Agenda - Council - 03/25/2025 - Laserfiche WebLink

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Contractor's Application for Payment Owner: City of Ramsey owner's Project No.: CP- 24-56 Engineer: Bolton & Menlo Inc. Engineer's Project No.: 0111.134375 Contractor: design Electric, Inc. Agency's Project No.: Project: Lift Station No. 1 Generator Contract: Application No.: 3 Application bate: 2/13/2025 Application Period: From 12/5/2024 to 1/31/2025 1. Original Contract Price $ -127,82 60 2. Net change by Change Orders $ ,- • yp - •a.-•J i 3. Current Contract Price (Line 1 + Line 2) $ - •12.7,r 857:00.- 4. Total work completed and materials stored to date (Sum of Column O Lump Sure Total and Column J Unit Price Total) $ 129,90�;�� 5. Retainage a. 1% X 129,906.36 work Completed $ 1,z�!):06 b. X $ Stored Materials $ s r c. Total Retainage (Line 5.a + Line 5.b) 6. Amount eligible to date (Line 4 - Line 5.c) 28,607.30 7. Less previous payments $ 61,606.93 B. Amount due this application $ .fi7,0o0;37 9. Balance to finish, including retainage (Line 3 - Line 4) ;:_ �;:�r• ~' NA:: Contractor's Certification 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 account to discharge Contractor's legitimate obligations incurred in connection with the work covered by prior Applications for Payment; (2) Title to all work, materials and equipment incorporated in said Work, or otherwise listed in or covered by this Application for Payment, wlll pass to Owner at time of payment free and clear of all (lens, security interests, and encumbrances (except such as are covered by a bond acceptable to Owner indemnifying owner against any such liens, securlty interest, or encumbrances); and (3) All the work Covered by this Application for Payment is In accordance with the Contract Documents and Is not defective. Contractor: DESIGN ELECTRIC INC Signature: Date: Z 2 0/ 2 0 2 5 Name: NICK BZSCHOFF Title: PRESIDENT Recommended by Engineer Approved by Owner By: By: Name: 2ach Lingl, PE Name: K Title: Project Manager 'title: A - < e- S _ � eo c-0 Date: 2/13/2025 Date: EJCDC C-620 Contractor's Application for Payment icy 2018 National Society of Professional Engineers for EJCDC. All rights reserved.