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CONTRACTOR'S PAY REQUEST DISTRIBUTION: <br />NW SANITARY SEWER AND WATERMAIN EXTENSION coNTRAC-roR (1) <br />CITY OF RAMSEY OWNER (1) <br />BMI PROJECT NO.: C12.35976 ENGINEER (1) <br /> BONDING CO. (1) <br />TOTAL AMOUNT BID PLUS APPROVED CHANGE ORDERS $6,693,820.17 <br />TOTAL, COMPLETED WORK TO DATE $6,376,244.27 <br />TOTAL, STORED MATERIALS TO DATE $31,302.74 <br />DEDUCTION FOR STORED MATERIALS USED IN WORK COMPLETED $31,302.74 <br />TOTAL, COMPLETED WORK & STORED MATERIALS $6,376,244.27 <br />TOTAL RETAINED PERCENTAGE 2% $127,524.89 <br />TOTAL AMOUNT RETAINED ON PREVIOUS ESTIMATES $318,457.46 <br />TOTAL AMOUNT OF OTHER PAYMENTS OR DEDUCTIONS $0.00 <br />NET AMOUNT DUE TO CONTRACTOR TO DATE $6,248,719.39 <br />TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES $6,050,691.81 <br />RELEASE FROM RETAINAGE ACCOUNT AS ESTIMATE NO. 12 $'190,932.57 <br />PAY CONTRACTOR AS ESTIMATE NO. 12 $7,095.00 <br />Certificate for Partial Payment <br />I hereby certify that, to the best of my knowledge and belief, all items quantities and prices <br />of work and material shown on this Estimate are correct and that all work has been <br />performed in full accordance with the terms and conditions of the Contract for this project <br />between the Owner grid the undersigned Contractor, and as amended by any <br />authorized changes, and that the foregoing is a true and correct statement of the <br />contract amount for the period covered by this Estimate. <br />Contractor: LaTour Construction <br />1234 Country Road 8 Northwest <br />Mapie lake, MN 55358 <br />By <br />Name Title <br />Date <br />CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT: <br />ENGINEER: BOLTON & MENK, INC., ENGINEERS, 7533 SUNWOOD DRIVE, RAMSEY, MN. <br />By ,PROJECT ENGINEER <br />Justin Femrite, P.E. <br />Date <br />APPROVED FOR PAYMENT: <br />OWNER: City of Ramsey <br />By <br />Name Title Date <br />And <br />Name ~ Title Date <br />_gg_ <br />