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APPLICATION AND CERTIFICATE FOR PAYMENT .m documint r.rnTO rnwKjpp\. ——— ----------'PKOIECI; Orono City M.ill/Pojlce and Public Works Hull dings19 (OWNER):City of Orono1335 Brcvr» Road Soulli Crystal Bay, MN 55323 <br />FROM (CONTRACTOR): Steenberg-Watrud Const. VIA (ARCHITECT): <br />10255 Inver Grove Trail Boarnian Kroos Pflster and Assoc. <br />__ Inver Grove Hts., MN 55076 North Second Street <br />CONTR,ACT FOR:_ _ _ _ _ _ _ _ Minneapolis, MN 55401 <br />(ln-.iructions on tcvef«ie side) p*c.t ONE or rv'.is <br />CONTRACTOR'S APPLICATION FOR PAYMENT <br />CHANCE OROER SUMMA^ ------------------------- <br />APPLICATION NO: TwoPERIOD TO: 7-31-92 <br />ARCHITECT'S <br />PROIECTNO. 1124.04 <br />CONTRACT DATE: <br />Di*»ribwlio»? to:□ OWNER□ ARCHITECT <br />□ CONTRACTOR□□ <br />Char.3e Orders approved in <br />previous months by Owner <br />TOTAL <br />additions <br />Approved this Month <br />Number Date Approved <br />TOTALS <br />DE Due I IONS <br />^ uu Applicl.cn for Pa>n,t,.t h.is been <br />oai^tfhe ri Documetds, lh.it all amounts have been <br />herein is t^dUr <br />CONTRAet6R:^ r 0-1 nstruction. Inc. <br />Date: 7-24-92 <br />ARCHITECT'S CERTIFICATE FOR PAYMENT <br />ine Contractor is entitled to payment of the AMOUNT CTKIIFIED. <br />Application is rnade for Payment, as shown below, in connection with ihe ConiMrt <br />Conlinualion Sheet, AIA Document C703, is attached. Contract. <br />1. ORIGINAL CONTRACT SUM........................................ j 342.500.00 <br />2. Net change by Change Orders ........................!,.. ^ 4 <br />J. CONTRACT SUM TO DATE (line I ± 2).........t . 2‘, 500.00 <br />4. TOTAL COMPLETED & STORED TO DATE....................S •136,833700^ <br />(Column G on C70J) l7.-b \ \0.00 <br />5. RETAINAGE: intt.oci <br />a. JiL % of Completed Work $ d3r3H-;00* <br />(Column D + E on G703) <br />b. iiL % of Stored Material $ -i7572-00- Mcc.co <br />(Column F on C703) <br />Total Rctainage (Line 5a + 5b or .60 <br />Total in Column I of C703).................................... S _ 1-3,865 rOO <br />6 H3TAL EARNED LESS RETAINAGE...........................i~124.950.00 <br />(Line 4 less tine 5 Total) <br />7. LFSS PREVIOUS CERTIFICATES FOR <br />PAYMEN F (Line 6 from prior Ccriilicale)...............S_ 27,000.00 <br />8. CURRENT PAYMENT DUE..................................... ^ ~97,950re0 • <br />9. BALANCE TO^FINISH, PLUS RETAINAGE.........$ 1217^50.00 <br />---------<l-ine^3,t6ss Line 6) /__________111 rrrf f t j j jj j.777 <br />State of: f ^ '' <br />: i•rn iQj^ef^fe, <br />My Commission expires: f <br />AMOUNT CERTIFIED.......................................................... , <br />ARCmTEC^T^ ’*'^*^'’ certr4cd cfr/Iers Uom Ihti applied for.) <br />By:Date: <br />AIA DOCuMl.NI cm?* \rmi ^nop; am** '^iTMiru *i . . <br />t I IP s » r 1/ «. . , *•• • • M \* • c Dai <br />This Ccrt.licale is not negotiable. The AMOUNT CERTirirD is payable only to the <br />Contractor named herein Issuance, p.iymenl and acceptance of pay'meni are without <br />pr».|.idice to any rights of the Owner or Contractor under this Contract.