OriginalContractSum $575,000.00 2. Netchange bychange orders $0.00 3. ContractSumtodate(Line 1±2)$575,000.00 4. Total completed andstored to date (Column Gon detailsheet)$205,388.00 5. Retainage: a.3.00%ofcompleted work $6,161.64 b.0.00%ofstored material $0.00 Total retainage (Line5a +5b ortotal in columnIofdetailsheet)$6,161.64 6. Total earned less retainage (Line4 lessLine5 Total)$199,226.36 7. Lessprevious certificatesfor payment (Line6 fromprior certificate)$68,066.84 8. Currentpaymentdue:$131,159.52 9. Balance to finish,including retainage (Line3 lessLine6)$375,773.64 CHANGEORDERSUMMARY ADDITIONS DEDUCTIONS Total changesapproved inprevious monthsby Owner/Client:$0.00 $0.00 Total approvedthismonth:$0.00 $0.00 Totals:$0.00 $0.00 Netchange bychange orders:$0.00 The undersigned certifies that to the best of the Subcontractor'sknowledge, information and belief, the Work covered by this Application for Payment has been completed in accordance with the SubcontractDocuments, that all amounts have been paid by the Subcontractor for Work which previous Certificates for payment were issued and payments received from the Owner/Client, and thatcurrentpaymentsshownhereinis nowdue. SUBCONTRACTOR:JordisonConstruction Inc By:ProcoreSubcontractorSignHere Date:ProcoreSubcontractorSignedDate Stateof: Countyof: Subscribedandsworntobefore me this dayof NotaryPublic: Mycommissionexpires: APPLICATION ANDCERTIFICATEFORPAYMENT DOCUMENTSUMMARYSHEET Page 1of2 DocumentSUMMARYSHEET,APPLICATION ANDCERTIFICATEFOR PAYMENT,containing APPLICATIONNUMBER: 2 Contractor's signed Certificationisattached.APPLICATIONDATE: 06/16/2026 Use Column IonContracts where variable retainage forlineitems apply.PERIOD: 06/01/26 -06/30/26 Contract Lines A B C D E F G H I ITEM NO.BUDGET CODE DESCRIPTIONOFWORK SCHEDULED VALUE WORKCOMPLETED MATERIALS PRESENTLY STORED (NOT IN D OR E) TOTAL COMPLETED AND STOREDTO DATE (D + E + F) % (G/ C) BALANCE TO FINISH (C -G) RETAINAGEFROM PREVIOUS APPLICATION (D + E) THIS PERIOD 1 03-033000-S.S Concrete.S -Labor& Materials Subcontract Footings - Labor $41,921.00 $0.00 $4,192.00 $0.00 $4,192.00 10.00%$37,729.00 $125.76 2 03-033000-S.S Concrete.S -Labor& Materials Subcontract Footings - Material $10,046.00 $0.00 $1,004.00 $0.00 $1,004.00 9.99%$9,042.00 $30.12 3 03-033000-S.S Concrete.S -Labor& Materials Subcontract Slabs - Labor $30,697.00 $0.00 $0.00 $0.00 $0.00 0.00%$30,697.00 $0.00 4 03-033000-S.S Concrete.S -Labor& Materials Subcontract Slabs - Material $14,044.00 $0.00 $0.00 $0.00 $0.00 0.00%$14,044.00 $0.00 5 03-033000-S.S Concrete.S -Labor& Materials Subcontract Demolition - Labor $119,944.00 $70,172.00 $22,516.00 $0.00 $92,688.00 77.28%$27,256.00 $2,780.64 6 03-033000-S.S Concrete.S -Labor& Materials Subcontract Sidewalks - Labor $28,608.00 $0.00 $8,582.00 $0.00 $8,582.00 30.00%$20,026.00 $257.46 7 03-033000-S.S Concrete.S -Labor& Materials Subcontract Sidewalks - Material $22,330.00 $0.00 $6,699.00 $0.00 $6,699.00 30.00%$15,631.00 $200.97 8 03-033000-S.S Concrete.S -Labor& Materials Subcontract ParkingLot -Labor $111,544.00 $0.00 $33,463.00 $0.00 $33,463.00 30.00%$78,081.00 $1,003.89 9 03-033000-S.S Concrete.S -Labor& Materials Subcontract ParkingLot -Material $189,496.00 $0.00 $56,849.00 $0.00 $56,849.00 30.00%$132,647.00 $1,705.47 10 03-033000-S.S Concrete.S -Labor& Materials Subcontract Staking - Labor $6,370.00 $0.00 $1,911.00 $0.00 $1,911.00 30.00%$4,459.00 $57.33 TOTALS:$575,000.00 $70,172.00 $135,216.00 $0.00 $205,388.00 35.72%$369,612.00 $6,161.64 Grand Totals A B C D E F G H I ITEM NO.DESCRIPTION OF WORK SCHEDULED VALUE WORKCOMPLETED MATERIALS PRESENTLY STORED (NOT IN D OR E) TOTAL COMPLETED AND STOREDTO DATE (D + E + F) % (G/ C) BALANCE TO FINISH (C -G) RETAINAGEFROM PREVIOUS APPLICATION (D + E) THIS PERIOD GRAND TOTALS:$575,000.00 $70,172.00 $135,216.00 $0.00 $205,388.00 35.72%$369,612.00 $6,161.64 CONTINUATION SHEET DOCUMENTDETAIL SHEET Page 2of2 TO CONTRACTOR:PROJECT:APPLICATION NO:2 Ryan Companies 533South ThirdStreet,Suite 100 Minneapolis,Minnesota 55415 WaukeeExistingFire/PoliceRenovation CMA 1300 SELAGrantParkway Waukee,Iowa 50263 INVOICENO:15628 PERIOD:06/01/26- 06/30/26 PROJECTNO:007507CMA FROMSUBCONTRACTOR:CONTRACTNO:BP-04 Forrest&Associates Inc 817SW9thSt Des Moines,Iowa 50309 CONTRACTDATE:04/20/2026 CERTIFICATEDATE:07/13/2026 SUBMITTEDDATE:06/26/2026 SUBCONTRACT FOR:Masonry SUBCONTRACTOR'SAPPLICATIONFOR PAYMENT Application ismadefor payment,as shownbelow,in connection with the Subcontract.Continuation Sheetisattached. 