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APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMUNT C7U2 'Insinicrions on reverse side) PACtONiorS PACis10 (OWNER):City of Orono <br />1335 Drown Roa(3 South <br />Crystal Bay, MN 55323 <br />( ROM (CONIRACTOR): <br />AlLiec) Mechanical Systems <br />340 Michigan St., Hutchinson, MN 55350 <br />CON (RAC hOR: Mechanical Work <br />PROJECT:Orono City llall/Police and <br />Public Works Buildings <br />APPLICATION NO: 5 <br />PERIOD TO: 10-31-92 <br />VIA (ARCniTECI): ARCHITECT'S <br />Boarman Kroos Pfister and Assoc. PROJECT NO: 1124.04 <br />222 North Second Street <br />Minneapolis. MN 55401 CONTRACT DATE: <br />Dislribulion lo: s□ OWNER <br />□ ARCHITECT <br />□ CONTRACTOR <br />□ .□ <br />CONTRACTOR'S APPLICATION FOR PAYMENT <br />I <br />CHANCE ORDER SUMMARY <br />Change Orders approved in <br />previous monihs by Owner <br />lOTAI. <br />ADDITIONS <br />'Niitrilicr'Dale Approved <br />OCTiJ’4 1992 <br />^ COVnpRUy TOTALS <br />DEDUCTIONS <br />Applicalion is made (or Payment, as shown below, in connection wilh the Contract. <br />Continuation Sited, AlA Document G703, is attached. <br />I ORIC.I aL CONTRACT SUM.........................................$ 390,000.00---------- <br />2. Net cliangc by Change Orders.....................................$-------(8 y08&^7JL). <br />i^et change by Change Orders (8,0801) <br />3. CONTRACT SUM TO DATE (Line 1 ±2)........................$ 381.913.t22. <br />4. TOTAL COMPLETED & STORED TO DATE....................$ . 258»Q35..22. <br />(Column C on C703) <br />5. KEIAINAGE: <br />a. iO,- % o( Completed Work $ —»283.^1)0------- <br />(Column D *!• E on C7U3) <br />b. 10 - % of Stored Material S ,11,521 aOQ____ <br />(Column F on C703) <br />Total Relainage (Line 5a i 5b or <br />Total in Column I ol C703)....................................$-------25 »8Q4 aQQ. <br />TIte undersigned Contractor certifies that to the best of the tonlraclor's knowleoge, <br />inforntation and belief the Work covered by this Applicalion for Payment has been <br />completed in accordance with the Contraci DocurTtenls, lltat all amount* tiavc been <br />paid by the Contrac(pr (or Work for which previous Certificates tor Payment were <br />issued and payments received Irortt the Owner, and llial current payment shown <br />herein is now due. <br />CONTRACTOR: Allied Mechanical Systems of Hutchinson, Inc. <br />G. TOTAL EARNED LESS RETAINACE.................................S 232.231.25 <br />(line 4 less Line 5 Total) <br />7. LESS PREVIOUS CERTIFICATES FOR <br />PAYMENT (Line 6 from prior Certificate)...............$ —117 »476 1.29.. <br />(J. CURRENT PAYMENT DUE..............................................$—114 »735 j1?.Q. <br />y. BALANCE TO FINISH, PLUS RETAINACE......................$ 149.682.QQ <br />(Line 3 less Line 6) ________________ <br />D.„c: 10-22-92 <br />ARCHITECT'S CERTIFICATE FOR PAYMENT <br />In accordance with llie Cotmaci Dociimcnls, based on on silc observations and (he <br />data comprising ihc above applicalion, Ibe ArcIniccT ccMiIics lo the Owner that to the <br />best ol Ibe Arcbilecl'S knowledge, informanon and belief ibe Work bas progressed as <br />indicaled, ibe tiualily o( Ibe Work is in accordance wnb IbeConIract Documenis. and <br />lire Conuatior is cnlilled lo payment o( Ibe AMOUNI CCRIIFIED. <br />Stale o(: Ml|inesota ^ County of: McLeod <br />Subscribed and^svJri/lu lX’lor(jf4*ic Ibis <br />NOTARY PUBLIC • MINNESOTA <br />V A. McLEOD COUNTY <br />Ti.up.duiw ica. linr/ • <br />AMOUNT CEKIITItU <br />(Attach explanation il amount cvrlihcd dilfcrs frorr, the amount applied lor) <br />ARCHITECT: Doarinan Kroos Pfister and Associates <br />Notary Public: <br />My CommissiJirexpires) 6-23-97 <br />By;Dale; <br />Ibis Ceriilicalc is not negotiable. Tbc AMOUNT CERTIFIED is payable only lo Ihc <br />Coniracior named herein. Issuance, payment and acceptance of payment arc without <br />prejudice lo any rigbls ol the Owner or Coniraclor under Ibis Contract. <br />AIa UOCUMINT C702 • AITlirATION AND ClIITirK.AIt rC)« fAYMlNI • MAV lOttJ lUIMON • MA' • I’llll <br />HU AMIHICAN irrsilluu Of ARriimCIS. OIS NIW VOKK AVINUI, NVV. WASIMNOrON, DC JIXKH.0702-1903 <br />*.*'.n»l'MO: Unilr.n.td pholoropyino vlpl.lfi tl S C'pvflqlil l.w. i'\U I* .iibjecl lo l»Qil piOlfCur'n'’.