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CONTRACTOR'S PAY REQUEST <br />DISTRIBUTION: <br />CONTRACTOR (1) <br />NW SANITARY SEWER AND WATERMAIN EXTENSION <br />OWNER (1) <br />CITY OF RAMSEY <br />ENGINEER (1) <br />BMI PROJECT NO.: C12.35976 <br />BONDING CO. (1) <br />TOTAL AMOUNT BID PLUS APPROVED CHANGE ORDERS <br />$6,693,820.17 <br />TOTAL, COMPLETED WORK TO DATE <br />$6,327,514.60 <br />TOTAL, STORED MATERIALS TO DATE <br />$31,302.74 <br />DEDUCTION FOR STORED MATERIALS USED IN WORK COMPLETED <br />$31,302.74 <br />TOTAL, COMPLETED WORK & STORED MATERIALS <br />$6,327,514.60 <br />TOTAL RETAINED PERCENTAGE 5% <br />$316,375.73 <br />TOTAL AMOUNT RETAINED ON PREVIOUS ESTIMATES <br />$306,982.13 <br />PAY RETAINAGE ACOUNT AS ESTIMATE NO. 9 <br />$9,393.60 <br />TOTAL AMOUNT OF OTHER PAYMENTS OR DEDUCTIONS <br />$0.00 <br />NET AMOUNT DUE TO CONTRACTOR TO DATE <br />$6,011,138.87 <br />TOTAL AMOUNT PAID ON PREVIOUS ESTIMATE <br />$5,832,660.48 <br />PAY CONTRACTOR AS ESTIMATE NO. 9 <br />$178,478.39 <br />Certificate for Partial Payment <br />I hereby certify that, to the best of my knowledge and belief, all items quantities and prices <br />of work and material shown on this Estimate are correct and that all work has been <br />performed in full accordance with the terms and conditions of the Contract for this project <br />between the Owner and the undersigned Contractor, and as amended by any <br />authorized changes, and that the foregoing is a true and correct statement of the <br />contract amount for the period covered by this Estimate. <br />Contractor: LaTour Construction <br />1234 Country Road 8 Northwest <br />Maple lake, MN 55358 <br />By d srz'szOJ�� <br />Name Title <br />Date pZ, 0 8 •c� <br />CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT: <br />ENGINEER: B LTON & ME C., ENGINEERS, 7333 SUNWOOD DRIVE, RAMSEY, MN. <br />By , PROJECT ENGINEER <br />JustiA Femrite, P46 <br />. <br />Date Z - S — 7 <br />APPROVED FOR PAYMENT: <br />OWNER: City of Ramsey <br />By �7 O 7 <br />Name T tle ate <br />And <br />Name Title Date <br />• <br />• <br />• <br />_56_ <br />