Public Building Commission of Chicago Contractor Payment Information

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1 Public Building Commission of Chicago Contractor Payment Information Project: CTA Bus Garage Program Contract Number: C16FT General Contractor: Co. Payment Application: #8R Amount Paid: $ 1,333, Date of Payment to General Contractor: 12/13/2018 The posting of all or any portion of a contractor s payment application on the PBC s website is done solely for the purpose of providing information to subcontractors with respect the amount the contractor has requested as payment for its subcontractors on the posted portion of the payment application. The posting of this information is provided for in the PBC s Standard Terms and Conditions for Contracts Section entitled, Prompt Payment to Subcontractors. The PBC makes no representations or warranties with respect to any of the information provided by contractors on the contractors payment applications. If you are a subcontractor, and have any questions regarding the information on a posted payment application, you should contact the general contractor. Follow this project on

2 PUBLIC BUILDING COMMISSION OF CHICAGO EXHIBIT S CERTIFICATE OF ARCHITECT - ENGINEER DATE: 10/10/2018 PROJECT: CTA 77th Bus Garage Washers/High Speed Doors and Kedzie Bus Garage High Speed Doors Pay Application No.: 8R For the Period: 7/1/2018 Contract No.: C16FT to 10/5/2018 In accordance with Resolution No., adopted by the Public Building Commission of Chicago on,relating to the $ Revenue Bonds issued by the Public Building Commission of Chicago for the financing of this project (and all terms used herein shall have the same meaning as in said Resolution), I hereby certify to the Commission and to its Trustee, that: Obligations in the amounts stated herein have been incurred by the Commission and that each item thereof is a proper charge against the Account and has not been paid; and No amount hereby approved for payment upon any contract will, when added to all amounts previously paid upon such contract, exceed 90% of current estimates approved by the Architect - Engineer until the aggregate amount of payments withheld equals 5% of the Contract Price (said retained funds being payable as set forth in said Resolution). THE CONTRACTOR: Co. FOR: Is now entitled to the sum of: $ 1,333, ORIGINAL CONTRACTOR PRICE ADDITIONS DEDUCTIONS NET ADDITION OR DEDUCTION ADJUSTED CONTRACT PRICE $6,825, $0.00 $0.00 $0.00 $6,825, TOTAL AMOUNT EARNED TOTAL RETENTION a) Reserve 5% of Total Amount Earned, but Not to Exceed 5% of Contract Price $ 262, b) Liens and Other Withholding $ - c) Liquidated Damages Withheld $ - TOTAL PAID TO DATE (Include this Payment) LESS: AMOUNT PREVIOUSLY PAID AMOUNT DUE THIS PAYMENT $ $ $ $ $ $ 5,273, , ,011, ,678, ,333, Project Manager signature, date

3 10/12/18

4 PUBLIC BUILDING COMMISSION OF CHICAGO EXHIBIT A CONTRACTOR'S SWORN STATEMENT AND AFFIDAVIT FOR PARTIAL PAYMENT (page 1 of _ ) Project Name CTA 77th Bus Garage Washers/High Speed Doors and Kedzie Bus Garage High Speed Doors CONTRACTOR PBC Project # C16FT Co. Job Location 210 W. 79th Street, Chicago IL & 359 S. Kedzie Ave, Chicago IL Owner Public Building Commission Of Chicago Chicago Transit Authority APPLICATION FOR PAYMENT # 8R STATE OF ILLINOIS } SS COUNTY OF } Cook The affiant, being first duly sworn on oath, deposes and says that he is _Treasurer, of Company, an Illinois corporation, and duly authorized to make this Affidavit in behalf of said corporation, and individually; that he/she is well acquainted with the facts herein set forth and that said corporation is the Contractor with the PUBLIC BUILDING COMMISSION OF CHICAGO, Owner, under Contract No. C16FT dated the _11th day of July, 20_18_, for the following project that the following statements are made for the purpose of procuring a partial payment o 1,333, under the terms of said Contract; That the work for which payment is requested has been completed, free and clear of any and all claims, liens, charges, and expenses of any kind or nature whatsoever, and in full compliance with the contract documents and the requirements of said Owner under them. That for the purposes of said contract, the following persons have been contracted with, and have furnished or prepared materials, equipment, supplies, and services for, and having done labor on said improvement. That the respective amounts set forth opposite their names is the full amount of money due and to become due to each of them respectively. That this statement is a full, true, and complete statement of all such persons and of the full amount now due and the amount heretofore paid to each of them for such labor, materials, equipment, supplies, and services, furnished or prepared by each of them to or on account of said work, as stated: (same on SOV) A1000 A1050 A4300 PBC Change Bonds & Insurance (August 4, 2017) 33, , % 33, , $ - 33, CPM Schedule 18, , % 12, , , $ , , , General Conditions 212, , % 149, , , $ 9, , , , SUBTOTAL page1 264, , , , , $ 10, , , , PBC Change A4310 Overhead & Profit 340, , % 234, , , $15, , , , A4320 Allowance 476, , % 25, , $1, , , A1110 A1120 A1130 A1140 A1150 A1151 A1160 A1170 A1180 A1190 A1200 A1210 A1220 A1230 A1240 A1250 A1260 A1270 Mobilization - 77th 2, , % 2, , $ , Testing/Adjusting/Balanc 2, , % 2, , $ , Demolition & Temporary 2, , % 2, , $ , Asbestos & Lead Abatement - 77th 2, , % 2, , $ , Excavation,Site Work & 2, , % 2, , $ , Temporary Excavation Shoring 2, , % 2, , $ , Cast-In- Place Concrete / 2, , % 2, , $ , Masonry & Metals - 77th 2, , % 2, , $ , High Speed Doors - 77th 2, , % 2, , $ , Painting, Signs, FEX Installation - 2, , % , , $ , Permanent Bus Washer - 77th 2, , % , , $ , MEP Installation - 77th 2, , % , , $ , Testing/Adjusting/Balanc 2, , % $ , Mobilization - Kedzie 2, , % 2, , $ , Testing/Adjusting/Balanc 2, , % , , $ , Demolition,Excavation, 2, , % , , $ , High Speed Doors, Masonry, 2, , % , , $ , Testing/Adjusting/Balanc 2, , % $ , SUBTOTAL page2 861, , , , , , , , ,641.02