1. OriginalContractSum $233,350.00 2. Netchange bychange orders $0.00 3. ContractSumtodate(Line 1±2)$233,350.00 4. Total completed andstored to date (Column Gon detailsheet)$38,196.00 5. Retainage: a.3.00%ofcompleted work $1,145.88 b.0.00%ofstored material $0.00 Total retainage (Line5a +5b ortotal in columnIofdetailsheet)$1,145.88 6. Total earned less retainage (Line4 lessLine5 Total)$37,050.12 7. Lessprevious certificatesfor payment (Line6 fromprior certificate)$2,130.12 8. Currentpaymentdue:$34,920.00 9. Balance to finish,including retainage (Line3 lessLine6)$196,299.88 CHANGEORDERSUMMARY ADDITIONS DEDUCTIONS Total changesapproved inprevious monthsby Owner/Client:$0.00 $0.00 Total approvedthismonth:$0.00 $0.00 Totals:$0.00 $0.00 Netchange bychange orders:$0.00 The undersigned certifies that to the best of the Subcontractor'sknowledge, information and belief, the Work covered by this Application for Payment has been completed in accordance with the SubcontractDocuments, that all amounts have been paid by the Subcontractor for Work which previous Certificates for payment were issued and payments received from the Owner/Client, and thatcurrentpaymentsshownhereinis nowdue. SUBCONTRACTOR:Forrest&Associates Inc By:ProcoreSubcontractorSignHere Date:ProcoreSubcontractorSignedDate Stateof: Countyof: Subscribedandsworntobefore me this dayof NotaryPublic: Mycommissionexpires: APPLICATION ANDCERTIFICATEFORPAYMENT DOCUMENTSUMMARYSHEET Page 1of2 DocumentSUMMARYSHEET,APPLICATION ANDCERTIFICATEFOR PAYMENT,containing APPLICATIONNUMBER: 2 Contractor's signed Certificationisattached.APPLICATIONDATE: 06/23/2026 Use Column IonContracts where variable retainage forlineitems apply.PERIOD: 06/01/26 -06/30/26 Contract Lines A B C D E F G H I ITEM NO.BUDGET CODE DESCRIPTIONOFWORK SCHEDULED VALUE WORKCOMPLETED MATERIALS PRESENTLY STORED (NOT IN D OR E) TOTAL COMPLETED AND STOREDTO DATE (D + E + F) % (G/ C) BALANCE TO FINISH (C -G) RETAINAGEFROM PREVIOUS APPLICATION (D + E) THIS PERIOD 1 04-042200-S.S Unit Masonry.S - Labor & Materials Subcontract SignMasonry - Materials $2,938.00 $0.00 $0.00 $0.00 $0.00 0.00%$2,938.00 $0.00 2 04-042200-S.S Unit Masonry.S - Labor & Materials Subcontract SignMasonry - Labor $2,072.00 $0.00 $0.00 $0.00 $0.00 0.00%$2,072.00 $0.00 3 04-042200-S.S Unit Masonry.S - Labor & Materials Subcontract New Interior CMU Walls- Materials $19,064.00 $0.00 $0.00 $0.00 $0.00 0.00%$19,064.00 $0.00 4 04-042200-S.S Unit Masonry.S - Labor & Materials Subcontract New Interior CMU Walls- Labor $41,692.00 $0.00 $0.00 $0.00 $0.00 0.00%$41,692.00 $0.00 5 04-042200-S.S Unit Masonry.S - Labor & Materials Subcontract Masonry Restoration -Materials $45,384.00 $0.00 $1,000.00 $0.00 $1,000.00 2.20%$44,384.00 $30.00 6 04-042200-S.S Unit Masonry.S - Labor & Materials Subcontract Masonry Restoration -Labor $120,004.00 $0.00 $35,000.00 $0.00 $35,000.00 29.17%$85,004.00 $1,050.00 7 04-042200-S.S Unit Masonry.S - Labor & Materials Subcontract Bonds $2,196.00 $2,196.00 $0.00 $0.00 $2,196.00 100.00%$0.00 $65.88 TOTALS:$233,350.00 $2,196.00 $36,000.00 $0.00 $38,196.00 16.37%$195,154.00 $1,145.88 Grand Totals A B C D E F G H I ITEM NO.DESCRIPTION OF WORK SCHEDULED VALUE WORKCOMPLETED MATERIALS PRESENTLY STORED (NOT IN D OR E) TOTAL COMPLETED AND STOREDTO DATE (D + E + F) % (G/ C) BALANCE TO FINISH (C -G) RETAINAGEFROM PREVIOUS APPLICATION (D + E) THIS PERIOD GRAND TOTALS:$233,350.00 $2,196.00 $36,000.00 $0.00 $38,196.00 16.37%$195,154.00 $1,145.88 CONTINUATION SHEET DOCUMENTDETAIL SHEET Page 2of2 TO CONTRACTOR:PROJECT:APPLICATION NO:2 Ryan Companies 533South ThirdStreet,Suite 100 Minneapolis,Minnesota 55415 WaukeeExistingFire/PoliceRenovation CMA 1300 SELAGrantParkway Waukee,Iowa 50263 INVOICENO:2 PERIOD:06/01/26- 06/30/26 PROJECTNO:007507CMA FROMSUBCONTRACTOR:CONTRACTNO:BP-05 Dwelling EnterprisesLLC 207Dwelling Dr NewSharon, Iowa 50207 CONTRACTDATE:04/20/2026 CERTIFICATEDATE:07/13/2026 SUBMITTEDDATE: SUBCONTRACT FOR:Framing,Drywall,&ACT SUBCONTRACTOR'SAPPLICATIONFOR PAYMENT Application ismadefor payment,as shownbelow,in connection with the Subcontract.Continuation Sheetisattached. 1. OriginalContractSum $274,689.00 2. Netchange bychange orders $0.00 3. ContractSumtodate(Line 1±2)$274,689.00 4. Total completed andstored to date (Column Gon detailsheet)$54,642.00 5. Retainage: a.3.00%ofcompleted work $1,639.26 b.0.00%ofstored material $0.00 Total retainage (Line5a +5b ortotal in columnIofdetailsheet)$1,639.26 6. Total earned less retainage (Line4 lessLine5 Total)$53,002.74 7. Lessprevious certificatesfor payment (Line6 fromprior certificate)$13,523.74 8. Currentpaymentdue:$39,479.00 9. Balance to finish,including retainage (Line3 lessLine6)$221,686.26 CHANGEORDERSUMMARY ADDITIONS DEDUCTIONS Total changesapproved inprevious monthsby Owner/Client:$0.00 $0.00 Total approvedthismonth:$0.00 $0.00 Totals:$0.00 $0.00 Netchange bychange orders:$0.00 The undersigned certifies that to the best of the Subcontractor'sknowledge, information and belief, the Work covered by this Application for Payment has been completed in accordance with the SubcontractDocuments, that all amounts have been paid by the Subcontractor for Work which previous Certificates for payment were issued and payments received from the Owner/Client, and thatcurrentpaymentsshownhereinis nowdue. SUBCONTRACTOR:DwellingEnterprises LLC By:ProcoreSubcontractorSignHere Date:ProcoreSubcontractorSignedDate Stateof: Countyof: Subscribedandsworntobefore me this dayof NotaryPublic: Mycommissionexpires: APPLICATION ANDCERTIFICATEFORPAYMENT DOCUMENTSUMMARYSHEET Page 1of2 DocumentSUMMARYSHEET,APPLICATION ANDCERTIFICATEFOR PAYMENT,containing APPLICATIONNUMBER: 2 Contractor's signed