Agenda - Council - 10/24/2006 - Laserfiche WebLink

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CONTRACTOR'S PAY REQUEST NW SANITARY SEWER AND WATERMAIN EXTENSION CITY OF RAMSEY BMI PROJECT NO.: C12.35976 DISTRIBUTION: CONTRACTOR (1) OWNER (1) ENGINEER (1) BONDING CO. (1) TOTAL AMOUNT BID PLUS APPROVED CHANGE ORDERS TOTAL, COMPLETED WORK TO DATE TOTAL, STORED MATERIALS TO DATE DEDUCTION FOR STORED MATERIALS USED IN WORK COMPLETED TOTAL, COMPLETED WORK & STORED MATERIALS TOTAL RETAINED PERCENTAGE (5 %) TOTAL AMOUNT RETAINED ON PREVIOUS ESTIMATES PAY RETAINAGE ACOUNT AS ESTIMATE NO. 7 TOTAL AMOUNT OF OTHER PAYMENTS OR (DEDUCTIONS) NET AMOUNT DUE TO CONTRACTOR TO DATE TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES PAY CONTRACTOR AS ESTIMATE NO. 7 $6,693,820.17 $6,079,953.61 $31,302.74 $31,302.74 $6,079,953.61 $303,997.68 $299,288.57 $4,709.11 $0.00 $5,775,955.93 $5,686,482.89 $89,473.04 I hereby certify that, to the best of my knowledge and belief, all items quantities and prices of work and material shown on this Estimate are correct and that all work has been performed in full accordance with the terms and conditions of the Contract for this project between the Owner and the undersigned Contractor, and as amended by any authorized changes, and that the foregoing is a true and correct statement of the contract amount for the period covered by this Estimate. Name Contractor: Certificate for Partial Payment LaTour Construction 1234 Country Road 8 Northwest Maple lake, MN 55358 By . Date 40. T.04, Name CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT: ENGINEER: ,BOLTON & MENK INC., ENGINEERS, 7333 SUNWOOD DRIVE, RAMSEY, MN. I , PROJECT ENGINEER _ By t? -�'` f'. J ' tin Femrite,y Date %O .6 .-O APPROVED FOR PAYMENT: OWNER: City of Ra r e By And Name PA) �OE Titi 1 j D d6, Title Date C i z MATO,e /P/i Title -103-