5 PBC Change A1280 A1290 A1300 A1310 A1320 A1330 A1340 A1350 A1360 A1370 A1380 A1390 A1400 A1410 A1420 A1430 A1440 A1450 Electrical - Kedzie 2, , % , , $ , Administrative - List of Contractor's staff assignments & Org Chart Administrative - Survey of Existing Conditions 1, , % 1, , $ 1, Administrative - Detailed Cost Breakdown Administrative - List of principal suppliers and fabricators Administrative - Baseline Schedule 10, , % 10, , $ , Administrative - Permit Administrative - Submittal Schedule Administrative - Applications for payment Administrative - Insurance Certificates Administrative - List of Subcontractors Administrative - Progress Photographs Administrative - Montly Safety Report Administrative - Safety Management Plan Administrative - Safe Work Plan Administrative - Quality Representative Administrative - Quality Plan Administrative - Concrete Washout Location Testing - Testing and Inspection Plan A1460 SUBTOTAL page3 36, , , , , , , , , PBC Change A1470 Testing - Testing and Inspection - Testing Agency Identification

6 A1480 A1490 A1500 A1510 A1520 A1530 A1540 A1550 A1560 A1570 A1590 A1600 A1630 A1640 Temp Facilities - Implementation and Termination Schedule Temp Facilities - Test & Inspection Reports Temp Facilities - Schedule for Temporary Utilties Temp Facilities - Site Plan with Field Office Location Temp Facilities - Temporary Fire, Barricade, Fence Plan TCP - Permit Application & Procurement TCP - Traffic Control Plan Administrative - Initial Product List Schedule Administrative - Completed Product List Schedule % $ Cutting Submittals 1, , % 1, , $ Demolition Submittals 1, , % 1, , $ Contaminated Soil Removal Submittals 1, , % 1, , $ Concrete Reinforcement Submittals 2, , % 2, , $ , Concrete Submittals 2, , % 2, , $ , Masonry Submittals A1650 A1670 Lozich Masonry Wood Submittals 1, , % 1, , $ % $ SUBTOTAL page4 12, , , , , , PBC Change A1680 A1690 A1700 A1710 A1720 A1730 A1740 Rytec Corp Atlantic Painting NS Corp Thermal & Moisture Protection Submittals % $ High Speed Rolling Doors Submittals+Shop 150, , % 150, , $ 7, , , Painting Submittals Expanded Metal Mesh Cages Submittals Specialties Submittals Vehicle Wash Equipment Submittals Plumbing Submittals 2, , % 2, , $ , % $ % $ , , % 8, , $ , , , % 1, , $

