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CONTRACTOR'S PAY REQUEST NO. 1 - FINAL <br />2016 MILL AND OVERLAY PROJECT <br />CITY OF ORONO <br />BMI PROJECT NO. 013.111839 <br />TOTAL AMOUNT BID PLUS APPROVED EXTRA WORK................... .......................... ....... <br />................... <br />$109,756.06 <br />TOTAL. COMPLETED WORK TO DATE....................................................................................................$ <br />109.789.51 <br />TOTAL, STORED MATERIALS TO DATE.................................................................................................. <br />$ <br />- <br />DEDUCTION FOR STORED MATERIALS USED IN WORK COMPLETED ............................................. <br />$ <br />- <br />TOTAL, COMPLETED WORK & STORED MATERIALS... ............................................ ........................... <br />$ <br />- <br />RETAINED PERCENTAGE ( 0%).......................................................................................... <br />$ <br />- <br />TOTAL AMOUNT OF OTHER DEDUCTIONS.................................................................................. <br />$ <br />- <br />NET AMOUNT DUE TO CONTRACTOR TO DATE...................................................................................$ <br />109,789.51 <br />TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES......................................................................... <br />$ <br />- <br />PAY CONTRACTOR AS ESTIMATE NO. 1-FINAL...........................................................$ <br />109,789.51 <br />Certificate for Final Payment <br />1 hereby certify that, to the best of my knowledge and belief, all items quantities and prices <br />of work and material shown on this Esti male 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. 290.92 have been complied with and that <br />all claims against me by reason of the Contract have been paid or saesfaclony secured. <br />Contractor: OMANN CONTRACTING COMPANIES, INC. <br />6551 LA BEAUX AVENUE NE <br />ALBERTVILLE, MN 553111— <br />By <br />53 By r�TIJ� <br />Name e <br />Date It — Z1" — <br />CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT: <br />BOLTON & MENK, INC., ENGINEERS, 2638 SHADOW LN, SUITE 200, CHASKA MN 55318 <br />By —1>--Q R f4& , CONSULTANT CITY ENGINEER <br />DAVID P. MARTINI, P.E. <br />Date 10/25/2016 <br />APPROVED FOR PAYMENT: <br />Owner: CITY OF ORONO, MINNESOTA <br />By <br />Name Title Date <br />