Laserfiche WebLink
Please Remit Payment to: RJM Construction, LLC <br />DocuSign Envelope ID: 3C403090-3CED-48BC-8826-E202AC411 D80 <br />L <br />0 <br />Distribution to <br />c) ,- r- <br />N N--- N <br />O N N CD <br />0c0 t-- N <br />03 L0 L5 L5 <br />0 <br />•O <br />Project: 19520-0180 City of Ramsey Public Works <br />Application No. : <br />Cr) <br />a) CO <br />Q) L(0 <br />CL <br />U) <br />0 Z <br />(O ; <br />CD <br />CD u) <br />E <br />[Y <br />aL) <br />o <br />0 <br />Period From: <br />Ramsey, MN 55303 <br />H <br />c O 2 <br />-o <br />L _ <br />o a) <br />E }� 0 <br />O <br />c) U - <br />0) <br />a) 0 A <br />.-Q ti- <br />00 CO 0 <br />c ..c '� <br />CONTRACTOR'S APPLICATION FOR PAYMENT <br />RJM Construction LLC <br />0 <br />c <br />a) <br />>, <br />as <br />0 <br />U 0 <br />0 <br />U <br />0 <br />$16,361,624.00 <br />5 <br />0 <br />U <br />a) <br />C <br />0 <br />0 <br />C <br />5 <br />O <br />H <br />O <br />(6 <br />0 <br />$16,361,624.00 <br />a) . <br />_a . <br />O . <br />.c L <br />`u O . <br />a) v cm a) <br />fi <br />(0 (13 U) . 0 <br />CO j 0 0 <br />al 0 0 CO 0 E <br />Co U <br />.9 c it _c co <br />c o 5 U <br />o }, c <br />' - i- . 0 0 <br />.5 0 Z 0 <br />: 0 .C- c\i c f <br />< <br />a) <br />O <br />0 <br />0 <br />O <br />0 <br />-a <br />0 <br />0 0.2 <br />�.0 <br />'O n- E <br />O <br />a., o <br />Cn co U <br />CCS <br />Z <br />4. Total Completed and Stored To Date <br />Ln O <br />CO o <br />0 0 <br />03 <br />Ln <br />0 <br />a) <br />0 <br />0 <br />C(3 <br />`O <br />0 <br />O <br />0) <br />0 <br />0_ <br />CO <br />.sc <br />0 <br />0 <br />U <br />E. <br />0 <br />0 <br />..0 <br />c <br />(13 <br />0 <br />U <br />O <br />0 <br />U <br />C <br />O <br />0 <br />a) <br />5 <br />O <br />U <br />0 <br />0 <br />0 <br />0 <br />(L3 <br />0 <br />^O <br />0 <br />15 <br />TO <br />0 <br />Q' <br />a) <br />6 <br />LL <br />ui <br />U <br />1- <br />0 <br />a) <br />0 <br />0 <br />0 <br />0, <br />0 <br />0 <br />(I) <br />C <br />a) <br />LC) O ',I- <br />C() am 0 <br />0 o-) <br />LO CO LC) <br />0 0 CC; <br />~i- N <br />E09- Cr} <br />Total Retainage . . <br />U) <br />C <br />0 <br />E <br />A <br />(0 <br />L <br />0 0 <br />0 LL <br />cn <br />4) <br />j 0 <br />Ct <br />0 <br />0 0 <br />0 5 <br />W CL <br />1-6 <br />0 F— -J <br />cc; <br />0 <br />CZ <br />0 <br />O <br />(0 <br />• <br />Q <br />0 <br />O <br />O t <br />E <br />(13 <br />Cll t. <br />0O <br />0 <br />0 00 <br />4- O <br />CO <br />c0 <br />AMOUNT CERTIFIED <br />c0 <br />0o <br />N <br />N <br />mot= <br />(0 <br />Ef)- <br />8. Current Payment Due <br />9. Balance To Finish, Plus Retainage <br />w <br />S0 <br />N <br />O <br />0 <br />O <br />('3 <br />0 <br />m <br />O <br />a) <br />0 <br />A (0 <br />:Do <br />03 <br />Q <br />0. 0 <br />(0 a) <br />U <br />0 <br />T. <br />LU <br />� U <br />U <br />c <br />}- Ca <br />Z }; <br />) <br />E <br />(o <br />a) 0. <br />�0 <br />• <br />U <br />a)c <br />0 <br />O <br />CD <br />2 <br />O _cO <br />c <br />T3 <br />0 <br />a) 5 <br />a) <br />U <br />' ) C0v <br />�I 0 <br />0 <br />0 <br />CT) <br />C <br />0 <br />U <br />CO <br />c <br />0 <br />0 <br />0 <br />c <br />0 <br />a) <br />0 <br />-Fn <br />..c <br />0) <br />c <br />(O <br />0 <br />0 <br />U <br />0 <br />0 <br />0 <br />a <br />Deductions <br />O <br />0 <br />0 <br />0 <br />O <br />0 <br />0 <br />U) <br />0 <br />0 <br />0 <br />0) <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />c <br />0 <br />60 <br />0 <br />to <br />0 <br />cn <br />0 <br />413 <br />0 <br />Q <br />CHANGE ORDER SUMMARY <br />Total changes approved <br />in previous months by Uwner <br />Total Approved this Month <br />TOTALS <br />Net Changes By Change Order <br />