7 A1750 A1760 A1840 A1850 A1860 Plumbing for UG Drainage Submittals HVAC Submittals Earthwork Submittals Exterior Improvements Submittals Temporary Vehicle Wash Submittals 1, , % 1, , $ , , % 1, , $ , , % 12, , $ , % $ , , % 2, , $ , SUBTOTAL page5 179, , , , , , , PBC Change SUBTOTAL page % PBC Change SUBTOTAL page % PBC Change SUBTOTAL page % PBC Change A2640 A2650 A2660 A2670 A2680 NS Corp NS Corp Rytec Corp Bridgeport Steel Temp Bus Washer Equipment Procurement 20, , % 20, , $ 1, , , Bus Washer Equipment Procurement 60, , % , , $ 2, , , High Speed Door Procurement 450, , % 450, , , Metals Procurement Submersible Sump Pumps Procurement $ 428, , , , % 10, , $ , , , % $ , SUBTOTAL page9 544, , , , , , , , , PBC Change A2690 A2700 A2710 Unit Heaters / Exhaust Fans Procurement HVAC Controls Procurement Electrical Panelboards Procurement Masonry Procurement 20, , % 20, , $ 1, , , , , % 3, , $ , , , % $ , A2730 A2750 A2760 Lozich Masonry AMICO Expanded Metal Gates Procurement SCADA Procurement 9, , % 9, , $ , , , % $ , , , % $ ,000.00

8 Light Fixtures Procurement A2770 Rebar Procurement 40, , % 4, , , $ 2, , , , A4200 A2780 A2790 A2800 A2810 A2820 A2840 A2850 A2860 A2870 A2880 A2890 NS Corp Mobilization Field Office / Engineer's Equipment Temporary Fence Survey & Layout of Existing Conditions Rod Out and Clean Existing Drainage System as required 45, , % 31, , $ 1, , , , , % 100, , $ 5, , , , , % 6, , $ , , , % 3, , $ , , , % 7, , $ , , , % 8, , $ , Test Existing Drainage System Rough In Electric to Temp Bus Wash Equip Location 50, , % 50, , $ 2, , , Rough In Piping/Water to Temp Bus Wash Equip Location 10, , % 10, , $ , Relocate Rinse Pump, Water Storage, Water Softener System, Water H t S P B lk 48, , % 48, , $ 2, , , Install New Chemical Side-Spray Arch & Rinse Arch 30, , % 30, , , Install Jersey Barriers (provided by CTA) $ 28, , , , % 5, , $ , SUBTOTAL page10 677, , , , , , , , , PBC Change A2900 A2910 Pull Water Lines, Install Backflow Preventor & Hook Up Temporary Bus W h Pl bi 6, , % 6, , $ , Pull Wire & Hook Up Temporary Bus Washer Electrical 10, , % 10, , Interconnect Electric $ 9, A2920 Commission, Set Up, Training for Temporary Bus Washer System 24, , % 24, , $ 1, , , A2930 NS Corp Asbestos Testing 5, , % 5, , $ , A2940 EHC Industries Asbestos Abatement 1, , % 1, , $ A2950 A2960 A2970 EHC Industries CCDD Testing Demolish Remaining Bus Washer Equipment 24, , % 24, , $ 1, , , , , % 2, , $ , , , % 50, , $ 2, , ,500.00

9 A2975 A2980 A2990 A3000 A3010 A3020 A3030 A3040 A3050 A3060 A3070 A3080 Sanchez Paving EHC Industries EHC Industries Demolish MEP's Demolish Mechanical Systems Demolish Electrical Systems Demolish Plumbing Systems 120, , % 120, , $ 6, , , , , % 30, , $ 1, , , , , % 35, , $ 1, , , , , % 10, , $ , Sawcutting existing concrete / asphalt at overhead door aprons 24, , % 24, , $ 1, , , Prepare/ Enclose Site for Lead Based Paint Removal 12, , % 12, , $ , Lead Based Paint Removal 173, , % 173, , $ 8, , , Demolition of Existing Slab On Grade, Bollards, Etc. 180, , % 180, , $ 9, , , Demolition of Existing Reclaim Basin 30, , % 30, , $ 1, , , Remove Abandoned Door 12, , % 12, , $ , " Undercut at Slab On Grade 170, , % 170, , $ 8, , , Excavate Reclaim Pit & Sump Pump Basin 60, , % 60, , $ 3, , , SUBTOTAL page11 980, , , , , , , PBC Change A3090 A3100 A3120 A3130 A3140 A3150 A3160 A3170 Demo of underground piping / Install Downspout Piping 295, , % 280, , , $ 14, , , , Install piping and vents for Triple Basin & Related Piping / Venting 18, , % 18, , $ , Backfill Reclaim Pit & Sump Pump Basin 60, , % 54, , , $ 3, , , , Haul In, laydown,compact & final grade 12" Stone Base Clean d Sl Existing b O G Reclaim d Pit Excavate at overhead door aprons Layout Exterior Bollard Locations Excavate for Exterior Bollards Paint Ceiling at Bay 3 110, , % 60, , , $ 5, , , , , , % 11, , $ , , , % 14, , $ , , , % 1, , $ , , , % 3, , $ , A3180 A3190 Atlantic Painting Concrete Testing 42, , % , , $ 2, , , , , % 3, , $ ,

