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APPLICATION AND CERTIFICATE FOR PAYMENT aia document C702 (instructions on rowr*.** sku*) rvaoNiof 4 PAi.tsTO (OWNER):City of Orono1335 Brown Road SouthCrystal Bay, MN 55323 FROM (CONTRACTOR):Steininger Construction Co, Inc.I’KOIK I:Orono City llall/Police and Public V/orks Buildings AITltCAIION NO: 5I’TRIOD 10:7-25-92VIA (ARCMITICT):TTarman Kroos Pfister & Assoc.ARCHITECT’S PROIECT NO; 1124.04 Distnhution to:I 1 OWNER ri ARCHITECT U CONTRACTOR □□ <br />222 North Second Street <br />CONTRACT FOR: Earthwork & Site Ut ilities Minneapolis, MN 55401 CONTRACT DATE: November 2 2, 1992 <br />CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for Payment, as shown h<*low, in connection with the Contratt. <br />Continuation Sheet, AIA Document G703, is attadnul. <br />CHANGE ORDER SUMMARY <br />Change Orders approvt*d in <br />previous months by Owner <br />TOTAL <br />ADDITIONS DEDUCTIONS <br />Approved this Month <br />• <br />Klurhb^r ■Dale Approved <br />> 1 • <br />1 <br />■ . 1 <br />r <br />1 <br />_______■**'** ''vTirr...--V uMAi'i <br />n Ki ebarige by Cbarige Orders <br />1. ORIGINAL CONTRACT SUM........................................... S OQ.Q «-0P- <br />2. Ncl change by Change Orriers . ............................... S —Z2x6.23_j^00_ <br />3. CONTRACT SUM TO D-»TI (Lino 1- 2)..........................S .333,623^QP <br />4. TOTAL COMPLETED & STORED TO DATf.....................t .289,108,30 <br />(Column G on G70J) <br />5. RETAINACE: <br />a J-Q % of Completed Work $ ,28#^310.80 __ <br />(Column I) 4 t on G70I) <br />b.___% of Stored Material $___________________ <br />(Column r on C701) <br />Total Retaina^»e (Line Sa 4 5b or <br />Total in Column I of G703)t 28.910,80 <br />the undersif^ned Contractor certifies that to thr* best of the Contrar lor s knnwledp^e, <br />information and belief the Wiuk covered by this Afiplicalion for Pa\im‘nl has bc»en <br />lompicdf'd in accordance* with the Contract Documents, t!.«»l all amounts liave been <br />paid by the Contractor fc4r Work for which previous Certificates (or Payment were <br />issued and payments received from the Owner, and lb*d current payim*nt shown <br />herein is now due. <br />(k total EARNED LESS RETAINACE...................................$ .260, 197,_20 <br />(Line 4 less Line 5 Total) <br />7. IISS PREVIOUS CERTIFICATES FOR <br />PAYMENT (Line f» from prior Certificated ................$ j 193«00 _ <br />8. CURRENT PAYMENT DUE.................................................$ 40 a434_j20J;1 <br />'). BALANCE TO FINISH, PIUS RETAINACE........................S . ?3,425,^80 <br />-------------------------^ <br />(Line 3 loss line 6) ?,• ,X‘ ?• <br />CONTRACTOR: <br />Dale <br />State <br />Subscribed and svyofn to beforc nio th <br />Nol.uy Public <br />My Commission expfres: <br />--------------------------------------------------'—- - <br /><> / <br />ARCHITECT'S CERTIFICATE FOR PAYMENT <br />In accordanc e with the Contract Doc uments, tiasinl on on-sile ol>servati(ins and the <br />data comprising the above application, the Architec 11 erlifir*. to the Owner that to the <br />best of the Archilecrs knowledge, information and belief Ihe Work has progressed as <br />indicated, the quality of the Work is in accordance with the* ( onfract Dm umc'nts, and <br />the Contractor is entitled to payment of the AMOUNI c l kill II D. <br />AMOUNT CERTIFIED <br />(Att.nh rxpbrhitmn if amount certified differs from the amount applied for.) <br />AKC MlltCl: <br />By:Dale: <br />This Certificate is not negotiable. The AMOUNT ClkTIIIID is payable only to the <br />Contrac lor named herein. Issuance, payment and ac c epiance of paymeni are without <br />prejudice to any rights of Ihe Owner or Contractor uruler this Ccjntract. <br />AlA DOCUMENf C702 • AITl 1C ANON AND Cl Kill K All M)K IVMMlNI • \i\Y 1 ‘iaUDITION • AIA* • t 1903 <br />Mil AMIKK AN INSIIIUII OI AK( MIIM IS. 171% NIW \OKk WINIU. N W. WASI IIN(.!()N. O C* <br />warming vlnlAf^s U 5 cof»v»lnht »r*a N Uq^l <br />C702-1983