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APPLICATION AND CERIIIICAIE FOU PAYMLNI TO (OWNER): CltyofOrono PROJECT: Lin Station P9 Renovation APPLICATION NO: 2 FINAL <br />PERIOD TO: 9-25-92 <br />FROM (CONTRACTOR)- NewMech Companies. Inc <br />1633 Eustls Street <br />St. Paul. MN 55108 <br />CONTRACT FOR: Mechanical Work <br />VIA (ARCHITECT): <br />Bonestroo, Ro&ane, Anderllk & Assc. <br />2335 w Hwy 36 <br />St. Paul, Mn. 55113 <br />ARCHITECTS <br />PROJECT NO: <br />CONTRACT DATE: <br />CONTRACTOR’S APPLICATION FOR PAYMENT <br />Change Order Summary <br />Change Orders approved In <br />previous months by Owner <br />TOTAL <br />1 <br />1 <br />1 <br />ADDITIONS 1 <br />1 <br />$8,200.00 1 <br />DEDUCTIONS | <br />1 <br />1 <br />Approved this Month <br />CO# 1 DateAp, <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />-■1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />TOTALq $8,200.00 1 1 <br />Net change by Change Orders $8,200.00 1 <br />AppUcallon Is, made for Payment, as shown below, In connection <br />with the Contract. Continuation sheet, AlA Document G702A Is <br />attached. <br />The undersigned Contractor certifles that to the best <br />of the Contractor’s knowledge. Information and bellof <br />the Work covered by this Appllcallon for Payment F js <br />been completed In accordance with the Contract <br />Documents, that all amounts have been paid by the <br />Cor>tractor for Work for which previous Certificates <br />for Payment were Issued and payments received from <br />the Owner, and,that currertt payment shown herein Is <br />now duo. <br />CONTRAC 6R: NewMech Companies, Inc <br />1. ORIGINAL CONTRACT SUM..................... <br />2. Net change by Change Orders .................... <br />3. CONTRACT SUM TO DATE(Llne U2)........ <br />4. TOTAL COMPLETED & STORED TO DATE. <br />(Column G on G702a) <br />5. RETAINAGE: <br />5% of Completed Work <br />(Column Dr^E on G702a) <br />of Stored Materials <br />(Column F on G702a) <br />Total Relalnage(Llne 5a'*'5b or <br />Total In Cloumn 1 on G702a)...................... <br />6. TOTAL EARNED LESS RETAINAGE.......... <br />(Line 4 less Line 5 Total) <br />7. LESS PREVIOUS CERTIFICATES FOR <br />PAYMENT(Une 6 from prior certificate)........ <br />8. CURRENT PAYMENT DUE....................... <br />9. BALANCE TO FINISH.PLUS RETAINAGE... <br />(Line 3 less Line 6) <br />$46,800.00 <br />$8,200.00 <br />$55,000.00 <br />$55,000.00 <br />$55,000.00 <br />$10,97250 <br />$44,027.50 <br />Stale of: Minnesota County of: Ramsey <br />Subscribed arKj sworn to before me this dayof.->c^^:??Z^^Al9 ^ <br />Wayne H <br />Date: 9-28-92 <br />Nol«yPuWle: <br />......... <br />i <br />ARCHITECT'S CERTIFICATE FOR PAYMENT <br />In accordance with the Contract Documents, based on <br />on-site observations and the data comprising the above <br />appiicallon, the Architect certifies lo the Owner that <br />to the best of rw ‘«ichltect's knowledge. Information <br />atvi bellel the Work has progressed as Indicated, the <br />quality of the Work Is In accordarKe with the Contract <br />Documents i nJ the Contractor Is entitled to payment <br />of the AMOUR r CERTIFIED. <br />AMOUNT CERTIFIED....................... <br />(Attach explanation If amount certifted differs from the <br />amount applied for) <br />ARCHITECT: <br />By:.Dale; <br />TNs Certificale Is not negotiable. The AMOUNT CERTIFIED <br />is payable only to the Contractor nanMd herein. Issuarxe <br />payment and accept»v:e of payment are without prejudice <br />to any rights of Ine Owner or Contractor under this <br />Contract.