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APPLICATION FOR PAYMENT NO. 8 REVISED <br /> <br />To: CiW <br />From: Magney Contnmtion, Inc. 19245 Hwy 7, Excelsior, MN 55331 (CONTRACTOR) <br />Contract: General Constnmtion <br />Project: Minnesota Pump l~-louse No'. <br />OWNER's Contract No. ENGINEER's Project No. <br />For Work accomplished throu*~h the date of: <br /> <br />1 .) Original Contract Price: <br />2.) Net change by Change Orders/Written Amendments (+-) <br />3.) Current Contract Price (1 plus 2): <br />4.) Total completed and stored to date: <br />5.) Retainage (per Agreement): <br /> 2_5% of completed work $12.060.'~4 <br /> % of stored material: $ <br /> Total Retainage: <br />6.) Total completed and stored to date less retainage (4-5) <br />7.) Less previous Application for Payments: <br />8.) DUE THIS APPLICATION (6-7) <br /> <br />$ 495.50000 <br />$ 520,006.84 <br /> <br />$ 1~.9E;9 q4 <br /> <br />Accompanying Documentation: <br /> <br />CONTRACTOR'S Certification: <br /> <br />The undersigned CONTRACTOR certifies that (1) ali previous progress payments received from OWNER <br />on account of Work done under the Contract referred to above have been applied on account to discharge <br />CONTRACTOR's legitimate obligations incurred in coimecfion w/th Work covered by prior Applications <br />for Payment numbered 1 through 8 inclusive; (2) title of all'Work, materials and equipment incorporated in <br />said Work or otherwise listed in or covered by th/s Application for Payment will pass to OWNER at time of <br />payment free and clear of all Liens, security interests and encumbrances (expect such as are covered by a <br />Bond acceptable to OWNER indemnifying OWNER against any such Lien, security interest or <br />encumbrance); and (3) all Work covered by this Application for Payment xs in accordance with the Contract <br />Documents and not defective. <br />Dated Vehnmry ? 1. '2003 Magney Construction, Inc (Contractor) <br /> <br />Notary Public/~.-~ ~-/~,~/~ <br />My Comm/ssion expires: . <br /> <br />Payment of the above AMOUNT DUE THIS APPLICATION is recommended. <br /> <br />Dated ~[0'g t:loltnn & Meek. Inn (engineer) <br /> [ <br /> <br /> By <br /> <br />-83- <br /> <br /> <br />