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Contractor's Application for Payment <br />Owner: City of Ramsey Owner's Project No.: 23-20 <br />Engineer: Bolton & Menk, Inc. Engineer's Project No.: OR1.130893 <br />Contractor: Enebak Construction Company Agency's Project No.: <br />Project: The COR Grading Improvements <br />Contract: <br />Application No.: 5 Application Date: 2/6/2024 <br />Application Period: From 1/1/2024 to 1/31/2024 <br />1. Original Contract Price $ 4,197,240.34 <br />2. Net change by Change Orders $ 56,955.69 <br />3. Current Contract Price (Line 1 + Line 2) $ 4,254,196.03 <br />4. Total Work completed and materials stored to date <br />(Sum of Column G Lump Sum Total and Column J Unit Price Total) $ 4,169,692.23 <br />5. Retainage <br />a. 5% X $ 4,169,692.23 Work Completed $ 208,484.61 <br />b. X $ - Stored Materials $ - <br />c. Total Retainage (Line 5.a + Line 5.b) $ 208,484.61 <br />6. Amount eligible to date (Line 4 - Line 5.c) $ 3,961,207.62 <br />7. Less previous payments $ 3,960,231.78 <br />8. Amount due this application $ 975.84 <br />9. Balance to finish, including retainage (Line 3 - Line 4) $ 84,503.80 <br />Contractor's Certification <br />The undersigned Contractor certifies, to the best of its knowledge, the following: <br />(1) All previous progress payments received from Owner on account of Work done under the Contract have been applied on <br />account to discharge Contractor's legitimate obligations Incurred in connection with the Work covered by prior Applications for <br />Payment; <br />(2) Title to all Work, materials and equipment incorporated In said Work, or otherwise listed in or covered by this Application for <br />Payment, will pass to Owner at time of payment free and clear of ail liens, security interests, and encumbrances (except such as <br />are covered by a bond acceptable to Owner indemnifying Owner against any such liens, security interest, or encumbrances); and <br />(3) All the Work covered by this Application for Payment is in accordance with the Contract Documents and Is not defective. <br />Contractor: Enebak Construction Company: 1672 Brandtjen Farm Drive, Lakeville, MN 55044 <br />Signature: <br />Name: <br />P2q/rc 17 <br />Recommended by Engineer <br />Approved by Owner <br />By: ' L-' GL By: <br />Name: Kevin Kielb Name: <br />Title: Principal Engineer Title: <br />Date: 2/6/2024 Date: <br />Date: <br />Title: <br />Feb. 7 ZozV <br />Mg.-7 r- <br />EJCDC C-620 Contractor's Application for Payment <br />(c) 2018 National Society of Professional Engineers for EJCDC. Ali rights reserved. <br />