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Contractor's Application for Payment <br />Owner: City of Ramsey Owner's Project No.: 25-58 <br />Engineer: Damon Farber Engineer's Project No.: 25-121 <br />Contractor: H+U Construction Contractor's Project No.: J25027 <br />Project: Waterfront Park <br />Contract: Construction Manager at Risk <br />Application No.: 1 Application Date: 2/28/2025 <br />Application Period: From 2/1/2025 to 2/28/2025 <br />1. Original Contract Price <br />2. Net change by Change Orders <br />3. Current Contract Price (Line 1 + Line 2) <br />4. Total Work completed and materials stored to date <br />(Sum of Column G Lump Sum Total and Column J Unit Price Total) <br />5. Retainage <br />a. 5% X $ 70,004.24 Work Completed <br />b. 5% X $ Stored Materials <br />c. Total Retainage (Line 5.a + Line 5.b) <br />6. Amount eligible to date (Line 4 - Line 5.c) <br />7. Less previous payments (Line 6 from prior application) <br />8. Amount due this application <br />9. Balance to finish, including retainage (Line 3 - Line 4) <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 <br />applied on account to discharge Contractor's legitimate obligations incurred in connection with the Work covered <br />by prior Applications for Payment; <br />(2) Title to all Work, materials and equipment incorporated in said Work, or otherwise listed in or covered by this <br />Application for Payment, will pass to Owner at time of payment free and clear of all liens, security interests, and <br />encumbrances (except such as are covered by a bond acceptable to Owner indemnifying Owner against any such <br />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 <br />defective. <br />3,624,184.00 <br />3,624,184.00 <br />$ 70,004.24 <br />$ 3,500.21 <br />$ 3,500.21 <br />$ 66,504.03 <br />$ 66,504.03 <br />$ 3,554,179.76 <br />Contractor: Luke Nelson <br />Signature: <br />Recommended by Engineer <br />By: <br />Title: <br />Date: <br />Digitally signed by <br />Mrles O. Evens <br />Date: 2026.03.03 <br />09:59:04-06'00' <br />Approved by Owner <br />By: <br />Title: <br />Date: <br />Approved by Funding Agency <br />By: By: <br />Title: Title: <br />Date: Date: <br />Date: 3/3/2026 <br />P2,ks br. <br />3 /0 <br />EJCDC C-620 (Rev. 1) Contractor's Application for Payment <br />(c) 2018 National Society of Professional Engineers for EJCDC. All rights reserved. <br />