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CONTRACTOR'S PAY REQUEST DISTRIBUTION: <br />RIVERDALE DRIVE EXTENSION IMPROVEMENTS CONTRACTOR (1) <br />S.A.P. 119-115-003 'OWNER (1) <br />CITY OF RAMSEY, MN (ENGINEER (1) <br />BMI PROJECT NO. R16.111092 IBONDING CO. (1) <br />TOTAL AMOUNT BID PLUS APPROVED CHANGE ORDERS 1 '$701,270.54 <br />TOTAL, COMPLETED WORK TO DATE 1 $435,806.45 <br />TOTAL, STORED MATERIALS TO DATE 1 $0.00 <br />DEDUCTION FOR STORED MATERIALS USED IN WORK COMPLETED I $0.00 <br />TOTAL, COMPLETED WORK & STORED MATERIALS I $435,806.45 <br />RETAINED PERCENTAGE ( 5%) 1 $21,790.32 <br />TOTAL AMOUNT OF OTHER PAYMENTS OR (DEDUCTIONS) I $0.00 <br />NET AMOUNT DUE TO CONTRACTOR TO DATE $414,016.13 <br />TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES I $96,979.09 <br />PAY CONTRACTOR AS ESTIMATE NO. 2 I $317,037.04 <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 and 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: <br />Douglas -Kerr Underground, LLC <br />2142 330th Ave <br />Mora, MN 55051 <br />By , �-/V <br />/Name <br />Date % / [s -- 1 '7 <br />A on <br />• Title <br />CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT: <br />ENGINEER: BO TON & MEN( INC., 533 <br />SUNWOOD DRIVE, SUITE 206, RAMSEY, MN 55303 <br />By .P.t,tA'— (j,G C - , PROJECT MANAGER <br />K IN P. KIELB, P.E. <br />Date 11/10/2017 <br />APPROVED FOR PAYMENT: <br />OWNER: CITY OF RAMSEY By . s_ ( \ Ct E c Av2.e-r (l f 2-(I (7 <br />Name Titl Date <br />And <br />Name Title Date <br />