Certificationisattached.APPLICATIONDATE: 06/23/2026 Use Column IonContracts where variable retainage forlineitems apply.PERIOD: 06/01/26 -06/30/26 Contract Lines A B C D E F G H I ITEM NO.BUDGET CODE DESCRIPTIONOFWORK SCHEDULED VALUE WORKCOMPLETED MATERIALS PRESENTLY STORED (NOT IN D OR E) TOTAL COMPLETED AND STOREDTO DATE (D + E + F) % (G/ C) BALANCE TO FINISH (C -G) RETAINAGEFROM PREVIOUS APPLICATION (D + E) THIS PERIOD 1 09-092100-S.S Gypsum Board.S -Labor & MaterialsSubcontract General Conditions $47,175.61 $7,075.00 $2,000.00 $0.00 $9,075.00 19.24%$38,100.61 $272.25 2 09-092100-S.S Gypsum Board.S -Labor & MaterialsSubcontract Bonding $6,867.00 $6,867.00 $0.00 $0.00 $6,867.00 100.00%$0.00 $206.01 3 09-092100-S.S Gypsum Board.S -Labor & MaterialsSubcontract FramingMaterial $18,224.00 $0.00 $16,400.00 $0.00 $16,400.00 89.99%$1,824.00 $492.00 4 09-092100-S.S Gypsum Board.S -Labor & MaterialsSubcontract FramingLabor $35,500.00 $0.00 $15,000.00 $0.00 $15,000.00 42.25%$20,500.00 $450.00 5 09-092100-S.S Gypsum Board.S -Labor & MaterialsSubcontract InsulationMaterial $5,061.00 $0.00 $2,000.00 $0.00 $2,000.00 39.52%$3,061.00 $60.00 6 09-092100-S.S Gypsum Board.S -Labor & MaterialsSubcontract InsulationLabor $2,000.00 $0.00 $0.00 $0.00 $0.00 0.00%$2,000.00 $0.00 7 09-092100-S.S Gypsum Board.S -Labor & MaterialsSubcontract Drywall Material $16,500.00 $0.00 $3,300.00 $0.00 $3,300.00 20.00%$13,200.00 $99.00 8 09-092100-S.S Gypsum Board.S -Labor & MaterialsSubcontract Drywall Labor $35,760.00 $0.00 $0.00 $0.00 $0.00 0.00%$35,760.00 $0.00 9 09-092100-S.S Gypsum Board.S -Labor & MaterialsSubcontract Acoustical Ceiling Labor $27,740.00 $0.00 $0.00 $0.00 $0.00 0.00%$27,740.00 $0.00 10 09-092100-S.S Gypsum Board.S -Labor & MaterialsSubcontract Acoustical Ceiling Material $48,260.00 $0.00 $0.00 $0.00 $0.00 0.00%$48,260.00 $0.00 11 09-092100-S.S Gypsum Board.S -Labor & MaterialsSubcontract Contractor Fee $31,601.39 $0.00 $2,000.00 $0.00 $2,000.00 6.33%$29,601.39 $60.00 TOTALS:$274,689.00 $13,942.00 $40,700.00 $0.00 $54,642.00 19.89%$220,047.00 $1,639.26 Grand Totals A B C D E F G H I ITEM NO.DESCRIPTION OF WORK SCHEDULED VALUE WORKCOMPLETED MATERIALS PRESENTLY STORED (NOT IN D OR E) TOTAL COMPLETED AND STOREDTO DATE (D + E + F) % (G/ C) BALANCE TO FINISH (C -G) RETAINAGEFROM PREVIOUS APPLICATION (D + E) THIS PERIOD GRAND TOTALS:$274,689.00 $13,942.00 $40,700.00 $0.00 $54,642.00 19.89%$220,047.00 $1,639.26 CONTINUATION SHEET DOCUMENTDETAIL SHEET Page 2of2 APPLICATION AND CERTIFICATE FOR PAYMENT 2 TO OWNER: PROJECT: Distribution to: City of Waukee Iowa Waukee Exg. Fire/Police Building Renovation PERIOD TO: 230 W Hickman Road 1300 SE La Grant Parkway PROJECT NOS:Owner Waukee, IA, 50263 Waukee, Iowa 50263 X Const. Mgr FROM CONTRACTOR:VIA ARCHITECT / CM CONTRACT DATE:Architect Carter Built Ryan Companies, US Inc.Contractor 207 Dwelling Drive 111 E Grand Avenue, Suite 200 New Sharon, IA 50207 Des Moines, IA 50309 CONTRACT FOR:Bid Package 05: Framing, Drywall & ACT $ CONTRACTOR: $ 3. CONTRACT SUM TO DATE (Line 1 +/- 2)-----$ By: Date: 4. TOTAL COMPLETED TO DATE-------------------$ (Column G on Continuation Sheet)State of: 5. RETAINAGE:County of: a. 3.0% of Completed Work $ Subscribed and sworn to before (Columns D+E on Continuation Sheet)me this b. 3.0% of Stored Material $ (Column F on Continuation Sheet)Notary Public: My Commission expires: $ $ (Line 4 less Line 5 Total) 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT $ $ 9. BALANCE TO FINISH, INCLUDING RETAINAGE (Line 3 less Line 6) $ By: Date: CHANGE ORDER SUMMARY 8. CURRENT PAYMENT DUE--------------------------39,479.00 ADDITIONS DEDUCTIONS In accordance with Contract Documents, based on on-site observations and the data comprising application, the Architect certifies to the Owner that to the best of the Architect's knowledge, information and belief the Work has progressed as indicated, the quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. 6. TOTAL EARNED LESS RETAINAGE----------- AMOUNT CERTIFIED ---------------------------------- $ (Line 6 from prior Certificate)------------------- 13,523.74 53,002.74 This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner of Contractor under this Contract. (Attach explanation if amount certified differs from the amount applied for. Initial all figures on this application and on the Continuation Sheet that are changed to conform to the amount certified.) ARCHITECT: 221,686.26 NET CHANGES by Change Order TOTALS Total approved this Month Total changes approved in previous months by Owner PAGE ONE OF PAGES 6/31/2026 APPLICATION #: 2 04/20/26 274,689.00 CONTRACTOR'S APPLICATION FOR PAYMENT 1. ORIGINAL CONTRACT SUM----------------------- 274,689.00 2. Net change by Change Orders------------------ The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and belief the Work covered by this Application for Payment has been completed in accordance with the Contract Documents, that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and payments received from the Owner, and that current payment shown therein is now due. Application is made for payment, as shown below, in connection with the Contract. Continuation Sheet is attached. 