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CONTRACTOR'S PAY REQUEST NO. 1 - FINAL <br />BROWN ROAD TRAIL MAINTENANCE <br />CITY OF ORONO <br />BMI PROJECT NO. C13.111231 <br />TOTAL AMOUNT SID PLUS APPROVED EXTRA WORK....................................................................... <br />$35,BSo.00 <br />TOTAL, COMPLETED WORK TO DATE.................................................................................................... <br />$ 28,745.20 <br />TOTAL, STORED MATERIALS TO DATE.................................................................................................. <br />$ <br />DEDUCTION FOR STORED MATERIALS USED IN WORK COMPLETED ............................................. <br />$ <br />TOTAL, COMPLETED WORK & STORED MATERIALS........................................................................... <br />$ <br />RETAINEDPERCENTAGE ( 0%)......................................................................................... <br />$ <br />TOTAL AMOUNT OF OTHER DEDUCTIONS.................................................................................. <br />$ <br />NET AMOUNT DUE TO CONTRACTOR TO DATE. .................................................................................. <br />$ 28,745.20 <br />TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES......................................................................... <br />$ - <br />PAY CONTRACTOR AS ESTIMATE NO. 1 - FINAL........................................................... <br />$ 28,745.20 <br />Certificate for Final Payment <br />I 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 amount <br />for the Final Estimate, that the provisions of M. S. 280.92 have been complied with and that <br />all claims against me by reason of the Contract have been paid or satisfactorily secured. <br />Contractor: BITUMINOUS ROADWAYS, INC. <br />1520 COMMERCE DRIVE <br />E A HEIG T , MN 15120 <br />By J IG�rrta eft <br />Name l C }Title// <br />Date =66e r aoll, c t. <br />CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT: <br />BOLTON & MENK, INC., ENGINEERS, 2638 SHADOW LN, SUITE 200, CHASKA MN 55318 <br />By —D—LQ -P 7Aj, , CONSULTANT CITY ENGINEER <br />DAVID P. MARTINI, P.E. <br />Date 1012812016 <br />APPROVED FOR PAYMENT: <br />Owner: CITY OF ORONO, MINNESOTA <br />Title Date <br />