Laserfiche WebLink
APPLICATION FOR PAYMENT NO. 6 Revised <br /> <br />To: Ci~ nF Ramsey <br />From: Ma?ey Cnntnmtinn [nc 19245 Hwy 7, Excelsior, b/DC 55331 (CONTRACTOR) <br />Contract: General Cnnsrnmfion <br />Project: Minnesota Pnmp N'nuse No. 1 <br />OWNER's Contract No. ENG/NEER's Project No. <br />For Work accomplished through the date of: <br /> <br />1.) Ori~nal Contract Price: <br />2.) Net change by Change Orders/Written Amendments (+-) <br />3.) Current Contract Price (1 plus 2): <br />4..) Total completed and stored to date: <br />5.) Retainage (per Agreement): <br /> 5% o£completed work $7_a,7C)0 04 <br /> 5% of stored material: $ 0.00 <br /> Total Retainage: <br />6.) Total completed and stored to date less retainage (4.-5) <br />7.) Less previous Application for Payments: <br />8.) DUE THIS APPLICATION (6-7) <br /> <br />$ ~.9/J.,000 75 <br /> <br />$ 24,700 oa <br />$ as9.300 71 <br />$ 325.794 90 <br />$143;505.8] <br /> <br />Accompanying Documentation: <br /> <br />CONTP~'~.CTOR'S Certification: <br /> <br />The undersigned CONTRACTOR certifies that (I) all previous progress payments received from OWNER <br />on account of Work done under the Contract referred to above have been applied on account to discharge <br />CONTRACTOR's [egitmqate obligations incurred in cormection with Work covered by prior Applications <br />for Payment numbered [ through fi-inclusive; (2) title of all Work, materials and equipment incorporated in <br />said Work or otherwise listed in or covered by this Application for Payment will pass to OWNER at time of <br />payment flee and clear of all Liens, secur/ty interests and encumbrances (expect such as are covered by a <br />Bond acceptable to OWNER indemnifying OWNER. against any such Lien, security interest or <br />encumbrance); and (3) all Work covered by this Application for Payment is in accordance with the Contract <br />Documents and not defective. <br />Dated March 20, 9(102 Magney ConStruction, I. nc (Contractor) <br /> -- By. ~ <br /> resident 'y~"~/ <br /> <br />~ucbscrib~dsw~".rem' h/ , dayof /ape,/ ,2002. <br />MY Commission expires: ~'"'3 ,i ~ ~ ~%~~ <br />Payment of the above AMOUNT DUE THIS APPLICATION is recommended. <br />Dated t~[,I¢cl{/ O'?~/ gallon & Menk rnc (engineer) <br /> <br />-87- <br /> <br /> <br />