10 A3200 A3210 A3220 A3230 A3240 A3250 A3260 A3270 Frame Reclaim Pit & Sump Pump Basin Footings 5, , % 5, , $ , Pour Reclaim Pit & Sump Pump Basin Footings 6, , % 6, , $ , Strip Reclaim Pit & Sump Pump Basin Footings 1, , % 1, , $ Concrete Testing Frame Reclaim Pit & Sump Pump Basin Walls Pour Reclaim Pit & Sump Pump Basin Walls Strip Reclaim Pit & Sump Pump Basin Walls Reconnect Building Downspouts Layout Interior Bollard Locations 3, , % 3, , $ , , , % 22, , $ 1, , , , , % 19, , $ , , , % 4, , $ , , , % 4, , $ , A3280 2, , % , , $ , SUBTOTAL page12 627, , , , , , , , , PBC Change A3290 A3300 A3310 A3320 Excavate for Interior Bollards Concrete Testing Frame & Pour Interior Bollards Frame New Trench Drains Pour New Trench Drains 6, , % , , $ , , , % , , $ , , , % , , $ , , , % 19, , $ , A3330 Strip New Trench Drains 22, , % 22, , $ 1, , , A3340 A3350 A3360 A3380 A3390 A3400 A3410 Apply Waterproofing to Trench Drain Apply Waterproofing to Reclaim Pit & Sump Basin Layout & Install Rebar for 12" Slab on Bay 3 2, , % 2, , $ , , , % 3, , $ , , , % 30, , $ 1, , , Dowel In Rebar to existing building for 12" Bay 3 19, , % 19, , $ , Pour 12" Slab on Grade & Sawcut Control Bay 3 192, , % 96, , $ 4, , , Caulk Slab on Grade Control Joints 2, , % $ ,700.00

11 A3420 A3430 A3440 A3450 A3460 Atlantic Painting Apply floor pavement markings Seal 12" Slab on Bay 3 Frame & Pour Exterior Bollards Frame overhead door aprons Concrete Testing Pour overhead door aprons 15, , % , , $ , , , , % 4, , $ , , , , % 5, , $ , , , % 12, , $ , , , % 3, , $ , A3470 Strip overhead door aprons 23, , % 23, , $ 1, , , A3480 A3490 A3500 Sanchez Paving Lozich Masonry 1, , % 1, , $ , Asphalt patching at existing overhead door aprons 9, , % $ , Masonry - Tuckpointing existing Bay 3 52, , % 50, , , $ 2, , , , SUBTOTAL page13 474, , , , , , , , , PBC Change A3510 A3520 A3530 A3540 A3550 A3560 A3570 A3580 A3590 A3600 A3630 Lozich Masonry Bridgeport Steel Lozich Masonry Masonry - Repairs to existing Bay 3 50, , % 50, , $ 2, , , Install Steel Conduit Support Beam at Building 5 20, , % 20, , $ 1, , , Masonry - Repair pockets at Building 5 for Steel Conduit Beam 3, , % 3, , $ , Cut out and remove existing exhaust fans and relief vents 10, , % , , $ , Layout new exhaust fans and relief vents 3, , % , , $ , Install new exhaust fans and relief vents Layout new steam unit heaters and piping Install new steam unit heaters and piping Commissioning - Temperature Control Work Install Submersible sump pump Install above grade vent piping Patch roofing at openings 41, , % , , $ 2, , , , , % 3, , $ , , , % 48, , , $ 3, , , , , , % 32, , , $ 2, , , , , , % $ , , , % , , $ , , A3640 A3650 Dardon Roofing Electrical Rough In for Bay 3 Lighting 7, , % , , $ , , , % 24, , , $ 4, , , ,950.00

