Laserfiche WebLink
CONTRACTOR'S PAY REQUEST DISTRIBUTION: <br />NW SANITARY SEWER AND WATERMAIN EXTENSION CONTRACTOR (1) <br />CITY OF RAMSEY OWNER (1) <br />BMI PROJECT NO.: C12.35976 ENGINEER <br /> BONDING CO. (1) <br />TOTAL AMOUNT BID PLUS APPROVEO CHANGE ORDERS $6,693,820.1 <br />TOTAL, COMPLETED WORK TO DATE $311,200.50 <br />TOTAL, STORED MATERIALS TO DATE $0.00 <br />DEDUCTION FOR STORED MATERIALS USED IN WORK COMPLETED $0.00 <br />TOTAL, COMPLETED WORK & STORED MATERIALS $311,200.50 <br />RETAINED PERCENTAGE 5% ) $15,560.03 <br />TOTAL AMOUNT OF OTHER PAYMENTS OR (DEDUCTIONS) $0.00 <br />NET AMOUNT DUE TO CONTRACTOR TO DATE $295,640.48 <br />TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES $0.00 <br />PAY CONTRACTOR AS ESTIMATE NO. 1 $295,640.48 <br />Certificate for Partial Payment <br />I hereby certi~, that, to the best of my knowledge and belief, all items quantities and pdces <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 pedod covered by this Estimate. <br />Contractor: LaTour Construction <br />-- ' 1234 Country Road 8 Nor[hwest <br />Maple lake, MN 55358 <br />By ~__. "~ ~r~','~nT'~ /~,''~ <br />t (~ Name Title <br />Date <br />CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT: <br />ENGINEER: /,~3L~~INEERS, 7333 SUNWOOD DRIVE, RAMSEY, MN. <br />By i// .~.~..?~ / , PROJECT ENGINEER <br />Justin Femrite, ~ <br />Date <br />APPROVED FOR PAYMENT: <br />OWNER: City of Ramsey,.., <br />Name Title <br />And <br />Name Title Date <br /> <br />-145- <br /> <br /> <br />