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CONTRACTOR'S PAY REQUEST <br />DISTRIBUTION: <br />2017 PUMA STREET UTILITY IMPROVEMENTS <br />CITY OF RAMSEY, MN <br />BMI PROJECT NO. R16.114473 <br />CONTRACTOR (1) <br />OWNER (1) <br />ENGINEER (1) <br />BONDING CO. (1) <br />TOTAL AMOUNT BID PLUS APPROVED CHANGE ORDERS <br />$727,667.07 <br />TOTAL, COMPLETED WORK TO DATE <br />$651,627.68 <br />TOTAL, STORED MATERIALS TO DATE <br />$0.00 <br />DEDUCTION FOR STORED MATERIALS USED IN WORK COMPLETED <br />$0.00 <br />TOTAL, COMPLETED WORK & STORED MATERIALS <br />$651,627.68 <br />RETAINED PERCENTAGE ( 5%) <br />$32,581.38 <br />TOTAL AMOUNT OF OTHER PAYMENTS OR (DEDUCTIONS) <br />$0.00 <br />NET AMOUNT DUE TO CONTRACTOR TO DATE <br />$619,046.29 <br />TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES <br />$219,340.06 <br />PAY CONTRACTOR AS ESTIMATE NO. 2 <br />$399,706.23 <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: Douglas -Kerr Underground, LLC <br />2142 330th Ave <br />Mora, MN 55051 <br />By v-i . /11 tnEi) to :.. <br />Na Title <br />Date / •- 5 - .10 /!; <br />CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT: <br />ENGINEER: BOLTON & MENK, INC., 7533 SUNWOOD DRIVE, SUITE 206, RAMSEY, MN <br />By ,g•,,, ---� �lj,�,(,(1---- , PROJECT MANAGER <br />55303 <br />KEVIN P. KIELB, P.E. <br />Date 1/5/2018 <br />APPROVED FOR PAYMENT: <br />OWNER: CITY OF RAMSEY <br />By C.,....C-t et..,l`4.2Ps ife tLtre <br />Name Title Da <br />And <br />Name Title Date <br />