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DATE: 111612018 CONTRA R'S PAY REQUEST NO. 1 & Final CONTRACTOR Insituform Technologies 2017 SEWER IMPROVEMENTS OWNER City of Orono BMI PROJECT NO. C13.112902 ENGINEER Bolton & Menk FOR WORK COMPLETED FROM 10/23/2017 THROUGH 12/2912017 TOTALAMOUNT BID................................................................................................................................................... $ 223,328.30 APPROVED CHANGE ORDERS ................. ....................... ........... .......................................... I .......... ..... $ - CURRENT CONTRACT AMOUNT .................... .............................................. ............. I .... ..................... .. $ 223,328.30 TOTAL, COMPLETED WORK TO DATE....................................................................................................................... $ 207,134.50 TOTAL, STORED MATERIALS TO DATE-- ............ — ............................................................ ............... ................. $ DEDUCTION FOR STORED MATERIALS USED IN WORK COMPLETED.. ... .......... ............................................ $ - TOTAL, COMPLETED WORK & STORED MATERIALS............................................................................................... $ 207,134.50 RETAINED PERCENTAGE ( 0% ) ............. ... $ TOTAL AMOUNT OF OTHER DEDUCTIONS.......................................................................................................... $ - NET AMOUNT DUE TO CONTRACTOR TO DATE...................................................................................................... $ 207,134.50 TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES................................................................................................... $ PAY CONTRACTOR AS ESTIMATE NO. 1................................................................................................................... $ 207,134.50 Certificate for Final Payment I hereby certify that, to the best of my knowledge and belief, all Items quantities and prices of work and material shown on this Estimate are correct and that all work has been performed in full accordance with the terms and conditions of the Contract for this project between the Owner and the undersigned Contractor, and as amended by any authorized changes, and that the foregoing is a true and correct statement of the amount for the Final Estimate, that the provisions of M. S. 290.92 have been complied with and that all claims against me by reason of the Contract have been paid or satisfactorily secured. Contractor: Insituform Technologies 580 Goddard Ave //�� "Chhesterlield, MO 63005 By /.�__.___ Regional Administrator Name Title Travelers Casualty and Surety Company of America Surety Date 1/19/2018 CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT: BOLTON & MENK, INC., ENGINEERS, 2638 SHADOW LN, SUITE 200, CHASKA MN 55318 By PROJECT ENGINEER Brian D. Simmons Date 01/20/2018 APPROVED FOR PAYMENT: Owner: CITY OF Orono By Name Title Date