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CONTRACTOR'S PAY REQUEST DISTRIBUTION: <br />WATERTOWN ROAD REHABILITATION - PHASE II CONTRACTOR (1) <br />SAP 152-103-004 OWNER (1) <br />CITY OF ORONO, MN ENGINEER (1) <br />BMI PROJECT NO. C13.110827 <br />TOTAL AMOUNT BID PLUS APPROVED CHANGE ORDERS $606,568.92 <br />TOTAL, COMPLETED WORK TO DATE $537,630.15 <br />TOTAL, STORED MATERIALS TO DATE $0.00 <br />DEDUCTION FOR STORED MATERIALS USED IN WORK COMPLETED $0.00 <br />TOTAL, COMPLETED WORK & STORED MATERIALS $537,630.15 <br />RETAINED PERCENTAGE ( 5%) $26,881.51 <br />TOTAL AMOUNT OF OTHER PAYMENTS OR (DEDUCTIONS) $0.00 <br />NET AMOUNT DUE TO CONTRACTOR TO DATE $510,748.64 <br />TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES $345,797.76 <br />PAY CONTRACTOR AS ESTIMATE NO. 3 $164,950.88 <br />Certificate for Partial Payment <br />hereby certify that, to the best of my knowledge and belief, all items quantities and prices <br />of work and material shown on this Estimate are correct and that all work has been <br />performed in full accordance with the terms and conditions of the Contract for this project <br />between the Owner and the undersigned Contractor, and as amended by any <br />authorized changes, and that the foregoing is a true and correct statement of the <br />contract amount for the period covered by this Estimate. <br />Contractor: Valley Paving, Inc. <br />8800 13th Ave E <br />Shakopee, MN 55379 <br />By__ <br />Title <br />Date F <br />CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT: <br />ENGINEER: BOLTON & MENK, INC., 2638 SHADOW LANE, SUITE 200, CHASKA, MN 55318 <br />By CITY ENGINEER <br />Date 9Z-71 <br />j �p <br />APPROVED FOR PAYMENT: <br />OWNER: <br />By <br />Name Title Date <br />And <br />Name Title Date <br />