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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.: 4 Application Date: 6/1/2026 <br />Application Period: From 5/1/2026 to 5/31/2026 <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 $ 1,634,418.00 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 />$ 1,634,418.00 <br />$ 81,720.90 <br />$ 81,720.90 <br />$ 1,552,697.10 <br />Contractor: Luke Nelson <br />Signature: <br />906,186.74 <br />646,510.36 <br />1,989,766.00 <br />Date: 6/2/2026 <br />Recommended by Engineer Approved by Owner <br />By: _ D gitally signed by By: <br />�}� Charles O. Evens ' <br />Title: Z'„L_� Dale: 2026.06.02 Title: 2 r 1�S +'\ <br />� r I, C U�v,'' <br />Date: 10:40:31-05'00' Date: U 2.4 <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 />