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I <br />TOTAL SCHEDULE A: <br />TOTAL SCHEDULE B: $212,64;.54 <br />' TOTAL SCHEDULE C: $ -.61 <br />$134,311.85 <br />' TOTAL SCHEDULES A--C: $405,217,99 <br />LESS PAY ESTIMATE NO. 1: $315,0:3.38 <br />LESS PAY ESTIMATE NO. 2: $45,872.19 <br />' AMOUNT DUE* <br />$44,262.42 <br />lease verify the amount of previous payments, if any, and the receipt <br />f the following from the Contractor prior to making payment. <br />' 1. Certificate of Claims Payment (Lien Waiver) <br />2. Affidavit for Payment of State Taxes (Minn. State Tax Form 134) <br />3. Letter of Consent from surety firm <br />4. 5 Year Warranty on the curb in River °s Bend <br />This figure should be reduced prior to payment for liquidated damages <br />if the City elects to assess damages. <br />APPROVALS: <br />'Q•IPRACTOR: <br />INFER: <br />,GWNER <br />Certification by Contractor: I certify that all items <br />and amounts shown are correct for the work completed to <br />date. <br />FOREST IAEE CONTRACTING, INC. <br />Signed: <br />Title: <br />Date: <br />Signed: <br />Title: <br />Late: <br />THE CITY OF RAMSEY <br />Signed: <br />' Title: <br />Late: <br />