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(;3R kFI� <br />CONTRACTOR'S PAY REQUEST <br />DISTRIBUTION: <br />MISSISSIPPI RIVER TRAIL - PHASE 3 <br />CONTRACTOR (1) <br />S.P. 199-090-002 <br />OWNER (1) <br />CITY OF RAMSEY, MINNESOTA <br />ENGINEER (1) <br />BMI PROJECT NO. R16.110941 <br />BONDING CO. (1) <br />TOTAL AMOUNT BID PLUS APPROVED CHANGE ORDERS <br />$627,986.40 <br />TOTAL, COMPLETED WORK TO DATE <br />$618,339.39 <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 />$618,339.39 <br />RETAINED PERCENTAGE ( 0%) <br />$0.00 <br />TOTAL AMOUNT OF OTHER PAYMENTS OR (DEDUCTIONS) <br />$0.00 <br />NET AMOUNT DUE TO CONTRACTOR TO DATE <br />$618,339.39 <br />TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES <br />$605,972.60 <br />PAY CONTRACTOR AS ESTIMATE NO. 7 FINAL <br />$12,366.79 <br />Certificate for Final Payment <br />I hereby certify that, to the best of my knowledge and belief, all items <br />of work and material shown on this Estimate are correct and that all <br />performed in full accordance with the terms and conditions of the Contract <br />between the Owner and the undersigned Contractor, and as amended <br />authorized changes, and that the foregoing is a true and correct statement <br />for the Final Estimate, that the provisions of M. S. 290.92 have been <br />Contractor: Park Construction Company <br />1481 81 st Avenue NE <br />By SMinneapolis, MN 55432 <br />taie-- Steal" <br />quantities and prices <br />work has been <br />for this project <br />by any <br />of the amount <br />complied with and that <br />__ll / <br />Pt��d- v(ecl" x r <br />Name J Title <br />Date 1 lati' V <br />Approved <br />Co tor's Surety <br />CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT: <br />ENGINEER: BOLTON & MENK, INC.,//7533 SUNWOOD DRIVE, SUITE 206, RAMSEY, MN 55303 <br />ByPfin-•• p iG,% �"' , PROJECT MANAGER <br />KEVIN P. KIELB, P.E. <br />Date l A /// I <br />APPROVED FOR PAYMENT: <br />OWNER: CITY OF RAMSEY <br />By C__-ties C. jai L►At t ...a_r- i fr i S (l 1 <br />Name Title Date <br />And <br />Name Title Date <br />