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• • • • • • • <br />•>••• #•. J. <br />♦. <br />* • <br />3 <br />ca <br />too <br />IN» <br />o <br />APPLICATION AND CERTIFICATE FOR PAYMENT a\a oocuMiNTcioi tmurucuonson teve>tenctoM<x_f>£n <br />TOCOWNtW: CITY OF ORONO ORONO MUNICIPAL FACILITIES ^ <br />BID PACKAGE #3 <br />VIA (AitCHincn: BOARMAN & ASSC. <br />P.O. BOX 66 <br />CRYSTAL BAY, MN 55323 <br />FROM (CONTtAao«): ZAHL EQUIP. CO. <br />3101 SPRING ST. N.E. <br />CONTRACT FOR; VEHIctk^SfeR^flCE^^Q <br />CONTRACTOR'S APPLICATION FOR PAYMENT <br />222 NORTH 2ND ST. <br />MPLS., MN 55AOI <br />)ulion to: <br />JWNER <br />X] ARCHITECT <br />□ CONTRACTOR <br />ARCHITECTS Q <br />PROIICT NO: BID O <br />PACKAGE #3 <br />CONTRACT DATE: 6/15/92 <br />CHANCE ORDER SUMMARY _________________________ <br />Change Ordcn approved in <br />previout months by Owner <br />TOTAl <br />additions DEDUCTIONS <br />Approved this Month • <br />Number Date Approved <br />TOTALS . <br />Net thange by Chante Oideri * ________________________ <br />TTm wndtrtiRflcd ConUacto» c«rtlli*» li»« lO «>«»' <br />MonMlIOA and bNiN Iht Worti cowad ^ Uw» Applkali^ To# ha» <br />complottd In accofdanct with lh« Contract Dotumenti. that all ainot^t have been <br />oald bv the Contractor lor Worti lor which prev«n*rt Certihcatea lor Payment were <br />iitued and paymenti received Ifom the Owner, and that current payment shown <br />it now dot. <br />COMTHACrOl; <br />/"I <br />.Oilc .t£/kA <br />ApplK.;:on Is made lor fayment. as shown below. In connecfon with the Contract. <br />ConllnyAtlofi Shttl, AIA Oocumenl C7tJ, it aiuched. <br />I. ORICINAlCONTRACT SUM......................................^_3l,712|Q0 ---------- <br />J. Net change by Change Or den..................................* ------------ <br />1. CONTRACT SUM TO OATl (Line ...............................*%, ivp ikMw ...................................................A7 <br />a. TOTAl COMniTEO k STORED TO OATl....................» <br />(Coiuinn C on C703) <br />5. RHAINACCt <br />I____% of Compttled Work t--------------------------- <br />iColufim D 41 on CTOl) <br />b____% of Sioftd Material t —--------- <br />(Coioffin f on C703) <br />Tout Relainage tUne Sa 4> Sb or <br />Total In Column I of .............................................^ — <br />6. TOTAl URNIO lISS RETAINACi..............................* —---------------- <br />(litte 4 le*s line S Total) <br />7. lESS rRfVlOUS CERTIFICATES FOR <br />PAYMENT (line h from prior CcrtiRcale)..............S <br />8. CURRENT fATMENT pUI...........................................* .IViPYJ .D/ <br />9. RAUNa TO FINISH. RIUS RETAINACI......................^ <br />(Line 1 lett lint S)__________ . <br />Slate ol: County ol: <br />Subk'fibed and twom to before me thit <br />Notir Public: <br />My Cottimiifion etpire«: ________ <br />day of <br />ARCHITECT'S CERTIFICATE FOR PAYMENT <br />indrcaled, the quahty el the \AA>rli is in Ktordancc Documents, and <br />the Contractor ii entiiled la payment of the AMOUNT CLIIrtf liO. <br />DOCUMifif CNi • AlftKJUlOW AWO CHIlTiC/yi tO* PMrAUNt • matt tWI IMfiON • a*a* • • <br />tJi^S!Sr.S!.fuW tm Niw loat .viNie n w washencion oc jo«n <br />AMOUNT CltTIfliO <br />fAttsch €MpU <br />ARCHITECT: <br />By <br />(AitKh eipfanafign^amqwf <br />---------------------■ <br />jdcr/___qm: —jiM <br />rayaWe bnl <br />1/ <br />This Certifkaie it not n^gjti^. The AMOUNT <br />Contracior named hererrCinUaoce, payment and accept^ ol payr^nt are wahoul <br />pfejudice to any rights ol the Owner or Contractor under this Contract. <br />CTtS-lltl <br />o <br />o <br />-n <br />O <br />rim <br />b-•-n <br />b-4