54,642.00 Total in Column 1 of Continuation Sheet-------- Total Retainage (Line 5a + 5b or CERTIFICATE FOR PAYMENT 1,639.26 day of 1,639.26 6/23/2026 Page 2 of 2 2 PROJECT: 06/23/26 Waukee Exg. Fire/Police Building Renovation 6/31/2026 1300 SE La Grant Parkway Waukee, Iowa 50263 A B C D E F H I Item Description of Work Scheduled Materials Total % Balance Retainage No. Value From Previous This Period Presently Completed (G/C) To Finish Application Stored And Stored (C - G) (D + E) (Not In To Date D or E) (D + E + F) 1 General Conditions 47,175.61 7,075.00 2,000.00 9,075.00 19% 38,100.61 272.25 2 Bonding 6,867.00 6,867.00 6,867.00 100% 206.01 3 Framing Material 18,224.00 16,400.00 16,400.00 90% 1,824.00 492.00 4 Framing Labor 35,500.00 15,000.00 15,000.00 42% 20,500.00 450.00 5 Insulation Material 5,061.00 2,000.00 2,000.00 40% 3,061.00 60.00 6 Insulation Labor 2,000.00 2,000.00 7 Drywall Material 16,500.00 3,300.00 3,300.00 20% 13,200.00 99.00 8 Drywall Labor 35,760.00 35,760.00 9 Acoustical Ceiling Labor 27,740.00 27,740.00 10 Acoustical Ceiling Material 48,260.00 48,260.00 11 Contractor Fee 31,601.39 2,000.00 2,000.00 6% 29,601.39 60.00 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 SUBTOTALS PAGE 2 274,689.00 13,942.00 40,700.00 54,642.00 20% 220,047.00 1,639.26 Manufactuer or Supplier CONTINUATION SHEET APPLICATION DATE: PERIOD TO: ARCHITECT'S PROJECT NO: G Pages ATTACHMENT TO PAY APPLICATION APPLICATION NUMBER: Work Completed TO CONTRACTOR:PROJECT:APPLICATION NO:1 Ryan Companies 533South ThirdStreet,Suite 100 Minneapolis,Minnesota 55415 WaukeeExistingFire/PoliceRenovation CMA 1300 SELAGrantParkway Waukee,Iowa 50263 INVOICENO: PERIOD:06/01/26- 06/30/26 PROJECTNO:007507CMA FROMSUBCONTRACTOR:CONTRACTNO:BP-08 Des MoinesMarbleand MantelCo 1507Ohio St Des Moines,Iowa 50314 CONTRACTDATE:04/20/2026 CERTIFICATEDATE:07/13/2026 SUBMITTEDDATE: SUBCONTRACT FOR:Tile &Flooring SUBCONTRACTOR'SAPPLICATIONFOR PAYMENT Application ismadefor payment,as shownbelow,in connection with the Subcontract.Continuation Sheetisattached. 1. OriginalContractSum $188,620.00 2. Netchange bychange orders $0.00 3. ContractSumtodate(Line 1±2)$188,620.00 4. Total completed andstored to date (Column Gon detailsheet)$30,792.00 5. Retainage: a.3.00%ofcompleted work $92.25 b.3.00%ofstored material $831.51 Total retainage (Line5a +5b ortotal in columnIofdetailsheet)$923.76 6. Total earned less retainage (Line4 lessLine5 Total)$29,868.24 7. Lessprevious certificatesfor payment (Line6 fromprior certificate)$0.00 8. Currentpaymentdue:$29,868.24 9. Balance to finish,including retainage (Line3 lessLine6)$158,751.76 CHANGEORDERSUMMARY ADDITIONS DEDUCTIONS Total changesapproved inprevious monthsby Owner/Client:$0.00 $0.00 Total approvedthismonth:$0.00 $0.00 Totals:$0.00 $0.00 Netchange bychange orders:$0.00 The undersigned certifies that to the best of the Subcontractor'sknowledge, information and belief, the Work covered by this Application for Payment has been completed in accordance with the SubcontractDocuments, that all amounts have been paid by the Subcontractor for Work which previous Certificates for payment were issued and payments received from the Owner/Client, and thatcurrentpaymentsshownhereinis nowdue. SUBCONTRACTOR:Des Moines Marbleand MantelCo By:ProcoreSubcontractorSignHere Date:ProcoreSubcontractorSignedDate Stateof: Countyof: Subscribedandsworntobefore me this dayof NotaryPublic: Mycommissionexpires: APPLICATION ANDCERTIFICATEFORPAYMENT DOCUMENTSUMMARYSHEET Page 1of2 DocumentSUMMARYSHEET,APPLICATION ANDCERTIFICATEFOR PAYMENT,containing APPLICATIONNUMBER: 1 Contractor's signed Certificationisattached.APPLICATIONDATE: 06/23/2026 Use Column IonContracts where variable retainage forlineitems apply.PERIOD: 06/01/26 -06/30/26 Contract Lines A B C D E F G H I ITEM NO.BUDGET CODE DESCRIPTIONOFWORK SCHEDULED VALUE WORKCOMPLETED MATERIALS PRESENTLY STORED (NOT IN D OR E) TOTAL COMPLETED AND STOREDTO DATE (D + E + F) % (G/ C) BALANCE TO FINISH (C -G) RETAINAGEFROM PREVIOUS APPLICATION (D + E) THIS PERIOD 1 09-093000-S.S Tile.S -Labor & Materials Subcontract 09 30 00 Material $41,555.00 $0.00 $0.00 $0.00 $0.00 0.00%$41,555.00 $0.00 2 09-093000-S.S Tile.S -Labor & Materials Subcontract 09 30 00 Labor $42,465.00 $0.00 $0.00 $0.00 $0.00 0.00%$42,465.00 $0.00 3 09-093000-S.S Tile.S -Labor & Materials Subcontract 03 35 11Material $4,200.00 $0.00 $0.00 $0.00 $0.00 0.00%$4,200.00 $0.00 4 09-093000-S.S Tile.S -Labor & Materials Subcontract 03 35 11Labor $13,100.00 $0.00 $0.00 $0.00 $0.00 0.00%$13,100.00 $0.00 5 09-093000-S.S Tile.S -Labor & Materials Subcontract 09 65 00 Material $21,210.00 $0.00 $1,675.00 $15,097.00 $16,772.00 79.08%$4,438.00 $503.16 6 09-093000-S.S Tile.S -Labor & Materials Subcontract 09 65 00 Labor $8,990.00 $0.00 $0.00 $0.00 $0.00 0.00%$8,990.00 $0.00 7 09-093000-S.S Tile.S -Labor & Materials Subcontract 09 65 66 Material $14,081.00 $0.00 $1,400.00 $12,620.00 $14,020.00 99.57%$61.00 $420.60 8 09-093000-S.S Tile.S -Labor & Materials Subcontract 09 65 66 Labor $2,819.00 $0.00 $0.00 $0.00 $0.00 0.00%$2,819.00 $0.00 9 09-093000-S.S Tile.S -Labor & Materials Subcontract 09 68 14 Material $33,353.00 $0.00 $0.00 $0.00 $0.00 0.00%$33,353.00 $0.00 10 09-093000-S.S Tile.S -Labor & Materials Subcontract 09 68 14 Labor $4,947.00 $0.00 $0.00 $0.00 $0.00 0.00%$4,947.00 $0.00 11 09-093000-S.S Tile.S -Labor & Materials Subcontract Bond $1,900.00 $0.00 $0.00 $0.00 $0.00 0.00%$1,900.00 $0.00 TOTALS:$188,620.00 $0.00 $3,075.00 $27,717.00 $30,792.00 16.32%$157,828.00 $923.76 Grand Totals A B C D E F G H I ITEM NO.DESCRIPTION OF WORK SCHEDULED VALUE WORKCOMPLETED MATERIALS PRESENTLY STORED (NOT IN D OR E) TOTAL COMPLETED AND STOREDTO DATE (D + E + F) % (G/ C) BALANCE TO FINISH (C -G) RETAINAGEFROM PREVIOUS APPLICATION (D + E) THIS PERIOD GRAND TOTALS:$188,620.00 $0.00 $3,075.00 $27,717.00 $30,792.00 16.32%$157,828.00 $923.76 CONTINUATION SHEET DOCUMENTDETAIL SHEET Page 2of2 07/06/2026 Phillips Stafford Insurance Group 809 8th St SW Suite A Altoona IA 50009 jstafford@phillipsstafford.com 18780 18780 00005714 Columbia National Insurance P O Box 618 Columbia MO 65205 Phillips Floors Inc 1605 N 9th St Indianola IA 50125-4835 CMPIA304388 07/01/2026 07/01/2027 1605 N 9th St Indianola IA 50125-4835 Loc# 00001/Bldg# 00002 Agreed Value Extension Personal Property, Replacement Cost, Special form 2,122,160 2,500 Project: Waukee Existing PD/FD Reno; 1300 SE La Grant Pkwy, Waukee, IA 50263 Location Stored: 1605 N 9th St, Indianola, IA 50125 Materials Stored: Resilient Floor, Resilient Athletic Flooring, and Tile Carpeting Materials Value: $68,640.00 City of Waukee 230 W Hickman Rd Waukee IA 50263 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CANCELLATION © 1993-2015 ACORD CORPORATION. All rights reserved.ACORD 27 (2016/03) The ACORD name and logo are registered marks of ACORD THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS EVIDENCE OF PROPERTY INSURANCE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. PROPERTY INFORMATION LOCATION/DESCRIPTION COVERAGE INFORMATION COVERAGE / PERILS / FORMS AMOUNT OF INSURANCE DEDUCTIBLE PHONE(A/C, No, Ext): (A/C, No):FAX E-MAILADDRESS: AGENCY THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST. CUSTOMER ID #:AGENCY SUB CODE:CODE: INSURED LOAN NUMBER POLICY NUMBER TERMINATED IF CHECKED CONTINUED UNTILEXPIRATION DATEEFFECTIVE DATE THIS REPLACES PRIOR EVIDENCE DATED: COMPANY DATE (MM/DD/YYYY)EVIDENCE OF PROPERTY INSURANCE REMARKS (Including Special Conditions) MORTGAGEE ADDITIONAL INSURED LOSS PAYEE ADDITIONAL INTEREST NAME AND ADDRESS AUTHORIZED REPRESENTATIVE LOAN # PERILS INSURED BASIC BROAD SPECIAL LENDER'S LOSS PAYABLE 06/26/2026 Phillips Stafford Insurance Group 809 8th St SW Suite A Altoona IA 50009 Josh Stafford jstafford@phillipsstafford.com Phillips' Floors, Inc 1605 N 9TH ST Indianola IA 50125 Columbia National Insurance 19640 Columbia Insurance Company 40371 Philadelphia Contributorship 17914 CL2662611887 A Y Y CMPIA2000025839 07/01/2026 07/01/2027 1,000,000 100,000 5,000 1,000,000 2,000,000 2,000,000 B Y Y CAPIA2000025839 07/01/2026 07/01/2027 1,000,000 Medical payments 5,000 A Y Y CUPIA2000025839 07/01/2026 07/01/2027 8,000,000 8,000,000 A Y Y WCPIA2000025839 07/01/2026 07/01/2027 1,000,000 1,000,000 1,000,000 C Employment Practices Liability PHSD1873493-001 07/01/2026 07/01/2027 Employment Practices Liability Insurance$1,000,000 Project: Waukee Existing PD/FD Reno 1300 SE La Grant Pkwy, Waukee, IA 50263 City of Waukee, Iowa; 230 W Hickman Road, Waukee, IA 50263 and all other parties required by written contract are Additional Insureds on a primary and non-contributory basis for ongoing and completed operations. Waiver of Subrogation applies to the General Liability, Auto Liability, Umbrella Liability, and Worker's Compensation policies. Des Moines Marble and Mantel 1507 Ohio Street Des Moines IA 50314 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. *LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS SHOWN ARE INCLUSIVE OF AMOUNTS REQUESTED BY THE CERTIFICATE HOLDER AND MAY NOT REFLECT POLICY LIMIT AMOUNTS IN EXCESS OF THOSE REQUESTED.*Not Applicable in WY $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2025/12)© 1988-2025 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 1 OFF-SITE STORAGE AGREEMENT – THIRD PARTY FACILITY THIS AGREEMENT, made this _25th________ day of _____June_______, 2026___, by and between _Phillips’ Floors, Inc._ (“Grantor”), _Des Moines Marble & Mantel_(“Prime Contractor”) and City of Waukee, Iowa (“Grantee”). WHEREAS, Grantee, as the Owner, and Prime Contractor entered into that certain Contract Agreement dated __April 3, 2026________ “Contract”) for certain work at the Waukee Existing Fire/Police Renovation Project in Waukee, Iowa (the “Project”). WHEREAS, under the Contract, Grantee has purchased from Prime Contractor certain materials described on Exhibit A hereto (the “Offsite Materials”), which sale is evidenced by a Bill of Sale, the form of which is attached hereto as Exhibit B. WHEREAS, the Offsite Materials are being stored by Prime Contractor at __1605 N. 9th Street Indianola, IA 