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<br />, <br />, <br />PAY ES:nM~TE #4 (FINAL) <br />City o~ Ramsey <br />. Ebony Addition Utility iand Street Improvements <br /> <br />SUMMARY OF BIDDING <br /> <br />Engineer <br /> <br />Bid Schedule "A". (Description of Schedule "A") <br />Bid Schedule "B" - (Description of Schedule "B") <br />TOTAL <br />Total Work Completed to Date <br />LESS PAY ESTIMATE #1 <br />LESS PAY ESTIMATE #2 <br />LESS PAY .ESTIMATE #3 <br /> <br />WE RECOMMEND FINAL PAYMENT OF: <br /> <br />$ 219,362.50 $ 215,223.00 <br />$ 131.590.04 $ 118,412.11 <br />$. 350,952.54 $ 333,635.11 <br /> $ 333,635.11 <br /> $ 217 .179 .50 <br /> $ 64,948.36 <br /> $ 21,318.01 <br /> $ 30,189.24 <br /> <br />Please verify the amount of previous payments. and the receipt of the following items prior to making payment. <br />1. Certificate of claims payment (lien waiver). <br />2. Affidavit of payment of States taxes (MN State TAX Form IC 134). <br />3. Letter of consent from surety firm. <br /> <br />APPROVALS: <br /> <br /> <br />and amounts are dorrect for the work completed to date. <br /> <br />Title: <br /> <br />Date IZ:,/ / t/ It)(; <br /> <br />ENGINEER: HAKANsON ANDERSON ASSOCIATES, INC. <br />Certification by Engineer: We recommend payment for work and quantnies as shown. <br />Signed~~~~~~ <br />nl~~~r~""""J"" Date ~~t"/o 7 <br />OWNE~' City of <br />Signed: .' <br />r",p, ~ - - '-E · Com )t'i;tn <br /> <br />S:\MunicipallAramsey\3181\SpecIRA3181pe PE - 2 <br /> <br />-84- <br />