02-22-1993 Council Packet - Laserfiche WebLink

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PAGE; 6 OFfi APPLICATION NUMBER: 12CONTRACTORS PROJECT NO.: 4050TOTALCCMPLETTa)TOREDTODATH 1%BALANCE TO FMSH RETANAGE$0.00 0%$1,500.00 10.00$89,430.00 100%$0.00 $0.00$3,058,144.07 94%$195,094.67 ,r APPLICATION AND CERTIFICATE FOR PAYMENT aia document G702 dnstruciions on reverse side)PACf ONf Of I'ACrSTO (OWNER): City of Orono1335 Brown Road So.Crystal Bay, MN 55323FROM (CONTRACTOR): Steenberg-Watrud Con.st.10255 Inver Grove Trail Inver Grove llts., MNCONTRACT FOR:PROIECT: Orono City llnll/Police and Public Works Bldgs.VIA (ARCHlTtCT):APPLICATION NO: 7PERIOD TO: 12-31-92ARCHITECT'S PROIECT NO: 112A.04CONTRACT DATE:DistribirHon tor□ OWNER□ ARCHITECT□ CONTRACTOR□□CONTRACTOR'S APPLICATION FOR PAYMENTCHANCE ORDER SUMMARYChange Orders approved in previous months by OwnerTOTALNumberJAil I'r:Date Approved1993 i . Cv ini^'liy totals ADDITIONS DEDUCTIONS Net change by Change Orders Application is made For Payment, as shown below, in connection with the Contract. Continuation Sheet, AIA Document G703, is attaciied.1. ORIGINAL CONTRACT SUM.........................................$ 342.500.00________2. Net change by Change Orders .....................................$ ( 1.896.75')_______3. CONTRACT SUM TO DATE (Line 1 ±2)........................S 340.603.25________4. TOTAL COMPLETED & STOKED TO DATE....................$ 340.603.25________(Column G on C70J)5. RETAtNAGE:a. _JL0x, of Completed Wc^rk (Column D + E on C703)_% of Stored Materialb. _ (Column F on C70J) Total Retainage (Line 5.i + Sb or Total in Column I of G703)i 34.060.33 The undersigned Contractor certifies that to the best ol the Contractor's knowledge, information and belief the Work covered by this Application lor Payment has been completed in accordance with the Contract Dccuments, that all amounts have been paid by the Contractor (or Work for which previous Certificates for Payment were issued and payments received from the Owtrer, and that current payment shown herein is now due. y''l CONIRACIOI A; By: , :enborg-W^trm^-Constructlou, Inc. f). TOTAL EARNED LESS RETAINAGE..................................$ 306.542.92 (Line 4 less Line 5 Total) 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT (Line 6 from prior Certificate)...............S 295.766.32 8. CURRENT PAYMENT DUE..............................................$ 10.776.60 9. BALANCE TO FINISH, PLUS RETAINAGE......................$ 34.060.33 _____(Line ft less Line 6), St.ileof: \At Date:12-31-92 Subscribed apd Notary Public: idjworn IdNi; My Commission expires: before melt C IBAR/?1 ‘WATRUD •/day b Fbuc — minnesojio ;^AKOTA COUNTY r 6cm:r0crn:r.h::,fL t L: p*rc3 f' *“• 1'-'. ^ ARCHITECT'S CERTtFICATE FOR PAYMENT In accordance with the Contract Docurru'nts, based on on site observations aful the data comprisinj; tlie above application, the Architect certifies to the Owner that to the best of the Architect's knowledge, informatioft and bc'ief the Work has progressed as . indicated, the quality of the Work Is in accordance will) the Contract Oocu'^nenls, and the Contractor is entitled to payment ol the ANtOUNL CERTIEltD. AMOUNT CERlirtED...........................................................$_______________ (Attach explanation if amount certified differs from the amount applied for.) ARCHITLCF: Date: !l)is Cerlificale is no! negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment and acceptance of payment are wiUioul prejudice to any rights of the Owner or Contrutor under this Contract. AIA OOCUMINT C702 • AmiC\T!ON AND CTRIIf ICATC FOR PAVMINT • AUV fMII IDIIION • AIA* • c VHM till AMlkit INSniUU Ul Ak* MMH* mW VORK N.W.. WASMINGinf). D C.CTR? fHin