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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.: 125027 <br />Project: Waterfront Park <br />Contract: Construction Manager at Risk <br />Application No.: 3 Application Date: 5/4/2026 <br />Application Period: From 4/1/2026 to 4/30/2026 <br />1. Original Contract Price $ 3,624,184.00 <br />2. Net change by Change Orders $ <br />3. Current Contract Price (Line 1 + Line 2) $ 3,624,184.00 <br />4. Total Work completed and materials stored to date <br />(Sum of Column G Lump Sum Total and Column J Unit Price Total) $ 953,880.78 <br />5. Retainage <br />a. 5% X $ 953,880.78 Work Completed $ 47,694.04 <br />b. 5% X $ - Stored Materials $ <br />c. Total Retainage (Line 5.a + Line 5.b) $ 47,694.04 <br />6. Amount eligible to date (Line 4 - Line 5.c) $ 906,186.74 <br />7. Less previous payments (Line 6 from prior application) $ 415,716.39 <br />8. Amount due this application $ 490,470.35 <br />9. Balance to finish, including retainage (Line 3 - Line 4) $ 2,670,303.22 <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 />Contractor: Luke Nelson <br />Signature:' =72e--�--z- Date: 5/4/2026 <br />Recommended by Engineer Approved by Owner <br />By: Digitally signed by By: '7/12 <br />Title: Z' Charles O. Evens Title: k 1 <br />Date. 2026.05.12 �1"� ��= fzr` <br />Date: 09:19:07-05'00' Date: S <br />/ A .0:2,( <br />Approved by Funding Agency <br />By: By: <br />Title: Title: <br />Date: Date: <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 />