Agenda - Council - 02/26/2002 - Laserfiche WebLink

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APPLICATION FOR PAYMENT NO. 4 To: City of' Ram.~ey (OWN'ER) From: Mapo-ney Cnntn,ction; l'nc 19245 Hwy' 7, Excelsior, MN 55331 (CONTRACTOR) Contract: General (Ton~qtnmtinn Project: Minnesota Pump l--lon,qe No 3 OWNER's Contract No. ENGINEER's Project No. For Work accomplished throu?~h the date off 1/3 !/02 1.) Orig/nal Contract Price: 2.) Net change by Change Orders/Written Amendments (+-) 3.) Current Contract Price (1 plus 2): 4.) Total completed and stored to date: 5.) Retainage (per Ageement): 5% of completed work $ 1'0,960 55 5% of stored material: $._.J_,fi252~ Total Retainage: 6.) Total completed and stored to date less retainage (4-5) 7.) Less previous Application for Payments: 8.) DUE THIS APPLICATION (6-7) $ 49$;S00.00 $ 0 O0 32.6.5 Accompanying Documentation: CONTRACTOR'S Certification: The undersigned CONTRACTOR certifies that (1) all previous progress payments received from OWNER on account of Work done under the Contract referred to above have been applied on account to discharge CONTRACTOR's legitimate obligations incurred in connection with Work covered by prior Applications for Payment numbered l through zUaaclnsive; (2) title of all Work, materials and equipment incorporated in said Work or otherwise listed in or covered by this Application for Payment will pass to OWNER at time of payment free and clear of all Liens, security interests and encumbrances (eXpect such as are covered by a · Bond acceptable to OWNER. inderrmifying OWNER against any such Lien, security interest or encumbrance); and (3) all Work covered by this Application for Payment is in accordance with the Contract Documents and not detective. Dated .lan,iary 3 I 2002 Magney Construction, [nc (Contractor) MyN°tarySUbscr/bed and sv~°rn'ja~k'°re mt~thj's ~'day °f '-rtc'x/V"CommissionPUb Iic '~~~expires: .-JT_ ,t/v-, Payment of the above AMOUNT DUE THIS APPLICATION is recommended. Vlolton & Monk. [ne (on,neet) By -59-