12 A3660 A3670 A3680 Atlantic Painting Install High Bay Lighting & Emergency Lighting for Bay 3 31, , % , , $ , , Power / Control to HVAC Equipment 20, , % 16, , , $ , , , Paint Steel Overhead Door Columns & Bollards 15, , % 3, , , $ , , Paint Walls at Bay 3 A3690 A3700 A3710 Atlantic Painting 40, , % , , $ 2, , , Layout Metal Mesh Security Cages & Partitions 2, , % $ , Install Metal Mesh Security Cages & Partitions 9, , % $ , Install Guardrail A3720 A3730 Midwest Fence Install Signs & Fire Extinguishers 8, , % $ , % $ SUBTOTAL page14 504, , , , , , , , , PBC Change A3740 A3750 A3770 A3780 A3810 A3820 A3830 A3840 A3850 A3860 A3870 A3880 A3900 NS Corp Commissioning - Overall System 5, , % $ , Install Underslab Plumbing & Catch Basins 64, , % 45, , , $ 3, , , , Install Above Grade Water Piping Install Water Heater, Eye Wash, Trap Primer Install Panel Board Site Conduit Install New Electrical Panelboards 11, , % , , $ , , , , % $ , , , % 84, , $ 4, , , , , % 6, , , $ 2, , , , Power / Control to Plumbing Equipment 65, , % 6, , , $ 2, , , , Install Video surveillance system 1, , % $ , Install Building Automation System Pipe / Wiring 65, , % , , $ 2, , , Install Bus Washer Equipment 590, , % , , $ 17, , , Hookup Bus Washer Plumbing Equipment 24, , % $ , Hookup Bus Washer Electrical / Controls 50, , % $ , Outage & Installation of new breakers in existing switchboard 20, , % $ ,000.00

13 A3910 A3920 A3930 A3940 NS Corp Bridgeport Steel Bridgeport Steel Interconnect for Temporary Bus Washer System 5, , % 5, , $ , Commissioning - Bus Washer System 95, , % $ , Inspect existing steel at overhead doors for repairs 4, , % 4, , $ , Repair existing required steel at overhead doors 65, , % 65, , $ 3, , , Install Overhead Doors A3960 A3970 Rytec Corp Overhead Door Control / Power Pipe / Wiring 72, , % 54, , , $ 3, , , , , , % 90, , , $ 5, , , , SUBTOTAL page15 1,390, ,390, , , , , , , , PBC Change A3980 A3990 A4000 A4010 A4020 A4030 Interconnect & Commission High Speed Doors Commissioning / Start- Up of Doors Mobilization Demolition of Existing Bollards Demolition of Existing Flood Lights Demolition of Existing Soffit Layout Bollard Locations 32, , % , , $ 1, , , , , % $ , , , % , , $ , , , % , , $ , , , % , , $ , , , % , , $ , A4040 Excavate for Bollards % $ A4050 A4060 A4070 A4080 A4090 A4100 A4110 A4120 Applied GeoScience Bridgeport Steel Bridgeport Steel 4, , % , , $ , Concrete Testing % $ Frame & Pour Bollards 3, , % , , $ , Patch concrete adjacent to existing bollards 1, , % , , $ , Reconstruct, Layout, Frame Existing Building Soffit 15, , % , , $ , Install Steel at Building Soffit 6, , % , , $ , Layout & Install Lighting 3, , % , , $ , Install Break Metal Soffit, Gutters, Downspouts 15, , % , , $ , Masonry repairs at overhead doors A4130 Lozich Masonry 3, , % , , $ ,

14 A4140 A4150 A4160 A4170 Rytec Corp Install Overhead Doors Overhead Door Control / Power Pipe / Wiring Install PLC System for OH Doors Interconnect Electric 32, , % , , $ 1, , , , , % , , $ 2, , , , , % , , $ , , , % , , $ 1, , , SUBTOTAL page16 251, , , , , , , PBC Change A4180 A4190 A4210 A4230 A4240 A4250 Relocate existing communication device & conduits 10, , % , , $ , Interconnect & Commission High Speed Doors 1, , % , , $ Preparation of Punchlist (77th & Kedzie) 2, , % $ , Closeout Documents- O&M Manuals / As- Builts (77th & Kedzie) 1, , % $ , Final Cleanup (77th & Kedzie) 3, , % $ , Demobilization (77th & Kedzie) 1, , % $ , PBC commission's contingency PBC Site Work Allowance PBC Camera Allowance SUBTOTAL page17 18, , , , , , subtotal page 1 264, , , , , , , , , subtotal page 2 861, , , , , , , , , subtotal page 3 36, , , , , , , , , subtotal page 4 12, , , , , , subtotal page 5 179, , , , , , , subtotal page subtotal page subtotal page subtotal page 9 544, , , , , , , , , subtotal page , , , , , , , , , subtotal page , , , , , , , subtotal page , , , , , , , , , subtotal page , , , , , , , , , subtotal page , , , , , , , , , subtotal page 15 1,390, ,390, , , , , , , , subtotal page , , , , , , , subtotal page 17 18, , , , , , TOTAL 6,825, ,825, ,870, ,403, ,273, , ,678, ,333, ,813,101.70

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