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I<oc*TO (OWNER);City of Orono 1335 Brown Road South Crystal Bay, MK 55323 FROM (CONTRAaOR): <br />Allied Mechanlcol Syateno <br />3A0 Michigan St., Hutchlnpon, MR 55350 <br />CONTRACT FOR: Mechanical Work _____ <br />PROJECT:Orono City Hall/Police and Public Works BuildingsVIA (ARCHlTEa):Boarman Kroos Pfiater and <br />222 ^Jorth Second Street . <br />Minneapolis, MN 55401 <br />(Insiiucllons on reverse side)MCI ONI Ol 3 mus .APPLICAIION NO: q ^ jmDistribution to: *'i I’2□ OWNER 1PERIOD TO; 11-31-93:’□ ARCHITECT 00•□ CONTRACTOR 140ARCHITECT'S □^§0MPROJECT NOt 1124.04 O H <br />I <br />CONTRACT DATE; <br />c <br />Application It nude for Payment, at ihown below. In connection with the Contract. <br />Continuation Sheet, AIA OocumenI C703, Is attached. <br />1 CHANGE ORDER SUMMARY <br />w ^ <br />Gtange Orders approved In <br />pruviuus months by Owner <br />TOTAL <br />ADDITIONS .DEDUCTIONS <br />9,758.71 <br />Approved tnis Month <br />, Number ; Date Approved <br />1 <br />1 <br />« <br />f•• <br />1 <br />TOTALS <br />Net change by Change Orders (9^75fl.7*l) ------ <br />The onderjlijnetl Conitactor cerlifics that to the best oi Ihe contraciori Rnowicoge, <br />inronnatlnn and belief the Work covered by this Application for Payment has been <br />completed In accordance wlin the Contract Oocumenis, that all amounts have been <br />paid by ihe Contractor lor Work for which previous Cerlificates lor Payment were <br />htued and payments received from Ihe Ownc-', arid thal current payment shown <br />herein is now due. <br />/ <br />[TRACIOR: AlBled Moch«nlc«I Syateaa of HutchloBon, Inc. <br />•» I ■ <br />1. ORICINAI CONTRACT SUM .......................................$ 390|000.0p <br />2. Ncl change by Change Orders....................................5. t9»7jB«7jJ <br />3. CONTRACT SUM TO DATS (Une 1 ±21.......................>. 3BD,241.29 <br />4. TOTAL COMPUTED & STORED TO DATE...................% ■ <br />(Column C on G703) <br />5. RETAINACE; <br />a. 2-5 % of Compfeted Wbrk S , 9|506.C0 <br />(Column D + E on CI703) <br />b. __ % of Stored Material S-----------»,yV <br />(Column F on G703) <br />Total Retainage (Line Sa •(■ 5b or <br />Total in Column I of C703)....................................% w <br />6. TOTAL EARNED LESS RETAINACE................................S 37Vi71^*-?- <br />(Line 4 less Line S Total) <br />7. LESS PREVIOUS CERTIRCATES FOR <br />PAYMENT (line 6 from prior Cerllficale)..............S <br />8. CURRENT PAYMENT DUE.............................................$------- <br />9. BALANCE TO FINISH, PLUS RETAINACE,....................% <br />_____(Une 3 lest Line 4) ** *__________________________ <br />l-?R-9a <br />State ol: nitoaeso^ <br />Subsuibed ar\d ssvtMry^ <br />Notary Public; ^ <br />AW #".“;'Alll!N«E5i0TA ‘ <br />u»m <br />Ztxnn% 3-29^ <br />1^3 <br />______ liMiwairf r <br />AMOUNT ...........................................................................»Aiviv/vnii ......................................................................................................................................... <br />ARCHITECT'S CERTIFICATE FOR PAYMENT (Much eMpUnMlhn U amount cemned differ, fmnuh* »mount BppOed tou <br />In accordance with lha Contract Oocunwnts, based on onsite observations and Ihe .* ARailTECT; Boarman KrOOS Pfister and Associates <br />rljracomprlslnciheahoveapplH;allon.theArchhcctccMlfiesloiheOwncrthanothe <br />bolt of Ihe AfchuccCs knowledge, InformtUonind bclici ihcWork haiproErcsscu os By; , -----------------------— Dite; ^ . <br />Indiutea. the quaJify af the Work Is In aclordance with the Coniracl Documcnls.and CeMlflcate Is not ncnolUble, The AMOUNT CERTIFIED Is payiole only Jo Cn <br />— . . -I AAerAiifeLjr /"CDTiriirr ^ __________AAkPfnfAtefeMrlCllflWJ <br />M <br />A <br />• e <br />K) <br />Drr <br />M <br />n <br />d <br />3mo <br />X <br />o <br />X <br />M <br />n <br />J> <br />r <br />in <br />< <br />in <br />m <br />3 <br /><^ <br />b- <br />K)m <br />(0 <br />Nu <br />tnaicaicae inc qu*my i> ni <br />Ihe Contracto/ Is enUMcd to payment ol ibe AMOUNT CERTIfltD. <br />ims ^.ClTlMCaiC IS n«l we.r»aisswe^ ^ <br />Contractor named herein.' Issuance, payrttcnl and icceplanoew payment ere <br />preludice to any rfghls of Ihe Owner of ConUactor under Ihii Conlracfsr^Ar <br />kth DOCUMIWI cm • AWl. ATIOM AHI) Cf iKIftCAlC IO« mVAalNl • MAY t«U tOlTfON • <br />amuu CAH imarufi or AicmncTS. trjs nsw yosk AviNie, n .w, wa;.ujncioh , o.c . rm <br />WARMINO, pho^ocw^ytng vtotau* U.S, copytleM Im and la ti lifift proaaaiUae.