50125_ ( “Premises”), which is owned by Grantor. WHEREAS, Prime Contractor desires that Grantee have access to the Premises to claim the Offsite Materials upon the event (i) Prime Contractor fails to deliver the Offsite Materials to the Project site no later than seven (7) days after request by Grantee and in accordance with the Contract or (ii) upon Prime Contractor’s default under the Contract or (iii) to audit the existence of material purchased by Grantee in the storage facility (either of the foregoing an “Access Event”). NOW, THEREFORE, in consideration of the mutual promises of the parties contained herein, the parties hereto agree as follows: 1.Right of Entry. Upon the occurrence of an Access Event and notice from Grantee to both Prime Contractor and Grantor of the same (which notice shall be deemed sufficient and incontrovertible), Grantor agrees to provide Grantee access to the Premises to claim the Offsite Materials. 2.Term of Right of Entry. This Agreement shall remain effective until the Offsite Materials are no longer located upon the Premises. 3.Hold Harmless and Indemnity. Grantee agrees to indemnify and save harmless Grantor from and against any and all liabilities, damages, costs, expenses (including reasonable attorney’s fees), causes of action, suits, claims, demands, or judgments of any nature whatsoever to the extent arising from the removal of the Offsite Materials from the Premises. 4.Segregation and Ownership of Offsite Materials. Grantor agrees to keep the Offsite Materials segregated from all other property at the Premises and in an orderly manner easily recognizable by Grantee should it need to claim such materials. Grantor agrees that it has no claim or right in any such materials and it Crtkn"42."4248 2 shall not object to Grantee’s removal of the same. Grantor agrees that any costs associated with storing such materials shall be the sole responsibility of Prime Contractor. 5.Insurance. Prime Contractor agrees that the Offsite Materials are being insured at the full replacement value thereof by Prime Contractor until their delivery and acceptance by Grantee at the Project site. Grantee shall be named as a loss payee on such insurance and a certificate shall be delivered to Grantee prior to storage of the Offsite Materials at the Premises. 6.Miscellaneous. This Agreement shall be governed by the law of the state in which the Premises is located. The persons signing this Agreement on behalf of the respective parties represent that they are authorized to act for and bind the parties with respect to the matters set forth herein. Photostatic signatures shall be treated as originals. 3 IN WITNESS WHEREOF, the parties hereto have executed this Right of Entry Agreement as of the day and year first written above. PRIME CONTRACTOR ________________________ By:______________________ Its:______________________ GRANTEE City of Waukee, Iowa By:______________________ Its:______________________ GRANTOR ___________________________ By:_Jeff Bates_______________ Its:__Project Manager_________ Fkpq"FgOcteq Rtqlgev"Ocpcigt 4 Exhibit A Itemization of Offsite Materials (Note – This should be the same list as Exhibit A to the Bill of Sale) 5 Exhibit B Form of Bill of Sale BILL OF SALE _____________________("Seller"), in consideration of the sum of Dollar(s) ($) and other good and valuable consideration to it in hand paid by City of Waukee, Iowa ("Buyer"), the receipt and sufficiency of which is hereby acknowledged, does hereby grant, bargain, sell and convey unto Buyer all personal described on Exhibit A attached hereto and made a part hereof (the “Property”). The Property is to constitute certain material purchased by Buyer and sold by Seller under that certain Contract Agreement dated _________________(the “the “Contract”) for certain work at the __________________________________________________Project in ___________________(the “Project”), which material is being stored by Seller off-site from the Project until its delivery to and incorporation into the Project. TO HAVE AND TO HOLD THE SAME unto Buyer, its successors and assigns, forever. And Seller, for itself and its successors and assigns, does hereby covenant and agree to and with Buyer, its successors and assigns, that Seller is the lawful owner of said Property and has good right to sell the same as aforesaid; that the same is free from all encumbrances; and that Seller will warrant and defend the sale of said Property hereby made unto Buyer, its successors and assigns, forever, against all and every person or persons whomsoever lawfully claiming or to claim the same. IN WITNESS WHEREOF, the Seller has caused these presents to be executed and delivered on and as of _______________,20___20___ ________________________________________________________________________________ By Its Fgu"Oqkpgu"Octdng"("Ocpvgn 52.9;4022 Lwpg"47 Crtkn"42."4248 Ycwmgg"Gzkuvkpi"Hktg1Rqnkeg"Dwknfkpi"TgpqxcvkqpYcwmgg"Gzkuvkpi"Hktg1Rqnkeg"Dwknfkpi"Tgpqxcvkqp Ycwmgg."KC Fkpq"FgOcteq Rtqlgev"Ocpcigt 6 Exhibit A to Bill of Sale The Property TO CONTRACTOR:PROJECT:APPLICATION NO:2 Ryan Companies 533South ThirdStreet,Suite 100 Minneapolis,Minnesota 55415 WaukeeExistingFire/PoliceRenovation CMA 1300 SELAGrantParkway Waukee,Iowa 50263 INVOICENO:5435 PERIOD:06/01/26- 06/30/26 PROJECTNO:007507CMA FROMSUBCONTRACTOR:CONTRACTNO:BP-10 Air-Con Mechanical Corp 3121SE14th St Des Moines,Iowa 50320 CONTRACTDATE:04/20/2026 CERTIFICATEDATE:07/13/2026 SUBMITTEDDATE: SUBCONTRACT FOR:Plumbing SUBCONTRACTOR'SAPPLICATIONFOR PAYMENT Application ismadefor payment,as shownbelow,in connection with the Subcontract.Continuation Sheetisattached. 