01-25-1993 Council Packet - Laserfiche WebLink

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T C702 (Instructions on reverse side) PACt ONt CT 2 PACIS. Garage APPLICATION NO: I Distribution to: •□ OWNERPERIOD TO: 1-1-93 □ARCHITECTr, ‘ □ CONTRACTORLister ARCHITECT'S gPROJECT NO: . g________CONTRACT DATE; August 31, 1992I in connection with the Contract.AIA Document C703, is attached.TRACT SUM........................................t 31.000,00hange Orders .........................................................Q.QQI TO DATE (Line 1 ±2).........................$ 31.000.00ED & STORED TO DATE.....................$ 5.200.00in C703)inpleted Work $______520.70__h E on C703)red Material $______n C703)Line 5a + 5b orimn I of C703).................................. j_____ npQ.QQ .ESS RETAINACE.................................t A.ftRO.nn Line 5 Total) CERTIFICATES FOR irre 6 from prior Certificate)................$ Q.QQ due .................................................. 4.6BO.On -nSM, PLUS RHAINACE.......................1 26.170.nn Line 6) ________________ ^ County of: Milwaukee ??!U2-feL«fore me this 22jn& day of December io92 'A./-/..// A/c#' pites: i3 pernattent O................................................................................................. ( H mount certi/i-d di//erj From the mount applied for.) --------—-------- " —------------ Dale: - J«^ofiable. The AMOUNT CERTIFIED is payable only to the k »cceptance of payment arc without u\€ Owner or Contractor under Ihls Conlr^t, APP N ANU CbKllliCAlt I'UK PAYMtINI AIA UUlUMLNI LWUJ tlnsnuctiof^s reverse side) i-ACtontTO (OWNER):City of Orono 1335 Brown Road South Crystal Bay, MN 55323 FROM (CONTRACTOR):Allied Mechanical Systems 3A0 Michigan St., Hutchinson, MN 55350 CONTRACT FOR: Mechanical Work PROJECT:Orono City ilall/Police and Public Works Buildings APPLICATION NO: 8 iPERIOD TO: 12-31-92VIA (ARCHITECT): ARCHITECT'SBoarntan Kroos Pfistor and Assoc. PROJfcCT NO: 1124.04 222 North Second StreetMinneapolis, MN 55401 CCNTRA'IT DATE:Dislribulion to:□ OWNER□ ARCHITECT ’□ CONTRACTOR□ .□ ‘CONTRACTOR'S APPLICATION FOR PAYMENTCHANCE ORDER SUMMARYChange Orders approved in previous tnonihs by OwnerTOTAL ADDITIONS DEDUCTIONS8,086.71Approved this Month 1,672.00 Nuinber Date Approved CO 2 TOTALS Net change by Change Orders f9 75R.71) information and beliel the work coverea oy mis Appiicmiun lur i n toinplcicd in accordance with the Contract Documents, llial all amounts have been p.ud by the Conlr.ictor (or Work lor which previous Ccililicales (or Payment were issued and payments received (rom the Owner, and llral current payment shov.'n herein is now due. CONll^TOR: Allied Mechanical Systems of Hutchinson, Inc. Jr i ^^7 • M flyV Dale:17-71-97 ARCHITECT'S CERTIFICATE FOR PAYMENT In acc 'fclance wilh Ihc Contract Documents, based on on-siio observations and the data CO. orising the above application, llte Archiiccl cerldies to the Owner that to the best of the \r< •* ietl's knowledge, inlormalion andbclici the Work has progressed as indicated, the qualily of die Work is in accoidante with the Contract Documents, .md Ihc Contractor is entitled to payment o( the AMOUNT CERIIHfD. Application is made for P.iymenl, as shown below, in connection with the Contract. Continuation Sheet, AIA Documenl u703, 1$ attached.1. ORIGINAL CONTRACT SUM......................................$ --------2. Net change by Change Orders ...................................$ —o n*^/' oo ---------3. CONTRACT SUM TO DATE (Line 1 ± 2).......................S 3°0«-----------4. TOTAL COMPLETED & STORED TO DATE...................$ - 377 ,021 i29-----------(Column C on C703)5. RETAINACE:a. -JLD % o( Completed Work $ ■37-,-SQ2-.13Q--------(Column D r- E on C703)b. iQ % of Sto.ed Material $-------lOQ tQQ , . . (Column F tm G703I Tolal Reiainage (Line 5a i 5b or Total in Column I ol G703)...................................1 ' n^o ^lo 90 0. TOTAL EARNED LESS RETAINACE...............................S (Line 4 less Line 5 Tolal) 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT (l ine 6 (rom prior Cerli(icale)......... $ ' nn 0. CURRENT PAYMENT DUE............................................$------ 0. BALANCE TO FINISH, PLUS RETAINACE.....................$ 40,922.00 _____(Line 3 less Line 61 __________________________ Stale o(: 6k3^7 MlnAesota Subscribed and ikotn \p belor^ me Notary Public: My CommissioiVfxpires: AMOUNT CERTiriED.................................... (Attach c^pfjfintion if amount certified differs from (he amount applied foe) ARCHITECT; Boatman Kroos Pfister and Associates By;Dale; This Ccililicate is not negoliabic. The AMOUNT CERTIFIED is payable only lo the Cont.-actor named heiein. Issuance, payment and acceptance of payment are without prejudice lo any rights ol Ihc Owner or Cm,t, actor under this Contract. A!A OOCUMtNt C70J • AITltCATlON ANt) CtRnftlLAft fOH IWMINI • MAY HOT tOlttON ' AIA- • t. ml Till AMIHICAN INSTiruTl Of AHCHIUOS, 171S NIW YOHK AVirrut. N W.. WASltlNt.ION, DC. JOOrH, WAfUlirrQ; l^nl!ctnJ»rt photocopying vlol»t»» I' 4 r.opyrighi l»w^ tnd i* lubjtcllo'co** prosecution. C702-1DW