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I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />! <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />! <br /> <br />APPLICATION FOR PAYMENT NO. 2 <br /> <br />To: City of' Ramsev (OWNFR~ <br />From: Mao°'ney Cnntmction. Thc. 19245 Hwy 7, Excelsior, 1MN 55331 (CONTRACTOR) <br />Contract: General Cnnstnlction <br />Project: Minnesota Pump lq'mlse N'o 3 <br />OWNER's Contract No. ENGINEER's Project No. <br />For Work accomplished through the date of: 11/30/01 <br /> <br /> 1.) Original 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 Ageement): <br /> 5% of completed work $ 6~301 00 <br /> 5% ofstoredmaterial: $ 469 45 <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 />495.q00 013 <br /> <br />496,51)0.00 <br /> 135.409.00 <br /> <br />Accompanying Documentation: <br /> <br />CONTRACTOR'S Certification: <br /> <br />The undersigned CONTRACTOR certifies that (1) all previous progress payments received fi:om OWNER <br />on account of Work done under the Contract referred to above have been applied on account to discharge <br />CONTRACTOR's legitimate obligations incurred in connection with Work covered by prior Applications <br />for Payment numbered i through 2..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 t/me of <br />payment free and clear of all Liens, security 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 December '~, 5001 - Magney Construction, Inc (Contractor) <br /> <br /> , Mark C. Ma,ney, Presiden-t <br />Subscribed and sw?nt~eflye me~-q~jai~f_ ~.2.~. , 2001. <br />My Commission e×pires: _.w-M- ~ \ "=xSb-f~~ <br /> <br />Payment of the above AxMOUNT DUE THIS APPLICATION~ recommended. <br /> <br />Dated / 2./d'/~': ,/ gnltnn & Monk. Inc. (engineer) <br /> / <br /> ~--~" /?~, .:, ~-~'~ .-,. / <br /> By / c'~'~"/~-a-~c/--"t~ <br /> <br />-81- <br /> <br /> <br />