1. OriginalContractSum $282,445.00 2. Netchange bychange orders $0.00 3. ContractSumtodate(Line 1±2)$282,445.00 4. Total completed andstored to date (Column Gon detailsheet)$67,220.24 5. Retainage: a.3.00%ofcompleted work $2,016.62 b.0.00%ofstored material $0.00 Total retainage (Line5a +5b ortotal in columnIofdetailsheet)$2,016.62 6. Total earned less retainage (Line4 lessLine5 Total)$65,203.62 7. Lessprevious certificatesfor payment (Line6 fromprior certificate)$25,613.24 8. Currentpaymentdue:$39,590.38 9. Balance to finish,including retainage (Line3 lessLine6)$217,241.38 CHANGEORDERSUMMARY ADDITIONS DEDUCTIONS Total changesapproved inprevious monthsby Owner/Client:$0.00 $0.00 Total approvedthismonth:$0.00 $0.00 Totals:$0.00 $0.00 Netchange bychange orders:$0.00 The undersigned certifies that to the best of the Subcontractor'sknowledge, information and belief, the Work covered by this Application for Payment has been completed in accordance with the SubcontractDocuments, that all amounts have been paid by the Subcontractor for Work which previous Certificates for payment were issued and payments received from the Owner/Client, and thatcurrentpaymentsshownhereinis nowdue. SUBCONTRACTOR:Air-ConMechanical Corp By:ProcoreSubcontractorSignHere Date:ProcoreSubcontractorSignedDate Stateof: Countyof: Subscribedandsworntobefore me this dayof NotaryPublic: Mycommissionexpires: APPLICATION ANDCERTIFICATEFORPAYMENT DOCUMENTSUMMARYSHEET Page 1of2 DocumentSUMMARYSHEET,APPLICATION ANDCERTIFICATEFOR PAYMENT,containing APPLICATIONNUMBER: 2 Contractor's signed Certificationisattached.APPLICATIONDATE: 06/23/2026 Use Column IonContracts where variable retainage forlineitems apply.PERIOD: 06/01/26 -06/30/26 Contract Lines A B C D E F G H I ITEM NO.BUDGET CODE DESCRIPTIONOFWORK SCHEDULED VALUE WORKCOMPLETED MATERIALS PRESENTLY STORED (NOT IN D OR E) TOTAL COMPLETED AND STOREDTO DATE (D + E + F) % (G/ C) BALANCE TO FINISH (C -G) RETAINAGEFROM PREVIOUS APPLICATION (D + E) THIS PERIOD 1 22-220000-S.S Plumbing.S - Labor & Materials Subcontract Bond $2,825.00 $2,825.00 $0.00 $0.00 $2,825.00 100.00%$0.00 $84.75 2 22-220000-S.S Plumbing.S - Labor & Materials Subcontract Mobilization $3,000.00 $3,000.00 $0.00 $0.00 $3,000.00 100.00%$0.00 $90.00 3 22-220000-S.S Plumbing.S - Labor & Materials Subcontract Plumbing Demo $26,605.00 $8,779.65 $4,522.85 $0.00 $13,302.50 50.00%$13,302.50 $399.08 4 22-220000-S.S Plumbing.S - Labor & Materials Subcontract PipeInsulation Materials $6,600.00 $0.00 $0.00 $0.00 $0.00 0.00%$6,600.00 $0.00 5 22-220000-S.S Plumbing.S - Labor & Materials Subcontract PipeInsulation Labor $5,200.00 $0.00 $0.00 $0.00 $0.00 0.00%$5,200.00 $0.00 6 22-220000-S.S Plumbing.S - Labor & Materials Subcontract Water PipingMaterials $35,623.00 $0.00 $13,536.74 $0.00 $13,536.74 38.00%$22,086.26 $406.10 7 22-220000-S.S Plumbing.S - Labor & Materials Subcontract Water PipingLabor $37,348.00 $0.00 $7,469.60 $0.00 $7,469.60 20.00%$29,878.40 $224.09 8 22-220000-S.S Plumbing.S - Labor & Materials Subcontract Sanitary PipeMaterials $20,719.00 $5,179.75 $1,035.95 $0.00 $6,215.70 30.00%$14,503.30 $186.47 9 22-220000-S.S Plumbing.S - Labor & Materials Subcontract Sanitary PipeLabor $44,140.00 $6,621.00 $10,152.20 $0.00 $16,773.20 38.00%$27,366.80 $503.20 10 22-220000-S.S Plumbing.S - Labor & Materials Subcontract Plumbing Fixtures Material $81,950.00 $0.00 $4,097.50 $0.00 $4,097.50 5.00%$77,852.50 $122.93 11 22-220000-S.S Plumbing.S - Labor & Materials Subcontract Plumbing Fixtures Labor $18,435.00 $0.00 $0.00 $0.00 $0.00 0.00%$18,435.00 $0.00 TOTALS:$282,445.00 $26,405.40 $40,814.84 $0.00 $67,220.24 23.80%$215,224.76 $2,016.62 Grand Totals A B C D E F G H I ITEM NO.DESCRIPTION OF WORK SCHEDULED VALUE WORKCOMPLETED MATERIALS PRESENTLY STORED (NOT IN D OR E) TOTAL COMPLETED AND STOREDTO DATE (D + E + F) % (G/ C) BALANCE TO FINISH (C -G) RETAINAGEFROM PREVIOUS APPLICATION (D + E) THIS PERIOD GRAND TOTALS:$282,445.00 $26,405.40 $40,814.84 $0.00 $67,220.24 23.80%$215,224.76 $2,016.62 CONTINUATION SHEET DOCUMENTDETAIL SHEET Page 2of2 TO CONTRACTOR:PROJECT:APPLICATION NO:2 Ryan Companies 533South ThirdStreet,Suite 100 Minneapolis,Minnesota 55415 WaukeeExistingFire/PoliceRenovation CMA 1300 SELAGrantParkway Waukee,Iowa 50263 INVOICENO:10129-2 PERIOD:06/01/26- 06/30/26 PROJECTNO:007507CMA FROMSUBCONTRACTOR:CONTRACTNO:BP-11 AMCMechanical Inc 215SummitSt Otley,Iowa 50214 CONTRACTDATE:04/20/2026 CERTIFICATEDATE:07/13/2026 SUBMITTEDDATE: SUBCONTRACT FOR:Mechanical SUBCONTRACTOR'SAPPLICATIONFOR PAYMENT Application ismadefor payment,as shownbelow,in connection with the Subcontract.Continuation Sheetisattached. 