Agenda - Council - 09/26/2023 - Laserfiche WebLink

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Contractor's Application for Payment Owner: City of Ramsey Owner's ner s Project No.: 23-17 Engineer: Bolton & Menk, Inc. Engineer's Project No.: Contractor: Reshetar Systems, Inc. � � DR1.33i�893► 0R1.131247 Y Agency's Project No,: Project: The CDR Tree Clearing Contract: Application No.: 2-FINAL Application Date: 8/2/2023 Application Period: From 7/14/2023 to 8/1/2023 1. original Contract Price $ 287 ,000.00 2. Net change by Change Orders $ 3. Current Contract Price (Line 1 + Line 2) $ 287,000.00 4. Total Work completed and materials stored to date (Sum of Column G Lump Sum Total and Column.I Unit Price Total) $ 3 1D,925.0Q S. Retainage a. x $ 310,925.00 Work Completed $ ,. .. b. x $ - Stored Materials $ - c. Total Retainage (Line 5.a + Line 5.b) D. Amount eligible to date (Line 4 - Line 5.c) $ 310,925.00 7. Less previous payments $ 54 949,42 8. Amount due this application $ 2a5 975.58 9, Balance to finish, including retainage (Line 3 - Line 4) $ - Replace the Contractor's Certification on the Final Payment With the following., g The undersigned Contractor certifies, to the best of its knowledge, the following: (1) All previous progress payments received from owner on account of Work done under the Contract have been applied on covered by prior Applications for account to discharge Contractor's legitimate obligations incurred In connection with the Work co �- pP Payment; (2)Title to all Work, materials and equipment incorporated in said work, or otherwise listed In or covered by this Application for Payment, will pass to Owner at time of payment free and clear of a I I liens, security Interests, and encumbrances (except such as are covered by a bond acceptable to Owner indemnifying owner against an such liens security p s Y y interest, or encumbrances); and (3) All the Work covered by this Application for Payment is In accordance with the Contract Doc uments and is not defective; and (4)' The provisions of M. S. 290.92 have been complied with and that all claims against me by reason of the Contract have been paid or satisfactorily secured. Contractor: wslrwl� Signature: Date : Name: _ Title:� Recommended by Engineer Approved by Owner gy. By:1z Name: Kevin Klelb Name: Title: Principal Engineer Title: , Date: 8/3/2023 Date: EJCD.0 C-620 Contractor's Application for Payment (c) 2018 National Society of Professional Engineers for EJCDC. All rights reserved.