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CONTRACTOR'S PAY REQUEST (DISTRIBUTION: <br />BUNKER LAKE BOULEVARD AND PUMA STREET IMPROVEMENTS (CONTRACTOR (1) <br />'OWNER (1) <br />CITY OF RAMSEY, MN 'ENGINEER (1) <br />BMI R16.115858 (BONDING CO. (1) <br />TOTAL AMOUNT BID PLUS APPROVED CHANGE ORDERS $923,458.23 <br />TOTAL, COMPLETED WORK TO DATE $921,832.27 <br />TOTAL, STORED MATERIALS TO DATE 1 $0.00 <br />DEDUCTION FOR STORED MATERIALS USED IN WORK COMPLETED 1 $0.00 <br />TOTAL; COMPLETED WORK & STORED MATERIALS 1 $921,832.27 <br />RETAINED PERCENTAGE ( 5%) 1 $46,091.61 <br />TOTAL AMOUNT OF OTHER PAYMENTS OR (DEDUCTIONS) 1 $0.00 <br />NET AMOUNT DUE TO CONTRACTOR TO DATE 1 $875,740.65 <br />TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES I $357,986.74 <br />PAY CONTRACTOR AS ESTIMATE NO. 2 1 $517,753.91 <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 />By <br />Date <br />Douglas -Kerr Underground, LLC <br />2142 330th Ave <br />Mora, MN 55051 <br />yam e <br />.-,'.yew <br />Title <br />CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT: <br />ENGINEER: BOLTON & MENK, INC., 7533 SUNWOOD DRIVE, SUITE 206, RAMSEY, MN 55303 <br />BY . <br />KEVIN P. KIELB, P.E. <br />Date 11/8/2018 <br />, PROJECT MANAGER <br />APPROVED FOR PAYMENT: <br />OWNER: CITY OF RAMSEY / r <br />By , I C.( L' OL24s- <br />�( I i(o 1 L8 <br />Name -" Titre Date <br />And <br />Name Title Date <br />