1. OriginalContractSum $672,000.00 2. Netchange bychange orders $0.00 3. ContractSumtodate(Line 1±2)$672,000.00 4. Total completed andstored to date (Column Gon detailsheet)$172,567.70 5. Retainage: a.3.00%ofcompleted work $5,177.04 b.0.00%ofstored material $0.00 Total retainage (Line5a +5b ortotal in columnIofdetailsheet)$5,177.04 6. Total earned less retainage (Line4 lessLine5 Total)$167,390.66 7. Lessprevious certificatesfor payment (Line6 fromprior certificate)$63,583.50 8. Currentpaymentdue:$103,807.16 9. Balance to finish,including retainage (Line3 lessLine6)$504,609.34 CHANGEORDERSUMMARY ADDITIONS DEDUCTIONS Total changesapproved inprevious monthsby Owner/Client:$0.00 $0.00 Total approvedthismonth:$0.00 $0.00 Totals:$0.00 $0.00 Netchange bychange orders:$0.00 The undersigned certifies that to the best of the Subcontractor'sknowledge, information and belief, the Work covered by this Application for Payment has been completed in accordance with the SubcontractDocuments, that all amounts have been paid by the Subcontractor for Work which previous Certificates for payment were issued and payments received from the Owner/Client, and thatcurrentpaymentsshownhereinis nowdue. SUBCONTRACTOR:AMCMechanicalInc By:ProcoreSubcontractorSignHere Date:ProcoreSubcontractorSignedDate Stateof: Countyof: Subscribedandsworntobefore me this dayof NotaryPublic: Mycommissionexpires: APPLICATION ANDCERTIFICATEFORPAYMENT Page 1of3 DocumentSUMMARYSHEET,APPLICATION ANDCERTIFICATEFOR PAYMENT,containing APPLICATIONNUMBER: 2 Contractor's signed Certificationisattached.APPLICATIONDATE: 06/23/2026 Use Column IonContracts where variable retainage forlineitems apply.PERIOD: 06/01/26 -06/30/26 Contract Lines A B C D E F G H I ITEM NO.BUDGET CODE DESCRIPTIONOFWORK SCHEDULED VALUE WORKCOMPLETED MATERIALS PRESENTLY STORED (NOT IN D OR E) TOTAL COMPLETED AND STOREDTO DATE (D + E + F) % (G/ C) BALANCE TO FINISH (C -G) RETAINAGEFROM PREVIOUS APPLICATION (D + E) THIS PERIOD 1 23-230000-S.S HVAC Systems.S - Labor & MaterialsSubcontract Mobilization/Management $62,800.00 $0.00 $15,700.00 $0.00 $15,700.00 25.00%$47,100.00 $471.00 2 23-230000-S.S HVAC Systems.S - Labor & MaterialsSubcontract Bond $6,983.00 $0.00 $0.00 $0.00 $0.00 0.00%$6,983.00 $0.00 3 23-230000-S.S HVAC Systems.S - Labor & MaterialsSubcontract Mechanical Demo $19,500.00 $17,550.00 $1,950.00 $0.00 $19,500.00 100.00%$0.00 $585.00 4 23-230000-S.S HVAC Systems.S - Labor & MaterialsSubcontract RefrigerationPiping $21,780.00 $0.00 $0.00 $0.00 $0.00 0.00%$21,780.00 $0.00 5 23-230000-S.S HVAC Systems.S - Labor & MaterialsSubcontract HVACInstallation $99,248.00 $0.00 $14,887.20 $0.00 $14,887.20 15.00%$84,360.80 $446.62 6 23-230000-S.S HVAC Systems.S - Labor & MaterialsSubcontract Ductwork $64,440.00 $0.00 $16,110.00 $0.00 $16,110.00 25.00%$48,330.00 $483.30 7 23-230000-S.S HVAC Systems.S - Labor & MaterialsSubcontract EquipmentInstall $45,756.00 $0.00 $11,439.00 $0.00 $11,439.00 25.00%$34,317.00 $343.17 8 23-230000-S.S HVAC Systems.S - Labor & MaterialsSubcontract HVACMaterials $19,800.00 $0.00 $2,970.00 $0.00 $2,970.00 15.00%$16,830.00 $89.10 9 23-230000-S.S HVAC Systems.S - Labor & MaterialsSubcontract MAU $20,391.00 $0.00 $0.00 $0.00 $0.00 0.00%$20,391.00 $0.00 10 23-230000-S.S HVAC Systems.S - Labor & MaterialsSubcontract Radiant Heaters $17,419.00 $0.00 $17,419.00 $0.00 $17,419.00 100.00%$0.00 $522.57 11 23-230000-S.S HVAC Systems.S - Labor & MaterialsSubcontract HVLS Fans $12,544.00 $0.00 $12,544.00 $0.00 $12,544.00 100.00%$0.00 $376.32 12 23-230000-S.S HVAC Systems.S - Labor & MaterialsSubcontract RistPackageFans,FSDs,GRDs $27,195.00 $0.00 $0.00 $0.00 $0.00 0.00%$27,195.00 $0.00 13 23-230000-S.S HVAC Systems.S - Labor & MaterialsSubcontract SetpointVRV Furnaces,ERV,MS $165,375.00 $48,000.00 $0.00 $0.00 $48,000.00 29.02%$117,375.00 $1,440.00 14 23-230000-S.S HVAC Systems.S - Labor & MaterialsSubcontract Controls Sub BMS $55,994.00 $0.00 $13,998.50 $0.00 $13,998.50 25.00%$41,995.50 $419.96 15 23-230000-S.S HVAC Systems.S - Labor & MaterialsSubcontract InsulationSub ICS $19,450.00 $0.00 $0.00 $0.00 $0.00 0.00%$19,450.00 $0.00 16 23-230000-S.S T&B Sub -SMB $13,325.00 $0.00 $0.00 $0.00 $0.00 0.00%$13,325.00 $0.00 CONTINUATION SHEET Page 2of3 A B C D E F G H I ITEM NO.BUDGET CODE DESCRIPTIONOFWORK SCHEDULED VALUE WORKCOMPLETED MATERIALS PRESENTLY STORED (NOT IN D OR E) TOTAL COMPLETED AND STOREDTO DATE (D + E + F) % (G/ C) BALANCE TO FINISH (C -G) RETAINAGEFROM PREVIOUS APPLICATION (D + E) THIS PERIOD HVAC Systems.S - Labor & MaterialsSubcontract TOTALS:$672,000.00 $65,550.00 $107,017.70 $0.00 $172,567.70 25.68%$499,432.30 $5,177.04 Grand Totals A B C D E F G H I ITEM NO.DESCRIPTION OF WORK SCHEDULED VALUE WORKCOMPLETED MATERIALS PRESENTLY STORED (NOT IN D OR E) TOTAL COMPLETED AND STOREDTO DATE (D + E + F) % (G/ C) BALANCE TO FINISH (C -G) RETAINAGEFROM PREVIOUS APPLICATION (D + E) THIS PERIOD GRAND TOTALS:$672,000.00 $65,550.00 $107,017.70 $0.00 $172,567.70 25.68%$499,432.30 $5,177.04 CONTINUATION SHEET Page 3of3