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A pplication and ceutii icate eou payment AIA DOCUMC.NT G702 (Inilmclions on revetse side) osct or<i of iw.is.*JO (OWNER):Ci ty of Orono .1333 Brown Road South Crystal Bay, MN 55323 EROM (CONERACIOR):Vohnout)ca Poofincj & Shoot Motal Company, Inc.CONIRACT EOR: "oofing & Sljoeb Mota]I’ROItCE:Orono City lla.1,1/Police and Public Works Buildings AmiCAIION NO: 5I’lRIOl) lO: 1/31/93VIA (ARC IIIItCI): ARCIIIIECI'SBoarinan Kroos Pf inter and Assoc. I'ROitCE NO: 1124.04 222 North Second .StreetMinneapolis, MN 55401 CONIRACT DAIE:DIsuruiilioii lo:□ OWNER□ ARCIIIIECT□ CON I RAC I OR□DCONTRACTOR'S APPLICATION FOR PAYMENTCHANGE OROER SUMMARYChanp,e Orders approved in previous months l>y Owner ADI )ll IONS DIDUCIIONS,TOfAL 10,752 15,020Approver! this Month ;NumhQf .? A()pfoved <br />• <br />t ••13 <br />• <br />. '* TOTAIS 10,752 15,820 <br />; Nci change by CliriBye Orders 5,068 <br />Appliralion is in.ide for P.iyincnl, ns shown below, in ronneclion willi Ihc Coiitr.ul. Cuiilimialion Shed, AIA l)<Kiimenl G703, is nllntlieil.1. ORir.lNAl CONTRACT SUM............................................% 156,288___________2. Net change by Change Orders ........................................% - 5,068___________). CONTRACT SUM TO DAIE (I inc 1 ± 2)..........................% 151,220___________•I. lOIAL COMPIEUL) A SIORED TO DATE......................S 150,836(Culuiiui G on G7UT)5. REIAINAGE:a. -JLQ % ol Complelcd Work J 14,933 <br />(Cuhimn D I E on C.70T) 150 <br />I).___% of Stored Mnlcrial S____________ <br />(Column r on G70I) <br />Tola! Relaioage (l ine 5a I 5h or <br />h)lal in Coliiinn I o( C'.7(H)........................................$15.083 <br />" ... Iftv »l lliv; ^ MH IVVIUS 4,1 , <br />itdormalion and belief (he Work coveted hy this Applicalion (or l’.iymenl has been <br />toinpleled in accordance with Ihe Contracl Uociin enis, dial all anioiinis have been <br />paid hy llie Conlracior lor Work (or wliith previous (‘eilific.iles lot I'aynienI weie <br />issinnl and payrnenls ri'ceived (lom llie Owner, and that curieni paynieni shown <br />herein is now due. <br />CONIRACIOR: Vohnoutka Roofing S. Sheet Metal Co.,Inc <br />lly; _ _ _2'- 1993 <br />l>. lOIAL LARNED LESS REIAINAGE....................................$ 135,753 <br />(I inc 4 lesr. I inc 5 folal) <br />7. lISS PREVIOUS CERTIIICAIIS FOR <br />PAYMENT (Line fi from prior Cerli(icale)................$ 125,403 <br />11 CUHRINI PAYMENI DUE..................................................$ 10 > 350 <br />'J. BALANCE TO fINISII, PIUS REIAINAGE........................J 15,467 <br />(Line 3 less Line (0 <br />Stale of: Ji) t ^B ^ e ■; n <br />Subscribed and swmn to before me this ^ tl.iy o <br />Notary Public: <br />My Commission expires: /? D d- t'v j ^ C*' / 7 <br />Cuurily of: hi ^ <br />ARCHITECT'S CEUTIEICATE FOR PAYMENI <br />lo a< cordaore with Ihc Conirar I Documeols, liased on on-sitrr observations and Ihe <br />rlala comprising Ihe alrovc applir alinn, Ihe Art biter I rerlilies lo the Owner that lo Ihe <br />best ol the Attliilecl's knowli:dge, ioforrnalion and belie! the Woi k has ptogiesseil as <br />ioiht.rled, die <|u.dily ol die Woik is in accoidam e willi die Cniiliar I Dor iimeiits, and <br />die Cooli.Klor is cotided lo payniool of Ihe AMOUNI Cl RIM II I). <br />AMOUNT ClRIiriri)............................................ <br />(Atl.uh cxi)lnn.Uinit if amniml cctfUicd diffciS <br />ARCIIMEC1: Boarman Kroos Pfis <br />By:------------------------------------------------- <br />Ibis Ceililiiale Is nol negoliahle. The AMOli]m k COUNTY 1 <br />......... .......W. ........... iMtsi Its • i; Iff « <br />projmlite lo any fljjhls o( llin Owner or Contractor uncIvM this Conifai I. <br />AIA UUCUAUNI C70I • AITIICAIM )H AMI) ( tRiirrr All lOK lAYMlNI • MAY l‘mi IDIIION • AIA' • I'lfll <br />till AXMMI4AH IN^Itlini Of AIUIIIIU IS. I7|S NIW YOKH AVINIII. NW. WASI flN( ,10N. t) T. fOnnf,C70MD81 <br />II •; rrspyilnltl Am! N «irlr|rr| In |f»n a